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Artigos de revistas sobre o assunto "Children, Samoan - Care"
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Tamasese, Taimalieutu Kiwi, Allister Bush, Tafaoimalo Loudeen Parsons, Richard Sawrey e Charles Waldegrave. "Asiasiga i A’oga ma Nu’u: a child and adolescent post-tsunami intervention based on Indigenous Samoan values". Australasian Psychiatry 28, n.º 1 (2 de setembro de 2019): 34–36. http://dx.doi.org/10.1177/1039856219866323.
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Objective: To describe a community-based single-session group intervention designed to address psychosocial needs of Samoan young people following a tsunami. Method: This programme resulted from collaboration between Samoan therapists, Samoan Catholic pastoral care workers and non-Samoan mental health clinicians. Informed by Samoan concepts of self and wellbeing, it incorporated cultural and spiritual practices familiar to Samoan young people and their families as well as body-centred therapeutic techniques, the ‘Tree of life’ exercise and provision of a cooked meal. Results: Following household visits to affected families in villages throughout southern and eastern Upolu and the island of Manono, the programme was devised and carried out in 11 villages with 1295 children participating. There was a high degree of acceptance of the programme by Pulenu’u (village governance leaders), young people, their families and community members. Conclusions: Interventions to address the psychological needs of Indigenous Pacific children and adolescents following a major disaster need to be embedded in the values of their communities. This paper describes an innovative programme based on Samoan values that was consistent with evidence-informed principles used to guide post-disaster responses.
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Partridge, R., D. B. Bouslough, L. Proano, S. Soliai-lemusu, F. Avegalio e A. Anesi. "(P1-21) Medical Disaster Relief after the 2009 American Samoan Tsunami: Lessons Learned". Prehospital and Disaster Medicine 26, S1 (maio de 2011): s105—s106. http://dx.doi.org/10.1017/s1049023x11003530.
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BackgroundTsunamis most commonly occur in the “Ring of fire” in the Pacific due to frequency of earthquakes and volcanic activity. Damaging tsunamis occur 1–2 times yearly. On September 29, 2009, an earthquake on the Pacific floor caused a tsunami that struck American Samoa, Samoa and Tonga, with only 20 minutes warning.ObjectiveTo evaluate the disaster response in American Samoa by emergency medical services (EMS), the territorial hospital, and the Department of Health.MethodsA retrospective review of EMS logs, public health records, hospital emergency department charts, and key-informant interviews over a 2-week period. Descriptive statistics were used to evaluate data.ResultsThree 5-meter waves struck the American Samoan islands, with land inundation as far as 700 meters. Many low- lying villages, including the capital city Pago Pago were affected. A total of 33 people (8 male, 23 female, including 3 children) were killed by the water, with approximately 150 significantly injured. EMS runs increased 250% from normal daily averages, with island-wide responses significantly delayed by flood damage. The hospital in Pago Pago, situated near the shore and only 10 meters above sea level, utilized 75 staff to evacuate 68 in-patients to high ground as soon as tremors were felt. This process was completed in 20 minutes with no associated morbidity or mortality. Patient injury patterns for the event are similar to recent literature reports. Mobile clinics and alternate care sites established at outlying dispensaries were used to decentralize healthcare from the hospital. DMAT/DMORT teams from Oregon and Hawaii supported local healthcare initiatives. Post-disaster public health surveillance focused on identifying and limiting food/water-borne illnesses, dengue fever, and influenza-like-illness outbreaks, as well as disaster related PTSD.ConclusionThe disaster response to the tsunami in American Samoa was effective. Disaster planning was appropriate and rapidly implemented. Post-disaster public health emergencies were minimized.
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Ete-Rasch, Elaine, e Katherine Nelson. "Management of skin infections in Pacific children prior to hospitalisation". Journal of Primary Health Care 5, n.º 1 (2013): 43. http://dx.doi.org/10.1071/hc13043.
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INTRODUCTION: Hospital admissions for childhood skin infections in New Zealand (NZ) are on the increase. Pacific children make up a high number of those who are admitted. This study describes the parents of Pacific childrens understanding and management of skin sores in the home prior to the sores becoming infected and requiring hospital admission. METHODS: A descriptive qualitative approach combined with the Pacific research frameworks of Faafaletui and the Metaphor of Kakala were used to elicit parents understanding and management of childrens skin sores in the home. The semi-structured interviews were conducted in English or Samoan, and all transcribed into English. FINDINGS: Mothers of 11 Pacific children admitted with skin infections between 2006 and 2008 were interviewed. The childrens infections started with insect bites in some cases. Parents actively sought treatment to ensure childrens optimal health was maintained. Initial management included a watch and see approach for some, until deterioration was noted. CONCLUSION: This is the first known study in New Zealand that has captured childrens experiences when sustaining a skin infection/s and the activities that took place while seeking treatment in the community. Although most of the children received medical attention in primary health care (PHC), this did not prevent the need for hospital admission. The acuteness and seriousness of childrens health on admission shows that preventive efforts need to increase and the early management of infections in PHC settings needs to be better understood. KEYWORDS: Children; Pacific health, primary health care; skin infections
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Pullon, Susan, Ben Gray, Monika Steinmetz e Claire Molineux. "Midwifery-led care embedded within primary care: consumer satisfaction with a model in New Zealand". Journal of Primary Health Care 6, n.º 4 (2014): 319. http://dx.doi.org/10.1071/hc14319.
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INTRODUCTION: Providing quality maternity care for high-needs, socially deprived women from ethnic minority groups is challenging. Consumer satisfaction with maternity services is an important aspect of service evaluation for this group. This pilot study aimed to investigate the feasibility of using focus groups and interviews to gauge consumer satisfaction of maternity care by high-needs women, and to explore their perceptions of the Newtown Union Health Service (NUHS) model of a midwifery-led service embedded in primary care in Wellington, New Zealand (NZ). METHODS: Following a previous audit of consumer satisfaction surveys collected over a six-year period, a qualitative pilot study using a thematic analytic approach was conducted at the NUHS in late 2011. The study assessed use of focus groups and interviews, interpreted where necessary, and considered the experiences reported by women about the model of care. FINDINGS: Interviews and focus groups were successfully conducted with 11 women: two NZ European (individual interviews), six Cambodian (five in a focus group, one interview), and three Samoan (focus group). Using a thematic analytic approach, key themes identified from the focus group and interviews were: issues with survey form-filling; importance of accessibility and information; and relationships and communication with the midwifery team. CONCLUSION: Interviews and focus groups were well received, and indicated positive endorsement of the model of care. They also revealed some hitherto unknown concerns. Good quality feedback about satisfaction with a range of maternal and child health services helps service providers to provide the best possible start in life for children in high-needs families. KEYWORDS: Interprofessional; maternity care; New Zealand; patient care team; primary health care
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Bouslough, D. B., P. Biukoto e S. Stracensky. "(A293) Critical Incident Stress Management and Mental Health Strategies after the 2009 American Samoan Tsunami". Prehospital and Disaster Medicine 26, S1 (maio de 2011): s82. http://dx.doi.org/10.1017/s1049023x11002779.
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BackgroundTsunamis are infrequent but devastating natural disasters. Loss of life, livelihood, and property contribute psychological stresses to an affected population, resulting in new psychiatric illness.ObjectiveTo describe post-disaster hospital, Department of Human Services (DHS), and Department of Education (DOE) methods of mental health resource dissemination, and their effectiveness.MethodsA retrospective review of after-action reports, psychiatric clinic charts, and key-informant interviews over a 4 month period was employed. Descriptive statistics were used to evaluate data.ResultsThe September 29, 2009 tsunami claimed 33 American Samoan lives. Hospital Family Assistance Center counselors aided families in the identification of 12 corpses, 9 missing persons, and providing psychiatric referral. Fifty-four hospital staff suffered loss. (Loss of: transportation, n = 13; utilities, n = 15; homes/shelter, n = 2). Coupled with the stresses of providing post-event medical care, the hospital staff was at high risk for psychiatric sequelae. Debriefing sessions for hospital staff were poorly attended due to conflicting work responsibilities, and an unfamiliar discussion format. DHS assembled four teams, each composed of one psychiatrist/psychologist leader and 6 crisis counselors. DOE school counselors utilized DHS mental health teams to screen all school aged children. The hospital psychiatry clinic remained the definitive referral destination. Federal mitigation grants provided funding for two psychiatrists, and two psychologists (including pediatric specialists) to augment hospital mental health capacity. Screening statistics and prevalence of psychiatric disease are further reported. Six month post-event rates of persistent psychiatric disease reflect that reported in recent literature (1-2%).ConclusionHospital critical incident stress management requires culturally acceptable counseling methods and administrative support. Family assistance counselors are key players in identifying the needs of families of the deceased. Student counseling services and collaborative mental health teams provide a novel approach to the dissemination of mental health services within a community.
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Nosa, Vili, Dudley Gentles, Marewa Glover, Robert Scragg, Judith McCool e Chris Bullen. "Prevalence and risk factors for tobacco smoking among pre-adolescent Pacific children in New Zealand". Journal of Primary Health Care 6, n.º 3 (2014): 181. http://dx.doi.org/10.1071/hc14181.
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INTRODUCTION: Pacific New Zealanders have a high prevalence of smoking, with many first smoking in their pre-adolescent years. AIM: To identify risk factors for tobacco smoking among Pacific pre-adolescent intermediate school children. METHODS: A cross-sectional survey of 2208 Pacific students aged between 10 and 13 years from four South Auckland intermediate schools who were asked about their smoking behaviour between the years 2007 and 2009. RESULTS: The prevalence of Pacific ever-smokers (for 2007) in Year 7 was 15.0% (95% Confidence Interval [CI] 12.0%18.3%) and Year 8, 23.0% (95% CI 19.5%26.7%). Multivariate modelling showed the risk factors for ever-smoking were Cook Island ethnic group (OR 1.72; 95% CI 1.262.36, ref=Samoan), boys (OR 1.47; 95% CI 1.141.89), age (OR 1.65; 95% CI 1.362.00), exposure to smoking in a car within the previous seven days (OR 2.24; 95% CI 1.673.01), anyone smoking at home within the previous seven days (OR 1.52; 95% CI 1.122.04) and receiving more than $NZ20 per week as pocket money/allowance (OR=1.91, 95% CI 1.232.96). DISCUSSION: Parents control and therefore can modify identified risk factors for Pacific childrens smoking initiation: exposure to smoking at home or in the car and the amount of weekly pocket money the child receives. Primary health care professionals should advise Pacific parents to make their homes and cars smokefree and to monitor their childrens spending. This study also suggests a particular need for specific Cook Island smokefree promotion and cessation resources. KEYWORDS: Adolescent; child; ethnic group; New Zealand; Pacific; smoking
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Sikorski, Michael J., Sachin N. Desai, Siaosi Tupua, Robert E. Thomsen, Jane Han, Savitra Rambocus, Susana Nimarota-Brown et al. "Tenacious Endemic Typhoid Fever in Samoa". Clinical Infectious Diseases 71, Supplement_2 (29 de julho de 2020): S120—S126. http://dx.doi.org/10.1093/cid/ciaa314.
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Abstract Background Typhoid fever has been endemic on the island nation of Samoa (2016 population, 195 979) since the 1960s and has persisted through 2019, despite economic development and improvements in water supply and sanitation. Methods Salmonella enterica serovar Typhi isolates from the 2 hospitals with blood culture capability and matched patient demographic and clinical data from January 2008 through December 2019 were analyzed. Denominators to calculate incidence by island, region, and district came from 2011 and 2016 censuses and from 2017–2019 projections from Samoa’s Bureau of Statistics. Data were analyzed to describe typhoid case burden and incidence from 2008 to 2019 by time, place, and person. Results In sum, 53–193 blood culture-confirmed typhoid cases occurred annually from 2008 to 2019, without apparent seasonality. Typhoid incidence was low among children age < 48 months (17.6–27.8/105), rose progressively in ages 5–9 years (54.0/105), 10–19 years (60.7–63.4/105), and 20–34 years (61.0–79.3/105), and then tapered off; 93.6% of cases occurred among Samoans < 50 years of age. Most typhoid cases and the highest incidence occurred in Northwest Upolu, but Apia Urban Area (served by treated water supplies) also exhibited moderate incidence. The proportion of cases from short-cycle versus long-cycle transmission is unknown. Samoan S. Typhi are pansusceptible to traditional first-line antibiotics. Nevertheless, enhanced surveillance in 2019 detected 4 (2.9%) deaths among 140 cases. Conclusions Typhoid has been endemic in Samoa in the period 2008–2019. Interventions, including mass vaccination with a Vi-conjugate vaccine coadministered with measles vaccine are planned.
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Sheel, Meru, Colleen L. Lau, Sarah Sheridan, Saipale Fuimaono e Patricia M. Graves. "Comparison of Immunochromatographic Test (ICT) and Filariasis Test Strip (FTS) for Detecting Lymphatic Filariasis Antigen in American Samoa, 2016". Tropical Medicine and Infectious Disease 6, n.º 3 (14 de julho de 2021): 132. http://dx.doi.org/10.3390/tropicalmed6030132.
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Circulating filarial antigen (Ag) prevalence, measured using rapid point-of-care tests, is the standard indicator used for monitoring and surveillance in the Global Program to Eliminate Lymphatic Filariasis. In 2015, the immunochromatographic test (ICT) was replaced with the filariasis test strip (FTS), which has higher reported sensitivity. Despite differences in sensitivity, no changes in recommended surveillance targets were made when the FTS was introduced. In 2016, we conducted lymphatic filariasis surveys in American Samoa using FTS, which found higher Ag prevalence than previous surveys that used ICT. To determine whether the increase was real, we assessed the concordance between FTS and ICT results by paired testing of heparinised blood from 179 individuals (63% FTS-positive). ICT had 93.8% sensitivity and 100% specificity for identifying FTS-positive persons, and sensitivity was not associated with age, gender, or presence of microfilariae. Based on these findings, if ICT had been used in the 2016 surveys, the results and interpretation would have been similar to those reported using FTS. American Samoa would have failed Transmission Assessment Survey (TAS) of Grade 1 and 2 children with either test, and community prevalence would not have been significantly different (4.1%, 95% CI, 3.3–4.9% with FTS vs. predicted 3.8%, 95%, CI: 3.1–4.6% with ICT).
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Viali, S., V. Futi e T. Lafaele. "PM293 Prevalence of Rheumatic Heart Disease Among Secondary School Children in Samoa Detected by Echocardiography Screening". Global Heart 11, n.º 2 (junho de 2016): e120. http://dx.doi.org/10.1016/j.gheart.2016.03.416.
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Satupaitea, Viali. "PT445 Prevalence of rheumatic heart disease among primary school children in Samoa detected by echocardiographic screening". Global Heart 9, n.º 1 (março de 2014): e260. http://dx.doi.org/10.1016/j.gheart.2014.03.2153.
Texto completo da fonteTeses / dissertações sobre o assunto "Children, Samoan - Care"
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Galfvensjö, Cindy, e Isabell Landaboure. "Sjuksköterskors attityder till att vårda döende barn på en neonatal intensivvårdsavdelning – samband med arbetslivserfarenhet och utbildningsnivå : - En kvantitativ enkätstudie". Thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-106755.
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Bakgrund. Vård av döende barn kan vara psykiskt påfrestande för många sjuksköterskor som arbetar på neonatala intensivvårdsavdelningar. Internationella studier visar på att de främsta faktorerna är; brist på utbildning inom neonatal palliativ vård och brist på kommunikation. Syfte. Syftet med studien var att beskriva samband mellan sjuksköterskors attityder till att vårda döende barn på en neonatal intensivvårdsavdelning och arbetslivserfarenhet samt utbildningsnivå. Metod: Studien genomfördes med en webbaserad enkät på de neonatala intensivvårdsavdelningarna vid Norrlands Universitetssjukhus i Umeå samt Akademiska sjukhuset i Uppsala. Studien inkluderade 72 sjuksköterskor med erfarenhet av att vårda minst ett döende barn. Studien är en empirisk kvantitativ tvärsnittsstudie med deskriptiv design. Resultat. Alla sjuksköterskor med kort arbetslivserfarenhet ansåg att det var psykiskt påfrestande att vårda döende barn jämfört med 61% av de med lång erfarenhet. Mer än hälften (59%) av de utan vidareutbildning jämfört med de med vidareutbildning (16%) ville undvika situationer där de behövde vårda döende barn. Av alla deltagarna önskade 85% mer utbildning än vad de fick i nuläget om vård av döende barn. Konklusion. Brist på vidareutbildning, kort arbetslivserfarenhet och hög tjänstgöringsgrad i konkret omvårdnadsarbete ökar risken för negativa attityder och uppfattningar bland sjuksköterskor i vården av döende barn.Background. It can be a challenge for nurses to care for dying children in a neonatal intensive care unit. International studies show that the main factors are; lack of training in neonatal palliative care and lack of communication within the health care team. Objectives. The aim of this study was to describe the correlation between nurses' attitudes of caring for dying children in a neonatal intensive care unit and work experience and level of education. Method. The study was conducted using a web-based survey in the neonatal intensive care units at Norrland University Hospital in Umeå and Uppsala University Hospital. The study included 72 nurses with experience of caring for at least one dying child. The study is an empirical quantitative cross-sectional study with descriptive design. Results. All nurses with short work experience felt that it was psychologically stressful to care for dying children , compared with 61 % of those with long work experience. More than half (59%) of those without further education compared to those with further education ( 16%) wanted to avoid situations where they have to care for dying children. Of all the participants 85% wanted more education about caring for dying children. Conclusion. Lack of education, brief work experience and a high degree of service in the real nursing work increases the risk of negative attitudes and perception in the care of dying children among nurses.
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Wineblad, Hanna, e Linda Lundgren. "Föräldrars upplevelser och erfarenheter av barns rädslor i samband med sjukhusförlagda procedurer : En intervjustudieParents´ experiences of children´s fears during hospital procedures - an interview study". Thesis, Umeå universitet, Institutionen för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-136136.
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Background: Hospital-procedures can be perceived as intimidating by children. There are situations in pediatric care where the childrens' care can be compromised if they are afraid and therefore not treated.Purpose: The purpose of the study was to highlight the parents' experiences of childrens' fear of hospital procedures and how the fears could have been relieved.Design: Descriptive interview study.Method: The study's design was qualitative where data was collected using eleven interviews. The interviews were analyzed using qualitative content analysis with inductive approach. Participants were caregivers to children aged six to twelve years, who were hospitalized. Twelve parents participated in the study. Data collection took place in February to March in 2017.Results: The results of the study are presented on the basis of two categories with eight subcategories: Cause of fear including four subcategories: experiencing pain, the feeling of being disadvantaged, hospital stay and medical procedures. Factors causing security including four subcategories: family presence, preparedness and participation, cared for by child-qualified staff and staff continuity.Conclusion: The study shows that hospitalized children experience fear due to varied causes. The cause for hospitalization is not always the reason for their fears. Child-focused care is required where healthcare staff ask for the child's perspective. Through child-focused nursing, dialogue is conducted with the child allowing expressions of what causes fear. Based on that information the healthcare staff and the child can address the unpleasant experiences and try to reduce the fear.Bakgrund: Procedurer kan upplevas som skrämmande av barn. Det finns situationer inom pediatrisk vård där barnets vård kan äventyras om de är rädda och de av den anledningen inte får sin behandling.Syfte: Syftet med studien var att belysa föräldrars upplevelser och erfarenheter av barns rädslor i samband med sjukhusförlagda procedurer samt hur rädslorna hade kunnat lindras.Design: Deskriptiv intervjustudie.Metod: Studiens design var kvalitativ där data samlades in med hjälp av elva intervjuer. Intervjuerna analyserades med kvalitativ innehållsanalys med induktiv ansats. Deltagarna var vårdnadshavare som hade barn inlagda på sjukhus i åldern sex till tolv år. Totalt deltog tolv föräldrar i studien. Data samlades in under februari-mars månad, år 2017.Resultat: Studiens resultat presenteras utifrån två kategorier med åtta underkategorier: Orsak till rädsla innefattande fyra underkategorier: upplevelsen av smärta, känslan av att vara i underläge, sjukhusvistelse samt medicinska procedurer. Trygghetsskapande faktorer innefattande fyra underkategorier: närhet till familjen, förberedelse och delaktighet, vård av barn kompetent personal samt personalkontinuitet.Slutsats: Studien visar att barn som befinner sig på sjukhus upplever rädsla av varierande orsaker. Inläggningsorsaken är inte alltid grunden till deras rädslor. Det krävs ett barnfokuserat omhändertagande där vårdpersonalen efterfrågar barnets perspektiv. I den barnfokuserad omvårdnad förs en dialog med barnen där de själva får berätta vad som gör dem rädda. Utifrån den informationen kan vårdpersonalen tillsammans med barnet ta sig an obehagliga upplevelser och försöka reducera rädslan.
Capítulos de livros sobre o assunto "Children, Samoan - Care"
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Purse, Lisa. "Activist, Mother, Filmmaker: Competing Transgressions in the Syrian War Documentary". In Mediating War and Identity, 152–70. Edinburgh University Press, 2020. http://dx.doi.org/10.3366/edinburgh/9781474446266.003.0009.
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This chapter examines the ways in which the Syrian War documentary has depicted and reflected upon the figure of the activist mother, and the competing concepts of personal and political transgression that cluster around her as she occupies fraught zones of conflict and its witnessing, mortal danger and forced migration. Through two case study films, A Syrian Love Story (Sean McAllister, UK, 2015), a British filmmaker’s account of the family of political prisoner Raghda Hasan as they negotiate living under Bashar al-Assad’s regime and eventually flee it; and For Sama (Waad al-Kateab and Edward Watts, UK/Syria, 2019), a first person account of a Syrian activist journalist, Waad, who gives birth to and raises her child during the siege of Aleppo, the chapter explores the ethical and representational questions raised in this centring of the activist mother and her potential status as a transgressor of political and social norms. It also situates these activist mother films in the wider array of anti-regime Syrian War documentaries, where the plight of parents and children are foregrounded as part of the call to action to North American and European audiences.