scholarly journals MEDICINE CASE STUDY HIGHLIGHT THE PROBLEMS OF FINNISH HOUSEHOLDS IN MEDICINE CONSUMPTION PRACTICES

2016 ◽  
Vol 71 (1) ◽  
pp. 31-43
Author(s):  
Johanna Hokkanen ◽  
Anna-Liisa Elorinne ◽  
Kirsti Vainio ◽  
Tuula Keinonen

Medicine education as part of health education aims to educate about rational medicine use: the right medicine taken in the right way at the right time for the right problem. Storage places of medicines are one issue discussed in medicine education. This participative observation research of Finnish households’ (n = 10) medicine storage places was conducted together with interviews of 12 mothers and 12 children concerning medicine consumption habits. Data were analysed using directed content analysis. In all interviewed households (n = 12), children and mothers confirmed the same storage places for the medicines. None of the households locked the medicine storage places even if the cabinets had a lock and key. The number of medicine types varied widely among the studied households (n=10), from 8 to 33. The number of expired medicines ranged from 1 to 10 pieces per household. At home medicines are discussed consciously when the child, family member, relative or a friend has a long-term illness, when being sick and while taking medication. Mothers identified themselves as being responsible for the medicine cabinet at home. Mothers were categorised into four groups − home nurses (2), forgetful (2), reckless (2) and health conscious (4) − based on their medicine consumption and storage practices. Some of these practices do not demonstrate the appropriate use and storage of medicines. Based on the findings, we recommend that educational material should be developed on medicine storage and use. Key words: medicine education, medicine storage, medicine consumption, medicine safety.

2017 ◽  
Vol 76 (8) ◽  
pp. 986-999 ◽  
Author(s):  
Johanna Hokkanen ◽  
Anna-Liisa Elorinne ◽  
Katri Hämeen-Anttila ◽  
Tuula Keinonen

Background: Educating children about medicines and medicine use is part of health education and is often seen as parents’ responsibility. However, to date, little research has been conducted on medicines education as provided in the home. Objective: To explore (1) parents’ attitudes towards medicines, (2) medicines education practices in the home and (3) the interaction in medicines education between the home and at school. Design: Mixed-methods case study. Setting: Pupils and their parents in one comprehensive school in Finland. Method: Before an educational intervention with Year 4 (aged 10–11 years) and Year 7 (aged 13–14 years) students, parents completed a background survey concerning their perceptions, beliefs and knowledge of medicines ( n = 250). Following the intervention, interviews with 12 mothers and 12 children, and medicine cabinet studies ( n = 10) were conducted. Quantitative data were analysed using K-mean cluster analysis to see whether respondents could be divided into different clusters based on their attitudes towards medicines. Qualitative data were analysed using theory-guided content analysis to obtain a picture of home medicines education. Results: Participants, mostly mothers, were divided into different types of medicine educators, whose attitudes towards medicines were either positive or neutral. Medicine consumption practices varied between families, but medicines were usually discussed when the child, a family member, a relative or a friend had a long-term illness; when a family member was suffering from a sickness; and while taking a medicine. In general, interaction between the home and the school was rather limited. Conclusion: The majority of mothers exhibited a strong reliance on public systems of health care. Greater interaction between schools and the home is needed in Finnish medicines education.


2019 ◽  
Vol 13 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Ursula Turner

Purpose The purpose of this paper is to describe how, as part of a national initiative led by NHS England and key partners, it is transforming lives by helping people with a learning disability, autism or both to live more independent and better quality lives in their own home rather than spending many years in hospital unnecessarily. Design/methodology/approach The methodology applied was to capture the real experience of a person with a learning disability, autism or both who successfully moved from long-term hospital care to home. This was achieved through developing a narrative story by capturing their experiences in their own words and the words of the individual’s support team who made this life changing event possible. Findings This story shows how with the right planning and support, people with a learning disability can live in their own homes, gain their independence and be supported to take risks. Originality/value This is an original case study that has not been published previously and has been written for the sole purpose of this journal.


2009 ◽  
Vol 31 (2) ◽  
pp. 141 ◽  
Author(s):  
Eton Churchill

This case study investigates the language learning experiences, both at home and abroad, of a male Japanese high school learner of English. The qualitative data consist of field notes taken in Japan and the United States, interview data, and a semi-structured diary. Proficiency data include an oral proficiency interview (OPI), an institutional TOEFL, a dictation, and a narrative recorded immediately following the study abroad experience. By examining dynamics at different levels of analysis, it is argued that gender played a significant role in shaping short-term and long-term language learning opportunities and outcomes. This case study contributes to the study abroad literature in two ways. First, it adds a case study of a Japanese male to the literature on the gendered experience abroad. Secondly, it allows us to investigate how language study at home and abroad differs for a single learner, and how gender contributes to these differences. 本研究は、一人の日本人男子高校生の日本とアメリカにおける英語学習経験を調査したケーススタディである。日米両国で記録したフィールドノート、インタビュー、記載様式をある程度規定した日記などの質的データを資料とした。習熟度に関する資料としては、OPI と呼ばれる会話測定能力テスト、TOEFL、ディクテーション、留学経験直後に録音した体験談などを使用した。多様なレベルのダイナミクスを検証し、ジェンダーが、短期・長期両方にわたる言語学習の機会と成果を得るために、重要な役割を果たしていることを論じた。本研究は、日本人男性のケーススタディである点、個人においても母国と外国とでは言語学習の方法が異なり、ジェンダーがその違いにどのように影響しているかを探ることができた点において、海外留学体験におけるジェンダーの影響を扱った研究分野に貢献するものである。


2014 ◽  
Vol 67 ◽  
pp. 171-181 ◽  
Author(s):  
Yang Gao ◽  
Nianpeng He ◽  
Guirui Yu ◽  
Weiliang Chen ◽  
Qiufeng Wang

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 863-863
Author(s):  
Renee Beard

Abstract Americans overwhelmingly wish to age in place and many explicitly want to die at home. Yet, the anemic welfare state means that only the most fortunate among us are able to achieve that goal. A disproportionate burden of care falls squarely to families, which are smaller and more geographically spread out than ever before. Carers too often wind up in environments that are far from conducive, namely being older and perhaps frail themselves or younger and perhaps with small children of their own. Drawing on an autoethnographic study of my mother’s final years and a case study analysis of one innovative home care agency, this project examines the individual and organizational factors that allow one family to grant their family member’s wish to die at home. Grounded theory methods revealed facilitators including presence of a home-based long term care insurance policy, geographic mobility, and access to a democratically-oriented home care organization. Barriers, of course, include lack of access to long term care insurance and a daughter who lives in a progressive state with a waiver for Home and Community Based Services. While the privilege of access underscores the social determinants of aging, this case study reveals some important features that suggest how senior social services could be. Even for the “ideal type” presented here, the many trials and tribulations of aiding a loved one to die at home relate to the untenable nature of doing it all in a context whereby social services are fragmented and driven by financial incentives.


Author(s):  
Kajetan Kiełbowski ◽  
Estera Bakinowska ◽  
Michał J. Kubisa ◽  
Janusz Wójcik ◽  
Bartosz Kubisa

Introduction: An esophagorespiratory fistula is a pathological communication between the esophagus and respiratory tract. The most common type is a communication with the trachea, while the least common is with lung parenchyma. These fistulas are classified as congenital or acquired while etiology is benign or malignant. Aim: We present a case report of a patient who developed esophagopulmonary fistula several years after gunshot in the right side of the chest. Additionally, we discuss the treatment methods and compare the outcomes with other case studies and analyses from world literature. Case study: A 48-year-old male patient was admitted to the Department of Thoracic Surgery and Transplantation due to bleeding from the respiratory tract. Radiological images revealed a fistula between the esophagus and right lung parenchyma. Furthermore, bronchiectasis in the right lung was found. Tissues of the fistula, right middle and lower lobes were resected. The patient required renewed hospitalization due to pleural empyema. Furthermore, recurrence of the fistula was observed. Results and discussion: Treatment of esophagorespiratory fistula depends on the etiology and location of the pathological communication. Surgery provides the best possible outcomes in patients with a benign fistula. Proximal location requires cervicotomy, while distal location a thoracotomy. In addition, a distal fistula may damage lung parenchyma. Conclusions: A long-term distal fistula may require pulmonary resection, but early diagnosis would help to avoid more invasive procedures. As symptoms are non-specific and benign etiology is not frequent, thorough examination in search of malignancy is required.


2020 ◽  
Vol 71 ◽  
pp. 97-99
Author(s):  
P. S. Divya ◽  
A. Vijay ◽  
A. Ganesh

A “tracheotomy” refers to the surgical procedure that creates an opening between the trachea and the midline skin surface of the neck. Indicators for a tracheostomy tube include airway protection, removal of tracheal secretions, and wean from long-term mechanical ventilation. Assessment and management will be overseen by a multidisciplinary team which includes a speech-language pathologist whose involvement in tracheostomy include assisting the patient to tolerate successful periods of cuff deflation and saliva management, re-establishing verbal communication, conducting swallow assessments to re-establish oral intake, providing dysphagia rehabilitation, and providing input into the decannulation decision. This case study is focusing on the 42-year-old male who had the right cerebellopontine angle meningioma for which he underwent retrosigmoid, suboccipital craniotomy, and excision of lesion. Tracheostomy was done following stridor and wheezing, and he is under nasogastric tube for feeding. Assessment and management for swallowing and speech were focussed and results were documented.


2002 ◽  
Vol 65 (1) ◽  
pp. 106-110 ◽  
Author(s):  
K. H. McWATTERS ◽  
M. P. DOYLE ◽  
S. L. WALKER ◽  
A. P. RIMAL ◽  
K. VENKITANARAYANAN

An antibacterial treatment consisting of 1.5% lactic acid plus 1.5% hydrogen peroxide at 40°C for 15 min was effective in reducing foodborne bacterial pathogens on raw apples. However, the effects of this treatment on an apple's sensory characteristics and the extent of consumers' willingness to use the treatment at home were not known. This study was undertaken to determine the sensory acceptability and chemical characteristics (pH, soluble solids, and total acidity) of apples subjected to the sanitizing treatment and to obtain information on consumers' purchase behavior, apple handling and consumption practices, and willingness to use an antibacterial treatment. Untrained consumers (n = 80) evaluated the appearance, color, aroma, flavor, texture, and overall appeal of untreated (control) and treated Red Delicious apples that had been stored at 5°C for 0, 6, and 10 days. Panelists used a nine-point hedonic scale (1 = “dislike extremely”; 5 = “neither like nor dislike”; 9 = “like extremely”) to evaluate sensory acceptability. Treatment and storage had no significant effect on the appearance, color, or aroma of the samples. Flavor ratings ranged from 6.2 (“like slightly”) to 7.0 (“like moderately”). There was no significant difference among any of the control and treated apples stored for 0 days or among those stored for 6 days. Although apples stored for 10 days received the lowest ratings (6.2 to 6.3), they still had an acceptable flavor (6, “like slightly”), and panelists could not perceive differences between the control samples and the treated samples on day 10. The same trends were noted in texture ratings and in overall liking ratings. Treatment and storage had a minimal effect on pH (range, 3.96 to 4.02), soluble solids (range, 11.8 to 12.9° Brix), and total acidity (range, 0.20 to 0.23% malic acid), which are important for apple flavor. Many consumers (87%) were concerned about fruit safety, and 53.2% were willing to try an antibacterial treatment at home. However, 74% would not be willing to use it if a 15-min heating-and-soaking step were required. Implementation of the treatment may be more feasible in the packinghouse than in the home.


Author(s):  
Hubin Yin ◽  
Yaqi Gao ◽  
Wenyuan Liu ◽  
Cairang Dongzhu ◽  
Wei Jiang

AbstractThis article examines Meilong animal husbandry cooperatives in the Haixi Prefecture of Qinghai Province, China as a study case, using information gathered through field surveys and questionnaires to explore the systemic structure and operational mechanisms of Meilong Cooperatives, as well as its impacts on pastoral areas and herdsmen. Based on the results, the main contribution of the Meilong Model is providing a new way for pastoral villages to pursue development through joint-stock cooperatives, and thus represents the long-term direction of pastoral area development. This model reforms the traditional cooperative concept that naturally arises among herdsmen; Meilong Share-holding Cooperative guarantees the equal rights of small or poor households to participate in the management of cooperatives on the basis of “one household, one vote”, rather than the principle of “shareholders have the right to manage, vote and speak according to the proportion of shareholding” found in the joint-stock systems of modern enterprises. It localizes the shareholding system theory to be more acceptable and feasible in order to ensure the survival of animal husbandry cooperatives.


2021 ◽  
Vol 13 (2) ◽  
pp. 162
Author(s):  
Amalul Umam ◽  
Olivia Widad Zabidi

This research was conducted with a descriptive-qualitative approach with a case study as the research design. Data was collected by conducting interviews via Google Form with open-ended questions, the number of students who were used as respondents was 30 students from the Department of English Education. This study aims to examine the assessment process in the summary of assignments for the Seminar Proposal course for the English Education Department. This rapidly growing world of technology also affects aspects of education, education can be run online without the need for face-to-face meetings. Especially at this time where the world is being hit by the Covid-19 virus which increasingly requires people to stay at home. Learning is done entirely at home by relying on online learning. Even so, teachers still need to pay attention to choosing the right assessment for students in order to produce a positive washback effect from each given task. The results of this study indicate that the assignment has a positive washback effect because it is considered capable of improving students' English skills and abilities.


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