The Experts below are selected from a list of 180 Experts worldwide ranked by ideXlab platform
Bassel F Shneker - One of the best experts on this subject based on the ideXlab platform.
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patient Caregiver and Health Care Practitioner knowledge of beliefs about and attitudes toward epilepsy
Epilepsy & Behavior, 2008Co-Authors: John O Elliott, Bassel F ShnekerAbstract:Abstract The medical literature related to knowledge of, beliefs about, and attitudes toward epilepsy was reviewed from the perspective of patients, Caregivers, and Health Care providers. The literature points to a desire for enhanced epilepsy education by patients and Caregivers; however, these needs have not been met by primary or specialty Care. Surveys of general Practitioners (GPs) point to limitations in knowledge and negative attitudes. GPs view their role in epilepsy Care as primarily educational and tend to acknowledge their limitations by referring difficult cases. Ongoing education for GPs is important, as is an improved partnership in defining roles for Care and education. Health Care professionals specialized in epilepsy Care acknowledge their own set of barriers to optimal Care. Epilepsy education programs have been able to improve knowledge; however, long-term improvements in behavioral outcomes or quality of life are less documented. Suggestions for improvements are provided.
Lorna J Martin - One of the best experts on this subject based on the ideXlab platform.
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The Health Care Practitioner's role in the management of violence against women in South Africa : main article
CME: Your SA Journal of CPD, 2006Co-Authors: Lorna J MartinAbstract:Domestic or intimate partner violence is an increasingly common reason for a woman to present to her Health Care Practitioner (hcp). Intimate partner violence has multiple, complex physical and psychological consequences and places an overwhelming Health burden on women, their families and on the Health Care system. Estimates of domestic violence (DV) in sa suggest that between 1 in 4 and 1 in 6 women suffer some kind of abuse at the hands of an intimate partner. In terms of the Domestic violence act, DV is described as any abusive behaviour that controls or harms the Health, safety or wellbeing of a person or any child Cared for by that person. The proposed sexual offences Bill aims to revise both the substance of the common law on rape, as well as numerous procedural and evidentiary aspects of the trial process to improve justice for sexual assault survivors. The DVa implies that hcps have a duty to attend to DV cases and the sexual offences Bill may place an actual legal duty on hcps to correctly assess and manage cases of sexual assault. Health problems arising from DV may be acute or chronic and are not confined to sexual problems or injuries. Internationally, screening for DV is generally advocated for all female patients (referred to as universal screening). Detailed medical notes may contribute to positive judicial outcomes for any number of the legal options that the patient may pursue. The J88 and the gw 7 / 15 are currently the only recognised legal medical forms and, although prosecutors can subpoena medical records, the only medical records that appear initially in a docket are the J88 in a case of assault (physical or sexual) and the gw 7 / 15 in the case of an unnatural death. The J88 is not just a document that increases the workload of the ordinary hcp; it is the only document that facilitates your patient's access to justice and is used by the prosecutor to decide whether or not to pursue a case. The examination of survivors of sexual violence is the job of a senior hcp with experience in these types of cases.
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The Health Care Practitioner’s role in the management of violence against women in South Africa
Continuing Medical Education, 2006Co-Authors: Lorna J Martin, Lillian ArtzAbstract:The Health Care Practitioner's role in The managemenT of violence againsT women in souTh africa Domestic and intimate partner violence is becoming increasingly common in South Africa. VIOLENCE AGAINST WOMEN increasingly, the literature in south africa (sa) suggests that domestic or intimate partner violence is the most common reason for a woman to present to her Health Care Practitioner (hcp). intimate partner violence has multiple, complex physical and psychological consequences and places an overwhelming Health burden on women, their families and the Health Care system. This cost has never been calculated in sa, but a report from the uK estimates that the cost of intimate partner violence in england and wales in 2004 was £22.9 billion. 1 violence against women is as pervasive as tuberculosis and inextricably linked with hiv/aiDs. women in sa still struggle to negotiate safe sex and are disproportionately the victims of rape and intimate partner violence. This is not new, but it has been accentuated by the impact of hiv. apart from the obvious focus of hiv-related violence, violence against women (vaw) is a major public Health problem. unfortunately it is still not recognised as such and so suffers from poor, almost non-existent, resource allocation. The only recompense for the majority of women in sa are those hcps who are diligent when assessing them for abuse and treat them holistically and with dignity. in their world report on violence, 2 the world Health organization (who) also addresses the costs of vaw, concluding that it has: • direct costs related to injuries sustained, illnesses, disability and deaths due to violence, absenteeism and turnover of staff • indirect costs related to decreased work functionality, inferior quality of outputs and service and lack of competitiveness • less tangible costs related to poor organisational image, lack of motivation and morale, decreased loyalty, less creativity, and environmental conditions not conducive to productivity. estimates of domestic violence (Dv) in sa suggest that between 1 in 4 and 1 in 6 women suffer some kind of abuse at the hands of an intimate partner. 3 The spectrum of abuse recognised as Dv ranges from emotional, verbal Lillian Artz spent 8 years as a chief researcher and lecturer at the Institute of Criminology (Faculty of Law, UCT), where she specialised in violence against women, feminist jurisprudence, women and legal reform and research methods. She has published widely on domestic violence and sexual offences and has worked intensively on legal reforms in South Africa in relation to these topics over the past decade. She is a Chevening Scholar and PhD candidate at the university of Queen's, Belfast. 72 CME february 2006 vol.24 no.2 pg72-77.indd 72 2/7/06 3:40:27 PM Ar TICLE and economic, to physical and sexual, and in some cases, death. a recent national study has found that in 1999, 4 women were murdered by an intimate partner every day in sa. 4 sa also has one of the highest incidences of reported rape cases in the world, giving us the dubious reputation of being the 'rape capital of the world'. it has also been suggested that the annual incidence of reported rape in sa is greater than incidences reported during armed conflicts. 5 recognising the high levels of violence against women and the inadequacy of the state to effect appropriate justice and related Care to victims, legislators have attempted to provide redress through law reform. This includes redefining the common law crime of rape a as well as the promulgation of the Domestic violence act (act 116 of 1998) (Dva). in terms of the Dva, Dv is described as any abusive behaviour that controls or harms the Health, safety or wellbeing of a person or any child Cared for by that person (Table i). The proposed sexual offences Bill aims to revise both the substance of the common law on rape, as well as numerous procedural and evidentiary aspects of the trial process to improve justice for sexual assault survivors. The Dva implies that hcps have a duty to attend to domestic violence cases and the sexual offences Bill may place an actual legal duty on hcps to correctly assess and manage cases of sexual assault. in addition, there are numerous international codes that prescribe hcp duties towards caring for women in Dv relationships. The who and the federation of international gynaecologists and obstetricians set out the following obligations when dealing with women in abusive relationships: 6,7 • To do no harm to your patient. • always ensure confidentiality of the patient's records. • recognise the existence and occurrence of domestic violence. • To develop appropriate tools and interventions to combat domestic violence in the Health Care setting. • Health Care Practitioners must share their knowledge of their abused patients with social services and the criminal justice system. • Health Care Practitioners must be aware of the symptoms and signs of abuse. • where possible, b universally screen all female patients. • manage all physical and psychological injuries and document these in detail. • ensure that patients are referred to the appropriate social, community and legal services. Acute • injury • unexplained / inconsistent injuries • ocular injuries • upper arm injuries consistent with grabbing • cigarette burns • fractures not explained by history • genital injuries consistent with forced sexual intercourse • pregnancy / miscarriage / unsafe Top c • sexually transmitted infections / hiv infection • Death. Chronic • physical • chronic bowel disorders • reduced physical functioning • fibromyalgia • chronic pain syndromes • gynaecological • sexual dysfunction/vagismus • infertility • pelvic inflammatory disease • psychological • post-traumatic stress disorder • alcohol and substance abuse • anxiety and depression • sleep and eating disorders • suicidal ideation • psychosomatic disorders • unsafe sexual practices. Fatal • femicide • non-intimate homicide • intimate femicide • rape homicide • maternal deaths • hiv/aiDs-related mortality • suicide.
Ann W Garwick - One of the best experts on this subject based on the ideXlab platform.
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psychometric testing of the iceland Health Care Practitioner illness beliefs questionnaire among school nurses
Scandinavian Journal of Caring Sciences, 2018Co-Authors: Erla Kolbrun Svavarsdottir, Wendy S Looman, Gudny Bergthora Tryggvadottir, Ann W GarwickAbstract:BACKGROUND: Beliefs have been found to have an effect on how people deal with illness. Therefore, knowing HealthCare Practitioners' beliefs about specific high frequency illnesses are vital when caring for vulnerable populations such as school-age children with chronic illnesses or disorders. AIM: To psychometrically test the Iceland Health Care Practitioner Illness Beliefs Questionnaire for HealthCare professionals who are working with families of school-age children with asthma and attention deficit/hyperactivity disorder. DESIGN: The Iceland Health Care Practitioner Illness Beliefs Questionnaire is a 7-item Likert-type instrument with four additional open-ended questions that was developed from the Iceland Family Illness Belief Questionnaire. The questionnaire is designed to measure a provider's beliefs about their understanding of the meaning of the illness situation for families. The questionnaire was administered to 162 school nurses in Iceland and the state of Minnesota. METHOD: Two condition-specific versions of the Iceland Health Care Practitioner Illness Beliefs Questionnaire were developed in this study: one to measure beliefs about families of children with asthma and one to measure beliefs about families of children with attention deficit hyperactivity disorder. Higher scores on the questionnaire indicate that HealthCare professionals are more confident in their illness beliefs. After initial development, the questionnaire was translated into English. Participants completed the questionnaire using an online survey platform and parallel study procedures in both countries. RESULTS: Based on exploratory factor analysis using principal component analysis, the Iceland Health Care Practitioner Illness Beliefs Questionnaire was found to have a one-factor solution with good construct validity (Cronbach's α = 0.91). Confirmatory factor analysis supported the one-factor solution (Cronbach's α = 0.91). CONCLUSION: This instrument is a promising tool for measuring illness beliefs among HealthCare Practitioners in clinical and research settings.
Isaac K Nyamongo - One of the best experts on this subject based on the ideXlab platform.
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Health Care switching behaviour of malaria patients in a kenyan rural community
Social Science & Medicine, 2002Co-Authors: Isaac K NyamongoAbstract:Patients ordinarily use multiple sources of Health Care. This study reveals the transitions patients in a rural region of Gusii, Kenya are likely to make beyond the homestead in their search for alternatives to combat malaria. Malaria is a very common Health problem in the region resulting in enormous human and economic losses. Data on Health Care seeking behaviour were collected over a 10-month period. The primary data for this paper is from malaria-focused ethnographic interviews with 35 adults (18 women and 17 men). Results show that patients are more likely to start with self-treatment at home as they wait for a time during which they observe their progress. This allows them to minimise expenditure incurred as a result of the sickness. They are more likely to choose treatments available outside the home during subsequent decisions. The decisions include visiting a private Health Care Practitioner, a government Health centre or going to a hospital when the situation gets desperate. Knowledge and duration of sickness, the anticipated cost of treatment, and a patient's judgement of the intensity of sickness determine their choice of treatment.
Judith Macer - One of the best experts on this subject based on the ideXlab platform.
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effect of the women s Health initiative on women s decisions to discontinue postmenopausal hormone therapy
Obstetrics & Gynecology, 2003Co-Authors: Bruce Ettinger, Deborah Grady, Anna N A Tosteson, Alice Pressman, Judith MacerAbstract:OBJECTIVE: To examine whether women who were using postmenopausal hormone therapy (HT) before publication of Women's Health Initiative findings about risks associated with HT had been informed about the findings once published; and to estimate how knowledge of these findings was associated with their decision to discontinue HT. METHODS: We performed a telephone survey of 670 female members of a large Health maintenance organization, aged 50-69 yr, who had regularly used HT from July 1, 2001, through June 30, 2002. RESULTS: Most women (93%) reported hearing about the new findings; however, only 57% considered the quality of this information to be good, regardless of its source: mass media (21%), the Health plan (32%), or a Health Care Practitioner (34%). Women's knowledge of Women's Health Initiative findings was generally poor; 64% did not know what the findings were, 7% were unsure of their knowledge, 6% had incorrect knowledge, and 23% had correct knowledge of Women's Health Initiative findings. On a simple, five-question, true-or-false quiz about HT risks, 30% of respondents answered four to five questions correctly. Although not well informed, 56% reported attempting to discontinue HT in the 6 to 8 months after July 2002. Our multivariable model included five statistically significant predictors of attempting to stop HT: having been sent a letter about Women's Health Initiative findings (odds ratio [OR] 2.7; 95% confidence interval [CI] 1.8, 3.9), reporting good-quality information from media (OR 2.1; 95% CI 1.3, 3.3), having started HT for Health promotion (OR 2.0; 95% CI 1.2, 3.3), using a lower-than-standard dosage of estrogen (OR 1.9; 95% CI 1.1, 3.1), and correctly answering four or more items on the HT quiz (OR 1.9; 95% CI 1.2, 2.8). CONCLUSION: During the 6-8 months after publication of Women's Health Initiative trial findings, most regular postmenopausal HT users tried to stop using HT, despite not being well informed about the Women's Health Initiative findings.
