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Local people's'participation is highly recommended in protected areas (PAs) management. This study aimed at understanding local people's participation as "means" or tool and "ends" or empowerment in the management of Kinabalu National Park (KNP) in Sabah state of Malaysia and the Kayan Mentarang National Park (KMNP) in North Kalimantan of Indonesia, two important PAs located in the Heart of Borneo. Following Bali Guidelines by UNEP, three important aspects of public participation at the local level were evaluated by deploying qualitative research methods for key-informant interviews (KII), focus group discussions (FGD), and content analysis of policy documents. In KMNP, policies and legal framework primarily supported local peoples' participation as "means" in park management, which was also revealed from interviews with KII and in FGD. Local communities had access to surrounding natural resources for livelihoods which is considered to be participation as "ends." There was no policy support for formal participation of local people in KNP management, but recent informal permission to use designated park areas for farming and eco-tourism can be seen participation as "means" and as "ends." To achieve both of "means" and "ends" fully, participation needs to be integrated into national parks' legal system. [ABSTRACT FROM AUTHOR]

Background: Few studies have explored women's experiences of the memories of childbirth. This study aimed to describe how women recall memories of childbirth in their daily life, in order to improve childbirth and postpartum care. Methods: A descriptive phenomenology was used. Unstructured interviews with six women recruited using snowball sampling were conducted, asking them to reflect on their childbirth memories and the experience of memory recall. Results: In daily life, women did not recall the memories of childbirth often. After childbirth, women focused on living in the present. They had usually forgotten childbirth memories, but sometimes memories were evoked as a source of support or distress, depending on context. Conclusions: Midwives should be cognisant of women's individual circumstances. Their role exceeds that of a medical specialist during the intrapartum period, as they are involved in creating impactful memories. These results also support the significance of long-term care. [ABSTRACT FROM AUTHOR]

Purpose: Improvement in the control of delayed chemotherapy-induced nausea and vomiting (CINV) is needed. There is limited information on antiemetic prophylaxis for patients undergoing low-emetic-risk chemotherapy (LEC), and the optimal antiemetic treatment is not well understood. Therefore, we analyzed the risk factors for delayed CINV to aid in the development of individualized treatments. Patients and methods: This prospective multicenter study was conducted in 13 hospitals and included patients with solid cancers undergoing LEC. A total of 222 patients were enrolled between September 2013 and November 2014. The participants completed a daily diary for 5 days after the commencement of the first cycle of LEC to describe the daily incidence of CINV (yes/no). Furthermore, the participants described the severity of nausea and the amount of food intake with the help of VAS. Results: Two hundred and ten patients provided their data that were analyzed using multivariate logistic regression to examine the risk factors for delayed CINV. History of CINV, Eastern Cooperative Oncology Group performance status score ≥1, acute CINV, and single-day antiemetic prophylaxis were identified as independent risk factors for delayed CINV. Conclusion: The current use of antiemetic prophylaxis according to the recommended guideline appears to effectively control delayed CINV in patients undergoing LEC. Therefore, patients with the abovementioned risk factors should be carefully observed, and their treatment should be adjusted according to their symptoms. The use of multiple-day dexamethasone may be beneficial for those patients who develop acute CINV, especially when it is accompanied by anorexia. [ABSTRACT FROM AUTHOR]

Aim. This study aimed to investigate how public health nurses identify, intervene in, and implement the guidelines on child maltreatment in Finland and Japan and to compare the data between the two countries. Method. This study employed a cross-sectional design. Public health nurses’ knowledge and skills with respect to child maltreatment prevention were assessed using a questionnaire consisting of three categories: identification, intervention, and implementation of guidelines. Public health nurses working in the area of maternal and child health care in Finland (n=193) and Japan (n=440) were the participants. Results. A significantly higher percentage of Japanese public health nurses identified child maltreatment compared to Finnish public health nurses, while Finnish nurses intervened in child maltreatment better than their Japanese counterparts. In both countries, public health nurses who had read and used the guidelines dealt with child maltreatment better than those who did not. Conclusion. The results suggest that effective training on child maltreatment and the use of guidelines are important to increase public health nurses’ knowledge and skills for identifying and intervening in child maltreatment. [ABSTRACT FROM AUTHOR]

Coronavirus disease 2019 (COVID-19) vaccine hesitancy is a major concern in this pandemic context. This study postulates that vaccine hesitancy among individuals might be associated with a high state of decisional conflict which indicates a state of delayed decision-making. This study aimed to identify the factors related to COVID-19 vaccine hesitancy and examine the relationship between COVID-19 vaccine hesitancy and decisional conflict by focusing on 3 sub-factors: value, informed, and support. This cross-sectional study administered an online, self-administered survey to people aged over 20 years old who were living in Japan using an online self-administered survey. To clarify the association between hesitancy and decisional conflict for the first or second vaccination, this study compared the hesitant and non-hesitant groups. Multivariate analysis was conducted to determine which sub-factor contributing to decisional conflict was associated with vaccine hesitancy. A total of 527 responses were included in the analyses. For the first vaccination (n = 527), women and individuals in their 30s were more hesitant. For the second vaccination (n = 485), women, and individuals in their 40s, non-medical individuals, and individuals without any past history were more hesitant. No significant differences were found for employment status, household composition, convulsions history, allergies, or influenza vaccine hesitancy. For vaccine hesitancy and decisional conflict, a moderate positive correlation was found and means were significantly higher for the hesitant group. Unclear values and limited supported were positively associated with vaccine hesitancy. Eliminating decision-making conflicts can effectively reduce vaccine hesitancy. Furthermore, the findings suggest that it is insufficient to merely provide information. Thus, clarifying the value and providing tangible support from the administration is desirable.

This study investigated the effects of the Japanese Early Promotion Program (JEPP), which is based on the Infant Mental Health (IMH) program. The JEPP aims to promote mother-infant interactions by enhancing the mother's ability to respond appropriately her child. Mothers in the JEPP group (n = 15) received support from IMH nurses in a pediatric clinic until their infants reached 12 months of age. The nurses provided positive feedback that emphasized strength of parenting, and assisted the mothers in understanding the construct of their infants. Mother-infant interactions and mother's mental health status were assessed at intake (1-3 months), and at 6, 9, and 12 months of infants' age. The JEPP group data were compared with cross-sectional data of the control group (n = 120). Although JEPP dyads were not found to be significantly different from the control group in general dyadic synchrony, both before and after intervention, JEPP mothers significantly improved their ability to understand their infant's cues and to respond promptly. In the JEPP group, unresponsiveness to infants was reduced in mothers, while infants showed reduced passiveness and enhanced responsiveness to the mother. Furthermore, the intervention reduced the mothers' parenting stress and negative emotions, thereby enhancing their self-esteem.