IntroductionThe Department of Health and Human Services and Food and Drug Administration described guidelines for exception from informed consent (EFIC) research. These guidelines require community consultation (CC) events, which allow members of the community to understand the study, provide feedback and give advice. A real-time gauge of audience understanding would allow the speaker to modify the discussion. The objective of the study is to describe the use of audience response survey (ARS) technology in EFIC CCs.MethodsAs part of the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART), 13 CC events were conducted. We prepared a PowerPoint™ presentation with 4 embedded ARS questions,according to specific IRB guidelines to ensure that the pertinent information would reach our targeted audience. During 6 CCs, an ARS was used to gauge audience comprehension. Participants completed paper surveys regarding their opinion of the study following each CC.ResultsThe ARS was used with minimal explanation and only one ARS was lost. Greater than 80% of the participants correctly answered 3 of the 4 ARS questions with 61% correctly answering the question regarding EFIC. A total of 105 participants answered the paper survey; 80–90% of the responses to the paper survey were either strongly agree or agree. The average scores on the paper survey in the ARS sites compared to the non-ARS sites were significantly more positive.ConclusionThe use of an audience response system during the community consultation aspects of EFIC is feasible and provides a real-time assessment of audience comprehension of the study and EFIC process. It may improve the community’s opinion and support of the study.
Aim: To identify: 1) best practice aged care principles and practices for Aboriginal and Torres Strait Islander older peoples, and 2) actions to integrate aged care services with Aboriginal community-controlled primary health care. Background: There is a growing number of older Aboriginal and Torres Strait Islander peoples and an unmet demand for accessible, culturally safe aged care services. The principles and features of aged care service delivery designed to meet the unique needs of Aboriginal and Torres Strait Islander peoples have not been extensively explored and must be understood to inform aged care policy and primary health care planning into the future. Methods: The research was governed by leaders from across the Aboriginal community-controlled primary health care sector who identified exemplar services to explore best practice in culturally aligned aged care. In-depth case studies were undertaken with two metropolitan Aboriginal community-controlled services. We conducted semi-structured interviews and yarning circles with 46 staff members to explore key principles, ways of working, enablers and challenges for aged care service provision. A framework approach to thematic analysis was undertaken with emergent findings reviewed and refined by participating services and the governance panel to incorporate national perspectives. Findings: A range of principles guided Aboriginal community-controlled aged care service delivery, such as supporting Aboriginal and Torres Strait Islander identity, connection with elders and communities and respect for self-determination. Strong governance, effective leadership and partnerships, Aboriginal and Torres Strait Islander workforce and culturally safe non-Indigenous workforce were among the identified enablers of aged care. Nine implementation actions guided the integration of aged care with primary health care service delivery. Funding limitations, workforce shortages, change management processes and difficulties with navigating the aged care system were among the reported challenges. These findings contribute to an evidence base regarding accessible, integrated, culturally safe aged care services tailored to the needs of Aboriginal and Torres Strait Islander peoples.
abortions and ectopic pregnancy, and a 33 years old male and 32 years old female worker with primary infertility. The risk assessment has identified all workers were at risk of exposure to hazardous chemicals due to the general ventilation. The chemicals are Chloroform, n-Hexane, Methanol, and Isopropyl alcohol which are known to have evidence of reproductive effect. Discussion Earlier researches have shows an association between exposure to chloroform and volatile organic compound to infertility and abortion. This study had found the association between exposure to chloroform and VOC with abortion and infertility. There should be more emphasis on the safety and health of workers working with chemicals in the workplace. Following several cases of lead poisoning among building workers in the Centre region (France), the regional office of French Institute for Public Health conducted a retrospective cohort study between May 2008 and December 2009 among the workers involved three renovation projects. 16Attack rate for lead contamination (100 mg/L ≤ Pb) and poisoning (Pb ≥ 400 mg/L) were calculated. An questionnaire was designed to investigate risk factors for lead contamination: 1) exposure to lead on site in relation to work location and duration, compliance with protective measures, 2) other exposure to lead, in professional and personal settings 3) knowledge on the risks associated with occupational lead exposureThis survey involved 53 individuals including painters (29%), roofers (21%) and electricians (17%) and others (33%). Only 11% were aware of the lead risk on site and 51% had some knowledge of health hazards related to lead exposure. Of the 44 workers screened for blood lead level, 24 were contaminated, i.e. an attack rate of 54.5%, and 12 were poisoned i.e. an attack rate of 27.2%. Regarding prevention measures, 27% to 50% of the cases wore respiratory protection depending on the type of activity and the protection was adapted in about 25%. The risk of contamination/poisoning was associated with: age (p = 0.003), having worked more than a week on site (RR = 5, p = 0.003) and being directly exposed to lead during their intervention (RR = 12, ). All intoxicated workers have been directly exposed to lead. This study shows the importance of the health risks associated with lead contamination for workers in old building renovation projects without adequate protection. Poor knowledge of lead-related risks as well as at-risk behaviours were highlighted. Thus, efforts should be made to increase awareness and implement measures to minimise the risks associated with lead exposure. -2013-101717.17 In this study, we investigated the relationship between lead and blood pressure of 265 persons (aged 21-59 years) occupationally exposed to inorganic lead (PbB between 12.50 and 82.90 mg/dl) and 265 people (aged 23 to 59 years) who have ever been exposed to lead (blood lead levels between 0.5 and 5 mg/dl). At the time of hiring none of these people had high blood pressure or kidney disease or diabetes. The seniority o...
In the fast-moving field of aesthetic medicine, it is more important than ever before that nurses continue to engage with education and training opportunities. Members of the British Association of Cosmetic Nurses (BACN) are reporting a need to develop their knowledge and skills, says board member Anna Baker, and the BACN has been responding to their requests
Safe and effective outcomes with cosmetic injectables rely on the accurate placement of products in the correct anatomical planes. With increasing numbers of botulinum toxin type A procedures comes the need to be vigilant with injection techniques and dosing. Anna Baker stresses the importance of having up-to-date knowledge in this area, and highlights the value of injection devices in ensuring precision
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