జర్నల్ ఆఫ్ జనరల్ ప్రాక్టీస్

Veterans who have been in wars for decades often have a variety of temporary and permanent scars, both apparent and unseen, that can affect their health for the rest of their lives. Veterans' health is a growing public health priority, but nursing education is only just beginning to incorporate material relating to the military and veterans into curriculum that are already very content-heavy. Inadequate training prevents bedside nurses from providing this population with culturally sensitive care. The key health problems that military service members, veterans, and their families must deal with, as well as the national initiatives that have sparked reform to address the requirements of this community, are briefly discussed in this chapter. Additionally, it discusses the current state of veteran-related material in nursing education, the significance of this. Over the past century, there have been numerous wars and conflicts that have affected American civilization. In the Army, Air Force, Marines, Navy, and Coast Guard, millions of men and women have sacrificed their lives for our nation. Eighty years after the end of World War II, there are war veterans who are still alive and have reached the age of one hundred. Veterans who do not live past the age of 20 also exist. It's probably safe to assume that the majority of Americans are proud of the military personnel, veterans, and families who have given so much so that we can enjoy our freedoms. However, this pride has changed over time based on the political and social acceptance of specific conflicts and the justifications for them.

The use of specialist care, which may be unneeded and have the potential to damage patients, can be decreased by the implementation of primary health care in a timely and beneficial manner. Referral to a specialist for disease-specific care can frequently be avoided when primary health practitioners are able to promote preventative measures or make early interventions, which lowers the risks associated with treatment. Improvements in information technology and video communication for specialist consulting while in the primary care environment have been pioneered in some nations, notably the United Kingdom and the Netherlands. Family medicine will be in charge of supervising the training of family doctors who are dedicated to excellence, steeped in the discipline's core values, skilled at delivering the New Model of Family Medicine's basket of services, adept at adapting to changing patient and community needs, and ready to adopt new evidence-based technologies. Training in maternity care, hospital patient care, community and population health, and culturally competent and effective treatment will all still be a part of family medicine curriculum. The Residency Review Committee for Family Practice will support innovation in family medicine residency programmes through five to ten years of flexible curriculum to allow for active experimentation and on-going critical evaluation of competency-based education, expanded training programmes, and other techniques to prepare graduates for practise.

Since researchers were able to distinguish primary care from other components of the health services delivery system, evidence of the healthpromoting impact of primary care has been mounting. Regardless of whether the care is characterised by a supply of primary care physicians, a relationship with a provider of primary care, or the receipt of crucial aspects of primary care, this research demonstrates that primary care helps avoid disease and death. Primary care, as opposed to specialised care, is associated with a more equitable distribution of health in communities, according to the research, which is supported by both cross-national and intra-national studies. The mechanisms via which primary care enhances health have been identified, offering strategies for enhancing general health and minimising inequalities. Our health and the health of the earth are intricately linked. Our quality of life and well-being are influenced by the resources we use for breathing, eating, sheltering, healing, and recreation.

The infant young child feeding model of World Health Organization (WHO) suggests introducing complementary food for new born babies starting at the sixth month. Breast milk has to be round out by any other foods to fill the nutrient demand of the child. These complementary foods are required to fill the calorie, protein, and micronutrient gap between the total nutritional need of the child and the amount contributed by the breast milk. Sufficient complementary food has to be diversified and prepared from different food groups in a solid or semisolid form and needs to be commenced timely from the sixth month of the child’s age by implementing the quality of foods consumed as the child get older.

Background: Accurate complementary feeding plays a great role in preventing childhood under nutrition, infectious disease, and mortalities. The available data suggests that the rates for Minimum Acceptable Diet (MAD) are low across all regions worldwide. For instance, rates are four in every ten (41.1%), in East Asia and Pacific and lowest in West and Central Africa at 8.6%, East and South Africa at 9.8%, and South Asia at 13.0%. However, Factors Associated towards Mothers Practicing Acceptable Diet of 6–23 Months Old Children living in study area is unknown. Therefore, this study was aimed to assess factors associated towards mothers practicing acceptable diet of 6-23 months old children in Gimbichu Woreda, Oromia Regional State, Ethiopia.

Materials and methods: A community-based cross-sectional study was conducted among 782 mothers/caregivers paired with infants and children aged 6 to 23 months with a response rate of 97.1%, from March 12 to April 08, 2019. One-stage cluster sampling technique was employed. A structured pretested tool was used to collect the data. The binary logistic regression analysis was applied for MAD. All variables were transformed to multivariable logistic regression model irrespective of any transforming criteria to control the effects of confounder/s and to identify statistically significant variables. Finally, the variables which had independent correlations with MAD were identified on the basis of Adjusted Odds Ratio (AOR) and a p-value less than 0.05with 95%CI were claimed as statistically significant.

Results: The proportion of acceptable diet was 30.1% (26.7, 33.1%). Mothers’ secondary and above educational level (AOR= 2.78, 95%CI (1.12, 6.89), mothers attending PNC (AOR=6.45, 95%CI (1.71, 13.33), mothers’ who had good knowledge in infant feeding AOR=8.46, 95%CI; (3.81,11.80), mothers’ involvement on feeding AOR=5.10, 95%CI; (2.47,10.52), mothers whose attending ANC (AOR=3.86, 95% CI (1.99,14.94), wealth index ranked at richest category (AOR=3.24 ,95%CI (1.24,8.45) and husbands’ involvement (AOR=5.75, 95% CI (1.18,12.79) were positively associated with MAD.

Conclusion: The proportion of MAD practice by infants and children of the study area was low. Mothers’ secondary and above educational level, mothers’ attending PNC, mothers’ who had good knowledge on infant feeding, mothers’ involvement on feeding, mothers whose attending ANC, wealth index and husband’s involvement were factors positively associated with MAD. Assuring mother’s involvement on decision making and promoting husband involvement on infant and child feeding are strongly recommended to mitigate the problem.