Time norms of household work of rural families

Chronic Obstructive Pulmonary Disease (COPD) is currently one of the most prevalent lung diseases around the world, which runs an insidious course, measured over years, with an often-undiagnosed initial phase. Present clinical treatment approach for COPD results in repeated clinical visits and extended hospital stays burdening the available healthcare infrastructures, economy, and also impacting patient quality of life. To alleviate this burden, modern healthcare approaches focus on developing patient-centric solutions in which the patients should be able to request and receive quality medical assistance at their convenience, if possible from their respective homes. In this thesis work, a medical perspective on the treatment and managing of COPD is first understood in order to enunciate the functional requirements of a developing home healthcare system as an alternative to clinical treatment of COPD. Thereafter, an investigative study is carried out to explore recent developments in ICT technologies and their role in healthcare. Later, suitable sensing platforms and communication standards are identified in order to develop a working prototype of a Point of Care (POC) terminal as a proof-of-concept. The POC comprising of a breathing training device and a care application running on an android based smart device is used to measure and monitor breathing patterns of the patients and motivate them for better results and continuous improvement. An optimization exercise for low power consumption is performed on the breathing training device to facilitate additional mobility and long-term monitoring for the same. Through the observations and evaluations, scope for improvement in future versions of the device is also identified.

Traditionally , home economics majors and foods and nutrition majors in most colleges and universities have been able to bring their professional theoretical background to a climax with a practical living experience. This has been the policy at Utah State University, fulfilled in Household Administration, Course No. 150. Although the students entering this course are products of different backgrounds and cultural habits, it is assumed that their common home economics background in the University would allow them to manage a home efficiently. For many, however, this living experience requires a substantial adjustment. In some cases this experience of residence in the home management house marks the first break between home and the student.

The usefulness of the home management house residence course at Utah State University as perceived by former students was studied. The sample consisted of 112 students, residents of the home management house between 1967 and 1975. The instruments used were: a background questionnaire and a management skill usefulness scale. The statistical tests used were the t test and analysis of variance. The course was rated as being very useful, both personally and professionally by the graduates.. It was found that the three variables being tested ( professional employment, grade earned from the course and graduate resident advisor) did not make significant differences in the usefulness ratings. The findings also indicated that the course had not become less useful over time.

M.Cur. / There is little information about the outcomes and safety of home births, although more and more women are starting to lean towards natural and active births. A home birth provides a more relaxed environment with familiar attendants and less medical intervention. No separation exists between mother and baby as well as other family members. Freedom of movement is promoted and the woman can eat and drink as she pleases. Unnecessary routine preparation for labour doesn't exist and privacy is respected. The purpose of this research was to explore and describe the outcomes of home births in Pretoria, attended by private midwifes, and to provide guidelines in relation with home births.

From 2014 to 2015, deficiency fines cost Pennsylvania nursing homes more than $2.5 million. Costs associated with adhering to increased health care regulations can reduce profit and affect the financial sustainability of the nursing home industry. Some nursing home administrators (NHAs) lack successful strategies to improve state and federal regulation compliance and promote financial sustainability. Drucker's management by objectives theory was the conceptual framework for this study. The purpose of this qualitative multiple case study was to explore successful strategies NHAs use to improve state and federal regulation compliance to mitigate deficiencies and derivative fines to promote financial sustainability of nursing homes. NHAs who manage 5-star rated nursing homes within a 100-mile radius of Pittsburgh, Pennsylvania use effective management strategies to mitigate deficiencies and derivative fines to earn a 5-star rating which, helps promote financial sustainability. Data were collected from semistructured face-to-face and telephone interviews with 4 NHAs and from Medicare's Nursing Home Compare website. The data on the website provided information on the 3 domains of health inspections, staffing, and quality measures, that made up the overall star rating of nursing homes. Data were analyzed using Yin's 5-phase cycle. The findings revealed 3 major themes: develop knowledgeable staff, enhance communication with staff and residents, and promote innovation for continuous quality improvement. The implications for positive social change could include increased quality of patients' health care, creation of employment opportunities to promote prosperity in communities, and financial sustainability in the United States nursing home industry.

Background: Approximately 32% of all lymphoma patients experience immunocompromised severe avoidable side effects of nadir at home after discharge postchemotherapy. The certified oncology nurses employed at a large metropolitan hospital in Atlanta, Georgia, lack standardized discharge guidelines that include regulatory organizations’ recommendations to assist patients/families with at-home self-management of the avoidable side effects. Purpose: The purpose of this quality improvement project was to utilize the institution’s existing postchemotherapy discharge protocol to assess certified oncology nurses’ knowledge of severe avoidable side effects of nadir; modify the existing healthcare institution’s postchemotherapy discharge protocol to reflect standardized practice for promoting clinical practice continuity by leading organizations; conduct multifaceted training seminars to disseminate the modified postchemotherapy discharge guideline; evaluate the oncology nurses’ knowledge of severe avoidable side effects of nadir postchemotherapy after modified guideline implementation; and collaborate with the intraprofessional team to determine if the modified postchemotherapy discharge guideline was feasible and acceptable for system wide hospital implementation. Theoretical Framework: The theoretical framework used was Benner’s model of nurse proficiency: expert nurses develop skills and understanding of patient care through a sound educational base and a multitude of experiences. Methods: The existing postchemotherapy discharge protocol was used to develop a developed standardized guideline incorporating regulatory organizations’ recommendations for severe avoidable side effects of nadir postchemotherapy for nursing discharge information and patients’ at-home management. Ten oncology registered nurses on a 16-bed oncology unit participated in two 10-question Likert scale questionnaires based on the existing guideline (pretest) and the modified guideline (posttest) before and after an educational intervention. A quantitative nonparametric descriptive design was used. The questionnaires were analyzed with a two-tailed paired t test, p = 0.05, CI = 95, SD = 12. Results: Nurses significantly improved from pretest to posttest—63% before receiving modified guideline education and 83% after receiving education (p < 0.005). Conclusion: A standardized guideline that included regulatory organizations’ recommendations for at-home management of severe avoidable side effects of nadir showed significant nurses’ improvement in knowledge and competency. The effectiveness of nurses disseminating discharge information was paramount when knowledge awareness and appropriate patient/family assessment were incorporated in the discharge instructions.

<p>Malaria is a health, social and economic burden in Nigeria and consistently ranks amongst the four most common causes of childhood deaths. Treatment of malaria is usually started at home / care is only sought from the health facility when the treatment is ineffective (McCombie, 1996). Patent medicine vendors (PMVs) have been identified as a widely patronized source for drugs used in the home treatment of malaria (Breiger et al, 2001 / Goodman, et al, 2007 / Salako et al, 2001). Inadequate or poor knowledge and practices in the use of anti-malaria drugs (AMDs) increases morbidity and mortality, undermines therapeutic efficacy, and promotes the emergence and spread of drugresistant malaria. Aim: The aim of the study was to describe and quantify the knowledge and self-reported practices of PMVs in the use of antimalarials, particularly artemisinin-based combination therapies (ACTs), in a poor urban community in Lagos state, Nigeria.</p>

<p>Malaria is a health, social and economic burden in Nigeria and consistently ranks amongst the four most common causes of childhood deaths. Treatment of malaria is usually started at home / care is only sought from the health facility when the treatment is ineffective (McCombie, 1996). Patent medicine vendors (PMVs) have been identified as a widely patronized source for drugs used in the home treatment of malaria (Breiger et al, 2001 / Goodman, et al, 2007 / Salako et al, 2001). Inadequate or poor knowledge and practices in the use of anti-malaria drugs (AMDs) increases morbidity and mortality, undermines therapeutic efficacy, and promotes the emergence and spread of drugresistant malaria. Aim: The aim of the study was to describe and quantify the knowledge and self-reported practices of PMVs in the use of antimalarials, particularly artemisinin-based combination therapies (ACTs), in a poor urban community in Lagos state, Nigeria.</p>

Magister Public Health - MPH / Malaria is a health, social and economic burden in Nigeria and consistently ranks amongst the four most common causes of childhood deaths. Treatment of malaria is usually started at home; care is only sought from the health facility when the treatment is ineffective (McCombie, 1996). Patent medicine vendors (PMVs) have been identified as a widely patronized source for drugs used in the home treatment of malaria (Breiger et al, 2001; Goodman, et al, 2007; Salako et al, 2001). Inadequate or poor knowledge and practices in the use of anti-malaria drugs (AMDs) increases morbidity and mortality, undermines therapeutic efficacy, and promotes the emergence and spread of drugresistant malaria. Aim: The aim of the study was to describe and quantify the knowledge and self-reported practices of PMVs in the use of antimalarials, particularly artemisinin-based combination therapies (ACTs), in a poor urban community in Lagos state, Nigeria. / South Africa