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Rita DeBate|Amy Gatto|Gregor Rafal
The Effects of Stigma on Determinants of Mental Health Help-Seeking Behaviors Among Male College Students: An Application of the Information-Motivation-Behavioral Skills Model
2,018
University of South Florida|University of South Florida|University of South Florida
considered public health issue prevalence severity poor mental wellbeing college campuses continued rise many college campuses offer mental health counseling services utilization rates increasing proportional usage low especially among males often deal poor mental wellbeing adopting unhealthy coping strategies purpose study use informationmotivationbehavioral skills imb model assess relationship determinants factors may impact helpseeking behaviors large sample n 1242 male college students employing crosssectional study design 71item online survey assessed information via total mental health literacy mhl motivation via attitudes toward mental health subjective norms regarding mental health behavioral skills via intentions regarding helpseeking behaviors stigma results revealed correlations information motivation r 363 p 01 information behavioral skills r 166 p 01 motivation behavioral skills r 399 p 01 multiple regression used determine stigma mediator relationships findings represent opportunity take public health approach male mental health developing multilayered interventions address information motivation behavioral skills stigma
https://doi.org/10.1016/j.jpainsymman.2010.02.022
Jonas A. de Souza|Bonnie J. Yap|Fay J. Hlubocky|Kristen Wroblewski|Mark J. Ratain|David Cella|Christopher K. Daugherty
The development of a financial toxicity patient-reported outcome in cancer: The COST measure
2,014
University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago|Northwestern University|University of Chicago
considering patients experience essential optimal decisionmaking however despite increasing recognition impact costs oncology care patientreported outcome measure prom specifically describes financial distress experienced patientsthe content comprehensive score financial toxicity cost developed stepwise approach step 1 literature review semistructured qualitative interviews patients content generation step 2 patients assessment items importance quality life step 3 pilot testing assessing interitem iic itemtotal itc correlations identify redundancy spearman rho 07 statistically unrelated content p 05 step 4 exploratory factor analysis sociodemographic data collectedin total 155 patients advanced cancer receiving treatment 20 patients step 1 35 patients step 2 100 patients steps 3 4 participated prom development step 1 literature reviewed 20 patients generated 147 items reduced 58 items redundancy step 2 35 patients rated 58 items importance 30 items retained step 3 46 patients assessed 30 items 14 items excluded high iic 3 excluded nonsignificant itc step 4 2 items discarded poor loadings factor analysis 100 patients resulting 11item promthe content financial toxicity prom developed 155 patients provisional cost measure demonstrated face content validity well internal consistency validated larger samples
https://doi.org/10.1001/jama.298.9.1010
Astrid Müller
Mental health disorders: prevalent but widely ignored in academia?
2,020
null
considering one six persons worldwide experienced mental disorder within past 12 months bearing mind onethird adults suffer clinically manifest mental disorder lifetime steel et al 2014 every one us likely regularly contact people mental health problems hold true academic population possible mental disorders anxiety depressive substance use related disorders even common among scientists general population still widely ignored answer questions yes implications taken consideration mental disorder behavioural psychological syndrome pattern occurs individual characterized following facts causes clinically significant distress andor impairments one important areas functioning merely expectable response common stressors losses reflects underlying psychobiological dysfunction solely result social deviance conflicts society diagnostic validity using one sets diagnostic validators clinical utility stein et al 2010 apa 2013 2019 world mental health wmh representative community surveys provide information regarding prevalence common mental disorders surveys carried world health organization many countries throughout world using fullystructured research diagnostic interview generate diagnoses mental disorders based international classification diseases icd 2019 diagnostic statistical manual mental disorders dsm apa 2013 according surveys general population frequent mental disorders anxiety mood disorders depression lifetime prevalence rates averaging approximately 16 12months prevalence 11 anxiety disorders 12 12months prevalence 6 mood disorders kessler et al 2009 metaanalysis suggests populationbased lifetime 12month prevalence estimates least one mental disorder 29 18 respectively steel et al 2014 authors argue mental health problems academia widespread constitute invisible crisis price et al 2017 bira et al 2019 point view may reflect anecdotal evidence life experiences knowledge limited systematic empirical research concerning mental health issues postdoctoral researchers research teaching fellows professors however studies involving college university graduate students brought heightened awareness attention topic rosenthal okie 2005 findings largescale wmh surveys 1572 college students across 21 countries indicated onefifth sample suffered least one mental disorder year prior assessment assessed mood disorders anxiety disorders posttraumatic stress disorder disruptive behaviour disorders attentiondeficithyperactivity disorder substance use disorders auerbach et al 2016 noteworthy prevalence rates exceed reported two control groups nonstudents age range specifically participants recently left college without graduating n 702 prevalence 250 nonstudents n 3476 prevalence 214 auerbach et al 2016 across groups anxiety disorders prevalent mental illnesses followed mood substance use disorders findings wmh international college student project indicate somewhat higher prevalence estimates among first year students n 13984 19 colleges across eight countries onethird screened positive least one 12month mental disorder commonly depression found 185 participants auerbach et al 2018 depression characterized variety symptoms reduce ability meet study work commitments involving feelings sadness guilt hopelessness worthlessness lack interest activities enjoyed fatigue diminished ability think concentrate andor indecisiveness apa 2013 according wmh college student project one three students depression received mental health treatment bruffaerts et al 2019 worrisome given apart symptoms mentioned thoughts death fear dying selfharm suicidal ideation suicide attempts common episodes depression apa 2013 terms university students junior researchers accumulating evidence relatively high prevalence mental disorders population including medical students rosenthal okie 2005 levecque et al 2017 pacheco et al 2017 zeng et al 2019 flemish study investigated 3659 graduate students enrolled phd programme using validated selfrating questionnaires roughly onethird participants identified risk developing mental disorder especially depression levecque et al 2017 estimate 24 times higher phd students compared highly educated individuals general population 28 times higher compared highly educated employees 18 times higher compared higher education students levecque et al 2017 recent questionnairebased online survey 2279 graduate students 90 phd students 10 masters students 26 countries 234 institutions suggests increased propensity towards anxiety 41 depressive disorders 39 graduate trainee community would higher general population evans et al 2018 study showed participants scored questionnaire thresholds anxiety andor depressive disorder often disagreed statements good worklife balance evaluated relationship support principal investigators supervisors harshly participants low anxietydepression scores evans et al 2018 worth noting findings interpreted caution convenience nonrepresentative sample potential selection bias lack control group use selfratings instead structured clinical interviews conducted mental health experts duffy et al 2019 findings reported point need better understanding mental health problems among academics usually high workload often associated externally prescribed deadlines competition research resources uncertain job prospects adverse impact mental health problems may aggravated poor management practice well insufficient recognition reward gillespie et al 2001 besides possibly disadvantageous academic conditions variables might contribute mental health problems among certain subpopulations example cannot exclude possibility people seek academic career particularly vulnerable developing mental health problems vice versa scientists may possess certain personality features eg openness selfdirectedness may increase resilience protect mental health conditions sato 2016 unfortunately relative dearth research mental health among senior researchers knowing graduate students appear increased risk poor mental health one could assume senior researchers affected similar manner however could also scientists later career stages less affected junior researchers due benefits positions higher level independence job security etc maybe resilient one likely one reach level senior researcher however reasoning remains speculative due lack empirical data relationships mental health favourable unfavourable academic conditions still understudied major problem people mental disorders suffer silence may conceal hide mental health problems others anticipated stigma discrimination potential damage careers concerns confidentiality consequence persisting negative attitudes towards persons mental disorders including inappropriate beliefs causes mental illnesses wynaden et al 2014 negative attitudes often related insufficient literacy topic thanks greater public awareness stigma surrounding mental disorders depression gradually decreasing recent decades despite progress mental health problems still frequently seen weakness lack willpower rather illness odd mental disorders regarded manner somatic disorders would appear easier openly talk cancer depression person afflicted selfstigma hampers early diagnosis appropriate treatment result terrible consequences essential become open reflect honestly regardless whether selfidentify affected mental health problems combat stigma around psychiatric disorders academic settings paying attention possible mental health problems might several reasons uncharacteristically poor work performance student colleague cyclic lack responses emails unexplained nonattendance sudden indecisiveness unreliability etc mental health problems may constitute potential reason overestimated taken account perpetuating negative attitudes towards poor mental health making derogatory comments spreading rumours suspected mental issues colleague maintaining dont ask dont tell culture appropriate instead raise awareness increase mental health literacy listen speak seek offerpoint help reduce attitudinal barriers campus better recognize deal mental health problems academics
https://doi.org/10.1016/j.jpainsymman.2015.08.008
Nina Thorup Dalgaard|Anja Bondebjerg|Bjørn C. A. Viinholt|Trine Filges
The effects of inclusion on academic achievement, socioemotional development and wellbeing of children with special educational needs
2,022
Danish Center for Social Science Research|Danish Center for Social Science Research|Danish Center for Social Science Research|Danish Center for Social Science Research
considering rapid global movement towards inclusion students special educational needs sen surprising lack pedagogical didactic theories regarding ways inclusive education may affect students sen group composition within educational setting may play role determining academic achievement socioemotional development wellbeing students sen proponents inclusion propose segregated educational placement causes stigmatisation social isolation may detrimental effects selfconcept selfconfidence students sen hand opponents inclusion special needs students suggest placement general education classrooms may adverse effects especially time resources allocated individualisation aligned student needs since 1980s number reviews effects inclusion published results inconsistent several reviews point number methodological challenges weaknesses study designs within primary studies sum impact inclusion students sen may hypothesised positive negative current knowledge base inconsistentthe objective first uncover synthesise data contemporary studies assess effects inclusion measures academic achievement socioemotional development wellbeing children special needs compared children special needs receive special education segregated settinga secondary objective explore potential moderators gender age type severity special need part full time inclusive education coteaching relate outcomesrelevant studies identified electronic searches academic search premier ebsco apa psycinfo ebsco econlit ebsco eric ebsco international bibliography social sciences proquest sociological abstracts proquest science citation index expanded web science social sciences citation index web science socindex ebsco database searches completed 24 april 2021 resources grey literature repositories hand search targeted journals internet search engines searched augustseptember 2021 search limited studies reported 2000the review included studies children special needs grades k 12 oecd countries children types verifiable sen eligible inclusion refers educational setting mixture children without sen segregation refers separate education children sen studies compared inclusive versus segregated educational settings children sen eligible qualitative studies includedthe total number potentially relevant studies constituted 20183 hits total 94 studies met inclusion criteria nonrandomised studies 94 studies analysed data 19 different countries 15 studies could used data synthesis seventynine studies could used data synthesis judged critical risk bias accordance protocol excluded metaanalysis basis would likely mislead inform 15 studies came nine different countries separate metaanalyses conducted conceptually distinct outcomes analyses inverse variance weighted using random effects statistical models sensitivity analyses performed evaluate robustness pooled effect sizes across components risk biasthe average baseline year interventions analysed 15 studies used metaanalysis 2006 ranging 1998 2012 average number participants analysed interventions 151 ranging 10 1357 average number controls 261 ranging 5 2752 studies included children multiple types disabilities learning disordersintellectual disabilities autism spectrum disorders adhd physical handicaps visual impairments syndrome results eight studies could pooled metaanalyses metaanalyses showed weighted average favoured intervention group none statistically significant random effects weighted standardised mean difference 020 95 confidence interval ci 001 042 overall psychosocial adjustment 004 95 ci 027 035 language literacy learning outcomes 005 95 ci 016 026 math learning outcomes appreciable changes results indicated sensitivity analyses inconsistency direction magnitude effect sizes primary studies analyses moderate amount heterogeneity attempted investigate heterogeneity single factor subgroup analyses results inconclusivethe overall methodological quality included studies low experimental studies children randomly assigned intervention control conditions found 15 studies could used data synthesis except one judged serious risk bias results metaanalyses suggest average sizeable positive negative effects inclusion childrens academic achievement measured language literacy math outcomes overall psychosocial adjustment children average point estimates favoured inclusion though small statistically significant heterogeneity present analyses inconsistency direction magnitude effect sizes finding similar results previous metaanalyses include studies published 2000 thus although number studies current metaanalyses limited concluded unlikely inclusion general increases decreases learning psychosocial adjustment children special needs future research explore effects different kinds inclusive education children different kinds special needs expand knowledge base works
https://doi.org/10.1086/676828
Nathan Berg|Guido Biele|Gerd Gigerenzer
Consistent Bayesians Are No More Accurate Than Non-Bayesians: Economists Surveyed About PSA
2,016
University of Otago|Norwegian Institute of Public Health|Max Planck Institute for Human Development
consistent bayesians accurate nonbayesians economists surveyed psa
https://doi.org/10.18549/pharmpract.2019.2.1438
Matthew T. Feldner|Michael J. Zvolensky|Kimberly A. Babson|Ellen W. Leen?Feldner|Norman B. Schmidt
An integrated approach to panic prevention targeting the empirically supported risk factors of smoking and anxiety sensitivity: Theoretical basis and evidence from a pilot project evaluating feasibility and short-term efficacy
2,008
University of Arkansas at Fayetteville|University of Vermont|University of Arkansas at Fayetteville|University of Arkansas at Fayetteville|Florida State University
consistent risk reduction model targeted prevention present investigation piloted empirically evaluated feasibility shortterm efficacy firstgeneration panic prevention program targeted two malleable risk factors panic developmentanxiety sensitivity daily cigarette smoking members high risk cohort defined high levels anxiety sensitivity current daily smoking n 96 randomly assigned either 1 one session intervention focused proximally increasing motivation quit smoking reducing anxiety sensitivity distally prevent development panic 2 health information control condition comparable length participants followed 6 months consistent hypotheses treatment condition showed reduced anxiety sensitivity effect maintained across followup period limited evidence also suggested intervention increased motivation quit smoking discuss prevention protocol modified future enhance effects part secondgeneration largerscale outcome evaluations
https://doi.org/10.1089/bfm.2015.0005
Baohui Zhang|Joseph Krajcik|Lee?Ann Sutherland|Lei Wang|Jing Wu|Yu Qian
Opportunities and challenges of China?s inquiry-based education reform in middle and high schools: Perspectives of science teachers and teacher educators
2,005
University of Pittsburgh|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Beijing Normal University|Shanghai Normal University|South China Normal University
consistent international trends emergent interest inquirybased science teaching learning k12 schools also occurring china study investigates possibilities barriers enactment inquirybased science education chinese schools altogether 220 chinese science teachers science teacher educators researchers primarily field chemistry education participated study august 2001 participants represented 13 cities provinces china administered two questionnaires one preceding one following 3hour presentation us science educator researcher inquirybased teaching learning theories practices three sites study conducted shanghai guangzhou beijing questionnaires administered four representative participants interviewed coding analysis quantifiable questionnaire responses using likert scale openended responses interview transcripts revealed enthusiastic interest incorporating inquirybased teaching learning approaches chinese schools however chinese educators face several challenges national college entrance exam needs align goals inquirybased teaching b systemic reform needs happen order inquirybased science beneficial students including change curriculum curriculum materials relevant resources teacher professional development c class size needs reduced equitable distribution resources urban rural schools needs occur
https://doi.org/10.1089/dia.2013.0072
Wee Shiong Lim|M. S. Chong|Suresh Sahadevan
Utility of the Clinical Dementia Rating in Asian Populations
2,007
Tan Tock Seng Hospital|Tan Tock Seng Hospital|Tan Tock Seng Hospital
consistent worldwide demographic trend population aging dementia expected become burgeoning public health problem asian populationsthus pressing need reliable valid methods dementia diagnosis staging applicable heterogeneous asian populationsthe clinical dementia rating cdr informantbased global assessment scale established reliability validity widely utilized severityranking scale many studies asian populationsfrom diagnostic standpoint cdr congruent diagnostic statistical manual mental disorders approach dementia diagnosisit exhibits excellent discriminatory ability mild stages dementia useful property germane surging interest mild cognitive impairment related conceptslimitations cdr include length administration reliance clinical judgment collateral source information relative insensitivity measure change interventional studiessince exercise clinical judgment inherent scoring cdr raters mindful influence cultural factors premorbid lifestyle informant reliability performance certain cdr test items especially pertaining categories judgment problem solving community home hobbiesthus future studies involve nascent use cdr asian populations recommended transcultural adaptation cdr items described detail appropriate validation studies carried adopting cdr yardstick measure assessmentthe potential adapted versions cdr chronic care settings advanced cases exploredan integrative approach combining brief informant interview conjunction brief objective cognitive testing could viable strategy dementia screening clinical research setting warrants evaluation asian populations
https://doi.org/10.1111/pedi.12777
Ramalingam Sekar|Murugesan Amudhan|Moorthy Sivashankar|Manoharan Mythreyee
Recent trends in HIV prevalence in a remote setting of southern India: Insights into arranging HIV control policies
2,013
Tamil Nadu Dr. M.G.R. Medical University|Tamil Nadu Dr. M.G.R. Medical University|Tamil Nadu Dr. M.G.R. Medical University|Tamil Nadu Dr. M.G.R. Medical University
constant vigilance dynamics hiv prevalence important estimating regulating implementing prevention programs objective study investigate trend prevalence hiv infection six years among specific demographic groups remote district southern indiaall highrisk attendees integrated counseling testing centre government theni medical college april 2005 december 2010 included study characteristics including age sex place residence literacy hiv serostatus collected per guidelines national aids control organizationa total 50043 data sets analyzed 3282 66 tested positive hiv infection prevalence hiv infection among 25 age group significantly lower compared elderly 44 vs 69 odds ratio 062 95 confidence interval 055071 p 001 decline hiv prevalence among age groups ptrend 001 25 yearold 823 ptrend 001 25year old 142 males ptrend 001 509 urban population ptrend 001 459 illiterates ptrend 001 68 trend hiv prevalence among females ptrend 048 91 rural population ptrend 095 71 literate population ptrend 044 28 statistically insignificanthiv prevalence stable female population decreasing male population indicating current interventions must strengthened reduce hiv prevalence among females
https://doi.org/10.1093/jncimonographs/lgi038
Vijayashri Sripati|Arun K. Thiruvengadam
India: Constitutional amendment making the right to education a Fundamental Right
2,004
null
constitutional history right educationarticle 45 constitution attempts implement itthe initiative supreme court indiathe constitution ninetythird amendment billcriticism ngos civic groups institutional actors
https://doi.org/10.1177/0741932508315053
Marius Claudy|Mark Peterson|Aidan O’Driscoll
Understanding the Attitude-Behavior Gap for Renewable Energy Systems Using Behavioral Reasoning Theory
2,013
University College Dublin|University of Wyoming
consumer adoption renewable energies important step towards less carbonintensive sustainable energy systems despite growing ecological awareness articulated preferences green products renewable energies face slow rates diffusion consumer markets hard explain given consumers favorability concept products lower ones impact natural environment study uses data 254 homeowners ireland investigate psychological process adopting renewable energy system solar energy panels applying behavioral reasoning theory brt research examines proposed model reasons adopting solar panels mediate relationship consumers attitudes values adoption intentions results suggest model generally supported reasons adoption reasons adoption countervailing influences psychological processing adoption intentions findings suggest researchers marketers include mediating constructs reasons adoption ii reasons adoption iii attitudes toward technology attempting explain consumers think adoption renewable energy systems
https://doi.org/10.1177/2053951719853311
Xiaojun Zhang|Ping Yu|Jun Yan|Ir Ton A M Spil
Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic
2,015
University of Wollongong|University of Wollongong|University of Wollongong|University of Twente
consumer ehealth potential solution problems accessibility quality costs delivering public healthcare services patients although consumer ehealth proliferated recent years remains unclear patients willing able accept use new rapidly developing technology therefore aim research study factors influencing patients acceptance usage consumer ehealth innovations simple typical consumer ehealth innovation eappointment scheduling service developed implemented primary health care clinic regional town australia longitudinal case study undertaken 29 months system implementation major factors influencing patients acceptance use eappointment service examined theoretical lens rogers innovation diffusion theory data collected computer log records 25616 patients visited medical centre entire study period indepth interviews 125 patients study results show overall adoption rate eappointment service increased slowly 15 3 months implementation 4 29 months means innovators used new service majority patients adopt innovation factors contributing low adoption rate 1 insufficient communication eappointment service patients 2 lack value eappointment service majority patients could easily make phone callbased appointment limitation functionality eappointment service 3 incompatibility new service patients preference oral communication receptionists 4 limitation characteristics patients including low level internet literacy lack access computer internet home lack experience online health services closely associated low socioeconomic status study population findings point need health care providers consider address identified factors implementing complicated consumer ehealth innovations
https://doi.org/10.26719/2009.15.3.639
Mary Reed|Ilana Graetz|Vicki Fung|Joseph P. Newhouse|John Hsu
In Consumer-Directed Health Plans, A Majority Of Patients Were Unaware Of Free Or Low-Cost Preventive Care
2,012
Kaiser Permanente|Kaiser Permanente|University of California, Berkeley|Kaiser Permanente|Harvard University|Harvard University|Policy Analysis (United States)
consumerdirected health plans plans high deductibles typically require patients bear outofpocket costs preventive care annual physicals screening tests order ease financial barriers encourage patients seek care surveyed people california consumerdirected health plan found fewer one five understood plan exempted preventive office visits medical tests screenings deductible meaning care free modest copayment roughly one five said delayed avoided preventive office visit test screening cost confused exemption significantly likely report avoiding preventive visits cost concerns special efforts educate consumers preventive care costsharing exemptions may necessary health plans including medicare adopt model
https://doi.org/10.1037/edu0000637
Paola Mosconi|Cinzia Colombo|Roberto Satolli|Alessandro Liberati
PartecipaSalute, an Italian project to involve lay people, patients’ associations and scientific?medical representatives in the health debate
2,007
Mario Negri Institute for Pharmacological Research|Mario Negri Institute for Pharmacological Research|Mario Negri Institute for Pharmacological Research|Mario Negri Institute for Pharmacological Research
consumers patients increasingly demanding active role healthcare access quality associations pressure groups interacting directly national health services researchers doctors scientific professional societies14 article describes italian project aimed creating partnership among lay people patients associations scientificmedical community italy consumers generally passive recipients health information various sources doctors healthcare professionals health system media web parents peers information often contradictory nonevidencebased leading misunderstandings confusion di bella case outcry alleged new cure autism increasing number health awareness campaigns clear examples lack evidencebased culture among italian consumers patients associations see box 1 cope lay people must learn develop scientific literacy becoming familiar clinical epidemiological research acquiring instruments critically appraise understand health information although activities infancy italy good examples empowerment efforts see box 2 number consumer patients associations steadily growing survey 2003 italian national statistical institute5 identified 21 000 nonprofit organizations across country 50 increase compared 1997 survey organizations cover wide spectrum activities corresponding broad definition health including psychosocial support direct services findings confirm deeply rooted italian tradition mutual aid healthcare field last 10 years consumers patients associations extended interventions selfhelp care advocacy including important efforts convey information public organize awareness raising campaigns common european american countries patients federations emerging italy boost impact individual organizations lobby local national international level drawing health authorities attention need improvement given area610 led introduction patients charters mandatory presence lay representatives local ethics committees yet medical scientific community still fails see patients consumer groups partners equal rights weight consumers patients associations hand often lack critical appraisal skills struggle make voice heard healthcare debate also opportunities medical community patients associations meet work together experiences kind collected shared unlikely used development new projects planning project involving consumers patients associations scientific medical community reviewed consumer involvement initiatives countries united states united kingdom australia httpwwwcochraneorgconsumershomepagehtm accessed 27 october 200611 particularly inspired ukbased casp initiative critical appraisal skills programme offers courses healthcare professionals trainers consumers12 ii usbased lead initiative course developed national breast cancer coalition empowers breast cancer activists influence research public policy13 courses initiatives american association cancer research httpwwwaacrorghomesurvivorsadvocatesaboutthesurvivorandpatientadvocacyprogramaspx also learned interesting james lind alliance united kingdom coalition patients associations researchers clinicians working together identify areas uncertainty medicine define priorities clinical research14 aim article present partecipasalute participate health care pilot project initiated end 2003 following pilot experiences httpwwwpnlgit accessed 8 may 20061516 project funded nonprofit bank foundation compagnia san paolo aims involving patients associations coordinated mario negri institute collaboration italian cochrane centre medical journalism agency zadig multidisciplinary scientific committee composed representatives consumerpatients associations medical associations media researchers experts advises project activities projects main aim foster strategic alliance patients groups professional societies goal promoting better health shared decisionmaking throughout different phases partecipasalute involved patients associations lay people overall goal create cultural methodological conditions essential support increase shared initiatives consumerpatients associations scientific community project focused following main three areas championing role consumerpatients associations healthcare debate factfinding exercise unearth relevant experiences empowering patients launching website organizing courses patients representatives lay members ethics committees organizing collaborative initiatives consumerspatients representatives scientific medical community survey carried 2004 collaboration 10 patients federations cancer cardiovascular nervous system fields together associations long grassroots tradition aids breast cancer building upon previous experiences1516 working group developed semistructured interview topics covered included structure organization ie type activity capacity distribution centres training courses information sources attitudes beliefs information sources presidents patients federations contacted telephone asked participate one hour half interview two researchers pm cc conducted interviews analysed data open questions extracting principal themes messages second survey targeted italian federation medical societies fism designed assess medical societies attitudes towards patients involvement research health care find projects conducted partnership patients associations questionnaire developed based review relevant literature previous experiences working group members topics included characteristics societys structure organization number type collaborations patients associations opinions patients involvement projects 204 medical associations belonging fism contacted email covering letter explaining survey nonrespondents sent reminder survey concluded summer 2006 obtained responses 73 medical associations based experience mario negri institute italian cochrane centre zadig training course developed patients associations lay member ethics committees entitled decisionmaking clinical research health care course covered topics requested patients associations preliminary interviews meetings technical aspects clinical research potential roles voluntary organizations course seen opportunity different associations exchange information foster collaborations course commenced october 2005 offered within 6month period total 9 days packaged six modules dealing abc clinical research topics considered critical aspects clinical research coxib drugs flu vaccine oncological screening new oncological drugs air pollution developed five working groups plenary discussion one lecture two formal lessons two debates uncertainty conflict interests medicine topics considered antibiotics sore throat cardiovascular risk cards prostatespecific antigen developed three working groups plenary discussion three formal lessons two debates strategies health information topics considered hormonal replacement therapy stem cells lung cancer early diagnosis developed three working groups plenary discussion one formal lesson one debate patients associations credibility strengths topics considered history role credibility experiences patients associations developed one working groups plenary discussion three formal lessons one debate lay peoples participation ethic committees topics considered history regulations role lay people informed consent developed three working groups plenary discussion one formal lesson one debate ways influence research agenda topics considered literature reviews websites independent research developed three working groups plenary discussion two lectures three formal lesson one debate faculty made researchers doctors medical journalists associations representatives activists throughout course sought participants opinions using assessment forms similar used italian ministry health continuing medical education courses website launched september 2004 empower patients lay people associations healthcare professionals take active part healthcare decisions italy industrialized countries several healthrelated websites simply using word health reported url address found 873 000 pages italian google 5 december 2005 passive vehicles offering reports news without attempt appraise content enable readers evaluate information partecipasalute website based concept active participation offering selected articles debated health topics organized three main sections analysing topics different aspects showing possible implications medical news see box 3 website offer guides tools critically appraise health information play active role healthcare decisions understand payoffs limits clinical research collaborate medicalscientific community website updated weekly accept advertisements every 15 days newsletter emailed 2005 preparation consensus conference people severe cerebral injury consequences gcla relatives needs rehabilitation assistance posthospital period partecipasalute coordinated working group familys quality life conference promoted italian society physical medicine rehabilitation simfer collaboration patientsfamilies associations three working groups organized deal different research issues epidemiological data longterm outcomes cerebral injuries available healthcare services ii social healthcare needs people severe cerebral injury relatives according severity condition kinds outcomes iii critical aspects social rehabilitation injury focusing independence social life family role quality life partecipasalute multidisciplinary working group involving relatives patients severe brain injury consequences healthcare professionals gcla patients associations representatives identified two specific areas interest investigated ad hoc surveys first focussed associations contacting 68 italian gcla associations second targeted 453 families aim working group collect information gcla patients families needs suggestions quality improvements interventions details procedures areas investigated shown box 4 first two years project partecipasalute accomplished worthwhile results terms knowledge role patients associations health debate decisionmaking dissemination critical medical information gathering practical tools evaluate medical information thought website organizing training course growth sound group patientslay people representatives working together scientists collaborative initiatives courses consensus research projects etc findings patients federation survey presented table 1 structure organization participants varied considerably terms number members associations enrolled members representativeness boards existence scientific committee conflict interest emerged unfamiliar concept patients associations transparency fund raising rarely discussed17 associations federations asked whether policy transparency towards sponsor document competing interests five stated explicit statement transparency two one competing interests general associations federations two main targets patients families public increase awareness specific illness health problem activities supporting caring patients families disseminating information disease epidemiological burden prognosis disability etc interventions main interest advocacy increasing disease awareness circulation information particular topics lobbying examples second type activity almost every organization provides information patients families lobbying grown recent years nowadays main activity organizations stems associations aim strengthen influence achieving benefits members associations consider scientific literature important source information lack critical appraisal skills rely clinical experts appraise quality information patients associations rarely get involved research process defining priorities developing clinical trial protocols examples active collaboration mainly assembling questionnaires surveys conducting qualitative surveys among patients reviewing informed consent forms rarely patients consumers associations involved debates guidelines consensus documents clinical research challenges medical scientific dominance remain limited patients associations depend medical expert opinions decide part play health debates organize associations initiatives yet know assess validity healthcare information using standards critical evaluation associations collaboration arrangements scientific societies medical associations responding second survey varied widely terms year activity number members geographical distributions remarkably 36 medical societies 49 total organized collaborative initiatives patientsconsumers associations last three years among frequent preparation written material patients organization conferences workshops health awareness campaigns moreover eight medical societies published documents patients rights patients associations involved 50 initiatives training course challenging organize given lack previous experience build upon twentythree representatives different patients associations 17 lay members ethics committees 6 24 enrolled attended whole course participants feedback quality usefulness course reported table 2 generally well received although technical issues basic statistical concepts deemed difficult follow time practical exercises required participants also asked time discussion exchanging views information available httpwwwpartecipasaluteitattivitacmsqnode58 partecipasalute website registered monthly april october 2006 mean 14 000 contacts average 200 people month subscribed weekly newsletter furthermore every month website receives 40 comments least one new patients association asks included website database satisfaction recently found searching italian google engine words incertezza medicina uncertainty medicine partecipasalute first website listed 303 000 pages reported accessed 30 october 2006 finally respect goal foster strategic alliance patients groups professional societies consensus conference working group represented encouraging example effective collaboration clinicians scientists patients associations briefly results httpwwwpartecipasaluteitattivitaconferenza001php accessed 8 may 2006 two surveys showed organizational shortcomings posthospitalpostacute period difficulties finding clear information rehabilitation future conditions patients practical economic bureaucratic difficulties faced families finally heavy impact familys quality life data underlined jury consensus conference held june 2005 provided broader picture consequences severe cerebral injury focusing true needs patient family rehabilitation assistance posthospital period knowledge first project fully involving patient public advocates scientific community italy participation surveys satisfaction empowerment activities valuable results collaborative initiatives finally large number partecipasalute website visitors show interest public involvement increasing italy considering debate consumer involvement httpwwwcochraneorgconsumershomepagehtm accessed 27 october 2006414 monitoring advocates strength impact httpwwwcancerworldorgcancerworldmodulestaticpageaspxid754idsito5idstato1 accessed 27 october 200618 believe partecipasalute project concrete terms evolved new voice italian panorama however development partecipasalute several critical issues emerged consumers patients associations still fully accepted active players health professionals clinicians experiences collaboration still valued health debate involvement consumer patients associations healthcare institutions still unsatisfactory consumer patients associations promote participation healthcare debate following principles evidencebased advocacy19 still rarely integral part discussion within consumers patients associations opportunities training members consumers patients associations become routine order create groups equipped participate meetings discussions research projects members patients associations involved working groups extent felt enabled actively participate assessed explicit criteria consumer patients associations meet order qualify truly representative independent representative bodies urgently needed order increase transparency inclusion working groups recently discussed consensus study principles successful consumer involvement research11 critical points represent challenge future initiatives italy partecipasalute offer second edition training course specifically targeted consumers patients associations nonmedical members ethics committees continue develop website 2007 research activities concentrated development spazio parita patientoriented clinical research group following james lind alliance14 example organizing multidisciplinary working group build upon unanswered questions drugs health care identified consumerspatients associations together scientific community order start new activity readers partecipasalute website particular consumer patients associations invited answer two questions regarding priority clinical research relatively pathology interest partecipasalute supported compagnia di san paolo torino italy
https://doi.org/10.1145/3442188.3445896
Nicolien C Zwijnenberg|Michelle Hendriks|Olga C. Damman|Evelien Bloemendal|Sonja Wendel|Judith de Jong|Jany Rademakers
Understanding and using comparative healthcare information; the effect of the amount of information and consumer characteristics and skills
2,012
Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research|EMGO Institute for Health and Care Research|Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research|Netherlands Institute for Health Services Research
consumers increasingly exposed comparative healthcare information information quality different healthcare providers partly complexity use information limited objective study examine amount presented information influences comprehension use comparative healthcare information important consumer characteristics skills taken accountin randomized controlled experiment comparative information total hip knee surgery used test case online survey distributed among 800 members nivel insurants panel 76 hip knee surgery patients participants assigned one four subgroups shown 3 7 11 15 quality aspects three hospitals conducted kruskallwallis tests chisquare tests hierarchical multiple linear regression analyses examine relationships amount information consumer characteristics skills literacy numeracy active choice behaviour one hand outcome measures related effectively using information comprehension perceived usefulness information hospital choice ease making choice hand414 people 47 participated regression analysis showed amount information slightly influenced comprehension perceived usefulness comparative healthcare information affect consumers hospital choice ease making choice consumer characteristics especially age skills especially literacy important factors affecting comprehension information ease making hospital choice perceived usefulness comparative information active choice behaviour influencing factorthe effects amount information unambiguous remains unclear ideal amount quality information presented would reducing amount information probably automatically result effective use comparative healthcare information consumers important consumer characteristics skills appeared influential factors contributing information comprehension use consequently would suggest emphasis improving consumers skills needed enhance use comparative healthcare information
https://doi.org/10.1103/physrevstper.4.010108
Kevin Anderson|Oksana Burford|Lynne Emmerton
Mobile Health Apps to Facilitate Self-Care: A Qualitative Study of User Experiences
2,016
Curtin University|Curtin University|Curtin University
consumers living longer creating pressure health system increasing requirement selfcare chronic conditions despite rapidlyincreasing numbers mobile health applications apps consumers selfcare paucity research consumer engagement electronic selfmonitoring paper presents qualitative exploration health consumers use apps health monitoring perceived benefits use health apps suggestions improvement health appshealth app defined commerciallyavailable health fitness app capacity selfmonitoring englishspeaking consumers aged 18 years older using health app selfmonitoring recruited interview metropolitan area perth australia semistructured interview guide comprised questions based technology acceptance model health information technology acceptance model mobile application rating scale study models also facilitated deductive thematic analysis interview transcripts implicit explicit responses aligned models analyzed inductivelytwentytwo consumers 15 female seven male participated 13 aged 2635 years eighteen participants reported apps used iphones apps used monitor diabetes asthma depression celiac disease blood pressure chronic migraine pain management menstrual cycle irregularity fitness used approximately weekly several minutes per session prior meeting initial milestones significantly decreased usage thereafter deductive inductive thematic analysis reduced data four dominant themes engagement use app technical functionality app ease use design features management consumers datathe semistructured interviews provided insight usage benefits challenges health monitoring using apps understanding range consumer experiences expectations inform design health apps encourage persistence selfmonitoring
https://doi.org/10.1016/j.amjmed.2012.04.040
Valisa E. Hedrick|Dana L. Comber|Paul A. Estabrooks|Jyoti Savla|Brenda M. Davy
The Beverage Intake Questionnaire: Determining Initial Validity and Reliability
2,010
Virginia Tech|Virginia Tech|Virginia Tech|Virginia Tech|Virginia Tech
consuming energycontaining beverages may lead weight gain yet research investigating issue limited easily administered beverage intake assessment tool could facilitate research topic purpose crosssectional investigation determine validity reliability selfadministered beverage intake questionnaire bevq estimates mean daily intake beverages consumed across 19 beverage categories participants n105 aged 392 years underwent assessments height weight body mass index dietary intake using 4day food intake records june 2008 june 2009 bevq completed two additional visits bevq1 bevq2 urine samples collected objectively determine total fluid intake encourage accurate selfreporting validity assessed comparing bevq1 food intake record results reliability assessed comparing bevq1 bevq2 analyses included descriptive statistics bivariate correlations paired samples tests independent samples tests selfreported water total beverage intake grams different bevq1 food intake records mean difference 12977 g p0096 61106 g p0567 respectively total beverage sugarsweetened beverage energy intake significantly different although mean differences small 63 44 kcal respectively daily consumption grams water r053 total beverages r046 sugarsweetened beverages r049 determined bevq1 correlated reported intake determined food intake record energy total beverages r061 sugarsweetened beverages r059 p values 0001 reliability demonstrated correlations p0001 detected bevq1 bevq2 results bevq valid reliable rapid selfadministered dietary assessment tool
https://doi.org/10.2196/jmir.5239
Angela Trude|Pamela J. Surkan|Lawrence J. Cheskin|Joel Gittelsohn
A multilevel, multicomponent childhood obesity prevention group-randomized controlled trial improves healthier food purchasing and reduces sweet-snack consumption among low-income African-American youth
2,018
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
consumption foods beverages rich sugar remains high across races ages united states interventions address childhood obesity decrease sugar intake needed particularly lowincome settings bmore healthy communities kids bhck grouprandomized controlled trial implemented among 915year olds 30 lowincome areas baltimore increased access lowsugar foods beverages wholesalers small food stores concurrently encouraged purchase consumption children youthled nutrition education recreation centers instore promotions text messaging social media program directed caregivers sugar consumption sugar sweetened beverage ssb sweets youth assessed pre n 534 postintervention n 401 using block kids food frequency questionnaire purchasing 38 healthier 28 less healthier foodbeverage varieties previous 7 days assessed via selfreport multilevel models community individual levels used analyses stratified age younger 912year olds n 339 vs older 1315 n 170 models controlled childs sex race total daily caloric intake caregivers age sex overall baseline mean healthier food purchasing 25 36 min 0 max 34 items per week unhealthier food purchasing 46 37 019 items per week mean intake baseline kcal ssb 176 1891 153 1425 calories sweets ie cookies cakes pies donuts candy ice cream sweetened cereals chocolate beverages 159 97 159 77 comparison intervention youth respectively intervention youth increased healthier foods beverages purchases 14 items per week comparison youth 14 95 ci 01 28 intervention 35 decrease kcal sweets older intervention youth compared control group 35 95 ci 776 005 impact seen ssb consumption bhck successfully increased healthier food purchasing variety youth decreased calories sweet snacks older youth multilevel multicomponent environmental childhood obesity programs promising strategy improve eating behaviors among lowincome urban youth nct02181010 july 2 2014 retrospectively registered
https://doi.org/10.1016/j.biopsych.2005.01.043
Ken Y. Chen|Jian Zhou
Audit Committee, Board Characteristics, and Auditor Switch Decisions by Andersen's Clients*
2,007
National Taiwan University|Binghamton University
contemporary accounting researchvolume 24 issue 4 p 10851117 audit committee board characteristics auditor switch decisions andersens clients ken chen ken chen national taiwan universitysearch papers authorjian zhou jian zhou suny binghamtonsearch papers author ken chen ken chen national taiwan universitysearch papers authorjian zhou jian zhou suny binghamtonsearch papers author first published 15 january 2010 httpsdoiorg101506car2442citations 127 accepted peter clarkson thank two annoymous reviewers susan albring jan barton lou braiotta kevin c w chen shijun cheng peter clarkson associate editor randy elder carol ann frost ross fuerman jackie hammersley henry huang ryan lafond bin ke ling lei shuhsing li gerry lobo linda myers kannan raghunandan sara reiter steven schwartz kevin sun taychang wang weimin wang jay wellman wei zhang x frank zhang ping zhou jerry zimmerman jayanthi krishnan discussant participants 2004 american accounting association annual meeting 2005 european accounting association annual congress yitsung lee discussant participants 2004 accounting theory practice conference national chengchi university workshop participants national taiwan university national cheng kung university helpful comments also grateful jan barton providing us media coverage data ken chen gratefully acknowledges financial support national science council project nsc 932416h006045 part work done jian zhou visiting syracuse university jian zhou gratefully acknowledges research support syracuse university thank chihhui cheng feixue yan research support aboutpdf toolsrequest permissionexport citationadd favoritestrack citation shareshare give accessshare full text accessshare fulltext accessplease review terms conditions use check box share fulltext version articlei read accept wiley online library terms conditions useshareable linkuse link share fulltext version article friends colleagues learn morecopy url share linkshare onfacebooktwitterlinked inredditwechat citing literature volume24 issue4winter 2007pages 10851117 relatedinformation
https://doi.org/10.3920/wmj2014.1736
Yuxi Wang|Martin McKee|Aleksandra Torbica|David Stuckler
Systematic Literature Review on the Spread of Health-related Misinformation on Social Media
2,019
Bocconi University|London School of Hygiene & Tropical Medicine|Bocconi University|Bocconi University
contemporary commentators describe current period era fake news misinformation generated intentionally unintentionally spreads rapidly although affecting areas life poses particular problems health arena delay prevent effective care cases threatening lives individuals examples rapid spread misinformation date back earliest days scientific medicine internet allowing instantaneous communication powerful amplification brought quantum change democracies ideas compete marketplace attention accurate scientific information may difficult comprehend even dull easily crowded sensationalized news order uncover current evidence better understand mechanism misinformation spread report systematic review nature potential drivers healthrelated misinformation searched pubmed cochrane web science scopus google databases identify relevant methodological empirical articles published 2012 2018 total 57 articles included fulltext analysis overall observe increasing trend published articles healthrelated misinformation role social media propagation extensively studied topics involving misinformation relate vaccination ebola zika virus although others nutrition cancer fluoridation water smoking also featured studies adopted theoretical frameworks psychology network science cocitation analysis revealed potential greater collaboration across fields studies employed content analysis social network analysis experiments drawing disparate disciplinary paradigms future research examine susceptibility different sociodemographic groups misinformation understand role belief systems intention spread misinformation interdisciplinary research also warranted identify effective tailored interventions counter spread healthrelated misinformation online
https://doi.org/10.5751/es-02197-120211
Ivo Damyanov|Nikolay Tsankov
The Role of Infographics for the Development of Skills for Cognitive Modeling in Education
2,018
null
contemporary culture visual culture visual images become predominant form communication students visually literate able read use visual language decode interpret evaluate visual messages successfully last least encode compose meaningful visual communication combination modeling methods scientific knowledge increases potential cognitive method infographics play significant role process tool target according age cognitive abilities students information images infographics visual representations information data knowledge use infographics modeling method develop different cognitive skills interpretation analysis assessment conclusion explanation part modeling process fact tool achieving next stage literacy visual literacy necessitates exploration infographics instrument development comprehensive system cognitive tasks education related formation skills modeling paper six types cognitive tasks education analyzed well relation visual literacy competence standards approved association college amp research libraries comparison freely available infographics tools provided suitability different infographics templates discussed
https://doi.org/10.4187/respcare.05445
Mihaela Moca|Alina B?dulescu
AN EVALUATION OF STUDENTS PROFICIENCY IN DIGITAL LITERACY AT ECONOMIC SUBJECTS
2,023
null
contemporary education relies heavily new technologies undeniable impact learning considered crucial component order acquire technical skills relevant 21st century students need adapt evolving technologies education digital literacy essential ought included curriculum courses educational systems study set assess degree digital literacy among students high school placed strong emphasis economics particular emphasis need skill development context culture values digital knowledge addition study used framework derived earlier research assess contribution nine literacies digital literacy investigation based survey 217 students revealed levels digital literacy ranged average high statistical study showed every suggested literacy framework significantly contributed digital literacy
https://doi.org/10.1177/0193945914527176
Alfredo Bautista|Siew-Chin Ng|David Múñez|Rebecca Bull
Learning areas for holistic education: kindergarten teachers’ curriculum priorities, professional development needs, and beliefs
2,016
Nanyang Technological University|Nanyang Technological University|Nanyang Technological University|Nanyang Technological University
contemporary kindergarten curriculum frameworks emphasize importance promoting childrens holistic development thereby focusing academic nonacademic learning areas exploratory study conducted sample 123 inservice kindergarten teachers singapore goals investigate following 1 teachers prioritized importance various learning areas nurturing early learners curriculum framework 2 teachers professional development pd needs regarding learning areas 3 extent teachers different beliefs children learn differed prioritizations pd needs data collected online questionnaire analyzed using nonparametric techniques results indicated 1 academic nonacademic areas found intertwined teachers priority rankings although social emotional development top learning area teachers 2 teachers reported high pd needs learning areas especially discovery world aesthetics creative expression 3 teachers holding traditional beliefs tended prioritize academic areas differences found comparing teachers responses according level education age years teaching experience discuss findings light prior literature implications limitations study lines research
https://doi.org/10.1177/1049732319887949
Daniela Sammler|Sonja A. Kotz|Korinna Eckstein|Derek V. M. Ott|Angela D. Friederici
Prosody meets syntax: the role of the corpus callosum
2,010
Max Planck Institute for Human Cognitive and Brain Sciences|Max Planck Institute for Human Cognitive and Brain Sciences|Max Planck Institute for Human Cognitive and Brain Sciences|Max Planck Institute for Human Cognitive and Brain Sciences|Max Planck Institute for Human Cognitive and Brain Sciences
contemporary neural models auditory language comprehension proposed two hemispheres differently specialized processing segmental suprasegmental features language segmental processing syntactic lexical semantic information predominantly assigned left hemisphere right hemisphere thought primacy processing suprasegmental prosodic information accentuation boundary marking dynamic interplay hemispheres assumed allow timely coordination information types present eventrelated potential study investigated whether anterior andor posterior portion corpus callosum provide crucial brain basis online interaction syntactic prosodic information patients lesions anterior twothirds corpus callosum connecting orbital frontal structures posterior third corpus callosum connecting temporal parietal occipital areas well matched healthy controls tested paradigm crossed syntactic prosodic manipulations anterior negativity elicited mismatch syntactically predicted phrase structure prosodic intonation analysed marker syntaxprosody interaction healthy controls patients lesions anterior corpus callosum showed anterior negativity demonstrating intact interplay syntax prosody effect found patients lesions posterior corpus callosum although exhibited intact prosodyindependent syntactic processing comparable healthy controls patients lesions anterior corpus callosum data support interplay speech processing streams left right hemispheres via posterior portion corpus callosum building brain basis coordination integration local syntactic prosodic features auditory speech comprehension
https://doi.org/10.1007/s11606-010-1488-5
Yoshio N. Hall|Andy I. Choi|Ping Xu|Ann M. O’Hare|Glenn M. Chertow
Racial Ethnic Differences in Rates and Determinants of Deceased Donor Kidney Transplantation
2,011
University of Washington|University of California, San Francisco|University of Washington|University of Washington|Stanford University
contemporary studies comprehensively compared waiting times determinants deceased donor kidney transplantation across major racial ethnic groups unites states compared relative rates determinants waitlisting deceased donor kidney transplantation among 503090 nonelderly adults different racial ethnic groups initiated hemodialysis between1995 2006 followup 2008 annual rates deceased donor transplantation time dialysis initiation lowest american indiansalaska natives 24 blacks 28 intermediate pacific islanders 31 hispanics 32 highest whites 59 asians 64 lower rates deceased donor transplantation among racial ethnic minority groups appeared primarily reflect differences time waitlisting transplantation result higher rates waitlist inactivity removal waitlist fraction reduced transplant rates attributable measured factors eg demographic clinical socioeconomic linguistic geographic factors varied 14 blacks 43 american indiansalaska natives compared whites conclusion adjusted rates deceased donor kidney transplantation remain significantly lower among racial ethnic minorities compared whites generally differences time waitlisting pronounced differences time waitlisting transplantation determinants delays time transplantation differed substantially racial ethnic group areabased efforts targeted address racial ethnicspecific delays transplantation may help reduce overall disparities deceased donor kidney transplantation united states
https://doi.org/10.5539/gjhs.v7n6p258
João Biehl|Denise Coutinho|Ana Luzia Outeiro
null
2,001
Princeton University|Princeton University|Princeton University
contemporary techno scientific medical developments restructuring social interactions processes individual subjectivity formed essay elaborates experiential ethical impact transformations perspective people ordinary unexpected ways act science technology carried ethnographic research hivaids testing counseling center cta northeastern brazil combining participant observation epidemiological analyses clinical survey found high demand free testing lowrisk clients largely working middle class experiencing anxiety complaining aidslike symptoms clients seronegative many returned second third testing understand new technocultural phenomenon call imaginary aids throughout essay describe ctas routine practices place practices historical political economic crosscultural perspective analyze subjective data collected clients pilot study explore clinical epidemiological expertise hiv testing technology integrated new forms biopolitics aimed specific marketable diseasefree populations affective absorption biotechnical truth engendering technoneurosis testing center
https://doi.org/10.1016/j.imu.2022.100934
Rosalind J. Wright|Martha E. Fay|S. F. Suglia|Clancy J. Clark|John S. Evans|Douglas W. Dockery|Jawad Behbehani
War-related stressors are associated with asthma risk among older Kuwaitis following the 1990 Iraqi invasion and occupation
2,010
Brigham and Women's Hospital|Harvard University|Harvard University|Kuwait University
contemporary warfare involving civilian populations growing public health concern addition psychological impact warrelated trauma may result physiological alterations even broader health effects associations examined warrelated stressors incident asthma elderly kuwaiti civilians following iraqi invasiona random sample kuwaiti nationals aged 5069 years day prior invasion identified among 7873 meeting eligibility criteria 5567 71 agreed participate 5028 completed questionnaire 91 eligible 3759 kuwait invasion 2294 alive followup exclusions prevalent asthma missingness covariates 2066 available analysis warrelated experiences summarised continuous score using rasch modelling relative cox proportional hazard rates hr calculated asthma adjusting covariatesover 13 years followup physiciandiagnosed asthma reported 66996 66 men 1041070 97 women models adjusted gender socioeconomic status smoking bmi air pollution related burning oil fires reporting highest stress exposure twice likely report asthma hr 23 95 ci 13 39 compared civilians reporting stressors experiences salient anchored fear loss lifewarrelated trauma associated increased asthma risk elderly civilians although prior research documented significant persistent psychological toll war findings implicate even broader health effects
https://doi.org/10.1016/j.sjbs.2021.12.032
Steven Best|Douglas Kellner
Contemporary Youth and the Postmodern Adventure
2,003
null
contemporary youth major players postmodern adventure enter future shape world come offspring babyboomers postboomerpost60s posthistorical postmodern yet live present marred extreme uncertainty facing future murky unpredictable youth today change name game forced adapt rapidly mutating crisisridden world characterized novel information computer genetic technologies complex fragile global economy frightening era war terrorism according dominant discourses media politics academic research everyday life growing segments youth increasingly unstable violent dangerous situation youth today marked dissolution family growing child abuse domestic conflict drug alcohol abuse sexually transmitted diseases poor education crumbling schools escalating criminalization imprisonment even state execution alarming assaults youth combined massive federal cutbacks programs might give youth chance succeed increasingly difficult world hence todays youth risk growing number ways survival challenge ready inherit social world increasingly deteriorating natural world ever savaged industrial forces yet also access exciting realms cyberspace possibilities technologies identities entrepreneurial adventures unimagined previous generations contemporary youth includes best educated generation history technically sophisticated diverse multicultural making generalizations youth present day precarious study develop concepts outline critical theory youth articulates positive negative ambiguous aspects current situation delineate defining features condition contemporary youth indicate ways encountering challenges facing suggest might best engaged obviously wide diversity youth experiences varying genders races classes sexualities social groups want suggest differences also emphasizing share common generation argument within present social crisis grave dangers youth also enhanced freedoms opportunities positive futures cannot created however unless youth able achieve variety forms literacy including print media computer skills enhanced education kellner 2002 abilities enable cope rapidly changing environment help emergent generations shape future remake culture social world inherit first generation live intensely transformative realms cyberspace hyperreality
https://doi.org/10.46328/ijtes.v4i4.110
Pedro Arteaga|Danilo Díaz–Levicoy|Carmen Batanero
Chilean Primary School Children’s Understanding of Statistical Graphs
2,020
Universidad de Granada|Catholic University of the Maule|Universidad de Granada
context statistical graphs pervasive media professional settings therefore understanding relevant component statistical literacy objectives aim research assess understanding statistical graphs achieved chilean children finishing primary education much understanding maintained one year later design achieve aim built comprehensive questionnaire takes account previous analysis chilean curricular guidelines textbooks primary education main variables characterizing graphical competence literature recommendations experts statistics education also considered construction questionnaire participants setting sample intentional made 745 6 th 7 th grade students chile data selection analysis responses questionnaire analysed quantitatively qualitatively results inform task difficulty according different variables questionnaire average reading level statistical graphs achieved grades also inform main difficulties related different graphs activities proposed questionnaire conclusions conclude hat students learnt end 6 th grade remembered one year later dot plot pie charts difficult graphs building graphs difficult frequencies provided children attained upper level reading graphs
https://doi.org/10.4103/nmj.nmj_121_17
Marilyn A. Winkleby|Thomas N. Robinson|Jan Sundquist|Helena C. Kraemer
Ethnic Variation in Cardiovascular Disease Risk Factors Among Children and Young Adults
1,999
Palo Alto University|Stanford University
context knowledge ethnic differences cardiovascular disease cvd risk factors among children young adults national samples limitedobjective evaluate ethnic differences cvd risk factors age differences first apparent whether differences remained accounting socioeconomic status ses
https://doi.org/10.1177/1948550617697175
Jacqueline Wroughton|Herle M. McGowan|Leigh V. Weiss|Tara Cope
EXPLORING THE ROLE OF CONTEXT IN STUDENTS’ UNDERSTANDING OF SAMPLING
2,013
Northern Kentucky University|North Carolina State University|Capital University|SUNY Adirondack|State University of New York
context provides meaning data analysis evaluation evidence may distracting students research explores role context students reasoning sampling specifically relationship strength students opinions topic provides context study ability judge quality sampling method scope conclusions study data collected four diverse institutions testing environment individual interviews student responses analyzed using grounded theory approach testing environment results showed little evidence use context whereas interview results showed evidence reliance contextbased opinions rather statistical principles x0d first published november 2013 statistics education research journal archives
https://doi.org/10.1046/j.1523-1755.2002.00678.x
Jessica L. McCurley|Ángela Gutiérrez|Linda C. Gallo
Diabetes Prevention in U.S. Hispanic Adults: A Systematic Review of Culturally Tailored Interventions
2,017
San Diego State University|University of California, San Diego|San Diego State University|University of California, San Diego|San Diego State University
context type 2 diabetes prediabetes metabolic syndrome highly prevalent hispanic individuals us cultural adaptations traditional lifestyle interventions recommended better reach highrisk population systematic review examined effectiveness diabetes prevention programs hispanics lowering risk type 2 diabetes evidenced reduction weight improvement glucose regulation evidence acquisition pubmedmedline cochrane central register controlled trials web science psycinfo searched database inception june 2016 studies evaluated diabetes prevention trials targeting us hispanic populations twelve publications met criteria inclusion evidence synthesis interventions varied substantially length rigor tailoring strategies five 12 studies rcts eight studies included entirely largely 70 female samples studies delivered spanish took place community settings nine studies reported significant reductions weight two glucose regulation postintervention compared controls effect sizes small moderate study quality moderate attrition high trials interventions largest effect sizes included one following adaptations literacy modification hispanic foodsrecipes cultural diabetes beliefs familyfriend participation structured community input innovative experiential learning conclusions culturally tailored lifestyle interventions diabetes prevention appear modestly effective reducing risk diabetes hispanics us studies needed utilize randomized controlled designs recruit hispanic men report intervention content tailoring strategies systematically publish participant evaluation feedback type 2 diabetes prediabetes metabolic syndrome highly prevalent hispanic individuals us cultural adaptations traditional lifestyle interventions recommended better reach highrisk population systematic review examined effectiveness diabetes prevention programs hispanics lowering risk type 2 diabetes evidenced reduction weight improvement glucose regulation pubmedmedline cochrane central register controlled trials web science psycinfo searched database inception june 2016 studies evaluated diabetes prevention trials targeting us hispanic populations twelve publications met criteria inclusion interventions varied substantially length rigor tailoring strategies five 12 studies rcts eight studies included entirely largely 70 female samples studies delivered spanish took place community settings nine studies reported significant reductions weight two glucose regulation postintervention compared controls effect sizes small moderate study quality moderate attrition high trials interventions largest effect sizes included one following adaptations literacy modification hispanic foodsrecipes cultural diabetes beliefs familyfriend participation structured community input innovative experiential learning culturally tailored lifestyle interventions diabetes prevention appear modestly effective reducing risk diabetes hispanics us studies needed utilize randomized controlled designs recruit hispanic men report intervention content tailoring strategies systematically publish participant evaluation feedback
https://doi.org/10.1080/19345747.2014.915604
Karin M. Nelson
Hunger in an Adult Patient Population
1,998
null
contextalthough clinical observations suggest patients experience hunger food insecurity limited data prevalence hunger adult patientsobjectiveto determine prevalence hunger food insecurity adult patients urban county hospitaldesigncrosssectional survey conducted 1997patientsthe primary survey included patients aged 18 years older admitted medicine surgery neurology services 2week period patients attended hospitals general medicine clinic 1 week second survey included primary care patients received insulin hospital pharmacy 1month periodmain outcome measuresrates hunger food insecurityresultsof 709 eligible patients 567 participation rate 80 interviewed either clinic n281 hospital n286 additional 170 patients received insulin interviewed telephone response rate 75 primary sample 68 12 respondents reported enough food 75 13 reported eating entire day 77 14 reported going hungry eating could afford food total 222 40 received food stamps previous year 113 50 food stamps reduced eliminated recipients whose food stamps eliminated reduced likely report enough food 18 vs 13p006 eating whole day 20 vs 16 p01 going hungry eating 20 vs 16 p08 cutting size meals skipping meals 33 vs 27p01 multivariate analysis independent predictors hunger included annual income less 10000 odds ratio 755 95 ci 3011892 drug use 356 95 ci 146866 reduction food stamp benefits 173 95 ci 101296 predictors food insecurity included annual income less 10000 412 95 confidence interval ci 198858 drug use 211 95 ci 166508 reduction food stamps 202 95 ci 123332 addition 103 61 patients sample diabetics reported hypoglycemic reactions 32 31 attributed inability afford foodconclusionhunger food insecurity common among patients seeking care urban county hospital
https://doi.org/10.1257/aer.101.3.371
Marilyn A. Winkleby|Helena C. Kraemer|David K. Ahn|Ann Varady
Ethnic and Socioeconomic Differences in Cardiovascular Disease Risk Factors
1,998
Stanford University|Stanford University|Stanford University|Stanford University
contextcardiovascular disease cvd risk factors higher among ethnic minority women among white women united stateshowever ethnic minority women disproportionately poor socioeconomic status ses may substantially explain risk factor differencesobjectivetodetermine whether differences cvd risk factors ethnicity could attributed differences sesdesignthirdnational health nutrition examination survey conducted 1988 1994settingeightynine mobile examination centersparticipantsa total 1762 black 1481 mexican american 2023 white women aged 25 64 years completed home questionnaire medical examinationmain outcome measuresethnicityand years education ses relation systolic blood pressure cigarette smoking body mass index bmi measure weight kilograms divided square height meters physical inactivity nonhighdensity lipoprotein cholesterol nonhdlc difference total cholesterol hdlc noninsulindependent diabetes mellitusresultsas expected cvd risk factors higher among ethnic minority women among white womenafter adjusting years education highly significant differences blood pressure bmi physical inactivity diabetes remained black mexican american women compared white women p001in addition women lower ses 3 ethnic groups significantly higher prevalences smoking physical inactivity higher levels bmi nonhdlc women higher ses p001conclusionsthesefindings provide greatest evidence date higher cvd risk factors among black mexican american women among white women comparable sesthe striking differences ethnicity ses underscore critical need improve screening early detection treatment cvdrelated conditions black mexican american women well women lower ses ethnic groups
https://doi.org/10.1186/s12884-017-1316-6
Robert L. Schmidt|Deborah J. Chute|Jorie M. Colbert?Getz|Adolfo Firpo?Betancourt|Daniel S. James|Julie Katz Karp|Douglas C. Miller|Danny A. Milner|Kristi Smock|Ann Sutton|Brandon S. Walker|Kristie L. White|Andrew R. Wilson|Eva M. Wojcik|Marwan Yared|Rachel E. Factor
Statistical Literacy Among Academic Pathologists: A Survey Study to Gauge Knowledge of Frequently Used Statistical Tests Among Trainees and Faculty
2,016
University of Utah|Cleveland Clinic Lerner College of Medicine|Case Western Reserve University|University of Utah|Icahn School of Medicine at Mount Sinai|University of Utah|Thomas Jefferson University|University of Missouri|Harvard University Press|University of Utah|East Carolina University|University of Utah|University of California, San Francisco|University of Utah|Loyola University Chicago|Baylor College of Medicine|University of Utah
contextstatistical literacy defined understanding statistical tests terminology needed design analysis conclusions original research laboratory testing little known statistical literacy clinical anatomic pathologists objectiveto determine statistical methods commonly used pathology studies literature assess familiarity knowledge level statistical tests pathology residents practicing pathologists designthe frequently used statistical methods determined review 1100 research articles published 11 pathology journals 2015 familiarity statistical methods determined survey pathology trainees practicing pathologists 9 academic institutions pathologists asked rate knowledge methods identified focused review literature resultswe identified 18 statistical tests appear frequently published pathology studies average pathologists reported knowledge level knowledge basic knowledge statistical tests knowledge tests higher frequently used tests greater statistical knowledge associated focus clinical pathology versus anatomic pathology statistics course advanced degree md degree publishing research statistical knowledge associated length pathology practice conclusionsan audit pathology literature reveals knowledge 12 statistical tests would sufficient provide statistical literacy pathologists average pathologists report interpret commonly used tests unable perform pathologists indicated would benefit additional statistical training
https://doi.org/10.1257/aer.20131314
Barbara E. Ainsworth|Carl J. Caspersen|Charles E. Matthews|Louise C. Mâsse|Tom Baranowski|Weimo Zhu
Recommendations to Improve the Accuracy of Estimates of Physical Activity Derived From Self Report
2,012
Arizona State University|University of Illinois Urbana-Champaign|National Cancer Institute|Centers for Disease Control and Prevention|Children's Nutrition Research Center at Baylor College of Medicine|University of British Columbia|Arizona State University|University of Illinois Urbana-Champaign|National Cancer Institute|Centers for Disease Control and Prevention|Children's Nutrition Research Center at Baylor College of Medicine|University of British Columbia|Arizona State University|University of Illinois Urbana-Champaign|National Cancer Institute|Centers for Disease Control and Prevention|Children's Nutrition Research Center at Baylor College of Medicine|University of British Columbia|Arizona State University|University of Illinois Urbana-Champaign|National Cancer Institute|Centers for Disease Control and Prevention|Children's Nutrition Research Center at Baylor College of Medicine|University of British Columbia|Arizona State University|University of Illinois Urbana-Champaign|National Cancer Institute|Centers for Disease Control and Prevention|Children's Nutrition Research Center at Baylor College of Medicine|University of British Columbia|Arizona State University
context assessment physical activity using selfreport potential measurement error lead incorrect inferences physical activity behaviors bias study results objective provide recommendations improve accuracy physical activity derived self report process provide overview presentations compilation perspectives shared authors paper workgroup members findings identified conceptual framework reducing errors using physical activity selfreport questionnaires framework identifies 6 steps reduce error 1 identifying need measure physical activity 2 selecting instrument 3 collecting data 4 analyzing data 5 developing summary score 6 interpreting data underlying first 4 steps behavioral parameters type intensity frequency duration physical activities performed activity domains location activities performed identified ways reduce measurement error step made recommendations practitioners researchers organizational units reduce error questionnaire assessment physical activity conclusions selfreport measures physical activity prominent role research practice settings measurement error may reduced applying framework discussed paper
https://doi.org/10.1371/journal.pone.0257552
Abheek Sil|Chaitali Sengupta|Alak Kumar Das|Puspita Das Sil|Supratim Datta|Avijit Hazra
A study of knowledge, attitude and practice regarding administration of pediatric dosage forms and allied health literacy of caregivers for children
2,017
Institute of Post Graduate Medical Education and Research|Institute of Post Graduate Medical Education and Research|Institute of Post Graduate Medical Education and Research|Institute of Post Graduate Medical Education and Research|Institute of Post Graduate Medical Education and Research
context caregivers sick children careful medicine dosing giving medicines reluctant child challenging aim assess knowledge attitude practices caregivers regarding pediatric medicine administration health literacy allied task settings design crosssectional study carried outpatient inpatient basis pediatrics department teaching hospital 6 months subjects methods data regarding sociodemographic profile patient caregiver idea regarding pediatric dosage forms dosing medicines medication errors administration recorded 377 caregivers reconstitution dry powder measurement 5 ml liquid medicine using measuring cup medicine phial demonstrated caregivers statistical analysis association assessed point biserial correlation spearmans rank correlation results majority primary caregivers surveyed young educated homemaker mothers liquid medicines used maximally 889 majority 873 caregivers used standardized dosing instruments measure liquids reconstitution 859 teaspoon measurement task 91 performed satisfactorily potentially wrong practices eg adding medicine milk redilution reconstituted medicine storing beyond recommended period recorded medication errors reported 445 caregivers significantly outpatient setting although statistical correlation weak chance medication error less precision measurement better increasing education caregiver conclusions physicians need aware limitations knowledge possibility wrong administration practices among caregivers children remedial measures regard reduce risk medication errors
https://doi.org/10.2304/eerj.2011.10.2.259
Davida Becker|Amy O. Tsui
Reproductive Health Service Preferences And Perceptions of Quality Among Low?Income Women: Racial, Ethnic and Language Group Differences
2,008
null
context eliminating racial ethnic disparities health care important national priority despite substantial research documenting disparities topic received limited attention reproductive health field methods logistic regression used test group differences three service delivery preferences five service quality perceptions among nationally representative sample 1741 lowincome black latina white women aged 1834 data collected 1995 represent recent data available looking issues results englishspeaking latinas spanishspeaking latinas likely whites prefer female clinician visits odds ratios 18 36 respectively highly value clinician continuity 17 22 englishspeaking latinas blacks likely whites prefer receiving reproductive health care site delivering general health care 15 16 groups latinas less likely whites give facility environment patientcenteredness recent reproductive health visit highest rating 0305 blacks likely whites report ever pressured clinician use contraceptives 23 conclusions efforts reduce racial ethnic language group differences clients perceptions reproductive health service quality focus improving clientclinician communication service environment contraceptive counseling future research continue assess group differences try determine underlying causes
https://doi.org/10.1080/1331677x.2018.1504689
Hassan Mahmoodi|Sahar Dalvand|Reza Ghanei Gheshlagh|Amanj Kurdi
A Systematic Review and Meta-Analysis of Health Literacy in the Iranian Population: Findings and Implications
2,019
University of Tabriz|Tehran University of Medical Sciences|Kurdistan University of Medical Sciences|University of Strathclyde
context health literacy includes social cognitive skills determining individuals motivation obtain understand health information thus empowers promote healthy behaviors exact level health literacy iranian population unknown different iranian studies reported different health literacy rates iranian population objectives therefore study aimed investigate health literacy iranian population systematically combining analyzing findings previous studies methods total 26 articles persian english published december 2017 reviewed searching articles keywords prevalence abundance health literacy iran conducted following national international databases scientific information database sid medline magiran web science sciencedirect google scholar pubmed scopus data analyzed using metaanalysis method random effects model heterogeneity among studies examined using i2 statistic statistical analysis performed using stata version 12 results highest levels health literacy region 1 iran including following provinces alborz tehran qazvin mazandaran semnan golestan ghom 467 95 ci 257 677 moreover pregnant women 374 95 ci 27 533 highest level health literacy contrast older people 602 95 ci 437 768 patients diabetes 554 95 ci 356 752 lowest health literacy levels conclusions lowest health literacy level older people patients diabetes therefore seems necessary provide education communities groups inadequate health literacy levels especially older people patients chronic diseases improve health
https://doi.org/10.1146/annurev-nutr-111120-094932
Noralou P. Roos|Leslíe L. Roos|Marni Brownell|Emma Fuller
Enhancing Policymakers’ Understanding of Disparities: Relevant Data from an Information-Rich Environment
2,010
University of Manitoba|University of Western Australia|University of Manitoba|University of Western Australia|University of Manitoba|University of Western Australia|University of Manitoba|University of Western Australia
context informationrich environments access funding provided government make possible organize longitudinal administrative data support analyses policyrelevant questions paper describes insights childrens wellbeing social equity obtained data available manitoba canada highlights findings engaged policymakers methods analyses draw manitobalinked data providing information time going back 1970 files across space residential location documented every six months provincial resident routinely collected data ministries health education family services consumer affairs integrated population registry findings identifying risk factors presenting outcomes social groups local communities capture attention policymakers linking individuals area residence census health data led developing measures population health status socioeconomic status measures focus whether delivery patterns track health educational needs population registry makes possible describe served program conclusions nature health social research changed development informationrich environments many findings manitoba could replicated without population registry engaging decision makers effective presentations ensure continuing support diverse efforts based environments article suggests ways better communicating policymakers
https://doi.org/10.22219/jpbi.v3i3.4597
Irene Falgàs|Zorangelí Ramos|Lizbeth Herrera|Adil Qureshi|Ligia M. Chávez|Covadonga Bonal|Samantha McPeck|Ye Wang|Benjamin Lê Cook|Margarita Alegr??a
Barriers to and Correlates of Retention in Behavioral Health Treatment Among Latinos in 2 Different Host Countries: The United States and Spain
2,017
Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance|Universitat Autònoma de Barcelona|Massachusetts General Hospital|Harvard University|University of Puerto Rico System|Hospital Universitario Fundación Jiménez Díaz|Cambridge Health Alliance
context latino immigrants constitute large portion spanish us immigrant populations yet dearth research exists regarding barriers retention behavioral health care objectives identify compare perceived barriers related behavioral health care among first secondgeneration latinos boston madrid barcelona evaluate whether frequency behavioral health care use last year related barriers design setting participants data obtained international latino research partnership project first secondgeneration selfidentified latino immigrants aged 18 years resided 1 year host country recruited community agencies primary care mental health substance abuse hiv clinics main outcome measures eleven barriers assessed compared across sites relationship barriers behavioral services visits within last year evaluated adjusting sociodemographics clinical measures degree health literacy cultural social factors results wanting handle problem ones thinking treatment would work unsure go see frequently reported barriers latino immigrants previous treatment failure difficulties transportation scheduling linguistic barriers likely reported boston trying deal mental health problems ones commonly reported barcelona madrid two barriers associated number visits concerns cost services uncertainty go see conclusions adjusting sociodemographics clinical measures degree health literacy cultural social factors barriers still differed significantly across sites efforts improve behavioral health services must tailored immigrants context attention changing attitudes selfreliance outreach improve access retention care
https://doi.org/10.3390/w9040292
Johna K. Register?Mihalik|Kevin M. Guskiewicz|Tamara C. Valovich McLeod|Laura Linnan|Frederick O. Mueller|Stephen W. Marshall
Knowledge, Attitude, and Concussion-Reporting Behaviors Among High School Athletes: A Preliminary Study
2,013
WakeMed|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|A.T. Still University|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
context many athletes continue participate practices games experiencing concussionrelated symptoms potentially predisposing subsequent complicated brain injuries limited evidence exists factors may influence concussionreporting behaviors objective examine influence knowledge attitude concussionreporting behaviors sample high school athletes design crosssectional study setting participants completed validated survey instrument via mail patients participants total 167 high school athletes 97 males 55 females 5 sex indicated age 157 14 years participating football soccer lacrosse cheerleading interventions athlete knowledge attitude scores served separate predictor variables main outcome measures examined proportion athletes reported continuing participate games practices symptomatic possible concussion selfreported proportion recalled concussion bellringer events disclosed possible concussive injury results 40 concussion events 13 bellringer recalled events sample disclosed possible concussive injury increased athlete knowledge concussion topics increase 1 standard deviation 28 points associated increased reporting prevalence concussion bellringer events occurring practice prevalence ratio pr 227 95 confidence interval ci 160 321 reporting prevalence bellringeronly events overall pr 187 95 ci 138 254 athlete attitude scores increase 1 standard deviation 115 points associated decreases proportion athletes stating participated games pr 074 95 ci 066 082 practices pr 067 95 ci 059 077 symptomatic concussions conclusions recalled concussion events study reported supervising adult clinicians aware knowledge attitude influence concussion reporting clinicians administrators make concussion education priority encourage optimal reporting environment better manage prevent concussive injuries young athletes
https://doi.org/10.1177/2053951715617783
Rameez Hussain|Bindu Rajesh|Giridhar Anantharaman|Mahesh Gopalakrishnan|Sanjai Sadasivan|Justin James|Pradeep Padickal Vijayan|Nelson John
Knowledge and awareness about diabetes mellitus and diabetic retinopathy in suburban population of a South Indian state and its practice among the patients with diabetes mellitus: A population-based study
2,016
Chaithanya Eye Hospital and Research Institute|Chaithanya Eye Hospital and Research Institute|Chaithanya Eye Hospital and Research Institute|Chaithanya Eye Hospital and Research Institute|Chaithanya Eye Hospital and Research Institute|Chaithanya Eye Hospital and Research Institute|Chaithanya Eye Hospital and Research Institute|Chaithanya Eye Hospital and Research Institute
context ocular complications due diabetes mellitus dm rise despite good literacy levels south india aims assess knowledge attitude toward dm diabetic retinopathy general population suburban town south india settings design doortodoor population survey suburban town south india may 2013 materials methods 30point questionnaire prepared data collected analyzed determine statistically knowledge attitude practice kap scores general diabetic population also determine significant demographic associations results study 6211 people 3528 568 women 2683 432 men mean age 556 117 years range 2198 years included good knowledge positive attitude observed 3457 556 3280 528 people among 1538 254 people known dm 619 407 good knowledge 828 538 positive attitude 886 576 good practice patterns although half followed general diabetic care 96 undergone screening retinopathy literacy showed significant association good kap p 0001 general population dm overall women significantly better knowledge p 0001 conclusions better literacy especially among women contributory better public awareness however trend poor practice patterns needs radically changed aggressive public motivation emphasizing necessity retinopathy screening periodic followups
https://doi.org/10.1103/physrevphyseducres.19.020156
Fatemeh Lohrasbi|Ehteram Sadat Ilali|Nouraddin Mousavi Nasab|Tahereh Yaghoubi
Factors associated with health literacy and medication adherence in the elderly patients with chronic kidney diseases
2,021
Mazandaran University of Medical Sciences|Mazandaran University of Medical Sciences
context one main factors related health literacy chronic kidney disease ckd medication adherenceaims present study aimed investigate factors associated health literacy medication adherence older adults ckd referring imam khomeini amol nephrology clinic 2018setting design descriptiveanalytical study performed 2018 imam khomeini amol nephrology clinicmaterials methods study performed 150 elderly ckd patients aged 60 years sampling done using available sampling method anticipation confounders demographic information elderly health literacy medication adherence assessed using questionnaire interviewstatistical analysis used data described mean standard deviation frequency analyzed using chisquare testsresults results showed age participants 643 389 years 40 elderly inadequate health literacy 393 insufficient health literacy 207 insufficient health literacy excellent health literacy observed none patients results showed statistically significant relationship health literacy medication adherence p 005 chisquare test showed higher health literacy medication adherenceconclusion according results study low level health literacy direct relationship medication adherence said attention nurses needed promote follow drug adherence educating patients low levels health literacy prevent progression disease convert drug therapy dialysis
https://doi.org/10.1128/jmbe.v19i1.1450
Gandhari Basu|Dipanjan Nandi|Sujata Biswas|Sujit Kumar Roy
Quality of life and depression among diabetic patients attending the lifestyle clinic of a teaching hospital, West Bengal
2,021
College of Medicine & JNM Hospital|West Bengal University of Health Sciences|College of Medicine & JNM Hospital|West Bengal University of Health Sciences|College of Medicine & JNM Hospital|West Bengal University of Health Sciences|College of Medicine & JNM Hospital|West Bengal University of Health Sciences
context coexistence diabetes depression resulted poor quality life reported literature suggested need research assessing correlates quality life along depression diabetic persons aims assess quality life qol prevalence depression associated factors diabetic patients attending lifestyle clinic tertiary healthcare facility eastern india settings design hospitalbased descriptive crosssectional research recruited 219 patients diabetes assess qol depression lifestyle clinic tertiary healthcare facility methods materials quality life assessed help world health organization qol bref instrument depression determined standardized patient health questionnaire 9phq9 sociodemographic diabetesrelated information collected semistructured questionnaire clinical anthropometric examinations conducted statistical analysis used available data initially coded analyzed using spss 220 licensed software results participants median age 54 years illiteracy significantly among females hypertension common comorbidity genderwise difference mean weight height hip circumference qol score psychosocial domain significant mean qol score least social domain highest environmental domain literate patients statistically significantly better qol depression observed significantly females illiterates unemployed respondents conclusions diabetic women lesser literacy increased risk poor qol women illiterates unemployed suffered depression therefore targetspecific routine wellplanned clinic approach needed improve qol mental health respondents
https://doi.org/10.1186/1744-859x-13-2
Sandeep Goyal|Paramjit Singh|Parshotam D Gargi|Surbhi Goyal|Aseem Garg
Psychiatric morbidity in prisoners
2,011
Public Works Department Buildings and Roads|Government Medical College, Amritsar|Government Medical College, Amritsar|Government Medical College, Amritsar|Government Medical College, Amritsar|Government Medical College, Amritsar
context prevalence psychiatric illness correctional settings significantly elevated higher community rates reported mental disorders aims 1 examine sociodemographic profile convicted prisoners 2 evaluate prevalence psychiatric disorders convicted prisoners materials methods 500 convicts assessed psychiatric morbidity help sociodemographic proforma b pareek udai trivedi gs socioeconomic status scale rural household schedule c kuppuswamys economic status scale urban present state examination pse results 238 convicted prisoners suffering psychiatric illness excluding substance abuse 564 prisoners history substance abuse dependence prior incarceration conclusions results suggest substantial burden psychiatric morbidity exists prison population india burden psychiatric illness vulnerable marginalized population poses serious challenge psychiatrists
https://doi.org/10.2991/assehr.k.220503.094
null
null
2,021
Universidade Luterana do Brasil|Universidade Luterana do Brasil
context production scientific knowledge clearly understood individuals information age society faces challenges generated discrediting institutions including science proliferation false news disinformation relativisation truth significant issues school cannot refrain discussing wants educate citizenship objectives investigate conceptions science influence influenced fake news conveyed media contribution literacy minimise effects misinformation design methodology used research used mixedmethods approach content analysis students responses combined descriptive statistical techniques environment participants research carried 32 students divided two groups attending 9th grade elementary public school bom princpiors data collection analysis two questionnaires applied one conceptions science another identify fake news results students limited view science find difficult identify fake news verification criteria correlation student perceptions identification false news observed conclusions knowledge science possibly enhances students perception doubtful information crucial develop mediatic information literacy skills positively impact identification fake news reduce shares
https://doi.org/10.47524/lipr.v4i1.42
Cláudia Regina Furquim de Andrade|Luciana Maluf Cervone|Fernanda Chiarion Sassi
Relationship between the stuttering severity index and speech rate
2,003
Universidade de São Paulo|Universidade de São Paulo|Universidade de São Paulo
context speech rate one parameters considered investigating speech fluency important variable assessment individuals communication complaints objective correlate stuttering severity index one indices used assessing fluencyspeech rate design crosssectional study setting fluency fluency disorders investigation laboratory faculdade de medicina da universidade de paulo participants seventy adults stuttering diagnosis main measurements speech sample participant containing least 200 fluent syllables videotaped analyzed according stuttering severity index test speech rate parameters results results obtained study indicate stuttering severity speech rate present significant variation ie severe stuttering lower speech rate words syllables per minute discussion conclusion results suggest speech rate important indicator fluency levels incorporated assessment treatment stuttering study represents first attempt identify possible subtypes developmental stuttering definition objective tests quantify diseases important diagnosis treatment prognosis
https://doi.org/10.3390/su132111878
Sue Ziébland|Sally Wyke
Health and Illness in a Connected World: How Might Sharing Experiences on the Internet Affect People's Health?
2,012
University of Oxford|University of Glasgow
context use internet peertopeer connection one dramatic transformational features yet new field agreement theoretical methodological basis scientific base underpinning activity needs strengthening especially given explosion web resources feature experiences posted patients review informs national institute health research nihr uk research program impact online patients accounts experiences health health care includes development validation new ehealth impact questionnaire methods drew realist review methods conduct conceptual review literature social health sciences developed matrix summarize results distilled wide diverse reading literature continued reading reached data saturation refined results testing expert colleagues public user panel findings identified seven domains online patients experiences could affect health potential positive negative impacts five identified domains finding information feeling supported maintaining relationships others affecting behavior experiencing health services relatively well rehearsed two learning tell story visualizing disease less acknowledged important features online resources conclusions value firstperson accounts appeal memorability stories need make contact peers strongly suggest reading hearing others accounts experiences health illnesss remain key feature ehealth act participating creation health information eg blogging contributing social networking health topics also influences patients experiences implications understanding role health care management information
https://doi.org/10.1186/s12889-021-12271-w
Timothy Davis|Simon G A Brown|Ian Jacobs|Max Bulsara|David Bruce|Wendy A. Davis
Determinants of Severe Hypoglycemia Complicating Type 2 Diabetes: The Fremantle Diabetes Study
2,010
University of Western Australia|University of Western Australia|University of Western Australia|The University of Notre Dame Australia|University of Western Australia|University of Western Australia
context limited published data characterizing severe hypoglycemia complicating type 2 diabetes
https://doi.org/10.1016/s0140-6736(21)00634-6
Narges Mirjalili|Ali Ansari Jaberi|Kimia Ansari Jaberi|Tayebeh Negahban Bonabi
The role of maternal health literacy in breastfeeding pattern
2,018
Rafsanjan University of Medical Sciences|Iranshahr University|Yazd University|Rafsanjan University of Medical Sciences|Kerman University of Medical Sciences
context today exclusive breastfeeding first 6 months infants life become challenging issue healthcare system seems health literacy important element womens ability understanding processing practice health informationaims aim study determining relationship maternal health literacy breastfeeding patternsetting design crosssectional study conducted comprehensive healthcare centers rafsanjan iran materials methods study 461 mothers 6month infants referred comprehensive healthcare centers november 2015 may 2016 selected quota systematic sampling method data collection tools demographic standard health literacy iranian adults breastfeeding pattern questionnaires statistical analysis used data analyzed using descriptive statistics mean standard deviation frequency chisquare anova test significant level 005results rate starting breastfeeding 1st h birth 701 exclusive breastfeeding rate 6 months 688 health literacy 52 mothers inadequate 718 adequate excellent significant statistical relationship breastfeeding early postpartum period breastfeeding pattern mothers health literacy levelconclusion breastfeeding pattern mothers independent health literacy seems take place influence personal socialcultural factors
https://doi.org/10.24093/awej/vol11no4.23
Lydia Lichtenberger-Geslin|Sophie Dos Santos|Yasmine Hassani|Emmanuel Écosse|T. Van Den Abbeele|Juliane Léger
Factors Associated With Hearing Impairment in Patients With Congenital Hypothyroidism Treated Since the Neonatal Period: A National Population-Based Study
2,013
Hôpital Robert-Debré|Assistance Publique – Hôpitaux de Paris|Hôpital Robert-Debré|Assistance Publique – Hôpitaux de Paris|Hôpital Robert-Debré|Assistance Publique – Hôpitaux de Paris|Hôpital Robert-Debré|Assistance Publique – Hôpitaux de Paris|Délégation Paris 7|Sorbonne Paris Cité|Université Paris Cité|Hôpital Robert-Debré|Assistance Publique – Hôpitaux de Paris|Sorbonne Paris Cité|Université Paris Cité|Inserm|Hôpital Robert-Debré|Assistance Publique – Hôpitaux de Paris|Délégation Paris 7
context untreated hypothyroidism known impair hearing little known longterm hearing patients treated congenital hypothyroidism ch since neonatal period objective purpose study assess hearing determinants populationbased registry young adult patients ch design setting participants selfdeclared hearing loss evaluated 1202 1748 eligible patients ch completed questionnaire health status median age 234 years audiograms obtained one third patients declaring hearing loss 37 107 main outcome measures selfdeclared hearing loss audiogram characteristics patients reporting hearing impairment measured results patients risk selfdeclared hearing loss 3 times higher reference population relative risk rr 37 95 confidence interval ci 2947 hearing impairment diagnosed median age 70 25th75th percentiles 34190 years 17 affected patients required hearing support early adulthood hearing loss associated type ch patients athyreosis gland situ frequently affected ectopic gland rr 261 95 ci 177388 disease severity assessed bone maturation delay time diagnosis least one knee epiphyseal ossification center absent severe form rr 229 95 ci 139379 associated chronic diseases rr 364 95 ci 235562 trend association serum free t4 concentration diagnosis also observed rr 147 95 ci 096223 hearing loss mostly bilateral 90 mild moderate 96 sensorineural type 76 concerned high high frequencies conclusion despite major improvements prognosis hearing loss remains significant problem particularly patients severe ch parents primary care providers aware risk early diagnosis intervention could improve longterm prognosis patients
https://doi.org/10.1093/gerona/glaa163
Reshma Shah|Sarah Kennedy|Maureen D. Clark|Sarah Bauer|Alan M. Schwartz
Primary Care–Based Interventions to Promote Positive Parenting Behaviors: A Meta-analysis
2,016
University of Chicago|University of Illinois at Chicago|Lurie Children's Hospital|Northwestern University
context utilization primary care settings offers promising approach enhance parenting practices critical promoting early childhood development determining impact existing primary care interventions key parenting behaviors aid providers policy makers seek strategies improve early child outcomes objective evaluate efficacy primary carebased interventions parenting practices promote early child development among children younger 36 months data sources pubmed excerpta medica database psycinfo cumulative index nursing allied health literature databases searched electronically study selection englishlanguage articles quasirandomized randomized controlled trials included parents children amplt36 months age reported outcomes related parenting behaviors promote early child development data extraction two reviewers independently extracted data regarding participants interventions outcomes quantitative metaanalyses conducted random effects study fitted restricted maximum likelihood methods results review included 13 studies reporting parenting outcomes 2 categories participation cognitively stimulating activities positive parentchild interactions found statistically significant positive effect primary caredelivered interventions parentchild interactions summary standardized mean difference 029 95 confidence interval ci 006052 p amplt 0001 participation cognitively stimulating activities summary standardized mean difference 034 95 ci 003054 summary odds ratio 013 95 ci 001025 p amplt 0001 limitations limitations included heterogeneity measures used outcomes timing assessments conclusions primary carebased interventions modestly affect positive parenting behaviors important early childhood development randomized controlled trials comparable outcome measures using standardized assessments needed assess beneficial impacts
https://doi.org/10.36660/abc.20210447
Melissa M. Garrido|Tracy A. Balboni|Paul K. Maciejewski|Yuhua Bao|Holly G. Prigerson
Quality of Life and Cost of Care at the End of Life: The Role of Advance Directives
2,015
James J. Peters VA Medical Center|Icahn School of Medicine at Mount Sinai|Dana-Farber Cancer Institute|Harvard University|Cornell University|Cornell University|Cornell University
contextadvance directives ads expected improve patients endoflife outcomes retrospective analyses surrogate recall patients preferences selection bias hampered efforts determine ads effects patient outcomesobjectivesthe aim examine associations among ads quality life estimated costs care week deathmethodswe used prospective data interviews 336 patients advanced cancer caregivers analyzed patient baseline interview caregiver provider postmortem evaluation data coping cancer study cost estimates healthcare cost utilization project nationwide inpatient sample published medicare payment rates cost estimates outcomes quality life range 010 estimated costs care received week death patient endoflife care preferences influence ad completion care use analyses stratified preferences regarding heroic endoflife measures everything possible remain aliveresultsmost patients want heroic measures 76 donotresuscitate dnr orders associated higher quality life 075 standard error 030 p 001 across entire sample statistically significant relationships dnr orders outcomes among patients stratified patient preference living willsdurable powers attorney outcomes patient groupsconclusionthe associations dnr orders better quality life week death indicate documenting preferences resuscitation medical orders may beneficial many patients
https://doi.org/10.3399/bjgpo.2021.0040
Donna King
New perspectives on context-based chemistry education: using a dialectical sociocultural approach to view teaching and learning
2,012
Queensland University of Technology
contextbased chemistry education aims improve student interest motivation chemistry connecting canonical chemistry concepts realworld contexts implementation contextbased chemistry programmes began 20 years ago attempt make learning chemistry meaningful students paper reviews programmes empirical studies six international courses chemcom usa salters uk industrial science israel chemie im kontext germany chemistry practice netherlands plon netherlands studies categorised emergent characteristics relevance interestattitudesmotivation deeper understanding characteristics found extent number curricular initiatives sciencetechnologysociety approaches problembased learning projectbased science latter often incorporates inquirybased approach science education initiatives science education also considered focus characteristics approaches emphasised contextbased education curricular studies provide starting point discussing contextbased approaches chemistry advance understanding students connect canonical science concepts realworld context new theoretical framework required dialectical sociocultural framework originating work vygotsky used referent analysing complex human interactions occur contextbased classrooms providing teachers recent information pedagogical structures resources afford students agency learn
https://doi.org/10.1007/s11136-020-02724-x
Yujun Zhu|Susan Enguídanos
When Patients Say They Know About Palliative Care, How Much Do They Really Understand?
2,019
University of Southern California|University of Southern California
contextlack knowledge misconceptions palliative care pc serve barriers accessing pc seriously ill patients although selfreported rates pc knowledge increasing little known selfreports relate actual pc knowledgeobjectiveto determine prevalence pc knowledge portion reporting knowledgeable actual pc knowledge basic pc principalsmethodswe used health information national trends survey 5 cycle 2 nationally representative data set describe prevalence selfreported pc knowledge conducted chisquared test compare selfrated pc knowledge level actual knowledge finally ran logistic regression examine selfreported knowledge level age cancer history associated actual pc knowledgeresultsabout 34 participants selfreported least knowledge pc 41 reporting familiarities pc able answer three basic pc questions correctly rates correct responses cancer patients similar 42 general sample older adults lower 35 compared less high school education people bachelors degree postbaccalaureate degree higher odds ratio 2107 2307 respectively actual understanding pcconclusionswe found selfreported pc knowledge may reflect actual pc knowledge physicians carefully explain pc introducing patients addition pc information provided low literacy level ensure widespread understanding service
https://doi.org/10.3855/jidc.15214
Mati Nejmi|Xin Shelley Wang|Tito R. Mendoza|Ibrahima Gning|Charles S. Cleeland
Validation and Application of the Arabic Version of the M. D. Anderson Symptom Inventory in Moroccan Patients With Cancer
2,010
Institut National d'Oncologie|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center
contextlittle known symptom burdena concept encompassing symptom severity degree symptom interference daily livingin patients cancer morocco countries arabicspeaking populationsobjectivesthe goal study psychometrically validate arabic version anderson symptom inventory mdasia tool measuring multiple symptoms patients cancer test utility sample patients latestage cancer moroccomethodsthe mdasia developed standard forwardbackward translation english mdasi used nonidiomatic arabic mdasia enhance possible usefulness arabicspeaking patients cancer one hundred sixtyfive arabicspeaking patients various cancer types recruited city hospital rabat morocco mdasia administered interview 5 patients high school educationresultspsychometric analysis demonstrated acceptable internal consistency cronbach alpha values 085 19 items 078 symptom severity items 079 interference items knowngroup validity demonstrated significant differences mean symptom severity interference patients good vs poor performance status patients moderate severe pain taking pain medications additional severe symptoms included fatigue lack appetite disturbed sleep patients gastrointestinal gynecological cancer reported relatively symptom severity patients breast lung cancer poor performance status male gender current infection significant predictors high symptom interference r2048 p005conclusionthe mdasia valid reliable patientreported outcome instrument used assess moroccan arabicspeaking cancer patients multiple symptoms utility use arab countries needs tested
https://doi.org/10.2147/ppa.s293647
Elaine Wittenberg?Lyles|Joy Goldsmith|Debra Parker Oliver|George Demiris|Robin L. Kruse|Stephanie Van Stee
Exploring Oral Literacy in Communication With Hospice Caregivers
2,013
Markey Cancer Center|University of Kentucky|Young Harris College|University of Missouri|University of Washington|University of Missouri|University of Kentucky
contextlow oral literacy identified barrier pain management informal caregivers receive verbal instructions pain medication pain protocolsobjectivesto examine recorded communication hospice staff informal caregivers explore caregiver experiencesmethodsusing transcripts interactions n 47 oral literacy features analyzed examining generalized language complexity using fleschkincaid grading scale dialogue interactivity defined talking turns interaction time means longitudinal followup measures caregiver anxiety quality life perception pain management knowledge comfort providing pain medication satisfaction examined explore relationship oral literacyresultscommunication team members caregivers averaged fourthgrade level fleschkincaid scale indicating communication easy understand reading ease associated r 067 p 005 caregiver understanding comfort pain management perceived barriers caregiver pain management lower sessions increased use passive sentences r 061 p 001 suggesting passive voice accurate indicator language complexity caregiver understanding comfort administering pain medications r 082 p 001 caregiver quality life r 049 p 005 negatively correlated dialogue paceconclusionas grade level talk caregivers hospice teams increased associated caregiver anxiety increased caregivers higher anxiety also experienced greater difficulty understanding pain medication management specific adjustments hospice teams make improve caregiver experiences identified
https://doi.org/10.1007/s11191-021-00222-1
Justina Yat Wa Liu|Michelle Briggs|S. José Closs
The Psychometric Qualities of Four Observational Pain Tools (OPTs) for the Assessment of Pain in Elderly People with Osteoarthritic Pain
2,010
Hong Kong Polytechnic University|University of Leeds|University of Leeds
contextpain cognitively impaired elderly people ciep often goes unrecognized observational pain tools opts designed limited evidence support psychometric qualitiesobjectivesthis study compared four opts pain assessment advanced dementia painad abbey pain scale abbey ps pain assessment checklist seniors limited ability communicate pacslac discomfort scaledementia alzheimer type dsdat two selfreport scales two proxyreport scales assessing osteoarthritic oa pain among ciepmethodsparticipants n124 divided two groups cognitively intact impaired observed two raters simultaneously rest standardized exercise program besides reliabilities correlation opts selfreportproxyreport scores evaluated opt scores collected different activity levels compared establish convergent discriminant validity confirmatory factor analysis used evaluate construct validityresultssimilar accepted patterns reliabilityvalidity obtained opts better levels psychometric properties consistently obtained exercise however single construct oa pain appeared painad abbey ps deletion breathing physiological change indicators respectively showed opts better used detect oa pain pain triggered movement ie exercise programconclusionthe painad abbey ps appeared reliable valid assessing oa pain using exercise program among elderly people regardless cognitive ability
https://doi.org/10.55131/jphd/2022/200318
Donna M. Windish|Stephen J. Huot|Michael L. Green
Medicine Residents' Understanding of the Biostatistics and Results in the Medical Literature
2,007
null
contextphysicians depend medical literature keep current clinical information little known residents ability understand statistical methods appropriately interpret research outcomesobjectiveto evaluate residents understanding biostatistics interpretation research resultsdesign setting participantsmultiprogram crosssectional survey internal medicine residentsmain outcome measurepercentage questions correct biostatisticsstudy design multiplechoice knowledge testresultsthe survey completed 277 367 residents 755 11 residency programs overall mean percentage correct statistical knowledge interpretation results 414 95 confidence interval ci 397433 vs 715 95 ci 575855 fellows general medicine faculty research training p lt 001 higher scores residents associated additional advanced degrees 500 95 ci 445555 vs 401 95 ci 383420 p lt 001 prior biostatistics training 452 95 ci 427478 vs 379 95 ci 354403 p 001 enrollment universitybased training program 430 95 ci 410451 vs 363 95 ci 326400 p 002 male sex 440 95 ci 414467 vs 388 95 ci 364411 p 004 individual knowledge questions 816 correctly interpreted relative risk residents less likely know interpret adjusted odds ratio multivariate regression analysis 374 results kaplanmeier analysis 105 seventyfive percent indicated understand statistics encountered journal articles 95 felt important understand concepts intelligent reader literatureconclusionsmost residents study lacked knowledge biostatistics needed interpret many results published clinical research residency programs include effective biostatistics training curricula successfully prepare residents important lifelong learning skill
https://doi.org/10.1111/hsc.13948
Janet J. Lee|Alan Long|J. Randall Curtis|Ruth A. Engelberg
The Influence of Race/Ethnicity and Education on Family Ratings of the Quality of Dying in the ICU
2,016
University of Washington|University of Washington|University of Washington|University of Washington
contextracial ethnic differences endoflife care may attributable patient preferences healthcare disparities identifying factors differentiate preferences disparities may enhance endoflife care critically ill patients familiesobjectivesto understand association minority raceethnicity education family ratings quality dying death taking consideration possible markers patient family preferences endoflife care mediators associationmethodsdata obtained 15 intensive care units participating clusterrandomized trial palliative care intervention family members decedents completed selfreport surveys evaluating quality dying used regression analyses identify associations raceethnicity education quality dying ratings used path analyses investigate whether advance directives lifesustaining treatment acted mediators patient characteristics ratings quality dyingresultsfamily members returned 1290 surveys 2850 decedents patient family minority raceethnicity associated lower ratings quality dying presence living dying setting full support mediated relationship patient race family ratings patient race exerted indirect rather direct effect quality dying family minority race direct effect lower ratings quality dying neither patient family education associated quality dyingconclusionminority raceethnicity associated lower family ratings quality dying association mediated factors may markers patient family preferences living death setting full support family member minority raceethnicity directly associated lower ratings quality dying findings generate hypothesized pathways require future evaluation
https://doi.org/10.1016/j.cegh.2020.08.017
Lingxin Hao|Alfred Ko-wei Hu|Jamie O. Lo
Two Aspects of the Rural-Urban Divide and Educational Stratification in China: A Trajectory Analysis
2,014
null
contextualized chinas social change past halfcentury paper develops notion dichotomous inequality conceptualize two aspects chinas ruralurban divide educational inequalitythe household registration system hukou assigns people topbottom hierarchy ruralurban schooling system institutionalizes unequal resource distribution diverse school mission based conceptualization formulate chinese version maximally maintained inequality mmi hypothesis capitalize individual educational history data china general social survey cgss 2008 conduct trajectory analysis using generalized mixture modeling estimate differential effects two aspects ruralurban divide educational inequality china findings indicate 1 sorting mechanism rural hukou places ruralhukou people bottom educational stratification 2 penalty attending rural pretertiary school increases educational stages 3 cumulative disadvantage rural hukou rural school overall findings attest chineseversion mmi behind principle inequality reproduction
https://doi.org/10.3389/feduc.2021.638470
Hala Sacre|Samah Tawil|Souheil Hallit|Aline Hajj|Georges Sili|Pascale Salameh
Attitudes of Lebanese pharmacists towards online and live continuing education sessions
2,019
Holy Spirit University of Kaslik|Saint Joseph University|Lebanese University
continuing education ce internationally recommended approach lifelong learning model pharmacists enabling maintain necessary knowledge skills ethical attitudes remain current competent practicethe objective study 1 describe factors associated taking different types ce courses among pharmacists lebanon 2 assess correlation types ce activity attitude lebanese pharmacists motivation value computer literacythis crosssectional observational study conducted february may 2017 using random sample lebanese pharmacists districts lebanon pharmacists eligible participate sample consisted agreed complete questionnaire questionnaire includes questions computer literacy motivation value ce addition sociodemographic characteristics pharmacistsout 750 questionnaires distributed 628 8373 filled returned analyzed mean age participants 3904 sd 1057 years 669 females 411 bachelor degree pharmacy worked mount lebanon among 628 respondents 567 903 earned least one ce credit 54 took mainly online courses 154 took mainly live courses remaining took types ce higher motivation aor105 ci 09941109 higher value aor1076 ci 09681197 associated higher odds taking live ce courses higher motivation aor107 95ci 09941152 associated higher odds taking online ce courses higher motivation aor1059 95ci 10061114 higher general confidence computer use aor1058 95ci 10121106 significantly associated higher odds taking types ce coursesa high percentage lebanese pharmacists enrolled ce system mainly driven motivation value ce addition higher general confidence computer use efforts exerted lebanese order pharmacists motivate pharmacists help improve computer literacy expected improve enrollment ce activities also completion ce requirements
https://doi.org/10.1007/s11205-022-02922-9
Tzu I. Tsai|Shu Her Huang|Shoou Yih D. Lee
Maternal and Hospital Factors Associated with First-Time Mothers' Breastfeeding Practice: A Prospective Study
2,015
National Yang Ming Chiao Tung University|National Yang Ming Chiao Tung University|National Yang Ming Chiao Tung University|National Yang Ming Chiao Tung University|University of Michigan–Ann Arbor
continuity breastfeeding infrequent indeterminate evidence lacking regarding factors associated breastfeeding different postpartum time points prospective study investigated change correlates breastfeeding practices delivery hospital 1 3 6 months postpartum among firsttime mothers followed cohort 300 primiparous mothers taiwan gave birth two hospitals 20102011 logistic cox regression analyses performed determine factors correlated breastfeeding practices study sample rate exclusive breastfeeding hospital stay 66 declined 375 1 month 302 3 months postpartum 171 women reported continuing breastfeeding 6 months early initiation breastfeeding roomingin practice selfefficacy significantly related exclusive breastfeeding hospital stay discharge health literacy knowledge intention selfefficacy positively significantly associated breastfeeding exclusivity later initiation hazard ratio153 95 confidence interval 105 197 shorter intention hazard ratio142 95 confidence interval 113 168 selfefficacy hazard ratio098 95 confidence interval 096 099 important predictors breastfeeding cessation within 6 months delivery continuous breastfeeding practice 6 months challenging difficult new mothers results showed factors related breastfeeding varied time delivery interventions seeking sustain breastfeeding consider new mothers needs barriers different times
https://doi.org/10.11604/pamj.2021.38.230.27325
Paola A. Sequeira|Lucy Montoya|Valerie Ruelas|Dongyuan Xing|Vincent Chen|Roy W. Beck|Anne L. Peters
Continuous Glucose Monitoring Pilot in Low-Income Type 1 Diabetes Patients
2,013
University of Southern California|University of Southern California|University of Southern California|Jaeb Center for Health Research|Jaeb Center for Health Research|Jaeb Center for Health Research|University of Southern California
continuous glucose monitoring cgm shown valuable tool improve glycemic control patients diabetes objective pilot study develop implement cgm existing diabetes clinic lowincome patients multiple daily injectionsthis singlecenter prospective randomized controlled crossover pilot study initial focus groups held create lowliteracy spanish english guides use carbohydrate counting cgm tools implemented train participants carbohydrate counting insulin adjustments participants subjects randomized start group cgm group b selfmonitoring blood glucose switched 28 weeks hemoglobin a1c hba1c obtained baseline end study phasestwentyfive economically challenged primarily latino participants minimal prior education intensive diabetes management completed study significant reduction hba1c decrease time spent parameters low high blood glucose shown however eighty percent participants completed study wanted continue use cgm research study participants also felt cgm made adjusting insulin easiercgm implemented patients lowincome public clinic however hba1c reduction achieved given underlying lack baseline selfmanagement knowledge longer trial might necessary see benefit cgm population
https://doi.org/10.3390/jcm10122629
Esther Mueller?Godeffroy|Reinhard Vonthein|C Ludwig-Seibold|Bettina Heidtmann|Claudia Boettcher|M Kramer|Nicole Heßler|Doerte Hilgard|Eggert Lilienthal|Andreas Ziegler|Verena Wagner
Psychosocial benefits of insulin pump therapy in children with diabetes type 1 and their families: The pumpkin multicenter randomized controlled trial
2,018
University of Lübeck|University of Lübeck|Landwirtschaftlichen Zentrums Baden-Württemberg?|Katholisches Kinderkrankenhaus Wilhelmstift|University of Giessen|University of Giessen|University of Lübeck|Gemeinschaftskrankenhaus Herdecke|St. Josef-Hospital|Ruhr University Bochum|University of Lübeck|University of KwaZulu-Natal|University of Lübeck|University of Rostock
continuous subcutaneous insulin infusion csii rise among pediatric patients type 1 diabetes mellitus metabolic effects alone cannot explain rising popularity patients perspective main benefits csii may found subjective psychosocial health outcomes patientreported outcomes proin multicenter open randomized controlled trial children adolescents aged 6 to16 years currently treated multiple daily injections mdi randomized 11 stratified center either starting csii immediately baseline interview continuing mdi waiting 6 months transmission csii primary outcomes patientreported diabetesspecific healthrelated quality life dhrqol diabetes burden main caregiver secondary outcomes caregiver stress fear hypoglycemia satisfaction treatment hba1ctwohundred eleven patients randomized february 2011 october 2014 186 caregivers 170 patients analyzed using intentiontotreat principle primary outcomes children 8 11 years csii group reported improved dhrqol followup compared mdi median difference md 95 95 confidence interval ci 36167 p 0004 treatment differences adolescent agegroup 12 16 years md 27 95 ci 3295 p 0353 main caregivers csii group reported significant decline overall diabetes burden followup compared mdi group md 0 95 ci 10 p 0029 secondary pros also favor csiicsii substantial psychosocial benefits pros demonstrate benefits registered nct01338922 clinicaltrialsgov
https://doi.org/10.1016/j.vaccine.2021.05.012
Larissa Nekhlyudov
Women's Decision-Making Roles Regarding Contralateral Prophylactic Mastectomy
2,005
Group Health Cooperative|University of Washington|Kaiser Permanente|Kaiser Permanente Center for Health Research|Harvard Pilgrim Health Care|Dana-Farber Cancer Institute|HealthPartners
contralateral prophylactic mastectomy cpm removal nonaffected breast woman unilateral breast cancer effective reducing risk recurrences little known womens decisionmaking roles regarding cpmwomen aged 1880 years cpm performed one six health maintenance organizations 1979 1999 surveyed determined womens reported decisionmaking roles time cpm analyzed trends time explored association decisionmaking roles psychosocial outcomes following cpmwe received 562 responses response rate 73 431 completed items needed analysis respondents white younger 55 years cpm married cpm within 10 years completing survey fortyfive percent made decision undergo cpm alone 37 considered doctors opinion 15 shared decision doctor 3 reported doctor primarily made decision women reporting active roles likely younger p0008 college educated p0001 cpm recently p 002 compared sharing decision doctors women active roles twice likely satisfied 6 months following cpm odds ratio 22 95 confidence interval ci 11 42 report current concern breast cancer 19 95 ci 10 34most women reported active shared roles decision making regarding cpm particularly younger women college education recent cpm women active roles often satisfied short term also likely report current concern breast cancer whether higher concern related insufficient input clinicians explored prospective data needed
https://doi.org/10.1007/s00787-021-01856-w
Daryl F. Mellard|Margaret Becker Patterson
Contrasting Adult Literacy Learners With and Without Specific Learning Disabilities
2,008
University of Kansas|University of Kansas
contrasting adult literacy learners without specific learning disabilities study 311 adult education ae learners found 29 selfreported specific learning disability sld significant differences demographic academic life experience variables adult learners without sld included prior participation special education sld diagnosis high school diploma low reading scores middle age negative perceptions limitations due reading abilities posthoc regression analysis found sld status significantly contributes variance reading level controlling age iq findings conclude sld status considered educationally relevant variable adult education warrants diagnostic clinical teaching approach
https://doi.org/10.1002/cl2.1060
Sigrid Hartong|Annina Förschler
Opening the black box of data-based school monitoring: Data infrastructures, flows and practices in state education agencies
2,019
Helmut Schmidt University|Helmut Schmidt University
contributing rising number critical data studies seek understand critically reflect increasing datafication digitalisation governance paper focuses field school monitoring particular digital data infrastructures flows practices state education agencies goal examine selected features enactment datafication hence open widely remained black box education researchers findings based interviews conducted three state education agencies two different national contexts us germany thus addressing question datafication digitalisation school governance manifested within also across educational contexts systems findings illustrate implementation databased school monitoring leadership state education agencies appears complex entanglement different logics practices problems producing new capabilities powers nonetheless identifying different types data discrepancies reported interviewees suggest analytical heuristic better understand least features multifaceted enactment databased increasingly digitalised governance within beyond field education
https://doi.org/10.1054/bjoc.1999.0912
Fereshteh Moradi-Panah|Eesa Mohammadi|A Z Mohammadil
Effect of music on anxiety, stress, and depression levels in patients undergoing coronary angiography
2,009
Tarbiat Modares University|Tarbiat Modares University|Shahid Beheshti University of Medical Sciences
control stress anxiety promotion comfort challenges facing health practitioners involved catheterization aim casecontrol study examine effect music levels anxiety stress depression experienced patients undergoing coronary angiography measured 21item depression anxiety stress scales differences pre postintervention scores demonstrated significant decreases mean scores state anxiety p 0006 stress p 0001 depression p 002 intervention group listened 20 minutes relaxing music compared control group 20 minutes bed rest
https://doi.org/10.19181/population.2022.25.3.15
David W. Putwain|Peter Wood|Reinhard Pekrun
Achievement emotions and academic achievement: Reciprocal relations and the moderating influence of academic buoyancy.
2,022
Liverpool John Moores University|Liverpool John Moores University|University of Essex|Australian Catholic University
controlvalue theory proposes achievement emotions impact achievement achievement outcomes ie success failure reciprocally influence development achievement emotionsacademic buoyancy adaptive response minor academic adversity might therefore offer protection achievement undermined negative achievement emotionsat present however little empirical evidence hypothesized relationsin study examined reciprocal relations three achievement emotions enjoyment boredom anxiety test performance context mathematics whether academic buoyancy moderated relations emotions test performancedata collected 1242 primary school students mean age 93 years four waves within one school yearachievement emotions t1 t3 test performance t2 t4 measured alternatelyacademic buoyancy measured t3a structural equation model showed negative relations anxiety subsequent test performance negative relations test performance subsequent anxietytest performance also predicted enjoyment boredom vice versaa latentinteraction structural equation model showed buoyancy moderated relations anxiety test performancetest performance highest anxiety low buoyancy highpractitioners consider using interventions reduce anxiety downstream effects achievement
https://doi.org/10.1080/10511253.2016.1192211
Nithya Sambasivan|Erin Arnesen|Ben Hutchinson|Tulsee Doshi|Vinodkumar Prabhakaran
Re-imagining Algorithmic Fairness in India and Beyond
2,021
Google (United States)|Google (United States)|Google (United States)|Google (United States)|Google (United States)
conventional algorithmic fairness westcentric seen subgroups values methods paper decenter algorithmic fairness analyse ai power india based 36 qualitative interviews discourse analysis algorithmic deployments india find several assumptions algorithmic fairness challenged find india data always reliable due socioeconomic factors ml makers appear follow double standards ai evokes unquestioning aspiration contend localising model fairness alone window dressing india distance models oppressed communities large instead reimagine algorithmic fairness india provide roadmap recontextualise data models empower oppressed communities enable fairml ecosystems
https://doi.org/10.1001/jama.2013.2366
Trevor Volkwyn|Saalih Allie|Andy Buffler|Fred Lubben
Impact of a conventional introductory laboratory course on the understanding of measurement
2,008
University of Cape Town|University of Cape Town|University of Cape Town|University of York
conventional physics laboratory courses generally include emphasis increasing students ability carry data analysis according scientific practice particular aspects relate measurement uncertainty study evaluates efficacy conventional approach analyzing understanding measurement freshmen following physics major sequence ie top achievers regard data collection data processing data comparison pre postinstruction tests using established instrument findings show laboratory course improved performance majority students insofar mechanical aspects data collection data processing concerned however 20 cohort physics majors exhibited deeper understanding measurement uncertainty required data comparison
https://doi.org/10.1016/j.cedpsych.2018.06.008
Alan R. Tait|Terri Voepel?Lewis|Colleen Brennan-Martinez|Maureen McGonegal|Robert J. Levine
Using Animated Computer-generated Text and Graphics to Depict the Risks and Benefits of Medical Treatment
2,012
Michigan Medicine|University of Michigan–Ann Arbor|Michigan Medicine|Michigan Medicine|Michigan Medicine|ArchieMD (United States)|Jackson Memorial Hospital
conventional print materials presenting risks benefits treatment often difficult understand study undertaken evaluate compare subjects understanding perceptions risks benefits presented using animated computerized text graphicsadult subjects randomized receive identical riskbenefit information regarding taking statins presented ipad apple corp cupertino calif 1 4 different animated formats textnumbers pie chart bar graph pictograph subjects completed questionnaire regarding preferences perceptions message delivery together understanding information health literacy numeracy need cognition measured using validated instrumentsthere differences subject understanding based different formats however significantly subjects preferred graphs 825 compared text 175 p001 specifically subjects preferred pictographs 320 bar graphs 310 pie charts 195 text 175 subjects whose preference message delivery matched randomly assigned format preference match significantly greater understanding satisfaction compared assigned something preferenceresults showed computeranimated depictions risks benefits offer effective means describe medical riskbenefit statistics understanding satisfaction significantly better format matched individuals preference message delivery important reinforces value tailoring information individuals needs preferences
https://doi.org/10.3390/ijgi7020068
Timothy Bickmore|Dina Utami|Robin K. Matsuyama|Michael K. Paasche?Orlow
Improving Access to Online Health Information With Conversational Agents: A Randomized Controlled Experiment
2,016
Northeastern University|Northeastern University|Virginia Commonwealth University|Boston Medical Center
conventional webbased search engines may unusable individuals low health literacy finding healthrelated information thus precluding use populationwe describe conversational search engine interface designed allow individuals low health computer literacy identify learn clinical trials interneta randomized trial involving 89 participants compared conversational search engine interface n43 existing conventional keyword facetbased search engine interface n46 national cancer institute clinical trials database participant performed 2 tasks finding clinical trial finding trial met prespecified criteriaresults indicated participants satisfied conversational interface based 7point selfreported satisfaction ratings task 1 mean 49 sd 18 vs mean 32 sd 18 p001 task 2 mean 48 sd 19 vs mean 32 sd 17 p001 compared conventional web formbased interface participants also rated trials found better meeting search criteria based 7point selfreported scales task 1 mean 37 sd 16 vs mean 27 sd 18 p01 task 2 mean 48 sd 17 vs mean 34 sd 19 p01 participants low health literacy failed find trials satisfied prespecified criteria task 2 using conventional search engine interface whereas 36 514 successful task using conversational interface p05conversational agents used improve accessibility webbased searches general clinical trials particular help decrease recruitment bias disadvantaged populations
https://doi.org/10.17509/ijal.v9i2.20220
Sally E. Shaywitz|Bennett A. Shaywitz
Dyslexia (Specific Reading Disability)
2,005
null
converging evidence number lines investigation indicates dyslexia represents disorder within language system specifically within particular subcomponent system phonological processing recent advances imaging technology particularly development functional magnetic resonance imaging provide evidence neurobiological signature dyslexia specifically disruption two left hemisphere posterior brain systems one parietotemporal occipitotemporal compensatory engagement anterior systems around inferior frontal gyrus posterior right occipitotemporal system furthermore good evidence indicates computational role left occipitotemporal system development fluent automatic reading brain systems reading malleable disruption dyslexic children may remediated provision evidencebased effective reading intervention addition functional magnetic resonance imaging studies young adults reading difficulties followed prospectively longitudinally age 5 mid twenties suggests may two types reading difficulties one primarily genetic basis far common reflecting environmental influences studies offer promise precise identification effective management dyslexia children adolescents adults
https://doi.org/10.1017/s1368980013000530
Olga Torres|Jorge Matute|Janee Gelineau?van Waes|Joyce R. Maddox|Simon G. Gregory|Allison Ashley-Koch|Jency L. Showker|Kenneth A. Voss|Ronald T. Riley
Human health implications from co-exposure to aflatoxins and fumonisins in maize-based foods in Latin America: Guatemala as a case study
2,015
Institute of Nutrition of Central America and Panama|Creighton University|Creighton University|Duke University Hospital|Duke Medical Center|Duke University Hospital|Duke Medical Center|Agricultural Research Service|Agricultural Research Service|Agricultural Research Service
cooccurrence fumonisin b 1 fb 1 aflatoxin b 1 afb 1 maize demonstrated many surveys combinedexposure fb 1 afb 1 concern joint faowho expert committee food additives known genotoxicity afb 1 ability fb 1 induce regenerative proliferation target tissues humans living maize dietary staple high risk exposure mycotoxins work focused guatemala country central america maize consumed large amounts every day intake fb 1 shown potentially quite high using biomarkerbased studies 2012 survey conducted analysed maize samples fb 1 afb 1 22 departments guatemala results show levels afb 1 exposure also potentially quite high guatemala likely throughout central america mexico implications coexposure human health numerous one area particular concern potential fb 1 modulate afb 1 hepatoxicity andor hepatocarcinogenicity mechanism action fb 1 ability promote liver carcinogenicity rats rainbow trout consistent concern farm laboratory animals fb 1 inhibits ceramide synthases key enzymes de novo ceramide biosynthesis inhibition sphingolipid signalling pathways mediating programmed cell death activation pathways stimulating cell proliferation livers individuals exposed afb 1 could contribute tumorigenicity afb 1 studies investigating health effects either toxin consider potential coexposure toxins also countries maizebased food prepared alkaline treatment maize kernels effect traditional processing afb 1 levels toxicity needs determined especially maize highly contaminated afb 1
https://doi.org/10.1177/1077800418809470
Caren B. Cooper|Janis L. Dickinson|Tina Phillips|Rick Bonney
Citizen Science as a Tool for Conservation in Residential Ecosystems
2,007
Cornell University|Cornell University|Cornell University|Cornell University
cooper c b j dickinson phillips r bonney 2007 citizen science tool conservation residential ecosystems ecology society 122 11 httpsdoiorg105751es02197120211
https://doi.org/10.1177/0021934718803735
Rachel Thomas|Emily Locke|Deborah M Woo|Ethan H K Nguyen|Valerie G. Press|Troy A Layouni|Emily H. Trittschuh|Gayle E. Reiber|Vincent S. Fan
Inhaler Training Delivered by Internet-Based Home Videoconferencing Improves Technique and Quality of Life
2,017
Health Services Research & Development|Health Services Research & Development|Health Services Research & Development|Health Services Research & Development|University of Chicago|Health Services Research & Development|Geriatric Research Education and Clinical Center|University of Puget Sound|Health Services Research & Development|Health Services Research & Development|University of Washington
copd common inhaled medications reduce risk exacerbations incorrect inhaler use also common may lead worse symptoms increased exacerbations examined whether inhaler training could delivered using internetbased home videoconferencing effect inhaler technique selfefficacy quality life adherencein prepost pilot study participants copd 3 monthly internetbased home videoconference visits pharmacist provided inhaler training using teachtogoal methodology participants completed mailed questionnaires ascertain copd severity selfefficacy health literacy quality life adherence satisfaction interventiona total 41 participants completed least one 38 completed 3 home videoconference visits visit technique improved inhalers significant improvements albuterol metereddose inhaler budesonideformoterol metereddose inhaler tiotropium dry powder inhaler improved technique sustained nearly inhalers 1 2 months quality life measured chronic respiratory questionnaire improved following training dyspnea 03 points p 01 fatigue 06 points p 001 emotional function 05 points p 001 mastery 07 points p 001 coping skills measured seattle obstructive lung disease questionnaire improved 99 points p 003 participants reported increased confidence inhaler use example mean selfefficacy using albuterol increased 3 points p 001 inhaler adherence improved significantly intervention 16 initial visit 11 month 2 p 045 pharmacist reported technical issues 64 visitsinhaler training using teachtogoal methodology delivered home videoconference promising means provide training patients copd improve technique quality life selfefficacy adherence
https://doi.org/10.26555/bioedukatika.v8i2.14315
René A. Ruiz|Susan Gennaro|Caitlin O’Connor|C. Nathan Marti|Amanda J. Lulloff|Tayra Keshinover|Anne Gibeau|Bernadette Mazurek Melnyk
Measuring Coping in Pregnant Minority Women
2,014
Texas Tech University Health Sciences Center|Texas Tech University|Boston College|Boston College|Boston College|Jacobi Medical Center|Jacobi Medical Center|The Ohio State University
coping strategies may help explain minority women experience stress poorer birth outcomes psychometrically sound instrument assess coping needed examined psychometric properties readability correlates coping pregnant black n 186 hispanic n 220 women using brief cope exploratory confirmatory factor analysis tested psychometric properties fleschkincaid reading level test assessed readability linear regression models tested correlates coping findings suggested two factors questionnaire active disengaged coping well adequate reliability validity readability level disengaged coping cronbachs 78 english 70 spanish active coping 86 english 92 spanish two group confirmatory factor analysis revealed minority groups equivalent factor loadings reading level sixth grade age education gravidity found significant correlates active coping
https://doi.org/10.11591/edulearn.v9i3.1830
S Mentrup|Emma Harris|Tim Gomersall|Sascha Köpke|Felicity Astin
Patients’ Experiences of Cardiovascular Health Education and Risk Communication: A Qualitative Synthesis
2,019
University of Lübeck|University of Huddersfield|University of Huddersfield|University of Lübeck|University of Huddersfield|Huddersfield Royal Infirmary
coronary heart disease chd cure patients myocardial infarction high risk cardiac events health education key driver patients understanding motivation lifestyle change little known patients experience education review aimed explore patients chd experience health education particular risk communication total 2221 articles identified systematic search five databases 40 articles included synthesized using thematic analysis findings show communicated way communicated potential influence patients engagement lifestyle changes communication potential lifestyle change reduce future risk largely missing causing uncertainty anxiety disengagement lifestyle change recommendations ways improve health education risk communication discussed inform international practice
https://doi.org/10.1093/jpepsy/jsn115
Laurie T. Martin|Matthias Schonlau|Ann Haas|Kathryn Pitkin Derose|Rima Rudd|Eric B. Loucks|Lindsay Rosenfeld|Stephen L. Buka
Literacy Skills and Calculated 10-Year Risk of Coronary Heart Disease
2,010
RAND Corporation|German Institute for Economic Research|RAND Corporation|RAND Corporation|RAND Corporation|Harvard University|Brown University|Providence College|Northeastern University|Brown University|Providence College
coronary heart disease chd leading cause morbidity mortality reducing disease burden requires understanding factors associated prevention management chd literacy skills may one factorto examine independent interactive effects four literacy skills reading numeracy oral language speaking aural language listening calculated 10year risk chd determine whether relationships literacy skills chd risk similar men womenwe used multivariable linear regression assess individual combined interactive effects four literacy skills risk chd adjusting education racefour hundred nine englishspeaking adults boston providence ritenyear risk coronary heart disease calculated using framingham algorithm reading oral language aural language measured using woodcock johnson iii tests achievement numeracy assessed modified version numeracy scale lipkus colleagueswhen examined individually reading p 0007 numeracy p 0001 aural language p 0004 skills significantly associated chd risk among women literacy skills associated chd risk men examined together evidence interaction numeracy aural language among women suggesting higher skills one area eg aural language may compensate difficulties another resulting equally low risk chdresults study provide important insight independent interactive effects literacy skills risk chd also highlight need development easyto use assessments oral exchange health care setting need better understand literacy skills important given health outcome
https://doi.org/10.1016/j.enpol.2013.07.069
Mohammad Behnammoghadam|Ali Karam Alamdari|Aziz Behnammoghadam|Fatemeh Darban
Effect of Eye Movement Desensitization and Reprocessing (EMDR) on Depression in Patients With Myocardial Infarction (MI)
2,015
Yasuj University of Medical Sciences|Yasuj University of Medical Sciences|Islamic Azad University Yasuj|Iranshahr University
coronary heart disease important cause death inability communities depressive symptoms frequent among postmyocardial infarction mi patients may cause negative effects cardiac prognosis study conducted identify efficacy emdr depression patients mithis study clinical trial sixty patients mi selected simple sampling separated randomly experimental control groups collect data demographic questionnaire beck depression questionnaire used experimental group emdr therapy performed three sessions alternate days 4590 minutes four months mi depression level patients measured week emdr therapy data analyzed using paired test ttest chisquarethe mean depression level experimental group 2726641 intervention 1176371 intervention hence showed statistically significant difference p0001 mean depression level control group 2453581 intervention 3166609 intervention showed statistically significant difference p0001 comparison mean depression level post treatment groups showed statistically significant difference p0001emdr effective useful efficient noninvasive method treatment reducing depression patients mi
https://doi.org/10.1016/j.socscimed.2011.08.025
Alex Ayenew Chereka|Addisalem Workie Demsash|Habtamu Setegn Ngusie|Sisay Yitayih Kassie
Digital health literacy to share COVID-19 related information and associated factors among healthcare providers worked at COVID-19 treatment centers in Amhara region, Ethiopia: A cross-sectional survey
2,022
Ethiopian Civil Service University|Ethiopian Civil Service University|Ethiopian Civil Service University|Ethiopian Civil Service University
coronavirus cov novel respiratory virus cause severe acute respiratory syndrome sars affects millions people world thousands people ethiopia responding digital health technologies help reduce covid19 outbreaks sharing accurate timely covid19 related information additionally digital solutions used remote consulting pandemic creating covid19 related awareness distribution vaccine therefore study aimed assess digital health literacy share covid19 related information associated factors among healthcare providers worked covid19 treatment centers amhara region northwest ethiopiaan institutionalbased crosssectional survey conducted april 4 may 4 2021 study included 476 healthcare providers worked covid19 treatment centers amhara region pretested structured selfadministered questionnaire used collect data epidata 46 spss version 26 used data entry analysis respectively bivariable multivariable logistic regression analysis used identify factors associated dependent variable pvalue less 005 used declare statistical significancea total 456 respondents participated study 958 response rate digital health literacy share covid19 related information found 504 95 ci 4655 educational status aor 437 95 ci208917 training aor 300 95 ci 180500 attitude aor 199 95 ci118336 perceived usefulness aor 201 95 ci122332 perceived ease use aor 200 95 ci125321 smartphone access aor 521 95 ci234962 significantly associated digital health literacy sharing covid19 related information pvalue less 005this finding indicated approximately half respondents digital health literacy share covid19 related information inadequate improving respondents educational status computer training smartphone access perceived usefulness perceived ease use attitude necessary measure digital health literacy sharing covid19 related information
https://doi.org/10.1073/pnas.1813720116
Mohammed Al?Yamani|Syed Imam Rabbani|Syed Mohammed Basheeruddin Asdaq|Mohd Imran|Mohammed Kanan Alshammari|Noufah Alshammari|Abdulmjeed Hussain Alshahrani|Mariem Ali Mohammed Harshan|Mohammed Yahya A. Hurubi|Adnan A Mubaraki|Abdulhakeem S. Alamri|Walaa F. Alsanie|Majid Alhomrani
Epidemiological determinants for the spread of COVID-19 in Riyadh Province of Saudi Arabia
2,022
Qassim University|Northern Border University|King Fahad Central Hospital|Security Forces Hospital|Security Forces Hospital|Jazan University|Northern Area Armed Forces Hospital|Taif University|Taif University|Taif University|Taif University
coronavirus disease 2019 covid19 affected millions individuals world addition patients compelling indications various sociodemographic characteristics identified influence infection complications purpose study assess impact aforementioned parameters dissemination covid19 among residents saudi arabias riyadh regionin saudi arabian province riyadh crosssectional retrospective analysis covid19 incidences recoveries casefatality ratio cfr undertaken study carried gathering daily covid19 records ministry healths official websites october 2020 september 2021 influencing factors obtained statistical authority using spss ibm 25 software data examined association demographic factors well presence comorbidity covid19 outcome determined using spearmans correlation regression tests p 005 considered indicate significance resultsthe data study indicated highest number covid19 cases recorded june 2021 peak recovery observed july 2021 cfr declined progressively october 2020 1 even cases peaked significant p 005 correlation diabetes covid19 incidences observed recovery rate significant p 005 association literacy rate aged 1449 years old presences comorbidities dyslipidemia hypertension diabetes asthma stroke heart failure negatively affected recovery covid19 population cfr significantly p 005 associated people 60 hypertensive patients asthma patients regression analysis suggested risk complications due covid19 infection males people 60 years age suffering comorbiditiesthe findings study indicate association several characteristics studied gender age comorbidity spread infection recovery mortality restrict spread covid19 prevent complications effective measures required control modifiable risk factors
https://doi.org/10.1080/1059924x.2015.1047107
Güne? Korkmaz|Çetin Toraman
Are We Ready for the Post-COVID-19 Educational Practice? An Investigation into What Educators Think as to Online Learning
2,020
Çanakkale Onsekiz Mart Üniversitesi
coronavirus pandemic covid19 brought great challenge society worldwide resulted need mandatory change almost every aspect lives undoubtedly educational practice one affected issues pandemic levels education educators forced adapt online learning systems platforms short time main purpose study analyze problems educators experienced online learning practices covid19 pandemic changes expect educational practices postcovid19 world measures taken education potential outbreak future study conducted 1016 educators teach different levels data collected online questionnaire developed researchers analyzed using descriptive statistics result study found educators experienced problems online learning practices expect certain changes educational practices postcovid19 world think essential measures must taken education potential outbreak future end study recommendations given educational policy makers practitioners researchers postcovid world education
https://doi.org/10.1111/j.1440-1819.2011.02216.x
Monalisha Sahu|Puneet Chhabra|Vaishali Gautam
Knowledge and parity: Perspectives of usage of emergency contraceptive pills among women of a rural area of Delhi
2,019
University College of Medical Sciences|Guru Teg Bahadur Hospital|University College of Medical Sciences|Guru Teg Bahadur Hospital|University College of Medical Sciences|Guru Teg Bahadur Hospital
correct use emergency contraceptive pills ecps may prevent 95 unwanted pregnancies may significantly decrease unsafe abortions maternal mortalityassessment knowledge use ecps among women explore factors associated themthis facilitybased crosssectional study data collected using prestructured pretested questionnaire 381 reproductive age women 1549 years selected systematic random sampling statistical package social sciences version 16 epi info version 70 used statistical analyses descriptive analysis performed results expressed terms frequencies percentages chisquare fishers exact test used tests significance univariate analysis determinants use ecps identified using logistic regressionof 381 women interviewed awareness level ecps ever heard ecps found 34 n 128 ever use emergency contraception reported 38 97 age odds ratio 302 95 confidence interval ci 188487 education 0086 95 ci 00470158 husbands education 011 95 ci 00670187 socioeconomic status 614 95 ci 3281151 family status 26 95 ci 159424 found significantly associated use emergency contraceptivesthe study identified respondents lack adequate knowledge ecps ever use ecps low factors associated use ecps age literacy socioeconomic status knowledge method creating sustainable awareness ecps use may serve power control parity
https://doi.org/10.1080/028418699432842
Aaron W. Lukaszewski|Michael Gurven|Christopher von Rueden|David P. Schmitt
What Explains Personality Covariation? A Test of the Socioecological Complexity Hypothesis
2,017
California State University, Fullerton|University of California, Santa Barbara|University of Richmond|Bradley University
correlations among distinct behaviors foundational personality science field remains far consensus regarding causes covariation advance novel explanation personality covariation views trait covariance shaped within particular socioecology hypothesize degree personality covariation observed within society inversely related societys socioecological complexity diversity social occupational niches using personality survey data participant samples 55 nations n 17637 demonstrate big five dimensions strongly intercorrelated less complex societies complexity indexed nationlevel measures economic development urbanization sectoral diversity inverse relationship robust control variables accounting number methodological response biases findings support socioecological complexity hypothesis generally bolster functionalist accounts trait covariation
https://doi.org/10.1186/s12874-020-00962-8
null
null
null
Chinese Academy of Medical Sciences & Peking Union Medical College|National Cancer Institute|National Cancer Institute|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|National Cancer Institute
correspondence youlin qiao department cancer epidemiology cancer hospitalinstitute chinese academy medical sciences 17 south panjiayuan lane beijing 100021 pr china nccasmacicyoaiq philip r taylor genetic epidemiology branch division cancer epidemiology genetics national cancer institute national institutes health 6120 executive blvd rm 7006 rockville maryland 208527236 usa voghinliamrolyatp
https://doi.org/10.1038/sc.2017.38
Philip A. McFarlane|Andreas Pierratos|Donald A. Redelmeier
Cost savings of home nocturnal versus conventional in-center hemodialysis
2,002
Health Sciences Centre|Sunnybrook Health Science Centre|Humber River Regional Hospital|St Michael’s Hospital|Health Sciences Centre|Sunnybrook Health Science Centre|Humber River Regional Hospital|St Michael’s Hospital|Health Sciences Centre|Sunnybrook Health Science Centre|Humber River Regional Hospital|St Michael’s Hospital
cost savings home nocturnal versus conventional incenter hemodialysisbackgroundhome nocturnal hemodialysis hnhd improve clinical biochemical factors people renal failure costeffectiveness relative conventional incenter hemodialysis ihd uncertain hypothesized hnhd would provide dialysis treatments lower total cost ihdmethodsa prospective oneyear descriptive costing study performed two centers toronto canada involving patients enrolled hnhd program n 33 matched cohort ihd program n 23 costs expressed mean weekly amount canadian year 2000 dollars projected mean annual cost pma calculated alsoresultsthe mean number treatments per week much higher hnhd 57 vs 30 p 0004 cost categories found less expensive hnhd staffing weekly 210 vs 423 p 0001 pma 10932 vs 22056 overhead support weekly 80 vs 238 p 0001 pma 4179 vs 12393 trend toward lower costs hospital admissions procedures weekly 23 vs 134 p 0355 pma 1173 vs 6997 medications 172 vs 231 p 0082 pma 8989 vs 12029 costs found expensive hnhd cost direct hemodialysis materials weekly 318 vs 126 p 0001 pma 16587 vs 6575 capital costs weekly 118 vs 17 p 0001 pma 6139 vs 871 trend toward higher cost laboratory tests weekly 33 vs 26 p 0094 pma 1744 vs 1364 physician costs 128 per week pma 6650 weekly mean total cost health care delivery 20 less hnhd 1082 vs 1322 p 0006 projected mean annual costs 10000 lower 56394 vs 68935conclusionshnhd provides three times many treatment hours nearly onefifth lower cost savings evident even program fundingspecific costs considered cost savings home nocturnal versus conventional incenter hemodialysis home nocturnal hemodialysis hnhd improve clinical biochemical factors people renal failure costeffectiveness relative conventional incenter hemodialysis ihd uncertain hypothesized hnhd would provide dialysis treatments lower total cost ihd prospective oneyear descriptive costing study performed two centers toronto canada involving patients enrolled hnhd program n 33 matched cohort ihd program n 23 costs expressed mean weekly amount canadian year 2000 dollars projected mean annual cost pma calculated also mean number treatments per week much higher hnhd 57 vs 30 p 0004 cost categories found less expensive hnhd staffing weekly 210 vs 423 p 0001 pma 10932 vs 22056 overhead support weekly 80 vs 238 p 0001 pma 4179 vs 12393 trend toward lower costs hospital admissions procedures weekly 23 vs 134 p 0355 pma 1173 vs 6997 medications 172 vs 231 p 0082 pma 8989 vs 12029 costs found expensive hnhd cost direct hemodialysis materials weekly 318 vs 126 p 0001 pma 16587 vs 6575 capital costs weekly 118 vs 17 p 0001 pma 6139 vs 871 trend toward higher cost laboratory tests weekly 33 vs 26 p 0094 pma 1744 vs 1364 physician costs 128 per week pma 6650 weekly mean total cost health care delivery 20 less hnhd 1082 vs 1322 p 0006 projected mean annual costs 10000 lower 56394 vs 68935 hnhd provides three times many treatment hours nearly onefifth lower cost savings evident even program fundingspecific costs considered
https://doi.org/10.1371/journal.pntd.0003529
Henry M. Levin|Clive Belfield
Guiding the Development and Use of Cost-Effectiveness Analysis in Education
2,014
Columbia University|Queens College, CUNY
costeffectiveness analysis rarely used education used often fails meet methodological standards especially regard cost measurement although occasional criticisms failings believe useful provide listing common concerns might addressed based upon previous projects subject recent project attempted construct costeffectiveness comparisons works clearinghouse institute educational sciences us department education identified set recommendations practice high priority construct valid costeffectiveness comparisons policy uses choosing among alternative educational interventions
https://doi.org/10.1371/journal.pntd.0001597
Melinda C. Miller
Land and Racial Wealth Inequality
2,011
Yale University
could racial wealth inequality reduced freed slaves granted land following civil war paper exploits plausibly exogenous variation policies cherokee nation southern united states identify impact free land size racial wealth gap using data land livestock home ownership find evidence former slaves access free land absolutely wealthier experienced lower levels racial wealth inequality 1880 former slaves furthermore children continued experience advantages 1900
https://doi.org/10.1080/0305006042000231392
Ramesh Devkota|Gulam Muhammad Khan|Kadir Alam|Binaya Sapkota|Deepa Devkota
Impacts of counseling on knowledge, attitude and practice of medication use during pregnancy
2,017
NLR Nepal|Pokhara University|B.P. Koirala Institute of Health Sciences|Nobel Academy
counseling significant role improving knowledge attitude practice outcomes pregnant women towards medication use proper counseling thus could beneficial prevent medication related misadventure pregnancy present study aimed assess knowledge attitude practice kap pregnant women towards medications provide counseling regarding understanding medication use pregnancy evaluate impacts counseling pre post interventional counseling study conducted manipal teaching hospital nepal among pregnant women presented complication prescribed least one medication total 275 pregnant women included study structured questionnaire used assess knowledge attitude practice pregnant women counseling impacts counseling evaluated using suitable statistical methods total participants 229 completed post counseling survey majority participants age group 2024 432 primigravida 594 third trimester 586 housewives comprised 611 participants majority received university degree 332 mean median scores assessed counseling showed significant difference kap scores respect age trimester gravidity whereas kap scores respect occupation level education statistically significant increase mean median kap scores counseling impacts counseling found statistically significant p 0001 counseling positive impact knowledge attitude practice pregnant women towards medication thus could considered suitable method encourage safe medication pregnancy
https://doi.org/10.2196/mental.5776
Alain Cohn|Jan Engelmann|Ernst Fehr|Michel André Maréchal
Evidence for Countercyclical Risk Aversion: An Experiment with Financial Professionals
2,015
University of Zurich|University of Zurich|University of Zurich|University of Zurich
countercyclical risk aversion explain major puzzles high volatility asset prices evidence existence however scarce host factors simultaneously change financial cycles circumvent problems priming financial professionals either boom bust scenario subjects primed financial bust substantially fearful risk averse primed boom suggesting fear may play important role countercyclical risk aversion mechanism described relevant theory may explain selfreinforcing processes amplify market dynamics jel e32 e44 g01 g11 g12
https://doi.org/10.1017/s0033291713001785
Yasue Fukuda|Shuji Ando|Koji Fukuda
Knowledge and preventive actions toward COVID-19, vaccination intent, and health literacy among educators in Japan: An online survey
2,021
Suzuka University of Medical Science|Tokyo University of Science|Waseda University
countermeasures spread covid19 become urgent issue educational settings many group activities necessary educators key preventing spread covid19 educational settings infection prevention behavior requires comprehensive complex measures selfrestraint disinfection care hand washing wearing masks recommendation implementation vaccination improvement knowledge skills preventive actions educators visvis covid19 could allow continued provision educational services ensuring safety educational settings therefore objective study explore knowledge preventive actions educators regarding covid19 vaccination awareness provide appropriate support educators study used data collected 1000 japanese educators january 2021 third wave viral infections spread online surveys multivariate linear regression analysis used determine age whether respondents cared doctor investigated effects factors educators willingness vaccinated changes behavior study found factors age gender whether respondent physicians care health literacy affected willingness educators receive vaccinations engage preventive actions study also suggests reliability national government public relations efforts lower reliability local government public relations information family physicians pharmacies mass media therefore necessary reexamine information disseminated national government increase degree trust information among public findings study also revealed importance improving provision appropriate information health literacy behavior educators initial outbreak also subsequent period pandemic life
https://doi.org/10.1186/1472-6963-14-99
Martin Lawn
Standardizing the European Education Policy Space
2,011
University of Edinburgh
countries europe european union creating part market governance new policy space education formed law regulation networking harmonization development standards across different fields policy statistical calculation commerce underpins extends creation policy spaces europeanization processes education subtle yet powerful features created measurement standardization may technical form knowledge based policy driven exclude politics europe leading edge new forms governance education
https://doi.org/10.1007/s11606-010-1529-0
Jaharudin Padli|Muzafar Shah Habibullah|Baharom Abdul Hamid
The impact of human development on natural disaster fatalities and damage: panel data evidence
2,018
Universiti Malaysia Terengganu|Universiti Putra Malaysia|International Centre for Education in Islamic Finance
countries high levels human development able reduce impact natural disasters terms total numbers people killed affected damage study investigate impact human development indicators income per capita human capital education level natural disaster fatalities total deaths total affected total economic losses 79 selected countries using dynamic panel data analysis found level economic development plays important role mitigating impact natural disasters droughts earthquakes extreme temperatures floods storms volcanoes landslides wildfires factors found determine number natural disaster fatalities include population population density unemployment investment government consumption openness education corruption using dynamic panel data model found education investment government consumption openness display inverse relationship population population density direct positive relationship
https://doi.org/10.1186/s13731-014-0011-3
Christina A. Roberto|Shu Wen Ng|Montserrat Ganderats?Fuentes|David Hammond|S??món Barquera|Alejandra Jáuregui|Lindsey Smith Taillie
The Influence of Front-of-Package Nutrition Labeling on Consumer Behavior and Product Reformulation
2,021
University of Pennsylvania|University of North Carolina at Chapel Hill|University of Pennsylvania|University of Waterloo|Instituto Nacional de Salud Pública|Instituto Nacional de Salud Pública|University of North Carolina at Chapel Hill
countries worldwide implemented mandatory voluntary frontofpackage nutrition labeling systems provide narrative review realworld evaluations frontofpackage nutrition labels analyze objective sales data b studies objectively assess product reformulation response frontofpackage nutrition label implementation argue sufficient scientific evidence recommend governments implement mandatory frontofpackage nutrition labeling systems improvepopulation health also present conceptual framework describe frontofpackage label influence provide recommendations optimal label design emphasizing labeling systems highly visible salient simple easy understand leverage automatic associations integrate informational emotional messaging existing research suggests guideline daily amount labels avoided health star rating nutriscore systems promising systems warning labels like one chile likely produce largest public health benefits
https://doi.org/10.1007/s11013-016-9514-7
Sri Ratna Dewi|Mumun Nurmilawati|Dwi Ari Budiretnani
Improving of scientific literacy ability using discovery learning model at the seventh grade students of state JHS 3 Ngronggot, Nganjuk-Indonesia
2,017
Universitas Muhammadiyah Jember|Universitas Muhammadiyah Jember
country good education condition seen citizen scientific literacy research aims improving students scientific literacy ability using discovery learning model 7th grade students state junior high school 3 ngronggot nganjukindonesia instrument kemmis taggart model classroom action research essay test composed based indicators developed gormaly results research showed improvements students scientific literacy ability cycle cycle ii six seven indicators improvements follows indentifying scientific opinion increased 0 6452 reviewing literature effectively increased 0 2903 understanding research design way effect findingdiscussion increased 1429 1935 making graphic data correctly increased 0 5807 solving problems using quantitative skill including operating basic statistics increased 714 5807 however making inference prediction drawing conclusion based quantitative data improvement students answer got 1 score increased 714 7742 addition indicator understanding interpreting basic statistic decreased 2143 1290
https://doi.org/10.1037/a0027751
Armand Ketcha Malan Kablan|Kouassi Dongo|Mamadou Coulibaly
Assessment of Social Vulnerability to Flood in Urban Côte d’Ivoire Using the MOVE Framework
2,017
Université Félix Houphouët-Boigny|Université Félix Houphouët-Boigny|Swiss Centre for Scientific Research|University of Wisconsin–Oshkosh
coupled poor urban development increasing urban population many subsaharan african countries subject recurrent severe flooding episodes response flood events focus often put slums precarious urban settings social implications floods affect variety social classes presenting case study cocody district abidjan cte divoire known countrys highest number floodimpacted people paper evaluates social vulnerability urban cte divoire flooding using move framework move framework method improvement vulnerability assessment europe successfully used european contexts assess social vulnerability urban areas geoenvironmental disasters floods helped assess major factors involved social vulnerability urban flooding good appreciation spatial distribution areas vulnerable urban flood taking framework local context relevant indicators developed gis applications used assess spatially relative social vulnerability cocody subdistricts urban flooding results revealed many subdistricts cocody highly vulnerable urban floods exposure susceptibility components found high influence vulnerability flood hazard district cocody respective indicators need addressed properly order increase residents resilience urban flooding move theoretical framework applied africa contextualizing vulnerability using local indicators
https://doi.org/10.1007/s12160-010-9256-7