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Linda Rothman, Andrew Howard, Ron Buliung, Colin Macarthur, Alison Macpherson
Dangerous student car drop-off behaviors and child pedestrian-motor vehicle collisions: An observational study
2,016
Traffic injury prevention
systematically review prevalence risk factors timing onset hip displacement children postneonatal pnn brain injury regards hip surveillance recommendations search pubmed medline embase cinahl web science conducted 22nd february 2022 studies included reported presence risk factors hip displacement children pnn brain injury data extracted patient characteristics analyzed terms risk factors interest timing development hip displacement six studies met inclusion criteria n 408 participants cohort studies five retrospective one prospective rates hip displacement ranged 1 100 higher children diffuse brain injury early age nonambulant spastic quadriplegia hip displacement hip dislocation first identified one three months respectively following pnn brain injury evidence hip displacement children pnn brain injury sparse low quality children remain nonambulant diffuse pnn brain injury five years age appear risk developing progressive hip displacement earlier hip surveillance recommended
10.1080/15389588.2015.1116041
Emily M Lund, Scott W Ross
Bullying Perpetration, Victimization, and Demographic Differences in College Students: A Review of the Literature
2,017
Trauma, violence & abuse
systematically review types spiritual interventions available colorectal cancer survivors determine improve lives systematic review thorough literature search conducted july 2023 using primo pubmedmedline cochrane cinahl scopus embase extension preferred reporting items systematic reviews metaanalysis prisma checklist synthesis without metaanalysis reporting guideline employed narrative synthesis used analyse data thirtyfive articles analysed study findings suggest psychoeducational intervention cognitive behavioural therapy intervention mindfulness intervention social intervention spiritual counselling improved crc survivors coping skills boosted selfesteem lessened anxiety instilled hope enhanced daily functioning improved survival rates improved neurological functional status quality life qol proof spiritual interventions help crc patients improve qol discovered spiritual intervention helpful diagnosis management treatment crc conditions crc survivors may impairments physical ability daily functioning result many symptoms pain bowel dysfunction exhaustion furthermore individuals may encounter difficulties several aspects psychological emotional social role functioning due presence dread symptoms therefore study help crc survivors implement spiritual interventions management longterm care cultivate problemsolving abilities foster selfassurance enhance selfawareness alleviate symptoms enhance everyday functioning improve qol financial incentives used compensate patients members public review
10.1177/1524838015620818
Gwyne W White, Cesalie T Stepney, Danielle Ryan Hatchimonji, Dominic C Moceri, Arielle V Linsky, Jazmin A Reyes-Portillo, Maurice J Elias
The increasing impact of socioeconomics and race on standardized academic test scores across elementary, middle, and high school
2,016
The American journal of orthopsychiatry
target public health obesity prevention need predict might become obese ie predictors increasing body mass index bmi obesity incidence predictors incidence may distinct wellstudied predictors prevalence therefore explored parent child sociodemographic predictors childadolescent bmi zscore obesity incidence 5 years malaysia south east asia community observatory segamat malaysia provided longitudinal data children parents n 1767 children aged 614 years baseline 201314 followed 5 years later linear multilevel models estimated associations child bmi zscore followup adjusting baseline bmi zscore potential confounders predictors included parent cardiometabolic health overweightobesity central obesity hypertension hyperglycaemia sociodemographics ethnicity employment education logistic multilevel models explored predictors obesity incidence higher baseline bmi zscore predicted higher followup bmi zscore childhood late adolescence 060 95 ci 055 065 early late adolescence 076 95 ci 070 082 inconsistent evidence association child bmi zscore followup parent cardiometabolic risk factors independent baseline child bmi zscore example maternal obesity overweight predicted higher bmi zscore childhood early adolescence overweight 016 95 ci 003 036 obesity 041 95 ci 020 061 paternal overweight obesity predicted higher bmi zscore early late adolescence overweight 022 95 ci 001 043 obesity 016 95 ci 010 041 parental obesity consistently predicted fiveyear obesity incidence early late adolescence childhood early adolescence adolescent without obesity baseline parents obesity 34 times greater odds developing obesity followup incidence 338 95 ci 114998 mother 437 95 ci 1341427 father respectively higher bmi zscore baseline stronger predictor higher bmi zscore followup parental sociodemographic factor targeting prevention efforts based parent sociodemographic factors unwarranted early childhood remains key period universal obesity prevention
10.1037/ort0000122
Soraya J Kaewpitoon, Niwatchai Namwichaisirikul, Ryan A Loyd, Seekaow Churproong, Naporn Ueng-Arporn, Likit Matrakool, Taweesak Tongtawee, Ratana Rujirakul, Porntip Nimkhuntod, Parichart Wakhuwathapong, Natthawut Kaewpitoon
Nutritional Status among Rural Community Elderly in the Risk Area of Liver Fluke, Surin Province, Thailand
2,015
Asian Pacific journal of cancer prevention : APJCP
test hypothetical pathway model estimate links health literacy social support illness perception disease management selfefficacy crosssectional study conducted june october 2022 involved recruitment 210 patients chronic diseases two primary care facilities participants completed health literacy management scale selfefficacy managing chronic disease 6item scale social support rating scale brief illness perception questionnaire used process macro r determine hypothetical pathway model direct effect health literacy selfefficacy significant 01792 95 ci 0094002644 social support played partial mediating role health literacy selfefficacy es00761 95 ci 0039801204 illness perception moderated relationship social support selfefficacy 00153 95 ci 00268 00039 proposed conceptual model including mediating effect social support moderating effect illness perception helps clarify underlying mechanisms health literacy selfefficacy
10.7314/apjcp.2015.16.18.8391
Sylwia Kałucka
[The characteristic of a smoker at the elderly age]
2,016
Przeglad lekarski
test efficacy parentdelivered multidomain early intervention learning everyday activities parents leapcp infants cerebral palsy cp compared equaldose health advice ha 1 infant development 2 caregiver mental health hypothesized infants receiving leapcp would better motor function caregivers better mental health multisite singleblind randomized control trial infants aged 12 40 weeks corrected age ca risk cp general movements hammersmith infant neurologic examination leapcp ha groups received 15 fortnightly homevisits peer trainer leapcp multidomain active goaldirected intervention ha based key family practices world health organization primary outcomes 1 infants 18 months ca pediatric evaluation disability inventorycomputer adaptive test pedicat mobility 2 caregiver depression anxiety stress scale eligible infants 153 165 927 recruited 86 males mean age 7127 months ca gross motor function classification system 18 ca 12 ii 25 iii 9 iv 18 v 32 final data available 118 771 primary pedicat mobility mean difference 08 95 ci 19 36 p 54 secondary outcomes similar betweengroups modifiedintentiontotreat analysis n 96 infants confirmed cp showed gross motor function classification system iis allocated leapcp significantly better scores pedicat mobility domain mean difference 40 95 ci 14 65 p 003 compared ha although overall effect leapcp compared dosematched ha leapcp lead superior improvements motor skills ambulant children cp consistent known targeted goaldirected training
null
Güneş Sali, Aysel Köksal Akyol
CREATIVITY OF PRESCHOOL AND ELEMENTARY SCHOOL TEACHERS AND THEIR STUDENTS
2,015
Perceptual and motor skills
test effect providing additional health education antenatal care anc motherbaby delivery pack institutional deliveries monze zambia 16 primary health facilities conducting deliveries district total 5000 pregnant women gestation age attending antenatal care anc services selected health facilities eligible enrolment study 4500 90 enrolled completed study total 3882 776 included analysis 124 included analysis due incomplete data threeyear study 2012 2014 analysing baseline delivery data 2012 2013 followed community intervention trial conducted january december 2014 health facilities western side assigned intervention arm eastern side control addition health education provided routine anc visits participants intervention arm received health education motherbaby delivery pack arrived health facility delivery participants control arm continued routine anc services primary measure number institutional deliveries arms oneyear period secondary measures utilisation anc postnatal care pnc underfive clinic services descriptive statistics frequencies proportions means standard deviation computed summarise participant characteristics chisquare independent ttests used make comparisons two arms one way analysis variance anova used test effect intervention one year pvalue005 analysis conducted using rstudio statistical software version 421 pvalue005 considered significant analysis showed 159 increase number institutional deliveries significant difference mean number deliveries intervention control arms one year f146 1885 p0001 post hoc analysis showed significant difference mean number deliveries intervention control arms 2014 p0001 compared control arm participants intervention arm returned earlier pnc clinic visit brought children back started underfive clinic visits earlier findings provide evidence effectiveness motherbaby delivery pack additional health education sessions increasing institutional deliveries pnc underfive childrens clinic utilisation rural zambia isrctn registry isrctn15439813 doi 101186isrctn15439813 pan african clinical trial registry pactr202212611709509
10.2466/22.PMS.121c27x2
Celia Aradillas-García, Gabriela Palos-Lucio, Aldanely Padrón-Salas
Socio-Urban Spatial Patterns Associated with Dyslipidemia among Schoolchildren in the City of San Luis Potosi, Mexico
2,016
Journal of urban health : bulletin of the New York Academy of Medicine
test effects 2 modes delivering asthma educational intervention health outcomes asthma selfmanagement schoolaged children live rural areas longitudinal design data collected 4 times 12 months target sample composed children grades 25 provider diagnosis asthma elementary schools stratified high low socioeconomic status based student enrollment free reducedcost lunch program schools randomly assigned 1 3 treatment arms inschool asthma class asthma day camp attentioncontrol group sample retention good 877 equally distributed study arm improvements emergency department visits office visits related attending either asthma class asthma day camp asthma severity significantly decreased asthma treatment groups factors hospitalizations parent asthma management child asthma management improved groups asthma class asthma day camp yielded significant reductions asthma severity reductions emergency department office visits 2 asthma arms hospitalizations declined significantly groups asthma selfmanagement also improved groups somewhat higher asthma arms may due attention drawn asthma management study participation action completing questionnaires asthma management asthma symptoms health outcomes
10.1007/s11524-015-9997-5
Christopher J Powers, Karen L Bierman, Donna L Coffman
Restrictive educational placements increase adolescent risks for students with early-starting conduct problems
2,016
Journal of child psychology and psychiatry, and allied disciplines
test efficacy group social skills intervention social functioning adolescents brain injury thirtysix adolescents mean age 14y sd 1y 8mo age range 12y 1mo16y 3mo 17 females acquired brain injury abi 12mo postintervention n19 cerebral palsy n17 randomly allocated program education enrichment relational skills peers usual care primary outcome social skills improvement systemrating scales ssisrs secondary outcomes scores derived test adolescent social skills knowledgerevised tasskr social responsiveness scale second edition quality socialization questionnaire betweengroup differences postintervention 26week retention time point compared using linear mixed modelling continuous outcomes poisson regression count data betweengroup differences primary outcome ssisrs regarding secondary outcomes peersexposed group achieved significantly greater improvements tasskr mean difference md68 95 confidence interval ci4888 p0001 maintained 26week retention time point md81 95 ci60102 p0001 peers also associated significant increase parentreported invited gettogethers 26 weeks incidence rate ratio40 95 ci10160 p005 adolescents brain injury completed peers learned retained social knowledge increased social participation
10.1111/jcpp.12487
Deborah H John, Katherine Gunter, Jennifer A Jackson, Melinda Manore
Developing the School Physical Activity and Nutrition Environment Tool to Measure Qualities of the Obesogenic Context
2,016
The Journal of school health
test feasibility kids sip smarter schoolbased intervention reduce consumption sugarsweetened beverages ssbs matchedcontact randomized crossover study mixedmethods analysis one middle school rural appalachian virginia seventyfour sixth seventh graders 5 classrooms received kids sip smarter random order 2 intervention periods feasibility outcomes assessed among 2 teachers kids sip smarter consisted 6 lessons grounded theory planned behavior media literacy public health literacy aimed improve individual ssb behaviors understanding media literacy prevalent regional disparities matchedcontact intervention promoted physical activity beverage intake questionnaire15 ssb consumption validated theory questionnaires feasibility questionnaires student teacher student focus groups teacher interviews process data eg attendance repeated measures analysis variances across 3 time points descriptive statistics deductive analysis qualitative data first intervention period students receiving kids sip smarter n 43 significantly reduced ssbs 11 ouncesday p 01 improved media p 001 public health literacy p 01 understanding however media literacy showed betweengroup differences p 01 students teachers found kids sip smarter acceptable indemand practical implementable within existing resources kids sip smarter feasible underresourced rural school setting results inform development largescale testing kids sip smarter reduce ssbs among rural adolescents
10.1111/josh.12348
C Cortey, E Godeau, V Ehlinger, C Bréhin, I Claudet
[Choking games among 2nd and 3rd graders]
2,016
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
test health literacy questionnaire hlq sample men prostate cancer examine components health literacy strongly associated mental physical healthrelated quality life men prostate cancer members n 565 statewide prostate cancer support network queensland australia mage 7114 sd 868 completed hlq along medical outcomes study 36item shortform health survey sf36 confirmatory factor analysis employed assess internal structure hlq effects bs nine health literacy factors mental physical health status graphed compared using fishers exact test comparing parameter estimates fit indices including rmsea 0069 ci 00660072 cfi 853 tli 839 alongside item loadings internal consistency cronbach alphas 080 ninefactor model supported robustness hlq use prostate cancer sample health literacy factors reflecting social health provider support navigating health systems finding understanding health information active engagement providers shared small moderate associations mental health status little association physical health status findings provide support use hlq valid reliable measure health literacy men prostate cancer although research required establish causality interventions aim improve skills connecting effectively communicating health care services providers might lead better mental health related quality life men prostate cancer
10.1016/j.arcped.2015.10.009
Christopher J Lonigan, Darcey M Allan, J Marc Goodrich, Amber L Farrington, Beth M Phillips
Inhibitory Control of Spanish-Speaking Language-Minority Preschool Children: Measurement and Association With Language, Literacy, and Math Skills
2,017
Journal of learning disabilities
test hypothesis lecturing maximizes learning course performance metaanalyzed 225 studies reported data examination scores failure rates comparing student performance undergraduate science technology engineering mathematics stem courses traditional lecturing versus active learning effect sizes indicate average student performance examinations concept inventories increased 047 sds active learning n 158 studies odds ratio failing 195 traditional lecturing n 67 studies results indicate average examination scores improved 6 active learning sections students classes traditional lecturing 15 times likely fail students classes active learning heterogeneity analyses indicated results hold across stem disciplines active learning increases scores concept inventories course examinations active learning appears effective across class sizesalthough greatest effects small n 50 classes trim fill analyses failsafe n calculations suggest results due publication bias results also appear robust variation methodological rigor included studies based quality controls student quality instructor identity largest comprehensive metaanalysis undergraduate stem education published date results raise questions continued use traditional lecturing control research studies support active learning preferred empirically validated teaching practice regular classrooms
10.1177/0022219415618498
F Heinemann, S Ifland, R Heinrich-Weltzien, I M Schüler
[Influence of Fissure Sealants on Dental Health of Elementary School Children in Weimar - A Longitudinal Observational Study under Real-life Conditions]
2,017
Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))
test independent association adult language input television viewing adultchild conversations language acquisition among infants toddlerstwo hundred seventyfive families children aged 2 48 months representative us census enrolled crosssectional study home language environment child language development phase 1 representative sample 71 families continued longitudinal assessment 18 months phase 2 crosssectional sample language development scores regressed adult word count television viewing adultchild conversations controlling socioeconomic attributes longitudinal sample phase 2 language development scores regressed phase 1 language development well phase 1 adult word count television viewing adultchild conversations controlling socioeconomic attributesin fully adjusted regressions effects adult word count significant included alone partially mediated adultchild conversations television viewing included alone significant negative fully mediated inclusion adultchild conversations adultchild conversations significant included alone retained significance magnitude adult word count television exposure includedtelevision exposure independently associated child language development adultchild conversations controlled adultchild conversations robustly associated healthy language development parents encouraged merely provide language input children reading storytelling also engage children twosided conversations
10.1055/s-0035-1564180
Joseph F Griffith, Rhonda Wilson, Heather C Cimino, Mayme Patthoff, Daniel F Martin, Elias I Traboulsi
The Use of a Mobile Van for School Vision Screening: Results of 63 841 Evaluations
2,016
American journal of ophthalmology
test interreader agreement assessing lung disease extent hrct signs radiological society north america rsna categorization chestdevoted radiologist cr two hrctnave radiology residents rr1 rr2 latter attended covid19based chest highresolution computed tomography hrct crash course course built retrospective inclusion 150 patients underwent hrct covid19 pneumonia november 2020 january 2021 first 10dayslong training phase rr1 rr2 read pool 100150 hrcts receiving daybyday access cr reports feedback subsequent 2dayslong test phase asked report 50150 hrcts feedback test phase reports rr1rr2 compared cr using unweighted linearlyweighted cohens kappa k statistic intraclass correlation coefficient icc observed almost perfect agreement assessing disease extent rr1cr k 083 p 0001 rr2cr k 088 p 0001 agreement rr1cr rr2cr consolidation crazy paving pattern organizing pneumonia op pattern pulmonary artery pa diameter substantial k 065 k 068 moderate k 042 k 051 slight k 010 k 020 goodtoexcellent icc 087 icc 091 respectively agreement providing rsna categorization moderate r1 versus cr k 056 substantial r2 versus cr k 067 hrctnave readers showed acceptable overall agreement cr supporting hypothesis crash course tool readily make nonsubspecialty radiologists available cooperate reading high burden hrct examinations pandemicepidemic
10.1016/j.ajo.2015.11.026
C T Rexen, A K Ersbøll, N Wedderkopp, L B Andersen
Longitudinal influence of musculo-skeletal injuries and extra physical education on physical fitness in schoolchildren
2,016
Scandinavian journal of medicine & science in sports
test psychometric properties finnish version dempster practice behaviour scale explore nurses professional autonomy along characteristics related instrument validation descriptive crosssectional study webbased survey conducted september 2021 two university hospitals finland exploratory factor analysis efa used explore factor structure modified instrument cronbachs coefficients calculated determine reliability scale descriptive univariate multivariate analyses conducted examine registered nurses professional autonomy study followed strobe guidelines validation process 30 items dempster practice behaviour scale reduced 25 items scviave translated scale 094 one additional item omitted efa results supported five factors explained 459 total variance mean overall autonomy score 363 5 readiness empowerment subscales highest lowest respectively mean values linear regression models showed age nursing experience unit type education shift perceptions importance professional autonomy related subscales describing professional autonomy psychometric testing provided evidence translated instrument reliable nurses assessed skilled professionals accountable actions however experienced rather low levels professional autonomy empowerment valuation health care organizations consider authentic leadership thus possibly strengthen professional autonomy
10.1111/sms.12618
Bertha I Zapata-López, Norma L Delgado-Villamizar, Doris Cardona-Arango
[Social and family support to the elderly in urban areas]
2,015
Revista de salud publica (Bogota, Colombia)
test validity intervieweradministered recall measuring moderate vigorous physical activity mvpa third fifthgrade children reported physical activity pa pa diet using short sameday recall afternoon long previousday recall morning retention interval randomly selected children n 95 wore accelerometer 1 day school interviews occurred afternoon day accelerometer worn next morning assignment interview content random spearman correlations calculated mvpa interview mvpa accelerometer minutes mvpa interview minutes positively associated mvpa accelerometer minutes interview focused pa r 34 p 02 children recalled pa diet r 12 p 40 mvpa interview minutes previous day associated mvpa accelerometer minutes r 33 p 02 day r 17 p 26 recall interview method focuses solely pa promising approach assessing childrens schoolday pa
10.15446/rsap.v17n6.34739
Jessie-Lee D McIsaac, Sara F L Kirk, Stefan Kuhle
The Association between Health Behaviours and Academic Performance in Canadian Elementary School Students: A Cross-Sectional Study
2,015
International journal of environmental research and public health
test whether adolescents mental health covid19 pandemic associated combination instructional approaches sleep patterns crosssectional adolescents recruited social media outlets october november 2020 complete online survey participants 4442 geographically racially diverse communitydwelling students grades 612 51 female 36 nonwhite 87 high schoolers participants completed items promis pediatric depressive symptoms anxiety scales participants reported instructional approaches bedtimes wake times day past week participants categorized five combined instructional approach groups average sleep opportunity calculated average time bedtime waketime social jetlag calculated difference average sleep midpoint preceding nonscheduled scheduled days emotional distress elevated sample large proportion adolescents reporting moderatesevere tscore 65 levels depressive symptoms 49 anxiety 28 significant differences instructional approach groups adolescents attending schooldays inperson reported lowest depressive symptom anxiety tscores p 001 p2 012 also shortest sleep opportunity p 001 p2 077 greatest social jetlag p 001 p2 037 groups adolescents attending school person sufficient sleep opportunity 89 hoursnight limited social jetlag 2 hours significantly lower depressive p2 014 anxiety p2 008 tscores adolescents prioritizing inperson education promoting healthy sleep patterns sleep opportunity consistent sleep schedules may help bolster adolescent mental health
10.3390/ijerph121114857
E Norris, N Shelton, S Dunsmuir, O Duke-Williams, E Stamatakis
Teacher and pupil perspectives on the use of Virtual Field Trips as physically active lessons
2,015
BMC research notes
test whether preschool academic skills associated educational attainment adolescence whether associations differed individuals born preterm full term prospective cohort study comprised 6924 individuals including n 444 64 adolescents born preterm 37 weeks gestation avon longitudinal study parents children preschool academic mathematics literacy skills rated teachers 45 years educational attainment 16 years informed attaining general certificate secondary education gcse key subjects mathematics english logistic regressions assessed association preterm birth preschool mathematics gcse mathematics preterm birth preschool literacy gcse english similar numbers adolescents born preterm term achieved gcse mathematics english 536 vs 574 595 vs 639 respectively p values 05 higher preschool academic skill scores mathematics associated greater odds attaining gcse mathematics preschool literacy skills associated gcse english adolescents born preterm higher preschool mathematics 151 ci 114 200 literacy skills 157 ci 110 225 likely attain gcses respective subject termborn counterparts equal levels preschool skills preschool academic skills mathematics literacy associated educational attainment preterm termborn individuals adolescence children born prematurely may benefit preschool mathematics literacy skills academic educational success adolescence termborn individuals
10.1186/s13104-015-1698-3
Jenna L Hollis, Amanda J Williams, Rachel Sutherland, Elizabeth Campbell, Nicole Nathan, Luke Wolfenden, Philip J Morgan, David R Lubans, John Wiggers
A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in elementary school physical education lessons
2,016
Preventive medicine
best knowledge implementation artificial intelligence aibased vision screening community health fair settings previously studied prospective cohort study explored incorporation ai community health fair setting improve access eyecare vision screening implemented community health fair event using aibased nonmydriatic fundus camera addition questionnaire provided survey various barriers eyecare assess eye health literacy total 53 individuals screened event notably 88 participants followup appointments scheduled accordingly approximate 62 attendance rate reported barrier eyecare lack health insurance followed transportation addition aibased vision screening community health fairs may ultimately help improve access eye care
10.1016/j.ypmed.2015.11.018
Wenhui Shi, Yi Zhai, Weirong Li, Chong Shen, Xiaoming Shi
[Difference on sleeping between school-days and weekends in elementary school children, data from 8 provinces in China]
2,015
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
encyclopaedia subseries operator algebras noncommutative geometry theory von neumann algebras initiated series papers murray von neumann 1930s 1940
null
Hannah R Thompson, Robin Haguewood, Nicole Tantoco, Kristine A Madsen
Lessons Learned: A Strategic Alliance to Improve Elementary Physical Education in an Urban School District
2,015
Progress in community health partnerships : research, education, and action
extent selective attention skills relevant academic foundations amenable training represent important focus field education drawing research neurobiology attention review hypothesized links selective attention processing across three domains important early academic skills first provide brief review neural bases selective attention emphasizing effects selective attention neural processing well neural systems important deploying selective attention managing response conflict second examine developmental time course selective attention argued developmental differences selective attention related neural systems important deploying selective attention managing response conflict contrast effectively deployed selective attention acts similar neural mechanisms across ages third section relate processes selective attention three domains important academic foundations language literacy mathematics fourth drawing recent literatures effects videogame play mindbrain training selective attention discuss possibility training selective attention final section examines application principles educationallyfocused attentiontraining programs children
10.1353/cpr.2015.0058
Aya Itoi, Yosuke Yamada, Satoshi Nakae, Misaka Kimura
Decline in objective physical activity over a 10-year period in a Japanese elementary school
2,015
Journal of physiological anthropology
extent students benefit highachieving peers tracking help strong students hurt weak ones however students may benefit tracking allows teachers better tailor instruction level lowerachieving pupils particularly likely benefit tracking teachers incentives teach top distribution propose simple model nesting effects test implications randomized tracking experiment conducted 121 primary schools kenya direct effect highachieving peers positive tracking benefited lowerachieving pupils indirectly allowing teachers teach level jel i21 j45 o15
10.1186/s40101-015-0078-y
Weijun Wang, Heather Brittain, Patricia McDougall, Tracy Vaillancourt
Bullying and school transition: Context or development?
2,016
Child abuse & neglect
translate adapt questionnaire aimed evaluate teasing practice physicalsports activities adolescent population whole process six stages four translations elaboration synthesis version two backtranslations evaluation committee experts test prefinal version target population presentation final version committee experts thirtyeight adolescents aged 11 18 years participated prefinal version test 6th grade elementary school senior year high school public school state santa catarina steps strictly followed need change instrument emerged questions altered according discrepancies observed backtranslations well suggestions specialists improve understanding andor clarity notes adolescents participating prefinal test instrument translated portuguese adapted brazilian context according reality culture adolescents aged 11 18 years old possible understanding failures younger age groups
10.1016/j.chiabu.2015.10.004
Sandhi M Barreto, Roberto M Ladeira, Bruce B Duncan, Maria Ines Schmidt, Antonio A Lopes, Isabela M Benseñor, Dora Chor, Rosane H Griep, Pedro G Vidigal, Antonio L Ribeiro, Paulo A Lotufo, José Geraldo Mill
Chronic kidney disease among adult participants of the ELSA-Brasil cohort: association with race and socioeconomic position
2,016
Journal of epidemiology and community health
understand report perceptions experiences registered nurses aged care sector exploratory qualitative study semistructured telephone interviews utilised primary data collection method fifteen registered nurses interviewed interviews recorded transcribed verbatim analysed using conventional content analysis participants quoted verbatim ensure authenticity results indicated demand increased administrative staffing support aged care workplace poor morale unethical practices contributed negative perceptions attitudes among nurses towards aged care managing communicating older people reported challenging impacts nursing staff recruitment retention future work needed ensure outstanding clinical role models leadership support nursing staff recruitment retention incorporating aged care content nursing curriculum providing professional development opportunities aged care professionals would foundation towards solutions study primarily explored nurses perspectives
10.1136/jech-2015-205834
Fiffi Boman, Martin Stafström, Nils Lundin, Mahnaz Moghadassi, Carl-Johan Törnhage, Per-Olof Östergren
Comparing parent and teacher assessments of mental health in elementary school children
2,016
Scandinavian journal of public health
understand cellular processes biochemical pathways signaling networks need understand binding reaction rates often competing reactions dependence cellular concentrations participating molecules regulation rates allostery posttranslational modifications mechanisms break systems elementary steps almost invariably either unimolecular bimolecular reactions frequently occur subsecond often submillisecond time scales rapid mixing techniques generally achieve mixing less 2 ms generally suitable study reactions application techniques study enzyme mechanisms described several excellent texts cornishbowden fundamentals enzyme kinetics 1995 gutfreund kinetics life sciences receptors transmitters catalysis 1995 flow techniques used study individual steps monitoring approach equilibrium presteady state single turnover conditionsthe individual steps complex biochemical reaction schemes determine fast systems respond incoming signals adapt changed conditions 1 2 chapter concerned vitro techniques developed study fast reactions solution present study various interactions calmodulin example kinetic information obtained techniques indispensable understanding dynamics biochemical processes complements static structural thermodynamic information available xray crystallography nmr equilibrium binding studies
10.1177/1403494815610929
Bonita Stanton, Veronica Dinaj-Koci, Bo Wang, Lynette Deveaux, Sonja Lunn, Xiaoming Li, Glenda Rolle, Nanika Brathwaite, Sharon Marshall, Perez Gomez
Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School
2,016
AIDS and behavior
understand community antibiotic practices drivers comprehensively contextually sensitive ways explored individual community health systemlevel factors influencing community antibiotic practices rural west bengal india qualitative study using focus group discussions indepth interviews two contrasting village clusters south 24 parganas district west bengal india fieldwork conducted november 2019 january 2020 98 adult community members 42 men 56 women selected purposively 8 focus group discussions indepth interviews conducted 16 community key informants 7 teachers 4 elected village representatives 2 doctors 3 social workers 14 community health workers significant themes individual level included sociodemographics age gender education cognitive factors knowledge perceptions modern antibiotics within nonbiomedical belief systems affective influences emotive interpretations appropriate medicine consumption economic constraints affordability antibiotic courses overall costs care antibiotics viewed essential fever remedies akin antipyretics decisions halt midcourse influenced nonbiomedical beliefs associating prolonged use toxicity themes community health system levels included health stewardship roles village leaders knowledge brokering informal providers pharmacists public sector accredited social health activists however community resources lacked sufficient knowledge address peoples doubts concerns qualified doctors physically socially inaccessible creating barrier seeking expertise interplay sociodemographic cognitive affective factors economic constraints individual level underscores complexity antibiotic usage additionally community leaders health workers emerge crucial players yet knowledge gaps lack empowerment pose challenges addressing public concerns comprehensive analysis highlights need targeted interventions address individual beliefs community health dynamics promote judicious antibiotic use
10.1007/s10461-015-1225-5
So-Yeon Lee, Bong-Seong Kim, Sung-Ok Kwon, Se-Young Oh, Hye Lim Shin, Young-Ho Jung, Eun Lee, Song-I Yang, Hyung Young Kim, Ju-Hee Seo, Hyo-Bin Kim, Ji-Won Kwon, Hae-Ran Lee, Soo-Jong Hong
Modification of additive effect between vitamins and ETS on childhood asthma risk according to GSTP1 polymorphism: a cross -sectional study
2,015
BMC pulmonary medicine
understand allostatic load cumulative physiologic burden stress varies amount timing arrests stratified raceethnicity sex using national longitudinal study adolescent adult health calculated descriptive statistics mean differences biomarker measured allostatic load arrest history stratified raceethnicity sex onethird participants experienced least one arrest experienced arrests adults allostatic load scores higher ever experienced arrest compared never mean difference 058 033 084 similar results held men women across raceethnicity black nonhispanic individuals higher allostatic load levels compared individuals experiencing arrest multiple arrests associated higher allostatic load stress arrests may contribute physiological maladaptations poor health public health law enforcement fields must recognize detrimental consequences arrests physiological stress search noncarceral solutions
10.1186/s12890-015-0093-0
Maja Norling, Karin Stenzelius, Nina Ekman, Anne Wennick
High School Students' Experiences in School Toilets or Restrooms
2,016
The Journal of school nursing : the official publication of the National Association of School Nurses
understand programs succeed must evaluate purpose paper examine intervention evaluation processes identify areas success challenges delivering evaluating reflective educational approach character health reach afterschool program low ses community sixtysix fifth sixth graders two schools participated data collected intervention control schools four time points year data collected baseline augsep 2016 time 4 may 2017 used analysis reach fidelity intervention assessed along information process data collection variables interest eg accelerometermeasured physical activity level fitnessgram tests vertical jump literacy missing data imputed 2school 2time mixed factorial anova performed examine efficacy intervention significant time school interactions outcomes assessed several challenges evaluating program low compliance wearing accelerometer lack effort literacy tests peers affecting effort physical tests missing data posit research implementation reexamined communitybased research conducted students elementary level lowincome communities future research engage youth data collection process make meaningful experience possibly reduce attrition program
10.1177/1059840515611476
Laurel G Lambert, Yunhee Chang, Jennifer Varner, Ann Monroe
Allowing and Using Foods of Low Nutritional Value in Elementary School Classrooms: The Implications of Teachers' Beliefs
2,016
Journal of nutrition education and behavior
understand nurses knowledge beliefs experiences affect pain management practices hospitalised persons living dementia plwd naturalistic inquiry using qualitative descriptive design semistructured interviews conducted 12 registered nurses worked one acute care hospital southern california october november 2022 data analysed using content analysis identify themes two themes developed improvising pain assessment included pain documented administration hesitancy referring nurses concerns plwds confusion nurses described challenges assessing pain hospitalised plwd particularly nonverbal andor demonstrating responsive behaviours nurses years experience dementia stigma unconscious biases affected nurses pain management practices study findings highlight complex challenges pain management hospitalised plwd exacerbated nurses knowledge deficits negative stereotypical beliefs dementia stigma unconscious biases towards older people contributes undermanaged pain hospitalised plwd comprehensive strategy using implementation framework needed address nurses knowledge gaps unconscious bias dementia stigma techniques enhance communication skills suggested building foundation areas would improve pain management hospitalised plwd improving pain management hospitalised plwd would improve quality life decrease hospital length stay prevent readmissions improve nurse satisfaction study adhered consolidated criteria reporting qualitative research coreq improving pain management hospitalised plwd would prevent long term confusion episodes delirium improve quality life recover acute illness required hospital care
10.1016/j.jneb.2015.08.022
Qianli Meng, Ying Cui, Min Zhang, Lixin Zhang, Liang Zhang, Jinxin Zhang, Jian Kuang, Qingyang Liu, Yang Zheng, Zhongling Luo, Huikun Liu, Guoping Zhu, Jingjing Cai, Guanrong Zhang, Xingxuan Wen, Haike Guo
Design and baseline characteristics of a population-based study of eye disease in southern Chinese people: the Dongguan Eye Study
2,016
Clinical & experimental ophthalmology
understand parents attitudes medical education junior doctors students ward rounds explore parents perceptions vary medical surgical paediatric wards mixedmethods descriptive study done using 100 semistructured interviews across two departments single tertiarylevel paediatric hospital quantitative data derived closedended interview responses analysed using descriptive statistics explore overall parental satisfaction education rounds qualitative data obtained openended interview responses using inductive content analysis themes agreed three researchers study demonstrated high parental satisfaction education ward rounds 85 parents satisfied education occurring rounds difference medical surgical cohorts despite parents witnessing teaching medical rounds 70 surgical rounds 16 qualitative data derived four key themes altruism reason supporting education child still comes first setting scene location matters research demonstrates parents support education medical students junior doctors ward rounds provided wardbased learning perceived compromise care intentional communication parents regarding teaching process including timing location teaching helps improve engagement parental satisfaction
10.1111/ceo.12670
Yongzhe Jing, Shanji Jin, Ranzhuo Qiao, Jinnü Fang
[Association of adipocytokines with obesity and insulin resistance in Korean-Chinese and Han nationality pupils of Yanbian area]
2,015
Wei sheng yan jiu = Journal of hygiene research
understand sleep quality oxidative stress levels heart rate variability hrv subjects hypertension study aims create baseline data hypertensive subjects research possibility estimating risk developing cardiovascular mortality morbidity patient hypertension analytical crosssectional study encompassing 128 study subjects genders 64 hypertensive subjects analyse corelation sleep quality malondialdehyde heart rate variability hypertensive normotensive subjects study done tertiary teaching institute northern india 14 months descriptive statistics used independent ttest mannwhitney u test chisquare used find association among variables linear regression used estimate effect blood pressure malondialdehyde levels subjects hypertension found poor sleep quality global psqi score 5 p00001 increased malondialdehyde level 030303017193 ml p00001 hypertensive subjects found lower parasympathetic activity indicated low high frequency 279463473220280 p00001 increased sympathetic activity low frequencyhigh frequency 2298232792441 p00001 multivariate linear regression predicts one unit increase systolic blood pressure malondialdehyde level increases 0006 units p0002 95 ci among hypertensive group significantly increased oxidative stress level poor quality sleep increased sympathetic activity thereby predisposing subjects increased risk cardiac morbidity mortality
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Jaimie N Davis, Lauren C Martinez, Donna Spruijt-Metz, Nicole M Gatto
LA Sprouts: A 12-Week Gardening, Nutrition, and Cooking Randomized Control Trial Improves Determinants of Dietary Behaviors
2,016
Journal of nutrition education and behavior
understand association food insecurity sociodemographic factors sample population latin america covid19 pandemic multicenter crosssectional study conducted 10 countries latin america using online survey various digital platforms october 14 2020 february 15 2021 statistical analysis data performed applying descriptive statistics chisquare test logistic regression analysis total 6 357 surveys 582 respondents experienced food security 293 slightly food insecure 92 moderately food insecure 33 severely food insecure concerning association food insecurity sociodemographic variables significant association variables studied including area residence education level occupation number persons household household children younger 10 years age socioeconomic level findings indicate sociodemographic factors associated food insecurity covid19 pandemic latin america rural residence complete incomplete basic secondary schooling occupation homemaker unemployed selfemployed low mediumlow medium socioeconomic level household four persons household children younger 10 years age
10.1016/j.jneb.2015.08.009
Daniel I Naiman, Scott T Leatherdale, Carolyn Gotay, Louise C Mâsse
School factors associated with the provision of physical education and levels of physical activity among elementary school students in Ontario
2,015
Canadian journal of public health = Revue canadienne de sante publique
understand current practice relation management topical therapy cutaneous chronic graft versus host disease ccgvhd access extracorporeal photopheresis ecp within european allogeneic haematopoietic cell transplantation centres survey nurses multicentre crossnational study eligible european blood marrow transplant centres eligibility required 30 treated patients allogeneic haematopoietic cell transplant centres performing autologous stem cell transplants excluded study 12 respondents unaware whether centre policy monitoring chronic cutaneous graft versus host disease half affiliation dermatologist referral 19 access specialist nurse patient education routinely provided centres 86 results suggested severity patients chronic cutaneous graft versus host disease increased reduction amount topical emollients steroids employed following topical therapies systemic treatments modalities ecp employed less focus directed towards topical care topical treatment backbone treatment paradigm chronic cutaneous graft versus host disease however universally agreed algorithm improved skin care may lead reduction amount systemic therapy required thus increasing patients quality life little standardisation topical management chronic cutaneous graft versus host disease despite skin cited organ affected chronic graft versus host disease addressed
10.17269/cjph.106.4899
Kate A Heelan, R Todd Bartee, Allison Nihiser, Bettylou Sherry
Healthier School Environment Leads to Decreases in Childhood Obesity: The Kearney Nebraska Story
2,015
Childhood obesity (Print)
understand differences sleepingtime schooldays weekends among elementary school children crosssectional study conducted september november 2010 stratified random cluster sampling strategy used select participants diverse geographical economic levels eight provinces municipalities autonomous regions mainland china total number 20 603 elementary school children aged 612 years old chosen research subjects record time sleeping schooldays weekends among 612 year old time sleeping longer weekends schooldays average sleeping time weekends longer boys girls 335 p 005 however linearly decreasing trend along increase age regarding time sleeping weekends girls proportions serious lack sleep lack sleep sufficient sleep weekends 1363 2 80920 603 2727 5 61820 603 5910 12 17620 603 proportion sufficient sleep 50 significantly higher weekends schooldays less 30 however nearly one third first grade primary school children sleep insufficiently even weekends nearly 1000 children seriously moderately lack sleep schooldays still serious lack sleep state weekends three groups categorized serious lack sleep less 9 h lack sleep 910 h sufficient 10 h sleep schooldays accounted 2975 6448 8644 respectively compared national regulation set 10 h daily sleep children china proportions whose time sleep weekends less schooldays three groups moderate within 1 h 1 h caughtup 941 2277 4332 2450 respectively percentage pupils caught sleep appropriately within 1 h weekends among serious lack sleep schooldays would exceed 4000 proportions among lack sleep sufficient schooldays 5400 3000 percentage children slept less weekends schooldays among sufficient sleep schooldays appeared highest nearly 2000 however proportions among lack sleep seriously lack sleep schooldays 345 816 respectively found elementary school children could catch time sleep lack sleep weekends coexisting study situation called attention sleeping habit primary school children also urgently improved
10.1089/chi.2015.0005
Kimberly A Miller, Jimi Huh, Jennifer B Unger, Jean L Richardson, Martin W Allen, David H Peng, Myles G Cockburn
Patterns of sun protective behaviors among Hispanic children in a skin cancer prevention intervention
2,015
Preventive medicine
understand experience children become ill covid19 qualitativedescriptive exploratory study guided world health organizations concept quality life twentyfour children participated aged seven nine years 11 months 29 days diagnosed covid19 data collected semistructured interviews underwent deductive thematic analysis children understood covid19 high lethality transmissibility forms contagion prevention covid19 identified something negative experience children becoming ill covid19 permeated changes routines especially due activities limited home emotional changes physical symptoms due infection virus children understood seriousness pandemic identified changes occurred also expressed understanding disease control knowing childrens experience illness guide care actions aimed recognizing childrens adequate understanding experience contribute coping illness participation control actions
10.1016/j.ypmed.2015.09.027
Rami Al Rifai, Keiko Nakamura
Differences in Breast and Cervical Cancer Screening Rates in Jordan among Women from Different Socioeconomic Strata: Analysis of the 2012 Population-Based Household Survey
2,015
Asian Pacific journal of cancer prevention : APJCP
understand familys experience child andor teenager palliative care building representative theoretical model process experienced family purpose symbolic interactionism theory based data used fifteen families kids andor teenagers palliative care interviewed data collected semistructured interviews comparative analysis data substantive theory formed fluctuating hope hopelessness world changed losses composed life shattered managing new condition recognizing palliative care relearning live hope perseverance spiritual beliefs determining factors family continue fighting life child context uncertainty anguish suffering due medical condition child along way family redefines values integrates palliative care lives staying child home set kept hope dreaming recovery support childs life takes away even though temporarily possibility childs death staying within context family
10.7314/apjcp.2015.16.15.6697
Nicole Sparapani, Lindee Morgan, Vanessa P Reinhardt, Christopher Schatschneider, Amy M Wetherby
Evaluation of Classroom Active Engagement in Elementary Students with Autism Spectrum Disorder
2,016
Journal of autism and developmental disorders
understand neglect situation elementary high school students aged 617 years western rural areas china using multistage stratified cluster sampling method 4 131 students recruited 26 rural elementary high schools 7 districts shanxi province chongqing september 2012 april 2013 investigation conducted based development neglect evaluation norms influence factors primary middle school students rural areas china sas 921 software used analyzing neglect rate neglect degree groups age sex neglect types including neglect physical emotional medical educational safety social total neglect rate degree 5550 1 9433 501 4996 967 neglect rates males females 5678 1 0181 793 5416 9251 708 p 0119 neglect degrees 5008 931 4983 1002 p 0479 respectively girls medical neglect rate 1825 3481 907 significantly higher boys 1472 2941 997 p 001 boys neglect degrees physical educational social neglect 5005 1046 4999 1081 5763 1463 significantly higher girls 4934 1070 4907 1130 5637 1480 p 005 total neglect rates 68 911 1214 1517 groups 4448 310697 6040 511846 6089 601987 5366 521971 p 001 total neglect degrees among groups 4689 857 5188 925 5188 925 5172 889 p 001 respectively except neglect rates medical social neglect significant differences found three neglect rates neglect degrees rates social emotional safety neglect 911 group higher groups 2839 264930 2641 239905 2035 187919 1214 group highest educational neglect rate2941 3171 078 physical emotional neglect degrees 1214 1517 group higher groups1214 group 5159 1002 5343 1202 1517 group 5196 980 5261 1159 social safety educational medical neglect degrees highest 68 911 1214 1517 group 6091 1313 4829 1134 5243 1055 5115 1725 respectively neglect rates neglect degrees significantly higher minorities6888 374543 5291 914 han population 5304 1 5692 958 4944 967p 001 indexes neglect rates neglect degrees significantly higher children siblings group 5820 1 5042 584 5058 954 onechild group 4787 439917 4827 980 p 001 indexes neglect rates neglect degrees significantly higher lefthand students 6165 1 1011 786 5141 951 livingwithparents students4910 8421 715 4856 961 p 001 indexes children neglect situation serious western rural areas close attention families schools society urgent need
10.1007/s10803-015-2615-2
Sharon D Horner, Adama Brown, Sharon A Brown, D Lynn Rew
Enhancing Asthma Self-Management in Rural School-Aged Children: A Randomized Controlled Trial
2,016
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
understand perception medical communication needs family members loved ones intensive care study mainly qualitative exploratory thematic analysis comments made 92 family members loved ones intensive care units answering inperson interviews comprising quality communication questionnaire qoc openended questions need additional help appropriateness place received information additional comments participants mean age 468 years sd 118 female married incomplete completed elementary education following themes found perception characteristics medical communication feelings generated communication considerations specific questions qoc family members needs strategies overcome needs regarding communication characteristics facilitated communication included attention listening characteristics made communication difficult included aspects information sharing inaccessible language lack clarity objectivity sincerity agreement among team limited time inadequate location feelings shame helplessness sadness cited communication inadequate family members needs related communication included details loved ones diagnosis prognosis health condition participation decisionmaking asked feelings spirituality dying death others related longer visitation time psychological support social assistance better infrastructure necessary enhance medical communication improve hospital infrastructure improve quality care family members
10.1111/jrh.12150
Bethany A Yon, Rachel K Johnson
New School Meal Regulations and Consumption of Flavored Milk in Ten US Elementary Schools, 2010 and 2013
2,015
Preventing chronic disease
understand persistence racial disparities across multiple domains eg residential location schooling employment health housing credit justice develop effective remedies must recognize domains reciprocally related comprise integrated system limited longrun success government social policies advance racial justice due part ad hoc nature policy responses various forms racial discrimination drawing systems perspective show race discrimination system whose emergent properties reinforce effects components emergent property system racelinked disparities ber discriminationa metalevel phenomenon shapes culture cognitions institutions thereby distorting whether perceive make sense racial disparities viewing withindomain disparities part discrimination system requires betterspecified analytic models existence emergent system ber discrimination increases difficulty eliminating racial disparities systems perspective points strategies attack system include identifying intervening leverage points implementing interventions operate simultaneously across subsystems isolating subsystems larger discrimination system directly challenging processes emergent discrimination strengthens withinsubsystem disparities
10.5888/pcd12.150163
Erica L Birkley, Tamika C B Zapolski, Gregory T Smith
Racial Differences in the Transactional Relationship Between Depression and Alcohol Use From Elementary School to Middle School
2,015
Journal of studies on alcohol and drugs
understand practices attitudes beliefs type 1 diabetes t1d providers towards schoolbased diabetes care sbdc including counseling families communicating schools explore barriers facilitators affect support sbdc conducted national survey pediatric t1d providers perceived support sbdc including family counseling school communication used descriptive statistics analyze results explored differences practice size 500 500999 1000 patients environment academic vs nonacademic total 149 providers completed survey nearly 95 indicated sbdc important though 63 reported counseling families sbdc multiple times per year 19 spoke school staff routinely reporting shared responsibility among different providers close 90 agreed school feedback t1d management plans would helpful yet 31 routinely requested input moderate extremely significant barriers sbdc communication included internal factors staff resources 67 time 82 external factors school nurse education needs 62 differing school district policies 70 individuals large academic practices reported barriers knowledge sbdc including federalstate laws desired facilitators sbdc included designated school liaison 84 electronic transmission school forms 90 accessible school staff education 95 though providers universally agree sbdc important multilevel internal practice external policy barriers facilitating bidirectional relationship schools health teams
10.15288/jsad.2015.76.799
Y Song, M Wang, J Xie, W Li, X Zhang, T Wang, G Tan
Prevalence of allergic rhinitis among elementary and middle school students in Changsha city and its impact on quality of life
2,015
The Journal of laryngology and otology
understand relationship need continuing care services influencing factors social support readiness discharge among discharged pulmonary tuberculosis ptb patients crosssectional study conducted among 170 patients database discharged patients ptb september 2023 january 2024 demographic disease characteristics questionnaire continuing care services basic modality questionnaire continuing care services need questionnaire social support rating scale ssrs readiness hospital discharge scale rhds used investigation univariate analysis multiple linear regression analysis used analyze associated factors mean total score need continuing care services among patients ptb discharged hospital 12161 2298 dimension highest score health education guidance need compared original hospital medical personnel primary source care information discharge local medical institutions statistically significant negatively correlated continuing care service need p 0005 social support positively associated need continuing care services p 0042 discharged ptb patients high degree continuing care service need factors influencing need continuing care services primary source care information discharge local medical institutions social support medical staff need provide targeted continuing care services based relevant influencing factors meet discharge needs patients
10.1017/S0022215115002492
Winitra Nuallaong, Thanya Nuallaong, Nongluck Preechadirek
Academic Achievement from Using the Learning Medium Via a Tablet Device Based on Multiple Intelligences in Grade 1 Elementary Student
2,015
Journal of the Medical Association of Thailand = Chotmaihet thangphaet
understand relationship timing initiation nutritional support children severe traumatic brain injury outcomes secondary analysis randomized controlled trial therapeutic hypothermia pediatric traumatic brain injury consortium hypothermia also known cool kids trial nct 00222742 fifteen clinical sites united states australia new zealand inclusion criteria included 1 age less 18 years 2 postresuscitation glasgow coma scale less equal 8 3 glasgow coma scale motor score less 6 4 available randomized within 6 hours injury exclusion criteria included normal head ct glasgow coma scale equals 3 hypotension greater 10 minutes fifth percentile age uncorrectable coagulopathy hypoxia arterial oxygen saturation 90 30 min pregnancy penetrating injury unavailability parent guardian consent centers without emergency waiver consent therapeutic hypothermia 3233c 48 hr followed slow rewarming primary study analysis intervention extraction data regarding nutritional support existing database timing initiation nutritional support determined patients stratified four groups group 1no nutritional support first 7 group 2nutritional support initiated 48 hr injury group 3nutritional support initiated 48 72 hr injury group 4nutritional support initiated 72168 hr injury outcomes also stratified mortality glasgow outcomes scaleextended pediatrics 14 57 8 6 12 months mixedeffects models performed define relationship nutrition outcome children n 90 77 randomized 13 runin enrolled mean glasgow coma scale 58 mortality rate 133 578 subjects received hypothermia initiation nutrition 72 hours associated survival p 001 favorable 6 months glasgow outcomes scaleextended pediatrics p 003 favorable 12 months glasgow outcomes scaleextended pediatrics p 004 specifically groups 2 3 favorable outcomes versus group 1 initiation nutritional support 72 hours traumatic brain injury associated decreased mortality favorable outcome secondary analysis although provides rationale initiate nutritional support early traumatic brain injury definitive studies control important covariates severity injury clinical site calories delivered parenteralenteral routes factors needed provide definitive evidence optimization timing nutritional support severe traumatic brain injury children
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Carlos M Ardila, Annie Marcela Vivares-Builes, Andrés A Agudelo-Suárez
Influence of the Socio-Economic Context on Self-Reported Gingival Bleeding in Individuals of Ethnic Minority Groups: A Multilevel Analysis
2,015
Global journal of health science
understand satisfaction current status training scientific research ability master public health students universities analyze influencing factors explore solutions order provide reference improving scientific research ability master public health students questionnaire used survey master public health students nine universities data analyzed descriptive statistics multifactor logistic regression overall satisfaction selfrating score research capacity master public health students 329 087 highest score mentor exchange 378 081 lowest score subsidized treatment 186 096 satisfaction practice unit school dimensions significantly lower mentor dimension length practice practice unit subsidy treatment importance research capacity development development tendency current status research influential factors contributing difference satisfaction research capacity development master public health students p 005 overall scientific training quality master public health students high still many aspects need solved colleges universities join funding system adapted practice process master public health students guarantee construction system student subsidy treatment secondly strengthen construction public health supervisory team improve frequency quality scientific research exchanges teachers students addition colleges universities improve existing research incentives policies adopt multiple forms types research incentives finally colleges universities improve research training system construction research resources master public health
10.5539/gjhs.v8n2p1
Kyohei Kiyota, Akiko Takemoto, Saori Okajima, Shizuka Morino, Satoru Kakoi, Junko Sakuma, Masato Yoshimitsu, Kazuhiko Akutsu, Keiji Kajimura
[A Survey of School Lunch Provision for Elementary School Students with Food Allergy in Seven Cities of Osaka Prefecture]
2,015
Shokuhin eiseigaku zasshi. Journal of the Food Hygienic Society of Japan
understand status correlative factors menarche first spermatorrhea among children adolescents chongqing order provide theoretical basis carrying sex health education population random stratified cluster sampling 10 498 students 5 372 boys 5 126 girls 5 18 years old living chongqing urban districts enrolled general situation physical features population studied statistics analysis system included logistic regression methods ttest chisquare test urban kids first experience spermatorrhea 0218 years later living rural areas z73287p0001 median age girls urban areas 0073 years earlier rural areas z71589p0001 except factor mothers education level family 221564 p0001 family environment related factors show significant difference two groups boys p005 however significant difference appeared average family income 26175p0046 two groups girls data logistic analysis showed bmi hip circumference height weight number children family time sleep diet structure associated menarche correlative factors boys first spermatorrhea would include highenergy snacks hip circumference weight height school type mother education level p005 first spermatorrhea menstruation boys girls closely related environment family diet time sleep
10.3358/shokueishi.56.151
Jill Locke, Wendy Shih, Mark Kretzmann, Connie Kasari
Examining playground engagement between elementary school children with and without autism spectrum disorder
2,016
Autism : the international journal of research and practice
understand status media exposure social support selfefficacy health literacy among middleaged older adults china explore impact path media exposure health literacy population providing reference promoting physical mental health july november 2022 multistage random sampling method employed survey 16938 chinese middleaged older adults aged 46 structural equation modeling statistical analysis conducted using lisrel 88 mplus 83 software average score media exposure among chinese middleaged older adults 1855536 perceived social support 60681251 selfefficacy 2876540 health literacy 3549605 statistical results revealed media exposure positive impact health literacy middleaged older adults direct effect 0091 p 0001 mediation analysis showed media exposure affect health literacy population independent mediating effects perceived social support 0013 p 0001 selfefficacy 0029 p 0001 well chain mediation effect involving perceived social support selfefficacy 0015 p 0001 pathway health information dissemination media exposure plays crucial role intervention health literacy among middleaged older adults perceived social support selfefficacy independent mediating effects also significant chain mediating effects relationship media exposure health literacy among population therefore improving health literacy middleaged older people popularized media improved multipath allround precise way help related technologies social forces media literacy improved
10.1177/1362361315599468
Sarah A Amin, Bethany A Yon, Jennifer C Taylor, Rachel K Johnson
Impact of the National School Lunch Program on Fruit and Vegetable Selection in Northeastern Elementary Schoolchildren, 2012-2013
2,015
Public health reports (Washington, D.C. : 1974)
understand mood states influence creativity authors developed tested dual pathway creativity model creative fluency number ideas insights originality novelty functions cognitive flexibility persistence combination thereof invoking work arousal psychophysiological processes working memory capacity authors argue activating moods eg angry fearful happy elated lead creative fluency originality deactivating moods eg sad depressed relaxed serene furthermore activating moods influence creative fluency originality enhanced cognitive flexibility tone positive enhanced persistence tone negative four studies different mood manipulations operationalizations creativity eg brainstorming category inclusion tasks gestalt completion tests support model
10.1177/003335491513000508
Ulla Haverinen-Shaughnessy, Richard J Shaughnessy
Effects of Classroom Ventilation Rate and Temperature on Students' Test Scores
2,015
PloS one
understand whether equity considered artificial intelligencemachine learning governance processes academic medical centers qualitative analysis interview data created database academic medical centers full list association american medical colleges hospital health system members 2022 stratifying census region restricting nonfederal nonspecialty centers recruited chief medical informatics officers similarly positioned individuals academic medical centers across country created piloted semistructured interview guide focused 1 academic medical centers govern artificial intelligence prediction 2 extent equity considered processes total 17 individuals representing 13 institutions across 4 census regions us interviewed minority participants reported considering inequity racism bias governance participants conceptualized issues characteristics tool using frameworks algorithmic bias fairness fewer participants conceptualized equity beyond technology asked broader questions implications patients disparities health information technology resources across health systems repeatedly identified threat health equity found lack consistent equity consideration among academic medical centers develop governance processes predictive technologies despite considerable national attention ways technologies cause reproduce inequities health systems policy makers need specifically prioritize equity literacy among health system leadership design oversight policies promote critical engagement tools implications prevent entrenchment inequities digital health care
10.1371/journal.pone.0136165
Audra K Langley, Araceli Gonzalez, Catherine A Sugar, Diana Solis, Lisa Jaycox
Bounce back: Effectiveness of an elementary school-based intervention for multicultural children exposed to traumatic events
2,015
Journal of consulting and clinical psychology
unravel effect schoolbased nutrition education insight implementation process needed study process indicators taste lessons nutrition education programme dutch elementary schools association changes behavioural determinants relevant healthy eating behaviour studied study sample consisted 392 dutch primary school children 12 schools data collected using teacher child questionnaires baseline one six months intervention multilevel regression analyses conducted study association dose appreciation childrens engagement interpersonal communication talking taste lessons others lessons change knowledge awareness skills attitude emotion subjective norm intention towards two target behaviours average implementation third programme activities dose positively predicted change childrens subjective norm teacher one month teachers children highly appreciated taste lessons whereas teacher appreciation inversely associated child appreciation positively associated childrens change awareness emotion subjective norm teachers one month attitude subjective norm parents six months interpersonal communication positively associated childrens change five determinants one month attitude intention six months implementation process related programme outcomes taste lessons process data provide valuable insights factors contribute effect interventions reallife settings
10.1037/ccp0000051
Robert M Siegel, Amy Anneken, Christopher Duffy, Kenya Simmons, Michelle Hudgens, Mary Kate Lockhart, Jessica Shelly
Emoticon use Increases Plain Milk and Vegetable Purchase in a School Cafeteria without Adversely Affecting Total Milk Purchase
2,015
Clinical therapeutics
unveil experiences primary elementary school teachers first aid school descriptive qualitative study conducted may 2014 focus group nine teachers municipal network bom jesuspi audio recording occurred content transcribed data processed iramuteq software analyzed descendant hierarchical classification three classes obtained teachers knowledge first aid influence maternal experience belief popular myths awareness lack preparation indicated feelings situations urgency emergency anguish fear concern first aid school occurring class break time coming collisions syncope research evidenced experiences based popular beliefs family experiences knowledge gaps lack preparation evidenced teachers reports misconduct first aid school
10.1016/j.clinthera.2015.07.016
Jordan A Carlson, Jessa K Engelberg, Kelli L Cain, Terry L Conway, Alex M Mignano, Edith A Bonilla, Carrie Geremia, James F Sallis
Implementing classroom physical activity breaks: Associations with student physical activity and classroom behavior
2,015
Preventive medicine
update canadian ophthalmology workforce data provide future predictions crosssectional study ophthalmologists working canada 1968 2019 supply demographics physicians canada obtained canadian institute health information physician training numbers obtained canadian postmd education registry using statistic canada population projections future predictions canadas ophthalmology workforce determined 2020 1323 ophthalmologists canada 273 female 209 aged 65 years overall 348 ophthalmologists per 100000 population provincial distributions varied 232 manitoba 500 nova scotia population aged 65 years 1935 ophthalmologists per 100000 population yearly change ophthalmologists numbers remains past 10 years number ophthalmologists per 100000 population predicted slightly reduced 321 2068 highgrowth scenario increased 408 508 medium lowgrowth scenario respectively population aged 65 years corresponding predicted ratios 1400 highgrowth scenario 1772 mediumgrowth scenario 1840 lowgrowth scenario ratio ophthalmologists population aged 65 years predominant cohort treated ophthalmologists projected drop 49 277 low highgrowth scenarios respectively potentially creating challenge vision care delivery small increase ophthalmology residency positions could protect
10.1016/j.ypmed.2015.08.006
Zrinka Puharić, Ina Stašević, Darko Ropac, Nina Petričević, Irena Jurišić
[A STUDY INVESTIGATING THE FACTORS OF INTERNET ADDICTION]
2,014
Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti
update description current objective structured clinical examination osce practices within pharmacy schools united states identify barriers osce implementation expansion survey deployed accredited doctor pharmacy programs within united states survey designed collect information regarding curricular mapping osces osce design osce delivery assessment osce performance barriers osce implementation expansion 135 usaccredited programs identified 109 81 programs completed survey total 93 85 programs reported using osces assess students however implementation throughout curriculum current practices varied institution programs place osces within specific courses 96 applied skills coursework used 80 common number osces occur throughout curriculum 6 18 however 20 22 programs execute 10 osces throughout curriculum forty 43 programs use osces highstakes assessments poor performance could prevent student progressing advanced pharmacy practice experiences responding programs half 56 use teaching objective structured examinations enhance learning common barriers osce expansion exist related resource utilization significant expansion osce development implementation occurred last decade substantial variability implementation utilization among programs although standards best practice osces exist health professions best practices pharmacy education widely accepted adopted
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M J Mendell, E A Eliseeva, M M Davies, A Lobscheid
Do classroom ventilation rates in California elementary schools influence standardized test scores? Results from a prospective study
2,016
Indoor air
use technology effectively advancement patient care pharmacists must possess variety computer skills recently introduced novel applied informatics program canadian hospital clinical service unit enhance informatics skills members study conducted gain better understanding baseline computer skills needs hospital pharmacists immediately prior implementation applied informatics program may 2001 84question written survey distributed mail 106 practicing hospital pharmacists multisite 1500bed acuteadulttertiary care canadian teaching hospital vancouver british columbia fiftyeight surveys 55 total returned within twoweek study period survey responses reflected opinions licensed bsc pharmd hospital pharmacists broad range pharmacy practice experience respondents home access personal computers regularly used computers work environment drug distribution information management communication purposes respondents reported experience handheld computers software use experience varied according application although patientcare information software email commonly used experience spreadsheet statistical presentation software negligible respondents familiar internet search engines reported common method seeking clinical information online although many respondents rated generally computer literate particularly anxious using computers majority believed required training reach desired level computer literacy lack familiarity computerrelated terms prevalent selfreported basic computer skill typically moderate level varied depending task specifically respondents rated ability manipulate files use software help features install software low rated ability access navigate internet high respondents generally aware online resources available clinical pharmacology commonly employed reference terms anticipated needs pharmacists believed needed upgrade computer skills medical database internet searching skills identified greatest need improvement pharmacists believed needed upgrade computer skills medical database internet searching skills identified greatest need improvement purposes improving practice effectiveness
10.1111/ina.12241
R Mohseni, N Sandoughdar
Survey of Voice Acoustic Parameters in Iranian Female Teachers
2,016
Journal of voice : official journal of the Voice Foundation
use two national databases quantify pace magnitude improvement hospital performance measured mortality across hospitals caring critically ill children united states used empirical bayes shrinkage estimators obtain shrinkage estimators observedexpected mortality ratios hospital assuming gamma poisson posterior distribution revised mortality rates hospital obtained shrunken incidence ratios pediatric health information system participating hospital kids inpatient database participating hospital patients less equal 18 years old received invasive mechanical ventilation hospital stay pediatric health information system participating hospital 20052015 kids inpatient database participating hospital 19972012 included none total 486838 patients 48 pediatric health information system hospitals 798840 patients 947 kids inpatient database hospitals included pediatric health information system hospitals median shrunken adjusted mortality decreased 1166 2005 711 2015 kids inpatient database hospitals decreased 579 1997 386 2012 2015 95 pediatric health information system hospitals performed better well best 25 hospitals 2005 2012 337 kids inpatient database hospitals performed better well best 25 hospitals 1997 study provides insight magnitude improvement patient mortality hospitals caring critically ill children united states study quantifies hospital performance pediatric critical care time provides benchmarks individual hospitals assess performance future pediatric epidemiologic studies identify outcomes mortality quantify improvement hospital performance
10.1016/j.jvoice.2015.05.020
Y-Q Liu, Z Qian, J Wang, T Lu, S Lin, X-W Zeng, R-Q Liu, Y Zhu, X-D Qin, P Yuan, Y Zhou, M Li, Y-T Hao, G-H Dong
Breastfeeding modifies the effects of environment tobacco smoke exposure on respiratory diseases and symptoms in Chinese children: the Seven Northeast Cities Study
2,016
Indoor air
use verbal autopsy va data understand health system utilisation potential avoidability associated fatal injury categorise evident barriers driving avoidable delays care within threedelays framework considers delays seeking delay 1 reaching delay 2 receiving delay 3 quality injury care retrospective analysis existing va data routinely collected demographic surveillance site karonga health demographic surveillance site hdss population northern malawi fatally injured members hdss primary outcome proportion fatal injury deaths potentially avoidable secondary outcomes delay stage corresponding barriers associated avoidable deaths health system utilisation fatal injuries within health system 252 deaths due external causes 185 injuryrelated deaths analysed deaths predominantly among young males median age 30 iqr 1148 719 133185 351 65185 assessed potentially avoidable delay 1 implicated 308 2065 potentially avoidable deaths delay 2 615 4065 delay 3 754 4965 within delay 1 healthcare literacy commonly implicated barrier 75 1520 within delay 2 communication prehospital care commonly implicated 925 3740 within delay 3 physical resources commonly implicated 857 4249 va feasible studying pathways care health system responsiveness avoidable deaths following injury ascertaining delays contribute deaths large proportion injury deaths avoidable identified several barriers potential targets intervention refining integrating va health system assessment methods likely necessary holistically understand injury care health system
10.1111/ina.12240
Jae Yop Kim, Jeen Suk Lee, Sehun Oh
A Path Model of School Violence Perpetration: Introducing Online Game Addiction as a New Risk Factor
2,017
Journal of interpersonal violence
usertest graphical display formats icon arrays pie bar line charts identify preferred formats metrics probability death stroke proportion time lived without death stroke order display timedependent risks stroke death three carotid stenosis treatments endarterectomy surgery stenting medical therapy iterative cycles semistructured interviews patients recruited vascular clinic total 27 patients mean age 68 range 5085 interviewed four cycles patients strongly preferred pie chart icon arrays bar line graphs preference based patient recognition timebased increase risk stroke death treatment options patients preferred data presented probabilities instead proportion time lived assess patients understanding patients preferred pie chart formats reported better realization risks increase time option tradeoffs exist surgery higher shortterm risk medical therapy remains debate best convey timedependent risk information patients especially low literacy numeracy might exist
10.1177/0886260515597435
Antje von Suchodoletz, Ross A A Larsen, Catherine Gunzenhauser, Anika Fäsche
Reading and spelling skills in German third graders: Examining the role of student and context characteristics
2,015
The British journal of educational psychology
validate novel screening test cognitive functional decline older patients rehabilitated complete removable dental prostheses crdps edentate old inpatients rehabilitated crdps included study participants requested remove prostheses intraoral examinations prostheses presented inverted orientation participants correct orientation prostheses insert appropriate jaws test repeated intraoral exam appropriate statistical models used 05 associate test results participants minimental state examination mmse score functional independence measure fim age sex among 86 participants meanage 854 64 years mean mmse 198 55 mean fim 779 208 21 244 failed correctly insert prosthesis prosthesis presentation test ppt associated fim mmse regression models confirmed association age p 043 sex additional analyses revealed ppt test associated fims cognitive subsets memory problem solving social interaction ppt novel simple quick screening tool help detect functional difficulties older people easily performed oral examination future studies needed determine whether ppt used detect deficits executive function complement mmse also first assessment patients ability manage dentures independently
10.1111/bjep.12090
Geir K Resaland, Vegard Fusche Moe, Eivind Aadland, Jostein Steene-Johannessen, Øyvind Glosvik, John R Andersen, Olav M Kvalheim, Heather A McKay, Sigmund A Anderssen
Active Smarter Kids (ASK): Rationale and design of a cluster-randomized controlled trial investigating the effects of daily physical activity on children's academic performance and risk factors for non-communicable diseases
2,015
BMC public health
validate tool measuring selfdirected learning sdl abilities determine abilities among older individuals attending university third age health literacy hl sdl abilities documented closely linked prerequisites enhancing selfmanagement competences required older people protect health manage health issues furthermore individuals sdl abilities documented full understanding health treatment prescriptions able demonstrate increased compliance develop selfcare competences validation crosssectional study design consecutive sample 313 older people 687 female attended lessons two italian universities third age willing participate study enrolled selfrating scale selfdirected learning srssdl validated previously healthcare context used exploratory confirmatory factor analysis srssdl older people srssdlo demonstrated good psychometric properties tool composed four factors awareness attitudes availability motivation 13 items according findings average sdl score 5427 669 65 women achieved significantly higher scores compared men 5481 669 vs 5308 654 p 033 participants university degree 5595 656 secondary education 5475 613 higher scores lower secondary education 5037 734 p 002 participants responsible learning processes capable identifying learning needs goals also internally motivated develop learning methods organise learning activities however less able keep date learning resources available srssdlo help nurses identify healthy older people lack sdl abilities design tailored educational interventions prevent health conditions andor promote selfcare management chronic conditions
10.1186/s12889-015-2049-y
Chia-Yi Ho, Yi-Chen Huang, Yuan-Ting C Lo, Mark L Wahlqvist, Meei-Shyuan Lee
Breakfast is associated with the metabolic syndrome and school performance among Taiwanese children
2,015
Research in developmental disabilities
validate apply changeofshift instrument using sbar situationbackgroundassessmentrecommendation tool methodological study validation instrument validated ten judges area nursing teaching care applied surgical gastroenterology ward 11 nursing technicians february 2019 analyses considered descriptive statistics judges analyzed instrument content validity index 917 made suggestions led second version instrument participants reported predominant modality shift handover oral nursing room lasting six ten minutes pay attention shift change mention delays early departures interfere activity believe instrument provides necessary information viable instrument built validated application proved relevant considered necessary feasible
10.1016/j.ridd.2015.07.003
Li-Ming Chen
Self-Reported Frequency and Perceived Severity of Being Bullied Among Elementary School Students
2,015
The Journal of school health
validate atema apsi scoring systems diagnosis complicated vs uncomplicated appendicitis compare scoring systems computed tomography ct imaging alone establish method provides accurate prediction complicated vs uncomplicated appendicitis retrospective review sample 160 patients underwent appendicectomy ct imaging suspected appendicitis 2018 2021 tertiary university teaching hospital scoring system applied patients results analysed compared effectiveness ct imaging results 325 n 52 found complicated appendicitis 675 n 108 uncomplicated appendicitis application atema score cohort patients resulted sensitivity 769 ci 642 875 specificity 587 ci 489 681 ppv 471 ci 405 538 npv 842 ci 760 899 comparison apsi yielded sensitivity 509 ci 366 654 specificity 761 ci 670 878 ppv 50 ci 392 606 npv 76 ci 711 817 radiology prediction complicated vs uncomplicated appendicitis ct imaging showed sensitivity 46 ci 322 605 specificity 79 ci 698 86 ppv 51 ci 396 625 npv 75 ci 698 799 comparing apsi atema et al scoring systems ct reporting hospital appears atema may confer benefit stratifying patient risk complicated versus uncomplicated appendicitis larger scale prospective studies required
10.1111/josh.12289
Eirini Tsanidou, Evangelia Nena, Alexandros Rossos, Zhanna Lendengolts, Christos Nikolaidis, Athanasios Tselebonis, Theodoros C Constantinidis
Caries prevalence and manganese and iron levels of drinking water in school children living in a rural/semi-urban region of North-Eastern Greece
2,015
Environmental health and preventive medicine
validate brazilian version short assessment health literacy portuguesespeaking adults sahlpa 50item test proposed particularly helpful instrument assess health literacy people limited skills portuguese population used standard procedure cultural adaptation administered instrument 249 participants examined construct validity using groups expectedly increasing levels health literacy laypersons general population engineering researchers health researchers physicians association age educational attainment dichotomizing scores median laypersons group exploratory factor analysis revealed instrument onedimensional justified reduction 33 items sahlpa33 displayed adequate reliability cronbachs 073 frequency limited health literacy highest among laypersons lowest among physicians p 0001 p trend 0001 proportion participants limited health literacy decreased increasing education attainment age sexadjusted p trend 0001 limited health literacy also tended decrease age although association nonsignificant sex educationadjusted p trend 0067 culturally adapted brief simple instrument health literacy assessment showed valid fairly reliable portuguese lowliterate adults sahlpa33 fills gap health literacy assessment instruments may used guide communication strategies vulnerable patients communities
10.1007/s12199-015-0482-2
Mohsen Kolivand, Mohammad Fallah, Aref Salehzadeh, Behroz Davari, Ali Poormohammadi, Hossein Pazoki Ghohe, Amir Hossein Maghsood
An epidemiological study of cutaneous leishmaniasis using active case finding among elementary school students in Pakdasht, southeast of Tehran, Iran 2013-2014
2,015
Journal of research in health sciences
validate motivated strategies learning questionnaire mslq measures learner motivations instructional materials motivation survey imms measures motivational properties educational activities participants 333 pharmacists physicians advanced practice providers completed mslq imms congruencepersonalization questionnaire cpq knowledge test immediately following online learning module april 2021 randomly divided data splitsample analysis using confirmatory factor analysis cfa exploratory factor analysis efa multitraitmultimethod matrix cronbach alpha 070 domains cfa using sample 1 demonstrated suboptimal fit instruments including 3 negativelyworded imms items particularly low loadings revised imms rimms scores omit negativelyworded items demonstrated better fit guided efa identified novel 3domain 11item mslqshort formrevised mslqsfr domains interest selfefficacy attribution 4domain 12item rimms best models cfa using sample 2 confirmed good fit correlations among mslqsfr rimms cpq scores aligned predictions correlations knowledge scores small original mslq imms scores show poor model fit negativelyworded items notably divergent revised shorter modelsthe mslqsfr rimmsshow satisfactory model fit internal structure relations variables
null
Sue Sing Lim, Abby Gold, Philippe R Gaillard, Andrew Wey, Marla Reicks
Validation of 2 Brief Fruit and Vegetable Assessment Instruments Among Third-Grade Students
2,015
Journal of nutrition education and behavior
verify association ideal sleep time physical literacy components also considering multiple mediators quality life obesity using sample adolescents crosssectional study consisted 470 adolescents aged 1117 years southern brazil sleep time healthrelated quality life physical literacy components ie physical education enjoyment sports participation sedentary behavior moderate vigorous physical activity sex age evaluated selfreported questionnaires addition body mass index bmi waist circumference determined theoreticalstatistical support structural equation model evaluated according fit parameters strength association direct association observed sleep time lower levels obesity obesity indicators also negative association hqol hqol positive association physical literacy indirect associations indicated ideal sleep time positively associated hqol physical literacy components considering negative mediation effect obesity model explains physical literacy 31 variance r 031 indirect association ideal sleep duration quality life variables physical literacy relationships occur even considering negative influence obesity therefore child sleeps adequately higher likelihood physically active regardless obesity potentially enhancing overall quality life across various domains
10.1016/j.jneb.2015.05.007
Judith C Shlay, Sarah Rodgers, Jean Lyons, Scott Romero, Tara M Vogt, Emily V McCormick
Implementing a School-Located Vaccination Program in Denver Public Schools
2,015
The Journal of school health
verify effectiveness blendedlearning voice assistance program elementary school teachers nonrandomized comparative interventional clinical trial total 59 teachers participated 33 59 teachers participated facetoface learning control groupcg 26 59 teachers participated blended learning experimental groupeg voice assistance program included following groups preintervention assessment four voice workshops postintervention assessment instruments used vocal production condition teacher vpct questionnaire screening index voice disorder sivd vocal health hygiene questionnaire vhhq voicerelated quality life vrqol measure additionally voice samples collected auditoryperceptual analysis voice quality workshops included theoretical practical content groups workshops cg conducted facetoface workshops eg consisted two online workshops two facetoface workshops descriptive analysis data performed paired wilcoxon mannwhitney tests performed using r software significance level 005 groups showed improved acquisition knowledge regarding vocal health improved voice quality improvement greater eg significant decrease risk voice disorder eg cg showed significant improvement voicerelated quality life voice assistance program blended learning effective increasing knowledge vocal health reducing risk voice disorder improving voice quality teachers
10.1111/josh.12281
Luise Marques da Rocha, Mara Behlau, Luciano Dias de Mattos Souza
Behavioral Dysphonia and Depression in Elementary School Teachers
2,015
Journal of voice : official journal of the Voice Foundation
verify influence schooling reading speed measures elementary school junior high also aims explore levels accuracy variables reading speed epidemiological investigation stages cases 535 students 2nd 9th grade private school state school system participated study oral reading simple text evaluated following parameters words read per minute correctly words read per minute descriptive statistics ttest measures significance 5 conducted besides zscore standardized individual results corroborate literature review shows increase reading speed progression schooling reading fluency presented construction process 2nd 7th grades stabilization 7th year fluent homogeneous reading sedimented 7th 9th grades study proposes interpretation findings scales suggestive deficit using zscore data stratified values suggestive significant deficit nonsuggestive total five strata stratification allows clearer reference point scholar found expected ranges schooling measures expected values according schooling essential betterquality knowledge reading development provide reference standards adequate monitoring clinical educational sphere prediction reading skills difficulties
10.1016/j.jvoice.2014.10.011
Dorothy L Espelage, Jun Sung Hong, Mrinalini A Rao, Robert Thornberg
Understanding Ecological Factors Associated With Bullying Across the Elementary to Middle School Transition in the United States
2,015
Violence and victims
verify relationship behavioral dysphonia current depressive episodes municipal elementary school teachers hypothesize teachers behavioral dysphonia susceptible psychiatric disorders crosssectional study quantitative conducted across municipal schools rural urban regions pelotas fivehundred seventyfive teachers urban rural areas brazilian state included full version voice handicap index validated brazilian portuguese used determine presence behavioral dysphonia profile vocal behaviors also used quantify number phonotraumatic events addition miniinternational neuropsychiatric interview used determine current episodes depression data analyzed via correlative studies using chisquare poisson regression analyses across teachers prevalence dysphonia 339 55 reported already taken leave voice teachers current depressive episode higher rate dysphonia compared without depression prevalence ratio pr 166 p 0000 teachers presented risk serious vocal problems prevalence ratio 258 indicating greater proportion dysphonia whereas teachers classified champions abuse five times likely compared teachers behaved candidates voice problems association behavioral dysphonia current depressive episodes elementary school teachers
10.1891/0886-6708.vv-d-14-00046
Jessica L Barrett, Steven L Gortmaker, Michael W Long, Zachary J Ward, Stephen C Resch, Marj L Moodie, Rob Carter, Gary Sacks, Boyd A Swinburn, Y Claire Wang, Angie L Cradock
Cost Effectiveness of an Elementary School Active Physical Education Policy
2,015
American journal of preventive medicine
tobacco farm laborers primarily women children working low wages aim study explore occupational reproductive health challenges faced women tobacco farm laborers mysore district india conducted interviews six focus group discussions among 41 women tobacco farm laborers codes themes generated based deductive inductive approaches using socioecological model participants reported symptoms green tobacco sickness including headaches back pain gastric problems weakness allergies menstruation prenatal postnatal periods participants poor awareness health effects tobacco farming gender inequalities wages use personal protective equipment participants received support family community health workers pregnancy postnatal period women reported wanting maternity benefits tobacco board well monetary support nutritional supplements need health education environmental dangers tobacco among farm laborers supportive policies women farmworkers pregnancy postnatal periods
10.1016/j.amepre.2015.02.005
Ephrem Tefera, Jemal Mohammed, Habtamu Mitiku
Intestinal helminthic infections among elementary students of Babile town, eastern Ethiopia
2,015
The Pan African medical journal
tobacco smoking still actual common problem affects students high schools professors study results presented among students one private schools poland students educated following directions geodesy europe science pedagogy computer science nursing aim study assess prevalence tobacco smoking among students awareness health consequences also decided check variables determinate selfassessment health status students motives tobacco smoking tobacco smoking declared 39 students 819 smoked regular 181 occasional biggest group tobacco smoking students noticed geodesy 354 students nursing 29 nearly 44 opinion tobacco smoking become addicted 229 students nursing 314 geodesy 86 europe science 143 pedagogy almost 36 students opinion become addicted nicotine 32 students smoked relaxing effects smoking 129 smoked company biggest group surveyed group assess health status good 563 good 42 one person bad 125 statistical significant dependence health status gender age study year study place residence
10.11604/pamj.2015.20.50.5251
Marina Verlinden, Pauline W Jansen, René Veenstra, Vincent W V Jaddoe, Albert Hofman, Frank C Verhulst, Philip Shaw, Henning Tiemeier
Preschool Attention-Deficit/Hyperactivity and Oppositional Defiant Problems as Antecedents of School Bullying
2,015
Journal of the American Academy of Child and Adolescent Psychiatry
tobacco use exposure leading causes morbidity mortality worldwide past decade educational efforts reduce tobacco use exposure extended social media including videosharing platforms youtube one publicly accessed videosharing platforms crosssectional descriptive study conducted identify describe sources formats content widely viewed youtube videos smoking cessation august september 2023 keywords stop quit smoking used search youtube identify 100 videos highest view count collectively videos viewed 220 million times majority n 35 posted nongovernmentalorganization sources smaller number posted consumers n 25 eleven posted governmental agencies format used highest number videos testimonial n 32 videos 77 million views popular formats included animation n 23 videos 90 million views talk professional n 20 videos almost 43 million views video content included evidencebased nonevidencebased practices evidencebased strategies aligned us public health service tobacco treatment guidelines eg health systems approach tobacco treatment medication management nonevidencebased strategies included mindfulness hypnotherapy one key finding environmental tobacco exposure received scant coverage across videos social media youtube promises reach large audiences low cost without requiring high reading literacy additional attention needed create videos uptodate accurate information engage consumers
10.1016/j.jaac.2015.05.002
Keli Vicenzi, Ruth Liane Henn, Ana Paula Weber, Vanessa Backes, Vera Maria Vieira Paniz, Talita Donatti, Maria Teresa Anselmo Olinto
[Food insecurity and overweight in first grade students in the municipal school system in São Leopoldo, Rio Grande do Sul State, Brazil]
2,015
Cadernos de saude publica
tobacco use causes eight million global deaths annually seven million directly attributed tobacco use 12 million second hand smoke shs smokefree environments crucial counter shs although india banned smoking public places 2008 shs exposure remains high studies noted limiting smoking workplaces restaurants etc helps reduce overall smoking reduce shs exposure background study explores linkages smokefree workplaces living smokefree homes india two rounds gats india 200910 201617 used study study focuses male tobacco smokers working indoors outdoors indoors outdoors sample study 2969 gats 1 2801 gats 2 dependent variables include living smokefree home independent variables adherence smokefree office policy sociodemographic variables two rounds gats data pooled analysis statistical analysis involves bivariate multivariate analysis findings reveal 41 respondents worked smokefree workplaces gats 2 nationally smokefree homes increased 35 20092010 44 201617 individuals smokefree workplaces likely smokefree homes southern region consistently exhibited highest proportion smokefree homes urban areas higher education correlated increased smokefree homes logistic regression analysis confirmed workplace smokefree status significant predictor smokefree homes gats 2 respondents aged 30 years less likely smokefree homes education southern region residence positively influenced smokefree homes correlation smokefree workplaces smokefree homes linked stringent workplace nosmoking policies potentially deterring individuals smoking home opportunities exist expansion stringent implementation smokefree policies among indian working adults leveraging workplace key setting evidencebased tobacco control study highlights positive trends indias smokefree homes crediting workplace policies effective policies education regional strategies advance smokefree homes stressing pivotal role workplace policies advocating broader implementation
10.1590/0102-311X00055914
Danting Su, Ruying Hu, Le Fang, Jie Zhang, Hao Wang, Qingfang He, Lixin Wang, Ming Zhao, Min Yu
[The association between socioeconomic status and blood pressure control in diagnosed hypertension patients]
2,015
Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine]
tobacco use constitutes largest preventable cause death disability developed countries rapidly growing health problem developing nations responsible 30 cancer deaths 80 lung cancer deaths associated increased risk least 17 types cancer addition tremendous human toll tobacco taken 20th 21st centuries economic costs tobaccorelated illnesses remain enormous 2000 2004 united states spent approximately 193 billion year tobaccorelated illnesses lost productivity tobaccorelated premature death loss productivity increased health care costs associated secondhand smoke shs reported 2005 cost united states additional 10 billion per year although united states witnessed decline cigarette use use tobacco products rise furthermore rate reduction youth tobacco use longer rapidly decreasing despite intense public education policy efforts reduce youth tobacco use global level epidemic tobaccorelated disease death begun severalyear lag individuals begin using tobacco health suffers tobacco caused 100 million deaths 20th century current trends continue cause 1 billion deaths 21st century unchecked tobaccorelated deaths increase 8 million per year 2030 80 deaths lowand middleincome countries leading professional organization representing physicians involved cancer treatment research american society clinical oncology asco dedicated prevention treatment cancer overarching goal tobacco cessation control efforts asco promote rapid worldwide reduction ultimate elimination tobaccorelated disease discouraging use tobacco products exposure secondhand tobacco smoke tobacco control efforts asco led subcommittee cancer prevention committee primary tobacco control goals asco multifaceted 1 develop oncology workforce effectively integrates tobacco cessation control practices 2 collaborate organizations professional societies promote rapid worldwide reduction tobacco use ultimate elimination tobaccocaused disease including disease resulting secondhand smoke 3 urge oncology providers become proponents tobacco policy change 2003 asco released policy statement tobacco cessation control set forth specific recommendations called personal accountability eradicating tobacco use domestically globally since time significant developments tobacco cessation control changed political scientific landscape response asco cancer prevention committee commissioned update previous asco statement reflect evolving regulatory policy environment statement reviews advancements made tobacco cessation control since 2003 sets forth refined set recommendations addressing tobacco cessation control based current challenges opportunities key principles statement follows
null
Suhee Kim, Chungyul Lee
Factors Affecting Sexually Transmitted Infections in South Korean High School Students
2,016
Public health nursing (Boston, Mass.)
tobacco use poor diet physical inactivity risk behaviors established childhood influenced parents improving health habits rural families poses particular challenges resources may limited number reach characterize kinds prevention programs needed rural families 501 surveys mailed caregivers elementary school children living rural north carolina county health behaviors related attitudes demographic characteristics assessed risk behaviors defined eating less 5 fruits vegetables day exercising less 20 minutes 3 times week smoker two hundred sixtyone adults 55 completed surveys two hundred fortyfour 93 female mean age 37 years 55 high school less education 89 reported least one risk behavior 57 reported 2 risk behaviors female caregivers multiple risk behaviors lower educational levels p 0007 placed less importance childrens health behaviors p 0009 caregivers female caregivers multiple risk behaviors less confident could change behavior one risk behavior majority female caregivers elementary school children rural population engaged modeled multiple health risk behaviors children health promotion activities address multiple risk factors involve children needed young families rural communities
10.1111/phn.12211
Burak Güçlü, Canan Tanıdır, Emre Çanayaz, Bora Güner, Hamiyet İpek Toz, Özden Ş Üneri, Mark Tommerdahl
Tactile processing in children and adolescents with obsessive-compulsive disorder
2,015
Somatosensory & motor research
tobacco alcohol illicit substance use continue result substantial morbidity mortality significant societal economic costs despite considerable efforts minimize use licit substances prevent use illicit substances year 400000 americans die cigarette smoking one every five deaths united states believed smoking related 1 consequences alcohol illicit substance abuse include among others cirrhosis job loss criminal behavior related acquisition sale illicit drugs economic costs addiction estimated 400 billion yearly united states 1999 2 substance use associated wide range risk behaviors commonly used substances risk behavior includes symptoms dependence eg reducing important activities use substance abuse eg driving car intoxicated getting trouble superiors coworkers intoxication example 2002 47 percent population reported driving influence illicit drug 142 percent reported driving influence alcohol least past year 3
10.3109/08990220.2015.1023950
Ran Kim, Kwang-Ja Lee, Yun-Jung Choi
Mobile Phone Overuse Among Elementary School Students in Korea: Factors Associated With Mobile Phone Use as a Behavior Addiction
2,015
Journal of addictions nursing
today great many medical schools turned problembased learning pbl approach teaching pbl many strengths effective pbl requires tutor provide high degree personal attention students difficult current academic environment increasing demands faculty time paper describes intelligent tutoring collaborative medical tutor pbl main contribution work development representational techniques algorithms generating tutoring hints pbl group problem solving well implementation techniques collaborative intelligent tutoring system comet system combines concepts computersupported collaborative learning intelligent tutoring systems system uses bayesian networks model individual student clinical reasoning well group prototype system incorporates substantial domain knowledge areas head injury stroke heart attack tutoring pbl particularly challenging since tutor provide little guidance possible time allowing students get lost studies pbl sessions local medical school identified implemented eight commonly used hinting strategies order evaluate appropriateness quality hints generated system compared tutoring hints generated comet experienced human tutors also compared focus group activity chosen comet chosen human tutors average 7417 human tutors used hint comet similar human tutor agreed comet 83 time least similar tutor agreed 62 time results show comets hints agree hints majority human tutors high degree statistical agreement mcnemar test p0652 kappa0773 focus group activity chosen comet agrees chosen majority human tutors high degree statistical agreement mcnemar test p0774 kappa0823 bayesian network clinical reasoning models combined generic tutoring strategies successfully emulate human tutor hints group medical pbl
10.1097/JAN.0000000000000074
Lauri Kokkinen, Carles Muntaner, Anne Kouvonen, Aki Koskinen, Pekka Varje, Ari Väänänen
Welfare state retrenchment and increasing mental health inequality by educational credentials in Finland: a multicohort study
2,015
BMJ open
today one questions assertion ca2 crucial regulator growth development plants myriad processes ion participates large growing involves nearly aspects plant development recent reviews harper et al 20041 hetherington
10.1136/bmjopen-2014-007297
Justin B Moore, Jason Brinkley, Sara F Morris, Theresa M Oniffrey, Mary Bea Kolbe
Effectiveness of Community-Based Minigrants to Increase Physical Activity and Decrease Sedentary Time in Youth
2,016
Journal of public health management and practice : JPHMP
today advertising science tool helps advertisers design advertising meet needs audience regard knowing understanding audience one important points advertisers pay attention advertising order better attract audience study done aim billboards infographics analysis related promoting preventive behaviors vaccination coronavirus disease pandemic investigating opinion general adult population iran method used research qualitative method research according type data research goals kress van leeuwens discourse theory method used sample size includes 36 advertising billboards infographics data collection done searching sites websites health networks medical education centers iran taking pictures infographics billboards public places also receiving archive files pictures public relations health networks medical services data collected february 19 2020 december 30 2022 time frame pandemic public vaccination program iran online survey promoting preventive behaviors taking vaccination coronavirus disease pandemic designed surveymonkey link provided audience virtual networks platforms assessment validity involved experts infection control linguistics reliability measurement determined cronbachs alpha internal consistency coefficient yielded coefficient 0968 study data analysis conducted using ibm spss statistics software version 150 ibm corp armonk ny usa finally users opinions billboards infographics analyzed using descriptive statistics results component analysis surveys show visual components staring look spectator demand headon shot inclusion shot creating sense participation represented person closeup intimateindividual relationship level shot equality highangle shot presenting power medical advertising great impact arousing public opinion create positive attitude towards preventive measures vaccination coronavirus disease epidemic results research show visual communication visual components play significant role creating maintaining target ideologies also advertising field preventive measures medical sciences requires certain rules determine peoples culture main foundation attitude thinking therefore necessary know knowledge learn medical staff deal critical situations
10.1097/PHH.0000000000000274
Erica R Appleman, Karina Stavitsky Gilbert, Rhoda Au
School start time changes and sleep patterns in elementary school students
2,015
Sleep health
today cardiovascular disease cvd important cause death around world study main aim predict cvd using important indicators disease present treebased statistical framework detecting cvd patients according indicators used data baseline phase fasa cohort study facs outcome variable presence cvd ordinary tree generalized linear mixed models glmm fitted data predictive power detecting cvd compared obtained results glmm tree statistical analysis performed using rstudio software data 9499 participants aged 3570 years analyzed results multivariable mixedeffects logistic regression model revealed participants age total cholesterol marital status smoking status glucose history cardiac disease myocardial infarction mi first seconddegree relatives presence diseases like hypertension depression chronic headaches thyroid disease significantly related presence cvd p005 fitting ordinary tree glmm glmm tree resulted area curve auc values 058 056 061 081 077 084 080 076 083 respectively among study population addition tree model best specificity 81 lowest sensitivity 65 compared models given superior performance glmm tree compared standard tree lack significant difference glmm using model suggested due simpler interpretation fewer assumptions using updated statistical models accurate cvd prediction result precise frameworks aid proactive patient detection planning
10.1016/j.sleh.2015.02.004
Mussie Alemayehu, Gebregizabeher Yohannes, Ashenafi Damte, Atsede Fantahun, Kahsu Gebrekirstos, Resom Tsegay, Adina Goldberger, Henock Yebyo
Prevalence and predictors of sexual violence among commercial sex workers in Northern Ethiopia
2,015
Reproductive health
today colorectal cancer crc diagnosis performed using colonoscopy current effective screening method however colonoscopy poses risks harm patient invasive process recent research proven metabolomics potential noninvasive detection method use identified biomarkers detect potential cancer patients body aim study develop machinelearning ml model based chemical descriptors recognize crcassociated metabolites selected set metabolites found biomarkers crc confirmed participate cancerrelated pathways used training machinelearning model diagnostics crc using set selective metabolites random compounds developed range ml models best performing ml model trained stage 02 crc metabolite data predicted metabolite class 8955 accuracy best performing ml model trained stage 34 crc metabolite data predicted metabolite class 9521 accuracy lastly bestperforming ml model trained stage 04 crc metabolite data predicted metabolite class 9304 accuracy models tested independent datasets including random unrelateddisease metabolites addition six pathways related crc metabolites also distinguished aminoacyltrna biosynthesis glyoxylate dicarboxylate metabolism glycine serine threonine metabolism phenylalanine tyrosine tryptophan biosynthesis arginine biosynthesis alanine aspartate glutamate metabolism thus research study created machinelearning models based metaboliterelated descriptors may helpful developing noninvasive diagnosis method crc
10.1186/s12978-015-0036-5
Jeffrey A Bridge, Lindsey Asti, Lisa M Horowitz, Joel B Greenhouse, Cynthia A Fontanella, Arielle H Sheftall, Kelly J Kelleher, John V Campo
Suicide Trends Among Elementary School-Aged Children in the United States From 1993 to 2012
2,015
JAMA pediatrics
today one biggest concerns parents protecting children properly educating sex aim study determine effect educational intervention parental skills sex education children elementary schools northwest tehraniran 2019 based literature quasiexperimental study conducted 125 parents elementary schoolchildren northwestern tehran data collected valid reliable questionnaire intervention two intervention control groups filled pretest questionnaire data collected valid reliable questionnaire intervention two intervention control groups filled pretest questionnaire parents participated educational program based dramatic literature two months later questionnaire completed control intervention groups finally data analyzed regression oneway anova test results showed statistically significant difference mean scores knowledge experimental control groups posttest p 001 also statistically significant difference mean scores attitude experimental control groups posttest stage p 001 also statistically significant difference mean scores performance based group membership experimental group control group posttest phase p 001 findings study showed educational intervention parental skills sex education based dramatic literature children significant effect parental knowledge attitude performance
10.1001/jamapediatrics.2015.0465
SungChul Seo, Yeong Gyu Ji, Young Yoo, Myung Hee Kwon, Ji Tae Choung
Submicron fungal fragments as another indoor biocontaminant in elementary schools
2,015
Environmental science. Processes & impacts
today one crucial environmental problems energy consumption excessive energy consumption led environmental damage climate change energy climate change interrelated energy literacy one tools achieve energy sustainability energy literacy reduce energy consumption citizens research aimed sociological analysis energy literacy among citizens mashhad research method survey 384 citizens mashhad selected based multistage cluster sampling method data gathered questionnaire results showed knowledge energy consumption attitude effectiveness towards energy significant direct relationship energy consumption behavior attitude effectiveness towards energy significant direct relationship knowledge energy consumption estimating goodness fit indices structural measurement coefficients confirmed model teaching proper behavioral patterns energy consumption family school effectively improve citizens energy literacy
10.1039/c4em00702f
Yusuf C Doganer, James E Rohrer, Umit Aydogan, McKennan J Thurston, Kenan Saglam
Tonsillectomy, adenoidectomy and adenotonsillectomy rates in school-aged children: Relative contributions of socio-demographic and clinical features
2,015
International journal of pediatric otorhinolaryngology
todays complexities diversity clinical setting revealed need pay attention strengthening critical thinking ct skills present study aimed evaluate compare ct skills residents tehran university medical sciences crosssectional study studys statistical population included 284 residents orthopedic internal medicine surgery groups studying pgy1 pgy4 years residency data collection tool california critical thinking skills test cctst form b collected data entered spss16 software analyzed using descriptive mean standard deviation inferential oneway anova statistics significant level tests considered p 005 189 284 residents completed returned questionnaire response rate 66 mean ct skill score residents 1381 sd 352 lower optimal level 171 sd 50 comparing mean ct skill scores residents separately residency year revealed significant decrease ct scores 4 years significant difference found ct skill scores three groups internal medicine general surgery orthopedic surgery ct skills residents tehran university medical sciences generally optimal level ct score residents show increase pgy2 decrease pgy3 pgy4 due emphasis accreditation institutions world federation medical education international educational institutions importance critical thinking recommended pay attention factors related promotion development ct skills residency programs
10.1016/j.ijporl.2015.03.005
Remko Enserink, Jacob Simonsen, Lapo Mughini-Gras, Steen Ethelberg, Wilfrid van Pelt, Kåre Mølbak
Transient and sustained effects of child-care attendance on hospital admission for gastroenteritis
2,015
International journal of epidemiology
todays healthcare requires leaders lead improve healthcare sector canmeds framework one defining competencies required saudi residency programs including dental specialty senior residents demonstrate readiness transition practice leader imperative understand notion medical education influence training future dentists major significance study exploring current leadership development integrated training saudi board dental residency program systematically studied qualitative study employing phenomenological approach theoretical saturation point determined sample size using purposeful sampling technique semistructured interviews used data collection using semistructured interview guide descript platform used recordings transcription ongoing thematic data analysis done using nvivo computer software qsr international themes generated data interpreted within supported relevant quotations sixteen senior residents required serve study purpose three themes emerged awareness leadership educational experience factors impacted leadership development awareness residents leaders role limited residents developed leadership training program inconsistency lack structure summative reports received part assessment whereas integral protocol formative feedback specialties training centers coaching identified factors impacted leadership development study highlighted leadership development residency period residents struggled varied developing leadership skills relying educational experience learning environment residency programs may verify equivalent leader role education specialties training centers residency training saudi arabia dovetailing leadership coaching daily teaching workflow implementing faculty development initiatives allow appropriate feedback assessment skills advised
10.1093/ije/dyv073
N Canha, C Mandin, O Ramalho, G Wyart, J Ribéron, C Dassonville, O Hänninen, S M Almeida, M Derbez
Assessment of ventilation and indoor air pollutants in nursery and elementary schools in France
2,016
Indoor air
todays healthcare system requires nurses strong medicaltechnical competences ability focus ethical dimension care nurses coping ethical dimension care practise difficult often nurses cannot act according personal values norms generates internal moral distress negative impact nurses patients objective review thorough analysis literature nurses ethical practise particularly regard processes ethical reasoning decision making implementation decisions practise conducted extensive search electronic databases medline embase cinahl psycinfo papers published january 1988 september 2008 broad range search keywords used 39 selected articles quantitative qualitative mixedmethod design despite conceptual difficulties literature ethical practise nurses suffers review understand nurses ethical practise complex process reasoning decision making implementation decision practise process decision making pure cognitive process influenced personal contextual factors difficulties nurses encounter ethical conduct linked difficult work environment result nurses often capitulate decisions made others results conformist way acting less individually adapted care review provides us nuanced understanding way nurses reason act ethically difficult situations emerged previously want support nurses ethical care want help change conformist practises research needed especially needed indepth qualitative studies explore experiences nurses studies could help us better understand nurses reason behave practise also relationship two processes
10.1111/ina.12222
Marion Spengler, Brent W Roberts, Oliver Lüdtke, Romain Martin, Martin Brunner
The Kind of Student You Were in Elementary School Predicts Mortality
2,016
Journal of personality
todays students face new challenges demand high levels intelligence metathinking skills sciencebased educational pedagogies like stem 5es discoverybased education earned strong reputation nurturing childrens reasoning critical thinking skills however theres need open conceptual order better prepare students modern lifes challenges realms philosophical scientificbased educational models currently dominate educational arena retrospect models inherent values would benefit learners beneficial examine methods develop teaching framework fosters higherorder thinking metacognition problemsolving skills objective paper delve essenceof philosophy children p4c method comparison scientific method impact onstudents learning using six reasoning strands systematically compare two models strengths similarities throughout comparison aim maintain objectivity drawing references practical experience avoiding undue bias favor one model subsequently applyingtrompenaars hampdenturner dilemmas reconciliation model propose scielosophy model represents reconciliation two methods benefit learner greater good society currently philosophical scientificbased education models dominate educational arena models inherent values would benefit learnersadopting one approach yield less optimal results strongly discourage following saturated educational system one two methods used exclusivelyi propose model represents reconciliation two methods benefit learner interest society
10.1111/jopy.12180
Hyun-Ju Jun, Ki-Jong Kim, In-Ae Chun, Ok-Kon Moon
The relationship between stroke patients' socio-economic conditions and their quality of life: the 2010 Korean community health survey
2,015
Journal of physical therapy science
todays teaching didactical methods progressively aiming integrate digital technologies computational thinking ct basic computer science concepts subjects innovative creative way combining integrating ct teaching crosscurricular skills without digital devices include game polyuniverse polyuni according previous research game expected positive effect visual perceptual progress including isolation development shapebackground skills far however comparatively attempts made explore educational possibilities polyuni different school levels subjects besides mathematics therefore article aims close gap exploring polyuni used promote ct three subjects physical education pe digital education dge biology b furthermore evaluates whether predefined learning objectives subjects achieved examines polyuni combines requirements different curricula austrian secondary school based selfdesigned tasks additionally aspects polyuni engagement collaboration discussed explore abovementioned benefits mixedmethods study implemented whereas workshops accompanying teaching materials eg worksheets developed based cool informatics concept participant observation method employed qualitative data collection selfdesigned assessment grid well additional picture analysis used quantitative data polyuni introduced three different workshops austrian secondary schools 80 students observed analyzed based present data assumed polyuni supports achieving requirements different curricula predefined teaching learning objectives playful way furthermore game promotes ct secondary school also encourages enjoyment collaboration peers biological digital physical education lessons
10.1589/jpts.27.781
Hülya Çakmur
Frailty among elderly adults in a rural area of Turkey
2,015
Medical science monitor : international medical journal of experimental and clinical research
todays young people long demanding paradigm shift emotional sexual education receive affectivesexual gender diversity already reality sexual reproductive health professionals encounter lack sufficient training digital devices affectivesexual education websites aimed todays young people must also thoroughly evaluated website sexe joves website sexuality department health government catalonia spain designed people aged 14 25 years currently needs undergo process evaluation affectivesexual education aimed young people must stem participation whole range sexual gender diversity order reach entire population equally aim study evaluate website sexe joves source affectivesexual health information education communication young people takes account sex gender identity sexual orientation socioeconomic status location within catalonia urban semiurban rural areas observational descriptive crosssectional study forms part larger mixed methods study ad hoc questionnaire used collect data total 1830 participants included study carried simultaneously territorial administrations catalonia almost 30 sample obtained young people experience affectivesexual gender diversity surveyed 142 n260 said familiar website 65 said used n114 website content rated indispensable sexual abuse harassment violence followed sexually transmitted infections 705 n1200 reported visit pornographic websites results study contribute design new strategies website sexe joves public health resource order improve affective sexual education young people rr2103390ijerph192416586
10.12659/MSM.893400
Katherine E Speirs, Stephanie K Grutzmacher, Ashley L Munger, Lauren A Messina
Recruitment and retention in an SMS-based health education program: Lessons learned from Text2BHealthy
2,016
Health informatics journal
toddlers fractures one common orthopedic injuries young walkingage children defined nondisplaced spiraltype metaphyseal fractures involving tibia without injury fibula inherently stable aimed use quality improvement methodology increase proportion patients toddlers fractures treated without cast immobilization large tertiary referral pediatric orthopedic center baseline 45675 baseline data patient volume treatment regimens toddlers fractures collected starting february 2019 monthly data collected electronic medical record reviewed determine treatment cast versus noncast immobilization tracked using statistical process control charts pchart determining root causes treatment using immobilization interventions tested adopted included physician alignment expectations treatment sharing unblinded compliance data providers updating patient education materials updating resident education reference materials interventions place percentage patients treated without cast immobilization increased 456 90 p 0001 also observed improvement process measure increase percentage population receiving boot immobilization new patient visits orthopedic clinics 415 52 p 0001 aligning provider family expectations treatment demonstrating clinical need cast immobilization bringing awareness compliance appropriate guidelines institution able improve care patients toddlers fractures reduce financial care burdens families
10.1177/1460458215577995
Jayne K Jeffries, Linden M Thayer, Heidi Hennink-Kaminski, Seth M Noar
Rural adults' perspectives on school food in a North Carolina county
2,015
Preventing chronic disease
token economies applied wide range settings several advantages use procedure obstacles may impede implementation therapeutic efficacy include staff training client resistance circumvention contingencies nonresponsiveness subjects studies employing token programs psychiatric patients retardates children classroom settings delinquents autistic children reviewed although token economies successful operation issue generalization behavior gains resistance extinction given careful consideration inasmuch generalization perhaps crucial issue several procedures presented designed facilitate maintenance performance reinforcement withdrawn methodological suggestions investigations token reinforcement applied settings presented
10.5888/pcd12.140484
Yiing Mei Liou, Ya-Lan Yang, Ting-Yao Wang, Chiu-Mieh Huang
School lunch, policy, and environment are determinants for preventing childhood obesity: Evidence from a two-year nationwide prospective study
2,015
Obesity research & clinical practice
tonsillectomy one common surgical procedures performed united states however little known intersectionality race ethnicity language factors influence posttonsillectomy outcomes ed utilization hospital readmission rates examine disparities emergency department ed utilization hospital readmissions posttonsillectomy complications based insurance status patient race ethnicity language spoken retrospective cohort four years tertiary care childrens hospital children n 10215 underwent tonsillectomy adenotonsillectomy tertiary childrens hospital january 2015 december 2018 identified included exclusion criteria exposure interest tonsillectomy outcomes variables interest defined prior data collection primary outcome study emergency department ed utilization defined ed urgent care visit within 21 days tonsillectomy surgeryrelated concerns secondary outcome study readmissions following tonsillectomy total 10215 pediatric patients median age 6 years 5096 50 male underwent tonsillectomy included analysis 13 patients presented ed surgeryrelated complaints among english proficient patients multiracial patients group elevated odds ed utilization or15 95 ci 12 19 nonenglish language preference nelp patients black hispanic asian american indianalaskan native raceethnicity also elevated odds ed use posttonsillectomy compared nonhispanic white english proficient patients six percent patients unplanned hospital readmission asian patients nonenglish language preference 21 times odds readmission 95 ci 12 36 disproportionately admitted posttonsillectomy hemorrhage relevance language disparities ed use readmission persist adjusting risk factors nonenglish language preference populations higher rate ed utilization especially minor complications disparities may result differential health literacy predispositions complications future directions include additional research mechanisms targeted interventions increase education access languageappropriate resources
10.1016/j.orcp.2015.02.012
Hae Won Kim
Awareness of human papillomavirus and factors associated with intention to obtain HPV vaccination among Korean youth: quasi experimental study
2,015
BMC international health and human rights
tools predicting covid19 outcomes enable personalized healthcare potentially easing disease burden collaborative study 15 institutions across europe aimed develop machine learning model predicting risk inhospital mortality postsarscov2 infection blood samples clinical data 1286 covid19 patients collected 2020 2023 across four cohorts europe canada analyzed 2906 long noncoding rnas profiled using targeted sequencing discovery cohort combining three european cohorts 804 patients age long noncoding rna lef1as1 identified predictive features yielding auc 083 95 ci 082084 balanced accuracy 078 95 ci 077079 feedforward neural network classifier validation independent canadian cohort 482 patients showed consistent performance cox regression analysis indicated higher levels lef1as1 correlated reduced mortality risk ageadjusted hazard ratio 054 95 ci 040074 quantitative pcr validated lef1as1s adaptability measured hospital settings demonstrate promising predictive model enhancing covid19 patient management
10.1186/s12914-015-0042-2
Lynette R Goldberg, Erica Bell, Carolyn King, Ciaran O'Mara, Fran McInerney, Andrew Robinson, James Vickers
Relationship between participants' level of education and engagement in their completion of the Understanding Dementia Massive Open Online Course
2,015
BMC medical education
tools measure layout peoples knowledge palliative care limited study aimed examine validity reliability palliative care knowledge scale packs turkish layout people healthcare professionals perception health scale phs european health literacy survey ehls scales used ensure concurrent validity packs cronbachs alpha value scale found 846 item analysis itemtotal score correlations found 343 691 intraclass correlation coefficient packs total score found 862 p 001 testretest results concurrent validity analysis statistically significant positive correlation packs phs r 504 p 000 packs ehls r 251 p 017 packs simple applicable short test easily understood layout people without health education
10.1186/s12909-015-0344-z
Ya Fang, Xiang Zhang, Wei Chen, Fang Lin, Manqiong Yuan, Zhi Geng, Hong Yu, Long Dai
Epidemiological characteristics and burden of childhood and adolescent injuries: a survey of elementary and secondary students in Xiamen, China
2,015
BMC public health
tools support clinical patient decisionmaking treatmentmanagement health condition used range clinical settings numerous preferencesensitive healthcare decisions impact clinical practice largely dependent quality across range domains critically analysed currently available tools support decision making patient understanding treatment acute ischaemic stroke intravenous thrombolysis exemplar provide cliniciansresearchers practical guidance development evaluation implementation tools preferencesensitive treatment optionsdecisions different clinical contexts tools identified bibliographic databases internet searches survey uk north american stroke networks two reviewers critically analysed tools establish information benefitsrisks thrombolysis included tools methods used convey probabilistic information verbal descriptors numerical graphical adherence guidance presenting outcome probabilities ipdasi probabilities items information content picker institute checklist readability fog index extent tools comprehensive development processes nine tools 26 identified included information full range benefitsrisks thrombolysis verbal descriptors frequencies percentages used convey probabilistic information 20 19 18 tools respectively whilst nine used graphical methods shortcomings presentation outcome probabilities eg omitting outcomes without treatment identified patient information tools aggregate median fog index score 10 none tools comprehensive development processes tools support decision making patient understanding treatment acute stroke thrombolysis suboptimally developed development tools utilise mixed methods strategies meaningfully involve clinicians patients relatives iterative design process include evidencebased methods augment interpretability textual probabilistic information eg graphical displays showing natural frequencies full range outcome states associated available options address patients different levels health literacy implementation tools enhanced mechanisms place periodically assess relevance tools necessary update mode delivery form information content
10.1186/s12889-015-1726-1
Julia Pape-Neumann, Muna van Ermingen-Marbach, Marion Grande, Klaus Willmes, Stefan Heim
The role of phonological awareness in treatments of dyslexic primary school children
2,015
Acta neurobiologiae experimentalis
tooth decay significant preventable public health priority continues common disease developing countries including iran particularly prevalent among children present study aims determine dental caries prevalence among elementary school students relationship body mass index oral hygiene ardabil iran 2019 crosssectional study conducted 581 elementary school students selected cluster random sampling method ardabil city 2019 demographic data collected using questionnaire anthropometric indices height weight measured using weighing scale stadiometer dental caries evaluated using decayed missing filled teeth index dmft primary teeth dmft permanent mean age students 961 176 years 508 female 207 n 120 obese 191 n 111 overweight overall prevalence caries 749 n 435 primary teeth 728 n 423 permanent teeth 966 n 561 teeth average dmft dmft scores 416 372 196 176 respectively significant inverse relationship body mass index dmft r 0146 p 00001 dmft r 0111 p 0004 findings showed prevalence dental caries elementary school children ardabil city higher global standards obese overweight children experience fewer caries compared normalweight children significant relation brushing teeth dental caries
10.55782/ane-2015-2018
Eyüp Sabri Ercan, Öznur Bilaç, Taciser Uysal Özaslan, Ulku Akyol Ardic
Prevalence of Psychiatric Disorders Among Turkish Children: The Effects of Impairment and Sociodemographic Correlates
2,016
Child psychiatry and human development
tooth decay one common problems amongst students despite considerable educational interventions still prevalent aim study compare effect dentaloral health mobile educational application common dentaloral health education amongst elementary school students interventional study carried 158 girl students age range 1012 years mobarakeh city iran participants categorized intervention control groups investigated academic year 20182019 research tool researchermade questionnaire confirmed validity reliability initially students completed questionnaires later intervention group members trained using dentaloral health mobile educational application control group received common dentaloral health educations lectures demonstrations two months last intervention questionnaire completed data analysed spss software intervention mean score behaviour 1369 389 1393 302 21 intervention control groups phase difference two groups significant studied dimensions p 005 intervention mean scores intervention group increased significantly regard variables p 005 findings study confirmed positive effect learning mobile applications increasing students knowledge attitude performance regarding dentaloral health education
10.1007/s10578-015-0541-3
Christina B Khaokham, Sharon Hillidge, Shaila Serpas, Eric McDonald, Philip R Nader
Comparison of height, weight, and body mass index data from state-mandated school physical fitness testing and a districtwide surveillance project
2,015
The Journal of school health
toothbrushing considered fundamental selfcare behavior maintenance oral health brushing twice day become social norm evidence base frequency weak systematic review metaanalysis aims assess effect toothbrushing frequency incidence increment carious lesions medline embase cinahl cochrane databases searched screening quality assessment performed 2 independent reviewers three different metaanalyses conducted 2 based caries outcome reported studies incidence increment subgroup analyses categories toothbrushing frequency another included studies irrespective caries outcome reported type dentition subgroups metaregression conducted assess influence sample size followup period diagnosis level carious lesions methodological quality articles effect estimate searches retrieved 5494 titles removing duplicates 4305 remained 74 reviewed full 33 eligible inclusion selfreported infrequent brushers demonstrated higher incidence odds ratio 150 95 confidence interval ci 134 169 increment standardized mean difference smd 028 95 ci 013 044 carious lesions frequent brushers odds carious lesions differed little subgroup analysis conducted compare incidence 2 timesd vs 2 timesd 145 95 ci 121 174 1 timed vs 1 timed brushers 156 95 ci 137 178 metaanalysis conducted type dentition subgroups effect infrequent brushing incidence increment carious lesions higher deciduous 175 95 ci 149 206 permanent dentition 139 95 ci 129 149 findings metaregression indicated none included variables influenced effect estimate
10.1111/josh.12257
Sara D'Haese, Femke De Meester, Greet Cardon, Ilse De Bourdeaudhuij, Benedicte Deforche, Delfien Van Dyck
Changes in the perceived neighborhood environment in relation to changes in physical activity: A longitudinal study from childhood into adolescence
2,015
Health & place
toothpastes available europe contain range fluoride concentrations meeting recommended level caries prevention 1000 ppm fluoride ppm others containing low fluoride study evaluated toothpaste fluoride concentrations latvia lithuania inform targeted public health strategies regions high prevalence dental caries crosssectional study conducted may 2019 may 2020 using validated questionnaire latvia lithuania nationally representative samples 1309 families 5436 members provided data mixedmode survey paper online sociodemographic information toothpaste type brand type descriptive statistics chisquare tests p 005 used analysis fifteen percent families used nonfluoridated toothpaste 12 used 1000 part per million ppm fluoride latvia 568 preschoolers 287 schoolchildren used 1000 ppm nonfluoride toothpaste whereas lithuania 472 preschoolers 291 schoolchildren used 1000 ppm nonfluoride toothpaste 63 adolescents 73 adults used toothpaste optimal fluoride content 1000 ppm 228 registered toothpaste types 62 contained 1000 ppm optimal caries prevention 29 latvian 24 lithuanian families used least one nonfluoridated toothpaste study revealed significant gaps use fluoride toothpaste among families latvia lithuania especially among children effectively prevent dental caries targeted interventions education must promote optimal fluoride toothpaste use particularly among vulnerable populations
10.1016/j.healthplace.2015.03.004
Rafael M F de Araújo, Leonardo Mazzochi, Diogo R Lara, Gustavo L Ottoni
Thinking about dying and trying and intending to die: results on suicidal behavior from a large Web-based sample
2,015
The Journal of clinical psychiatry
top public health experts organizations strongly recommend universal masking children older 2 years old covid19 pandemic speculate may difficult young children study sought assess usage cloth face masks grades prek2 identify associated characteristics adverse events first data assess mask wearing young children school online prospective observational survey multiple schools within single school district major metropolitan area measured adherence face covering mandates students grades prek2 measured percentage day appropriate face mask wearing per report via daily teacher surveys first 4 weeks school primary outcome percent day entire class wearing masks appropriately estimated almost 1000 students 1048 classroom days reported mean percentage school day appropriate mask usage 769 majority day conducting inperson instruction children grades prek2 able adhere mask wearing key mitigation strategy limiting sarscov2 infection spread possible future use
10.4088/JCP.13m08864
Elisa L Pehlke, Paola Letona, Kristen Hurley, Joel Gittelsohn
Guatemalan school food environment: impact on schoolchildren's risk of both undernutrition and overweight/obesity
2,016
Health promotion international
topical corticosteroids tcs mainstay treatment atopic dermatitis ad flares fears worries concerning tcs known corticophobia corticophobia common patients ad lead suboptimal tcs application treatment failure health literacy hl may influence corticophobia topicop hlseupt questionnaires developed evaluate corticophobia hl respectively evaluate relationship corticophobia degree hl patients ad prospective crosssectional study ad patients followed dermatology department september 2019 february 2020 patients parents patients 15 years invited answer topicop questionnaire hlseupt questionnaire disease characterization demographic questionnaire included 61 patients 574 females mean age 20 138 years mean disease duration 125 114 years topicop mean score 448 200 83 889 hlseupt mean score 305 85 11 479 topicop score negatively correlated hlseupt score p 0002 r 0382 r2 0146 statistical difference topicop score disease characteristics disease severity family history ad personal history atopic diseases small heterogenous cohort composed patients patients parents degree corticophobia similar values reported studies hl inverse correlation corticophobia lower hl shown predictor higher corticophobia promotion health literacy essential correct use tcs good control ad
10.1093/heapro/dav011
Bruce Doré, Leonard Ort, Ofir Braverman, Kevin N Ochsner
Sadness shifts to anxiety over time and distance from the national tragedy in Newtown, Connecticut
2,015
Psychological science
topologically associating domains tads megabasescale features chromatin spatial architecture organized domainwithindomain tad hierarchy within tads inner smaller subtads manifest celltocell variability also precisely regulate transcription differentiation although 20 tad callers able detect tad usability biomedicine confined disagreement outputs limit understanding tad hierarchy compare 13 computational tools across various conditions develop metric evaluate similarity tad hierarchy although outputs tad hierarchy level vary among callers data resolutions sequencing depths matrices normalization consistent higher similarity larger tads present comprehensive benchmarking tad hierarchy callers operational guidance researchers life science researchers moreover simulating mixing different types cells confirm tad hierarchy generated simply stacking hic heatmaps heterogeneous cells finally propose air conditioner model decipher role tad hierarchy transcription
10.1177/0956797614562218
Susan B Racette, Tiffany C Dill, M Leanne White, Jacqueline C Castillo, Mary L Uhrich, Cindi L Inman, Nicholas C DuPont, B Ruth Clark
Influence of physical education on moderate-to-vigorous physical activity of urban public school children in St. Louis, Missouri, 2011-2014
2,015
Preventing chronic disease
torin1 selective kinase inhibitor targeting mammalian target rapamycin mtor remains widely used autophagy research due potent autophagyinducing abilities regardless unspecific properties recognizing impact mtor inhibition metabolism objective develop reliable thorough untargeted metabolomics workflow study torin1induced metabolic changes mouse embryonic fibroblast mef cells crucially quality assurance quality control qaqc protocols designed increase confidence reported findings reducing likelihood false positives including validation experiment replicating experimental steps sample preparation data analysis study investigated metabolic fingerprint torin1 exposure using liquid chromatographyhigh resolution mass spectrometry lchrmsbased untargeted metabolomics platforms workflow identified 67 altered metabolites torin1 exposure combining univariate multivariate statistics implementation validation experiment particular intracellular ceramides diglycerides phosphatidylcholines phosphatidylethanolamines glutathione 5methylthioadenosine downregulated lysophosphatidylcholines lysophosphatidylethanolamines glycerophosphocholine triglycerides inosine hypoxanthine upregulated biochemical pathway analyses provided deeper insights reported changes ultimately study provides valuable workflow implemented future investigations effects compounds including specific autophagy modulators
10.5888/pcd12.140458
Marina Reznik, Judith Wylie-Rosett, Mimi Kim, Philip O Ozuah
A classroom-based physical activity intervention for urban kindergarten and first-grade students: a feasibility study
2,015
Childhood obesity (Print)
total blood carbon monoxide tbco showed promising results improving accuracy co determinations blood presenting better stability different storage conditions therefore proposed alternative biomarker carboxyhemoglobin cohb co poisoning diagnosis however given current interpretation reference values exist cohb difficult implement tbco analysis routine therefore aimed determining tbco reference values postmortem co poisoning cases previously validated method tbco analysis via gas chromatographymass spectrometry applied cardiac peripheral cranial spleen blood samples collected 92 autopsies autopsy cases included 21 nonco related 71 corelated cases varying postmortem intervals pmi statistical analyses performed using statistical software r studio comparing lower higher pmi nonco related cases significant differences found suggests co formation degradation low pmis occur spleen blood showed potential alternative matrix co determinations cases sample availability issues needs evaluated co positive cases results cardiac blood corelated autopsies showed positive correlation cohb tbco values r 078 value lower found literature suggesting even though cohb tbco correlated potential underestimation true co exposure might occur cohb values taken consideration samples divided co exposure groups based cohb concentrations data obtained classification following tbco concentration groups proposed significant co exposure case 6 molml medium co exposure case 620 molml high co exposure case 20molml even higher number samples group would enable increase confidence results promising highlight importance tbco measurement
10.1089/chi.2014.0090
Alisha R Farris, Sarah Misyak, Kiyah J Duffey, Georgianna R Mann, George C Davis, Kathy Hosig, Naama Atzaba-Poria, Mary M McFerren, Elena L Serrano
A comparison of fruits, vegetables, sugar-sweetened beverages, and desserts in the packed lunches of elementary school children
2,015
Childhood obesity (Print)
total hip arthroplasty tha osteoarthritis oa major health system cost education exercise edu ex programs may reduce number thas needed supporting data limited study aimed estimate treatment effect tha versus edu ex pain function quality life outcomes 3 12 months treatment initiation hip oa patients hip oa underwent tha edu ex program included propensitymatched study 778 patients edu ex n 303 tha n 475 propensity scores based pretreatment characteristics patients matched 11 ratio betweengroup treatment effects pain function quality life estimated mean difference md change pretreatment 3month 12month followup using linear mixed models matched sample consisted 266 patients edu ex n 133 tha n 133 balanced pretreatment characteristics except opioid use 12month followup tha resulted significantly greater improvements pain md 354 95 confidence interval ci 314 394 function md 305 95 ci 263 347 quality life md 336 95 ci 288 384 17 30 patients receiving edu ex experienced surgical threshold clinically meaningful improvement outcomes compared 84 90 tha patients tha provides greater improvements pain function quality life notable proportion edu ex patients clinically meaningful improvements suggesting edu ex may result tha deferral patients confirmatory trials needed
10.1089/chi.2014.0134