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@article{ WOS:000826426000001,
Author = {Pei, Zhi and Fang, Tao and Weng, Kebiao and Yi, Wenchao},
Title = {Urban On-Demand Delivery via Autonomous Aerial Mobility: Formulation and
Exact Algorithm},
Journal = {IEEE TRANSACTIONS ON AUTOMATION SCIENCE AND ENGINEERING},
Year = {2023},
Volume = {20},
Number = {3},
Pages = {1675-1689},
Month = {JUL},
Abstract = {The implementation of the autonomous unmanned aerial mobility is a game
changer for the on-demand delivery service in the crowded urban setting.
In this study, the first of its kind commercial unmanned aerial vehicle
(UAV) urban delivery program in China is targeted. Different from the
traditional ground pickup and delivery services, the aerial mode
considers not only the time window constraints, but also the spatial
conflicts incurred during the take-off and landing operations of UAVs.
To obtain the optimal flying routes of the focused problem, a mixed
integer programming model is formulated. Due to its inherent complexity,
the optimal schedule cannot be attained within acceptable time via the
off-the-shelf solvers. To help speed up the solving process, a
branch-and-cut based exact algorithm is proposed, together with a series
of customized valid inequalities. To further accelerate, a greedy
insertion heuristic is designed to secure high-quality initial
solutions. In the numerical section, it is observed that the algorithm
proposed in this paper can help solve the real-life on-demand UAV
delivery problem to near optimum (within 5\% optimality gap) within
reasonable computation time (in 5 minutes). Note to Practitioners-With
the increase of labor cost, the distribution cost increases very
rapidly. In the meantime, the employment of automated vehicles for
logistics reshapes the landscape of the urban last-mile delivery. As an
efficient courier carrier, the unmanned aerial vehicle (UAV) is trending
the autonomous delivery endeavour. When integrating UAVs into the urban
delivery program, practitioners need to pay special attention to the
scheduling of UAVs at the operational level in addition to the hardware
of the UAVs. To help solve the UAV dispatch problem, we propose an
online scheduling scheme, considering the spatial conflict constraints
in the actual UAV operations. And an exact algorithm is designed to
accelerate the solving process. Numerical experiments demonstrate that
the proposed algorithm can achieve near optimal dispatch plan with 5\%
optimality gap in 5 minutes. Furthermore, it is discovered that the
demand pooling is an essential decision to make for UAV-based delivery.
Longer pooling time can increase the UAV efficiency with more realized
demand information, but too much pooling could lead to prolonged
customer waiting and a low service level.},
Type = {Article},
Language = {English},
Affiliation = {Yi, WC (Corresponding Author), Zhejiang Univ Technol, Coll Mech Engn, Hangzhou 310023, Peoples R China.
Pei, Zhi; Fang, Tao; Weng, Kebiao; Yi, Wenchao, Zhejiang Univ Technol, Coll Mech Engn, Hangzhou 310023, Peoples R China.},
DOI = {10.1109/TASE.2022.3184324},
EarlyAccessDate = {JUN 2022},
ISSN = {1545-5955},
EISSN = {1558-3783},
Keywords = {Drones; Logistics; Autonomous aerial vehicles; Routing; Transportation;
Job shop scheduling; Dynamic scheduling; UAV; urban aerial delivery;
pickup and delivery; on-demand; branch-and-cut},
Keywords-Plus = {DRONE; BRANCH; PICKUP; TRUCK; CUT},
Web-of-Science-Categories = {Automation \& Control Systems},
Author-Email = {yiwenchao@zjut.edu.cn},
ResearcherID-Numbers = {fang, tao/IQU-3074-2023},
Number-of-Cited-References = {25},
Times-Cited = {3},
Usage-Count-Last-180-days = {16},
Usage-Count-Since-2013 = {41},
Unique-ID = {WOS:000826426000001},
DA = {2023-09-28},
}
@article{ WOS:000333867700007,
Author = {Panou, Konstantinos and Proios, George},
Title = {Modeling Transportation Affordability with Cumulative Density Function
of Mathematical Beta Distribution},
Journal = {TRANSPORTATION RESEARCH RECORD},
Year = {2013},
Number = {2397},
Pages = {53-60},
Abstract = {Transportation affordability refers to people's financial ability to
access important goods and activities such as work, education, medical
care, basic shopping, and socializing. Making transportation more
affordable can produce considerable socioeconomic benefits by lowering
the costs and boosting mobility for people who are more disadvantaged.
More affordable transportation is equivalent to higher income. There are
many factors to consider when evaluating transportation affordability,
including housing affordability; land use factors that affect
accessibility; the quantity, quality, and pricing of mobility options;
and individuals' mobility needs and abilities. Traditional
transportation planning takes hardly any transportation affordability
considerations into account. Greater emphasis on this field would shed
more light on affordability effects and help policy makers to identify
more affordable transportation solutions. However, to take
transportation affordability into account, there should be practical
ways of evaluating it. This paper investigates the concept of
transportation affordability and suggests a metric for its measurement.
The metric calculates affordability on the basis of the trade-offs that
households make between transportation and housing costs. The
transportation costs considered include car ownership, car use, and
public transport costs. The suggested approach can be applied to any
spatial zone (e.g., neighborhood or other) to reflect the average
expenditure that households are willing to make to satisfy their basic
travel needs.},
Type = {Article},
Language = {English},
Affiliation = {Panou, K (Corresponding Author), Univ Aegean, Dept Shipping Trade \& Transport, Korai 2A, Chios 82100, Greece.
Panou, Konstantinos; Proios, George, Univ Aegean, Dept Shipping Trade \& Transport, Chios 82100, Greece.},
DOI = {10.3141/2397-07},
ISSN = {0361-1981},
EISSN = {2169-4052},
Keywords-Plus = {NEIGHBORHOOD},
Web-of-Science-Categories = {Engineering, Civil; Transportation; Transportation Science \& Technology},
Author-Email = {panou@aegean.gr},
ORCID-Numbers = {Panou, Konstantinos/0000-0002-6552-111X},
Number-of-Cited-References = {28},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000333867700007},
DA = {2023-09-28},
}
@article{ WOS:000354645600001,
Author = {Muinga, Naomi and Sen, Barbara and Ayieko, Philip and Todd, Jim and
English, Mike},
Title = {Access to and value of information to support good practice for staff in
Kenyan hospitals},
Journal = {GLOBAL HEALTH ACTION},
Year = {2015},
Volume = {8},
Abstract = {Background: Studies have sought to define information needs of health
workers within very specific settings or projects. Lacking in the
literature is how hospitals in low-income settings are able to meet the
information needs of their staff and the use of information
communication technologies (ICT) in day-to-day information searching.
Objective: The study aimed to explore where professionals in Kenyan
hospitals turn to for work-related information in their day-to-day work.
Additionally, it examined what existing solutions are provided by
hospitals with regard to provision of best practice care. Lastly, the
study explored the use of ICT in information searching.
Design: Data for this study were collected in July 2012.
Self-administered questionnaires (SAQs) were distributed across 22 study
hospitals with an aim to get a response from 34 health workers per
hospital.
Results: SAQs were collected from 657 health workers. The most popular
sources of information to guide work were fellow health workers and
printed guidelines while the least popular were scientific journals. Of
value to health workers were: national treatment policies, new research
findings, regular reports from surveillance data, information on costs
of services and information on their performance of routine clinical
tasks; however, hospitals only partially met these needs. Barriers to
accessing information sources included: `not available/difficult to get'
and `difficult to understand'. ICT use for information seeking was
reported and with demographic specific differences noted from the
multivariate logistic regression model; nurses compared to medical
doctors and older workers were less likely to use ICT for health
information searching. Barriers to accessing Internet were identified
as: high costs and the lack of the service at home or at work.
Conclusions: Hospitals need to provide appropriate information by
improving information dissemination efforts and providing an enabling
environment that allows health workers find the information they need
for best practice.},
Type = {Article},
Language = {English},
Affiliation = {Muinga, N (Corresponding Author), KEMRI Wellcome Trust Res Programme, Dept Publ Hlth Res, POB 43640, Nairobi 00100, Kenya.
Muinga, Naomi; Ayieko, Philip; English, Mike, KEMRI Wellcome Trust Res Programme, Dept Publ Hlth Res, Nairobi 00100, Kenya.
Sen, Barbara, Univ Sheffield, Informat Sch, Sheffield, S Yorkshire, England.
Todd, Jim, Univ London London Sch Hyg \& Trop Med, Dept Populat Hlth, London WC1E 7HT, England.
English, Mike, Univ Oxford, Dept Paediat, Oxford, England.
English, Mike, Univ Oxford, Nuffield Dept Med, Oxford, England.},
DOI = {10.3402/gha.v8.26559},
Article-Number = {26559},
ISSN = {1654-9880},
Keywords = {health information; information needs of health workers; ICT;
information sources; information seeking},
Keywords-Plus = {HEALTH-CARE PROVIDERS; DEVELOPING-COUNTRIES; SEEKING BEHAVIOR;
DEVELOPING-WORLD; NEEDS; WORKERS; PRACTITIONERS; GUIDELINES; PROGRAM;
LIFE},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {nmuinga@kemri-wellcome.org},
ResearcherID-Numbers = {Muinga, Naomi/J-1263-2019
},
ORCID-Numbers = {Muinga, Naomi/0000-0002-0749-0255
Todd, Jim/0000-0001-5918-4914
English, Michael/0000-0002-7427-0826},
Number-of-Cited-References = {33},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {14},
Unique-ID = {WOS:000354645600001},
DA = {2023-09-28},
}
@article{ WOS:000653533500001,
Author = {Ndimbii, James and Guise, Andy and Igonya, Emmy Kageha and Owiti,
Frederick and Strathdee, Steffanie and Rhodes, Tim},
Title = {Qualitative Analysis of Community Support to Methadone Access in Kenya},
Journal = {SUBSTANCE USE \& MISUSE},
Year = {2021},
Volume = {56},
Number = {9},
Pages = {1312-1319},
Month = {JUL 29},
Abstract = {Background Methadone, as part of Medically Assisted Therapy (MAT) for
treatment of opioid dependence and supporting HIV prevention and
treatment, has been recently introduced in Kenya. Few low income
settings have implemented methadone, so there is little evidence to
guide ongoing scale-up across the region. We specifically consider the
role of community level access barriers and support. Objectives To
inform ongoing MAT implementation we implemented a qualitative study to
understand access barriers and enablers at a community level. Methods We
conducted 30 semi-structured interviews with people who use drugs
accessing MAT, supplemented by interviews with 2 stakeholders, linked to
participant observation in a community drop in center within one urban
area in Kenya. We used thematic analysis. Results We developed five
themes to express experiences of factors enabling and disabling MAT
access and how community support can address these: 1) time, travel and
economic hardship; 2) managing methadone and contingencies of life, 3)
peer support among MAT clients as treatment ambassadors, 4) family
relations, and 5)outreach project contributions. Crosscutting themes
address managing socioeconomic constraints and gender inequities.
Conclusions People who use drugs experience and manage socio-economic
constraints and gender inequities in accessing MAT with the support of
local communities. We discuss how these access barriers could be
addressed through strengthening the participation of networks of people
who use drugs in drug treatment and supporting community projects
working with people who use drugs. We also explore potential for how
socio-economic constraints could be managed within an integrated health
and social care response.},
Type = {Article},
Language = {English},
Affiliation = {Ndimbii, J (Corresponding Author), Kenya AIDS NGOs Consortium, Nairobi, Kenya.
Ndimbii, James, Kenya AIDS NGOs Consortium, Nairobi, Kenya.
Guise, Andy, Kings Coll London, Sch Populat Hlth \& Environm Sci, London, England.
Igonya, Emmy Kageha; Owiti, Frederick, Univ Nairobi, Sch Med, Nairobi, Kenya.
Igonya, Emmy Kageha; Owiti, Frederick, Kenya \& African Populat \& Hlth Res Ctr, Nairobi, Kenya.
Igonya, Emmy Kageha, Univ Nairobi, Sch Med, Nairobi, Kenya.
Strathdee, Steffanie, Univ Calif San Diego, Dept Med, San Diego, CA USA.
Rhodes, Tim, London Sch Hyg \& Trop Med, Ctr Res Drugs \& Hlth Behav, London, England.
Rhodes, Tim, Univ New S Wales, Syndey, NSW, Australia.},
DOI = {10.1080/10826084.2021.1922450},
EarlyAccessDate = {APR 2021},
ISSN = {1082-6084},
EISSN = {1532-2491},
Keywords-Plus = {OPIOID SUBSTITUTION THERAPY; DRUG-USERS; STRUCTURAL INTERVENTIONS;
ANTIRETROVIRAL THERAPY; HIV PREVENTION; ENVIRONMENTS; PEOPLE; HEROIN;
IMPACT},
Web-of-Science-Categories = {Substance Abuse; Psychiatry; Psychology},
Author-Email = {jndmbii@gmail.com},
ResearcherID-Numbers = {Rhodes, Tim/DNJ-9679-2022
Kageha Igonya, Emmy/GXH-9864-2022
},
ORCID-Numbers = {Ndimbii, James/0000-0003-2291-0868
Rhodes, Tim/0000-0003-2400-9838},
Number-of-Cited-References = {44},
Times-Cited = {1},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000653533500001},
DA = {2023-09-28},
}
@article{ WOS:000639945900001,
Author = {Gica, Oana Adriana and Coros, Monica Maria and Moisescu, Ovidiu Ioan and
Yallop, Anca C.},
Title = {Transformative rural tourism strategies as tools for sustainable
development in Transylvania, Romania: a case study of Sancraiu},
Journal = {WORLDWIDE HOSPITALITY AND TOURISM THEMES},
Year = {2021},
Volume = {13},
Number = {1, SI},
Pages = {124-138},
Month = {JUN 15},
Abstract = {Purpose
According to the United Nations World Tourism Organization, sustainable
tourism is a form of tourism that meets the needs of present tourists
and host regions, while protecting and enhancing the opportunity for the
future. It aims at having a low impact upon the environment and local
culture; generating income and employment; and ensuring the conservation
of local ecosystems. This paper aims to examine the ways in which the
development and promotion of a new tourism product based on unique rural
heritage and traditions contribute to the development of sustainable
tourism by relating the practices to the sustainable development goals
(SDGs) 1, 8, 10, 11, 12 and 17.
Design/methodology/approach
Drawing on a literature review on the topic of sustainable rural
tourism, this paper uses a case-study methodological approach and
provides an example of a sustainable rural tourism destination from the
North Western development region of Romania (Cluj County, Transylvania)
to depict specific sustainable tourism practices. The study uses a
comprehensive desk-research based on secondary data from key industry
and academic sources.
Findings
The research findings show that sustainable rural tourism can greatly
support the development of rural destination and makes a significant
contribution to the sustainable development of the Romanian tourism
industry, in general, and rural economies in particular, as shown in the
case examined in the paper. Sancraiu represents an example of
sustainable tourism practices that contribute to poverty reduction (SDG1
- Target 1.A), provide decent work and ensure economic growth (SDG8 -
Target 8.9), help reducing inequalities (SDG10 - Target 10.3), protect
and safeguard the world's cultural and natural heritage (SDG 11 - Target
11.4), promote responsible consumption and production (SDG 21 - Target
12.b) and last but not least this destination demonstrates that
development is only possible when partnerships are forged (SDG 17).
Social implications
This paper illustrates that fostering unique rural heritage and
traditions can contribute to the sustainable development of
destinations. Sustainable tourism practices contribute not only
financially to a destination but also to its social infrastructures,
jobs, nature conservation, adoption of new working practices and the
revitalisation of passive and poor rural areas.
Originality/value
This paper examines and depicts sustainable rural tourism development as
a transformative strategy contributing to the long-term viability of a
rural destination. The research findings can be viewed as an example of
good practice, which may be applicable to other geographic regions with
similar contexts.},
Type = {Article},
Language = {English},
Affiliation = {Yallop, AC (Corresponding Author), Auckland Univ Technol, Dept Int Business Strategy \& Entrepreneurship, Auckland, New Zealand.
Gica, Oana Adriana; Coros, Monica Maria, Babes Bolyai Univ, Fac Business, Dept Hospitality Serv, Cluj Napoca, Romania.
Moisescu, Ovidiu Ioan, Babes Bolyai Univ, Fac Econ \& Business Adm, Cluj Napoca, Romania.
Yallop, Anca C., Auckland Univ Technol, Dept Int Business Strategy \& Entrepreneurship, Auckland, New Zealand.},
DOI = {10.1108/WHATT-08-2020-0088},
EarlyAccessDate = {APR 2021},
ISSN = {1755-4217},
EISSN = {1755-4225},
Keywords = {Romania; Rural tourism; Case study; Sustainable development goals;
Sancraiu; Transformative strategies},
Web-of-Science-Categories = {Hospitality, Leisure, Sport \& Tourism},
Author-Email = {oana.gica@tbs.ubbcluj.ro
monica.coros@tbs.ubbcluj.ro
ovidiu.moisescu@econ.ubbcluj.ro
anca.yallop@aut.ac.nz},
ResearcherID-Numbers = {Gica, Oana Adriana/AAX-9359-2020
Moisescu, Ovidiu I./C-1175-2013
Coros, Monica Maria/M-9434-2017
Gica, Oana/AAS-6168-2021
Yallop, Anca/AAC-8628-2019},
ORCID-Numbers = {Gica, Oana Adriana/0000-0001-7958-1036
Moisescu, Ovidiu I./0000-0003-0097-5660
Coros, Monica Maria/0000-0002-1966-8954
Gica, Oana/0000-0001-7958-1036
Yallop, Anca/0000-0002-1391-9900},
Number-of-Cited-References = {43},
Times-Cited = {6},
Usage-Count-Last-180-days = {6},
Usage-Count-Since-2013 = {29},
Unique-ID = {WOS:000639945900001},
DA = {2023-09-28},
}
@article{ WOS:000719990000001,
Author = {Sutherns, Tammy and Olivier, Jill},
Title = {Mapping the Multiple Health System Responsiveness Mechanisms in One
Local Health System: A Scoping Review of the Western Cape Provincial
Health System of South Africa},
Journal = {INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT},
Year = {2022},
Volume = {11},
Number = {1, SI},
Pages = {67-79},
Month = {JAN},
Abstract = {Background: Despite governments striving for responsive health systems
and the implementation of mechanisms to foster better citizen feedback
and strengthen accountability and stewardship, these mechanisms do not
always function in effective, equitable, or efficient ways. There is
also limited evidence that maps the diverse array of responsiveness
mechanisms coherently across a particular health system, especially in
low-and middle-income country (LMIC) contexts. Methods: This scoping
review presents a cross-sectional `map' of types of health system
responsiveness mechanisms; the regulatory environment; and evidence
available about these; and assesses what is known about their
functionality in a particular local South African health system; the
Western Cape (WC) province. Multiple forms of indexed and grey
literature were synthesized to provide a contextualized understanding of
current `formal' responsiveness mechanisms mandated in national and
provincial policies and guidelines (n = 379). Various forms of secondary
analysis were applied across quantitative and qualitative data,
including thematic and time-series analyses. An expert checking process
was conducted, with three local field experts, as a final step to check
the veracity of the analytics and conclusions made. Results: National,
provincial and district policies make provision for health system
responsiveness, including varied mechanisms intended to foster public
feedback. However, while some are shown to be functioning and effective,
there are major barriers faced by all, such as resource and capacity
constraints, and a lack of clarity about roles and responsibilities.
Most mechanisms exist in isolation, failing to feed into an overarching
strategy for improved responsiveness. Conclusion: The lack of synergy
between mechanisms or analysis of varied forms of feedback is a missed
opportunity. Decision-makers are unable to see trends or gaps in the
flow of feedback, check whether all voices are heard or fully understand
whether/how systemic response occurs. Urgent health system work lies in
the research of macro `whole' systems responsiveness (levels,
development, trends).},
Type = {Review},
Language = {English},
Affiliation = {Sutherns, T (Corresponding Author), Univ Cape Town, Sch Publ Hlth \& Med, Div Hlth Policy \& Syst, Cape Town, South Africa.
Sutherns, Tammy; Olivier, Jill, Univ Cape Town, Sch Publ Hlth \& Med, Div Hlth Policy \& Syst, Cape Town, South Africa.},
DOI = {10.34172/ijhpm.2021.85},
EarlyAccessDate = {AUG 2021},
EISSN = {2322-5939},
Keywords = {South Africa; Health System; Responsiveness; Accountability; Feedback
Mechanism},
Keywords-Plus = {MIDDLE-INCOME COUNTRIES; CARE; ACCOUNTABILITY; PARTICIPATION; LANGUAGE;
BARRIER; SECTOR},
Web-of-Science-Categories = {Health Care Sciences \& Services; Health Policy \& Services},
Author-Email = {tlsuth@gmail.com},
ResearcherID-Numbers = {Olivier, Jill/M-9735-2015
},
ORCID-Numbers = {Olivier, Jill/0000-0001-9155-6896
Sutherns, Tammy/0000-0001-6838-0212},
Number-of-Cited-References = {69},
Times-Cited = {1},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {6},
Unique-ID = {WOS:000719990000001},
DA = {2023-09-28},
}
@article{ WOS:000447751500013,
Author = {Mbalinda, Scovia and Hjelmstedt, Anna and Nissen, Eva and Odongkara,
Beatrice Mpora and Waiswa, Peter and Svensson, Kristin},
Title = {Experience of perceived barriers and enablers of safe uninterrupted
skin-to-skin contact during the first hour after birth in Uganda},
Journal = {MIDWIFERY},
Year = {2018},
Volume = {67},
Pages = {95-102},
Month = {DEC},
Abstract = {Objective: To identify barriers and enablers to conducting safe
uninterrupted skin-to-skin contact (SSC) in the first hour after birth
in a low-resource setting and to evaluate how health care professionals
coped with the identified barriers after completion of an intervention
package.
Design and setting: A qualitative method using focus-group and
individual interviews with health professionals at a governmental
hospital in Uganda.
Participants: 81 health professionals.
Interventions: A 6-step intervention package including, amongst other
things, showing a DVD on safe uninterrupted SSC following birth and
discussing with the professionals what barriers and possibilities there
were to changing practice to allow SSC for one hour.
Measurements and findings: The thematic analysis of the intervention
interviews yielded the following themes: Perceived barriers including
medical events, psychosocial issues and standard midwifery practice;
Pragmatic barriers including economic constraints in the hospital and
community; Anticipated barriers by staff and families; Enabling events
including staff involvement.
Most of the barriers involving expenses were not solved. When the mother
and infant had to move to the postnatal ward within one hour after
birth, there were difficulties in keeping SSC during the transportation,
but this obstacle was partly solved. A few mothers (i.e. depressed
and/or adolescent) were considered to be unwilling to keep the infant
skin-to-skin; this difficulty was not solved. Practising SSC led the
participants to find advantages such as reduced work load and positive
effects on pain during suturing.
Conclusions: SSC following birth was shown to be applicable and accepted
by the health professionals. The involvement of professionals had
clinical implications, such as initiatives to broadcast the message of
SSC by radio to the community and introduce SSC to women having a
Caesarean section. (C) 2018 Elsevier Ltd. All rights reserved.},
Type = {Article},
Language = {English},
Affiliation = {Hjelmstedt, A (Corresponding Author), Karolinska Inst, Dept Womens \& Childrens Hlth, Stockholm, Sweden.
Mbalinda, Scovia, Makerere Univ, Dept Nursing, Coll Hlth Sci, Kampala, Uganda.
Hjelmstedt, Anna; Nissen, Eva; Svensson, Kristin, Karolinska Inst, Dept Womens \& Childrens Hlth, Stockholm, Sweden.
Odongkara, Beatrice Mpora, Gulu Univ, Gulu Reg Referral \& Teaching Hosp, Dept Paediat \& Child Hlth, Gulu, Uganda.
Waiswa, Peter, Karolinska Inst, Hlth Syst Policy, Dept Publ Hlth Sci, Stockholm, Sweden.
Waiswa, Peter, Makerere Univ, Coll Hlth Sci, Sch Publ Hlth, Maternal Newborn \& Child Hlth Ctr Excellence, Kampala, Uganda.
Svensson, Kristin, Karolinska Univ Hosp, Solna, Sweden.},
DOI = {10.1016/j.midw.2018.09.009},
ISSN = {0266-6138},
EISSN = {1532-3099},
Keywords = {Skin-to-skin contact; Health professionals; Implementation; Focus-group
interview; Low-income setting},
Keywords-Plus = {MOTHER-INFANT INTERACTION; BREAST; CARE},
Web-of-Science-Categories = {Nursing},
Author-Email = {anna.hjelmstedt@ki.se},
ORCID-Numbers = {N Mbalinda, Scovia/0000-0002-4945-130X
svensson, kristin/0000-0002-7138-6209},
Number-of-Cited-References = {34},
Times-Cited = {5},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {9},
Unique-ID = {WOS:000447751500013},
DA = {2023-09-28},
}
@article{ WOS:000836605400016,
Author = {Alajajian, Stephen and Abril, Andrea Guzman and Proano, V, Gabriela and
Jimenez, Elizabeth Yakes and Rohloff, Peter},
Title = {Mixed-Methods Implementation Study of a Home Garden Intervention in
Rural Guatemala Using the RE-AIM Framework},
Journal = {JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS},
Year = {2022},
Volume = {122},
Number = {7},
Pages = {1363-1374},
Month = {JUL},
Abstract = {Background Home gardening is a strategy to improve nutrition and food
security. More information is needed about optimizing gardens in
different contexts.
Objective The aim was to identify implementation barriers and
facilitators for a home gardening intervention in rural Guatemala and
inform future larger-scale interventions in the region.
Design A mixed-methods implementation study using the RE-AIM (Reach,
Effectiveness, Adoption, Implementation, Maintenance) framework was
conducted from January 2019 to July 2020.
Participants/setting Families (n = 70) in rural Guatemala participated
in the intervention. Staff (n = 4), families (n = 6), and community
stakeholders (n = 3) participated in interviews or focus groups.
Intervention Participating households received seeds and seedlings for
16 crops, garden construction materials, agronomist-delivered education
and assistance, and a standard-of-care nutrition program.
Main outcome measures Implementation data were collected from program
records and observations, participant surveys, and interviews and focus
groups. Crop count and nutritional functional diversity of home gardens
were assessed.
Statistical analyses performed Descriptive statistics were calculated
for quantitative outcomes. Qualitative data were double-coded and
organized into overarching themes.
Results Reach: Ninety percent of eligible households participated. Child
nutritional eligibility criteria was a barrier to reach. Effectiveness:
Participants and stakeholders felt the intervention improved access to
diverse foods. Cultivated crops increased an average of five species
(95\% confidence interval {[}CI], 4-6) at 6 months, although not all
were consumed. Adoption: The main community adoption barrier was water
sourcing for garden irrigation.Implementation: Raised beds were the most
common gardening method, with good adoption of agricultural best
practices. Gray water filters and flexible implementation were important
for participation. Maintenance: Crops failure rates were low. Seed
availability was a sustainability challenge. Direct costs were 763 USD
per household.
Conclusions Interest and engagement with a home garden intervention in
Guatemala were high. Gaps between garden production and consumption,
access to water, and seed sourcing should be addressed in future work.},
Type = {Editorial Material},
Language = {English},
Affiliation = {Rohloff, P (Corresponding Author), 2da Ave 3-48 Zona 3, Tecpan, Chimaltenango, Guatemala.
Alajajian, Stephen; Proano, Gabriela, V, Acad Nutr \& Dietet Fdn, Chicago, IL USA.
Abril, Andrea Guzman; Rohloff, Peter, Wuqu Kawoq Alianza Maya Salud, Tecpan, Chimaltenango, Guatemala.
Jimenez, Elizabeth Yakes, Acad Nutr \& Dietet, Nutr Res Network, Chicago, IL USA.
Jimenez, Elizabeth Yakes, Univ New Mexico, Hlth Sci Ctr, Dept Pediat, Albuquerque, NM 87131 USA.
Jimenez, Elizabeth Yakes, Univ New Mexico, Hlth Sci Ctr, Dept Internal Med, Albuquerque, NM 87131 USA.
Jimenez, Elizabeth Yakes, Univ New Mexico, Hlth Sci Ctr, Coll Populat Hlth, Albuquerque, NM 87131 USA.},
DOI = {10.1016/j.jand.2022.03.005},
ISSN = {2212-2672},
EISSN = {2212-2680},
Keywords-Plus = {SENSITIVE AGRICULTURE; FUNCTIONAL DIVERSITY; NUTRITION; HEALTH; IMPACT;
AGROBIODIVERSITY; OPPORTUNITIES; CHILDREN; PROGRAMS; WOMEN},
Web-of-Science-Categories = {Nutrition \& Dietetics},
Author-Email = {peter@wuqukawoq.org},
ResearcherID-Numbers = {Rohloff, Peter/P-8722-2017
},
ORCID-Numbers = {Rohloff, Peter/0000-0001-7274-8315
Alajajian, Stephen/0000-0001-9203-8994
Proano, Gabriela/0000-0002-0794-6427
Yakes Jimenez, Elizabeth/0000-0003-0315-7022
Guzman Abril, Andrea Paola/0000-0003-1277-3177},
Number-of-Cited-References = {54},
Times-Cited = {0},
Usage-Count-Last-180-days = {4},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000836605400016},
DA = {2023-09-28},
}
@article{ WOS:000770613100001,
Author = {Kamvura, Tiny Tinashe and Dambi, Jermaine M. and Chiriseri, Ephraim and
Turner, Jean and Verhey, Ruth and Chibanda, Dixon},
Title = {Barriers to the provision of non-communicable disease care in Zimbabwe:
a qualitative study of primary health care nurses},
Journal = {BMC NURSING},
Year = {2022},
Volume = {21},
Number = {1},
Month = {MAR 18},
Abstract = {Background Non-communicable diseases (NCDs) contribute significantly to
the global disease burden, with low-and middle-income (LMICs) countries
disproportionately affected. A significant knowledge gap in NCDs
exacerbates the high burden, worsened by perennial health system
challenges, including human and financial resources constraints. Primary
health care workers play a crucial role in offering health care to most
people in LMICs, and their views on the barriers to the provision of
quality care for NCDs are critical. This study explored perceived
barriers to providing NCDs care in primary health care facilities in
Zimbabwe. Methods In-depth, individual semi-structured interviews were
conducted with general nurses in primary care facilities until data
saturation was reached. We focused on diabetes, hypertension, and
depression, the three most common conditions in primary care in
Zimbabwe. We used thematic content analysis based on an interview guide
developed following a situational analysis of NCDs care in Zimbabwe and
views from patients with lived experiences. Results Saturation was
reached after interviewing 10 participants from five busy urban clinics.
For all three NCDs, we identified four cross-cutting barriers, a) poor
access to medication and functional equipment such as blood pressure
machines, urinalysis strips; b) high cost of private care; c)poor
working conditions; and d) poor awareness from both patients and the
community which often resulted in the use of alternative potentially
harmful remedies. Participants indicated that empowering communities
could be an effective and low-cost approach to positive lifestyle
changes and health-seeking behaviours. Participants indicated that the
Friendship bench, a task-shifting programme working with trained
community grandmothers, could provide a platform to introduce NCDs care
at the community level. Also, creating community awareness and
initiating screening at a community level through community health
workers (CHWs) could reduce the workload on the clinic nursing staff.
Conclusion Our findings reflect those from other LMICs, with poor work
conditions and resources shortages being salient barriers to optimal
NCDs care at the facility level. Zimbabwe's primary health care system
faces several challenges that call for exploring ways to alleviate
worker fatigue through strengthened community-led care for NCDs.
Empowering communities could improve awareness and positive lifestyle
changes, thus optimising NCD care. Further, there is a need to optimise
NCD care in urban Zimbabwe through a holistic and multisectoral approach
to improve working conditions, basic clinical supplies and essential
drugs, which are the significant challenges facing the country's health
care sector. The Friendship Bench could be an ideal entry point for
providing an integrated NCD care package for diabetes, hypertension and
depression.},
Type = {Article},
Language = {English},
Affiliation = {Kamvura, TT (Corresponding Author), Univ Zimbabwe, Fac Med \& Hlth Sci, Res Support Ctr, Friendship Bench, Harare, Zimbabwe.
Kamvura, Tiny Tinashe; Chiriseri, Ephraim; Turner, Jean; Verhey, Ruth; Chibanda, Dixon, Univ Zimbabwe, Fac Med \& Hlth Sci, Res Support Ctr, Friendship Bench, Harare, Zimbabwe.
Dambi, Jermaine M., Univ Zimbabwe, Fac Med \& Hlth Sci, Rehabil Sci Unit, Friendship Bench, Harare, Zimbabwe.},
DOI = {10.1186/s12912-022-00841-1},
Article-Number = {64},
ISSN = {1472-6955},
Keywords = {Barriers; Non-communicable diseases; Nurses; Primary care; Zimbabwe},
Keywords-Plus = {MIDDLE-INCOME COUNTRIES; SUB-SAHARAN AFRICA; BLOOD-PRESSURE; GLOBAL
BURDEN; HIV; INTERVENTION; DEPRESSION},
Web-of-Science-Categories = {Nursing},
Author-Email = {tiny.kamvura@friendshipbench.io},
ResearcherID-Numbers = {dambi, jermaine/U-2284-2017
Kamvura, Tiny Tinashe/GON-7454-2022},
ORCID-Numbers = {dambi, jermaine/0000-0002-2446-7903
},
Number-of-Cited-References = {58},
Times-Cited = {6},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {4},
Unique-ID = {WOS:000770613100001},
DA = {2023-09-28},
}
@article{ WOS:000330113300001,
Author = {Kruk, Edward and Sandberg, Kathryn},
Title = {A home for body and soul: Substance using women in recovery},
Journal = {HARM REDUCTION JOURNAL},
Year = {2013},
Volume = {10},
Month = {DEC 20},
Abstract = {Background: We report on an in-depth qualitative study of 28 active and
former substance addicted women of low or marginal income on the core
components of a harm reduction-based addiction recovery program. These
women volunteered to be interviewed about their perceptions of their
therapeutic needs in their transition from substance addiction to
recovery.
Method: Data were gathered about women's experiences and essential needs
in addiction recovery, what helped and what hindered their past efforts
in recovery, and their views of what would constitute an effective
woman-centred recovery program. The research was based upon the
experience and knowledge of the women in interaction with their
communities and with recovery programs. The study was informed by harm
reduction practice principles that emphasize the importance of
individual experience in knowledge construction, reduction of harm, low
threshold access, and the development of a hierarchy of needs in regard
to addiction recovery.
Results: Three core needs were identified by study participants:
normalization and structure, biopsychosocial-spiritual safety, and
social connection. What hindered recovery efforts as identified by
participants was an inner urban location, prescriptive recovery,
invidious treatment, lack of safety, distress-derived distraction,
problem-focused treatment, coercive elements of mutual support groups,
and social marginalization. What helped included connection in
counselling and therapy, multidisciplinary service provision,
spirituality focus, opportunities for learning and work, and a safe and
flexible structure. Core components of an effective recovery program
identified by women themselves stand in contrast to the views of service
providers and policymakers, particularly in regard to the need for a
rural location for residential programs, low threshold access,
multidisciplinary service provision of conventional and complementary
modalities and therapies for integrated healing, long-term multi-phase
recovery, and variety and choice of programming.
Conclusion: A key barrier to the addiction recovery of women is the
present framework of addiction treatment, as well as current drug laws,
policies and service delivery systems. The expectation of women is that
harm reduction-based recovery services will facilitate safe, supportive
transitioning from the point of the decision to access services, through
independent living with community integration.},
Type = {Article},
Language = {English},
Affiliation = {Kruk, E (Corresponding Author), Univ British Columbia, Sch Social Work, 2080 West Mall, Vancouver, BC V6T 1Z2, Canada.
Kruk, Edward, Univ British Columbia, Sch Social Work, Vancouver, BC V6T 1Z2, Canada.
Sandberg, Kathryn, BC Minist Children \& Family Dev Child \& Youth Men, Comox, BC V9M 4H5, Canada.},
DOI = {10.1186/1477-7517-10-39},
Article-Number = {39},
EISSN = {1477-7517},
Keywords-Plus = {ABUSING WOMEN; ADDICTION; PROGRAM; GENDER},
Web-of-Science-Categories = {Substance Abuse},
Author-Email = {edward.kruk@ubc.ca},
Number-of-Cited-References = {51},
Times-Cited = {14},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {24},
Unique-ID = {WOS:000330113300001},
DA = {2023-09-28},
}
@inproceedings{ WOS:000317549801099,
Author = {Bejtkovsky, Ing Jiri},
Editor = {Soliman, KS},
Title = {Age Management and Its Position in the Czech and Slovak Organizations},
Booktitle = {INNOVATION AND SUSTAINABLE COMPETITIVE ADVANTAGE: FROM REGIONAL
DEVELOPMENT TO WORLD ECONOMIES, VOLS 1-5},
Year = {2012},
Pages = {2212-2220},
Note = {18th International-Business-Information-Management-Association
Conference, Istanbul, TURKEY, MAY 09-10, 2012},
Abstract = {Based on surveys taken in the Czech Republic and Slovak Republic, it is
safe to say that employing people from the 50+ age category is not very
attractive for today's organizations. This, however, should change.
Experts shed light on some of the benefits employing the elders has.
They continue by disproving that older employees do not have sufficient
potential for learning.
Experts further propose that organization begin implementing a
management system considerate to the employee's age age management,
including recommendations in fields such as health care, job
restructuring, adapting to work organization, shift management according
to impulses by employees and other. (E-sondy.cz, 2012)
Age management is a term used for activities, the purpose of which is to
support the complex approach towards dealing with demographical changes
at the workplace. Legitimate practice in age management was defined as
measures contending with the age barrier or supporting diversity and
activities ensuring each employee receives the opportunity to fulfill
his or her potential and is not at a disadvantage due to age.
(Pillinger, 2008)
The article introduces the results of the quantitative and qualitative
research that was conducted by the author while writing his doctoral
thesis, which was focused on personnel management and specific features
of employees of the age group 50+ in Czech and Slovak organizations.
Results from the article predominantly focus on the philosophy of age
management and its role in Czech and Slovak organizations, both from the
viewpoint of employees and from the viewpoint of managements from
addressed organizations.
The article attempts to point out the potential and personal know-how
50+ employees have, and which employers could appreciate and utilize for
their competitiveness. Furthermore, it is necessary to realize that
establishing age diversity within work groups or teams will become
inevitable. Company culture, which should support the complex approach
to the entire philosophy of age management, also plays an important role
in implementing age management into the organization. Also considered
significant will be providing effective training of managers in order
for them to successfully implement company strategy and processes and to
further support employee age diversity. This step shall help improve the
relations between organization management and all employees, which will
comprehensively reflect on the image of the organization that will be
considered as an organization implementing the policies of individual
approach to each employee.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Bejtkovsky, Ing Jiri, Tomas Bata Univ Zlin, Fac Management \& Econ, Zlin 76001, Czech Republic.},
ISBN = {978-0-9821489-7-6},
Keywords = {age management; competitiveness; age diversity of employees; employee
50+},
Web-of-Science-Categories = {Economics; Regional \& Urban Planning},
Author-Email = {bejtkovsky@fame.utb.cz},
ResearcherID-Numbers = {Bejtkovský, Jiří/B-2001-2018},
ORCID-Numbers = {Bejtkovský, Jiří/0000-0003-1600-3487},
Number-of-Cited-References = {12},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {8},
Unique-ID = {WOS:000317549801099},
DA = {2023-09-28},
}
@article{ WOS:000365969900006,
Author = {Huchko, Megan J. and Maloba, May and Nakalembe, Miriam and Cohen, Craig
R.},
Title = {The time has come to make cervical cancer prevention an essential part
of comprehensive sexual and reproductive health services for
HIV-positive women in low-income countries},
Journal = {JOURNAL OF THE INTERNATIONAL AIDS SOCIETY},
Year = {2015},
Volume = {18},
Number = {5},
Pages = {39-43},
Month = {DEC},
Abstract = {Introduction: HIV and cervical cancer are intersecting epidemics that
disproportionately affect one of the most vulnerable populations in the
world: women in low-and middle-income countries (LMICs). Historically,
the disparity in cervical cancer risk for women in LMICs has been due to
the lack of organized screening and prevention programmes. In recent
years, this risk has been augmented by the severity of the HIV epidemic
in LMICs. HIV-positive women are at increased risk for developing
cervical precancer and cancer, and while the introduction of
antiretroviral therapy has dramatically improved life expectancies among
HIV-positive women it has not been shown to improve cancer-related
outcomes. Therefore, an increasing number of HIV-positive women are
living in LMICs with limited or no access to cervical cancer screening
programmes. In this commentary, we describe the gaps in cervical cancer
prevention, the state of evidence for integrating cervical cancer
prevention into HIV programmes and future directions for programme
implementation and research.
Discussion: Despite the biologic, behavioural and demographic overlap
between HIV and cervical cancer, cervical cancer prevention has for the
most part been left out of sexual and reproductive health (SRH) services
for HIV-positive women. Lower cost primary and secondary prevention
strategies for cervical cancer are becoming more widely available in
LMICs, with increasing evidence for their efficacy and
cost-effectiveness. Going forward, cervical cancer prevention must be
considered a part of the essential package of SRH services for
HIV-positive women. Effective cervical cancer prevention programmes will
require a coordinated response from international policymakers and
funders, national governments and community leaders. Leveraging the
improvements in healthcare infrastructure created by the response to the
global HIV epidemic through integration of services may be an effective
way to make an impact to prevent cervical cancer among HIV-positive
women, but more work remains to determine optimal approaches.
Conclusions: Cervical cancer prevention is an essential part of
comprehensive HIV care. In order to ensure maximal impact and
cost-effectiveness, implementation strategies for screening programmes
must be adapted and rigorously evaluated through a framework that
includes equal participation with policymakers, programme planners and
key stakeholders in the target communities.},
Type = {Editorial Material},
Language = {English},
Affiliation = {Huchko, MJ (Corresponding Author), Mission Hall,550 16th St,Box 1224, San Francisco, CA 94158 USA.
Huchko, Megan J.; Cohen, Craig R., Univ Calif San Francisco, Dept Obstet Gynecol \& Reprod Sci, San Francisco, CA 94143 USA.
Maloba, May, Kenya Govt Med Res Ctr, Family AIDS Care \& Educ Serv, Kisumu, Kenya.
Nakalembe, Miriam, Makerere Univ, Dept Obstet \& Gynaecol, Kampala, Uganda.
Nakalembe, Miriam, Makerere Univ, Infect Dis Inst, Kampala, Uganda.},
DOI = {10.7448/IAS.18.6.20282},
EISSN = {1758-2652},
Keywords = {cervical cancer prevention; HIV; integration; low- and middle-income
countries},
Keywords-Plus = {RANDOMIZED CONTROLLED-TRIAL; SUB-SAHARAN AFRICA; ANTIRETROVIRAL THERAPY;
COST-EFFECTIVENESS; VISUAL INSPECTION; KENYA; INTEGRATION; INFECTION;
INDIA; CARE},
Web-of-Science-Categories = {Immunology; Infectious Diseases},
Author-Email = {megan.huchko@ucsf.edu},
ResearcherID-Numbers = {Huchko, Megan/S-6063-2019},
Number-of-Cited-References = {48},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {11},
Unique-ID = {WOS:000365969900006},
DA = {2023-09-28},
}
@article{ WOS:000529701100001,
Author = {Kea, Sokvibol and Li, Hua and Shahriar, Saleh and Abdullahi, Nazir
Muhammad},
Title = {Relative export competitiveness of the Cambodian rice sector},
Journal = {BRITISH FOOD JOURNAL},
Year = {2020},
Volume = {122},
Number = {12},
Pages = {3757-3778},
Month = {OCT 13},
Abstract = {Purpose In this paper, the authors derive time-varying relative export
competitiveness (REC) of the Cambodian rice sector from 1995 to 2018 and
examine the key determinants of the REC. Design/methodology/approach
Three different REC indexes are calculated in this paper. The authors
also developed the relative symmetric export competitiveness (RSEC)
index for calculation of comparative advantage. The short-run regression
(SRR) model was applied for capturing the determinants of the REC.
Findings The study results reveal that Cambodia's rice exports became
relatively competitive over time. The key findings suggest the Cambodian
REC was strengthened as a result of a successful implementation of rice
policy and rectangular strategy. The benefits gained from EBA and BRI
were found to be the factors contributed to the REC. The higher per
capita income had a positive effect on the REC, while higher domestic
prices reduced the REC in some phases of the sectoral development.
Research limitations/implications Further research is needed in two
directions. First, the future studies might focus on other agro-products
of Cambodia. Second, the development of the crop-specific factor
endowment (CFE) model to consider the effect of endowment factors on the
REC could be preferred in light of the data availability.
Originality/value The research enriches the literature on the
agricultural trade and provides a basis for further studies. This work
makes a few contributions. First, it is the first study on the REC
analysis for the Cambodian rice sector. Second, the latest 24-year data
sets were covered. Third, a wide range of comparisons of REC among the
world's top rice exporters was provided following implications of the
various economic policies and foreign policy strategies, such as RS, EBA
and BRI.},
Type = {Article},
Language = {English},
Affiliation = {Li, H (Corresponding Author), Northwest A\&F Univ, Coll Econ \& Management, Yangling, Shaanxi, Peoples R China.
Kea, Sokvibol; Li, Hua; Shahriar, Saleh; Abdullahi, Nazir Muhammad, Northwest A\&F Univ, Coll Econ \& Management, Yangling, Shaanxi, Peoples R China.},
DOI = {10.1108/BFJ-12-2019-0950},
EarlyAccessDate = {APR 2020},
ISSN = {0007-070X},
EISSN = {1758-4108},
Keywords = {Cambodian rice industry; Belt and Road initiative (BRI); Everything but
Arms (EBA); Rectangular strategy (RS); Revealed comparative advantage
(RCA); Relative export competitiveness (REC); F14; F17; C23},
Keywords-Plus = {REVEALED COMPARATIVE ADVANTAGE; AGRICULTURAL COMMODITIES; TRADE;
COUNTRIES; CHINA; PRODUCTS; DURATION; TEXTILE},
Web-of-Science-Categories = {Agricultural Economics \& Policy; Food Science \& Technology},
Author-Email = {keasokvibol@gmail.com
lihua7485@163.com
shahriar.tib@gmail.com
abdullahi@nwafu.edu.cn},
ResearcherID-Numbers = {Abdullahi, Nazir Muhammad/AHB-9200-2022
SOKVIBOL, KEA/W-4139-2017
Shahriar, Saleh/W-4440-2019},
ORCID-Numbers = {Abdullahi, Nazir Muhammad/0000-0003-2149-0638
SOKVIBOL, KEA/0000-0003-0950-3336
Shahriar, Saleh/0000-0001-5199-3258},
Number-of-Cited-References = {76},
Times-Cited = {5},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {13},
Unique-ID = {WOS:000529701100001},
DA = {2023-09-28},
}
@inproceedings{ WOS:000509743400058,
Author = {Bjorn, Pernille and Menendez-Blanco, Maria},
Book-Group-Author = {ACM},
Title = {FemTech: Broadening Participation to Digital Technology Development},
Booktitle = {PROCEEDINGS OF THE 27TH ACM INTERNATIONAL CONFERENCE ON MULTIMEDIA
(MM'19)},
Year = {2019},
Pages = {510-511},
Note = {27th ACM International Conference on Multimedia (MM), Nice, FRANCE, OCT
21-25, 2019},
Abstract = {In the digital age, the fields and professions related to computing are
having an unprecedent impact on our lives, and on societies. As
computing becomes integrated in fundamental ways in healthcare
{[}10,11], labor markets {[}2,4], and political processes {[}3,6],
questions about who participates and takes decisions in developing
digital technologies are becoming increasingly crucial and unavoidable
{[}7].
A bottom line is that, if a rather homogeneous group develops most of
the digital technologies, there is a risk that these technologies only
consider a part of the population, and therefore unwillingly introduce
biases or trigger exclusion. There are many intersectional
characteristics - such as race, gender, or class - by which people can
be part of an excluded minority. This keynote focuses on women as a
gender minority in computing.
In Western societies, the percentage of women participating in computing
is low. According to a recent report for the European Commission, there
are four times more men than women in Europe in studies related to
Information and Communication Technologies {[}12]. Similarly, a study by
the Department of Labor Bureau of Labor Statistics showed that only 26\%
of computing jobs in USA were held by women {[}13].
Denmark is often viewed as a progressive country with gender equality;
therefore, the gender homogeneity displayed in computer science
education often comes as a surprise. In 2016, only 8\% of the incoming
bachelor students were women at the Computer Science department at the
University of Copenhagen (DIKU). This remarkable low percentage
triggered many questions to us: How did a field initially led by women
lost so many of them? Why is this an issue that society should care
about? What are the practices and actions that help address this issue?
Who should engage with those practices and actions?
These are some of the questions that we have been addressing at
FemTech(1), an action research project started in 2017 at DIKU. Action
research is an approach by which researchers explore a problem, and
develop theoretical understandings, while working on the development of
solutions {[}9]. Unsurprisingly, our results show that there is no
silver bullet to address the gender gap in computing. However, there are
different strategies that can help broaden participation, and they come
with their advantages and pitfalls.
At FemTech, our efforts have been focusing in creating opportunities for
people, and in particular young women with no prior interest in Computer
Science, to explore ways in which computing could match their personal
interests {[}1]. This approach is aligned with previous successful
initiatives which suggested to create ``new computing clubs{''} instead
of including women in existing clubs {[}5]; and differentiates from a
`deficit' approach, by which the issue of gender diversity in computer
science is framed as a problem of too few women, which can be addressed
by bringing in more women {[}1].
FemTech is a project with many developments and interventions. What
started as a primarily educational initiative for women high-school
students has evolved into a broaden initiative that seeks to address
structural and cultural issues in computing {[}8]. The project has
delivered many results, some of them especially tangible and measurable
such as the increase of from 8\% to 18\% of women incoming bachelor
students at the department in two years; and the decrease of the
drop-out rate in the first year of the bachelor from 22\%-3.7\%.
More importantly, throughout this project we have developed a great
amount of insights which can be useful for engaging in similar endeavors
and prompting discussions among those interested in addressing the issue
of women as gender minority in computing. These insights include the
importance of changing computer science departments from ``within{''},
the relevance of challenging stereotypical and narrow definitions of
computer science, and the instrumentality of interactive artefacts in
prompting change.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Bjorn, P (Corresponding Author), Univ Copenhagen, Dept Comp Sci, Copenhagen, Denmark.
Bjorn, Pernille; Menendez-Blanco, Maria, Univ Copenhagen, Dept Comp Sci, Copenhagen, Denmark.},
DOI = {10.1145/3343031.3355512},
ISBN = {978-1-4503-6889-6},
Keywords = {Gender; Computer Science; Inclusion; Diversity; Action Research},
Web-of-Science-Categories = {Computer Science, Interdisciplinary Applications; Computer Science,
Theory \& Methods},
Author-Email = {pernille.bjorn@di.ku.dk
maria.mb@di.ku.dk},
ResearcherID-Numbers = {Blanco, Maria Menendez/AAY-3819-2020},
ORCID-Numbers = {Blanco, Maria Menendez/0000-0002-7353-5183},
Number-of-Cited-References = {11},
Times-Cited = {6},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {14},
Unique-ID = {WOS:000509743400058},
DA = {2023-09-28},
}
@article{ WOS:000399180100001,
Author = {Barker, Anna K. and Brown, Kelli and Siraj, Dawd and Ahsan, Muneeb and
Sengupta, Sharmila and Safdar, Nasia},
Title = {Barriers and facilitators to infection control at a hospital in northern
India: a qualitative study},
Journal = {ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL},
Year = {2017},
Volume = {6},
Month = {APR 8},
Abstract = {Background: Hospital acquired infections occur at higher rates in
low-and middle-income countries, like India, than in high-income
countries. Effective implementation of infection control practices is
crucial to reducing the transmission of hospital acquired infections at
hospitals worldwide. Yet, no comprehensive assessments of the barriers
to sustained, successful implementation of hospital interventions have
been performed in Indian healthcare settings to date. The Systems
Engineering Initiative for Patient Safety (SEIPS) model examines
problems through the lens of interactions between people and systems. It
is a natural fit for investigating the behavioral and systematic
components of infection control practices.
Methods: We conducted a qualitative study to assess the facilitators and
barriers to infection control practices at a 1250 bed tertiary care
hospital in Haryana, northern India. Twenty semi-structured interviews
of nurses and physicians, selected by convenience sampling, were
conducted in English using an interview guide based on the SEIPS model.
All interview data was subsequently transcribed and coded for themes.
Results: Person, task, and organizational level factors were the primary
barriers and facilitators to infection control at this hospital. Major
barriers included a high rate of nursing staff turnover, time spent
training new staff, limitations in language competency, and heavy
clinical workloads. A well developed infection control team and an
institutional climate that prioritizes infection control were major
facilitators.
Conclusions: Institutional support is critical to the effective
implementation of infection control practices. Prioritizing resources to
recruit and retain trained, experienced nursing staff is also essential.},
Type = {Article},
Language = {English},
Affiliation = {Safdar, N (Corresponding Author), Univ Wisconsin, Dept Med, Sch Med \& Publ Hlth, Madison, WI 53706 USA.
Safdar, N (Corresponding Author), William S Middleton Mem Vet Affairs Hosp, Madison, WI 53705 USA.
Barker, Anna K.; Brown, Kelli, Univ Wisconsin, Sch Med \& Publ Hlth, Dept Populat Hlth Sci, Madison, WI USA.
Siraj, Dawd; Safdar, Nasia, Univ Wisconsin, Dept Med, Sch Med \& Publ Hlth, Madison, WI 53706 USA.
Ahsan, Muneeb, Medanta Medic Hosp, Medanta Inst Eduat \& Res, Gurgaon, Haryana, India.
Sengupta, Sharmila, Medanta Medic Hosp, Dept Clin Microbiol \& Infect Control, Gurgaon, Haryana, India.
Safdar, Nasia, William S Middleton Mem Vet Affairs Hosp, Madison, WI 53705 USA.},
DOI = {10.1186/s13756-017-0189-9},
Article-Number = {35},
ISSN = {2047-2994},
Keywords = {Infection control; Global health; Qualitative methodology; Human
factors; India},
Keywords-Plus = {CLOSTRIDIUM-DIFFICILE; CARE-UNITS; IMPROVE; PREVENTION; WORK},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health; Infectious Diseases;
Microbiology; Pharmacology \& Pharmacy},
Author-Email = {ns2@medicine.wisc.edu},
Number-of-Cited-References = {23},
Times-Cited = {31},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {12},
Unique-ID = {WOS:000399180100001},
DA = {2023-09-28},
}
@article{ WOS:000729234900010,
Author = {Lee, Hyunjin and Kim, Bohyun and Song, Youngshin},
Title = {Related Factors for Impaired Fasting Glucose in Korean Adults: A
Population Based Study},
Journal = {BMC PUBLIC HEALTH},
Year = {2021},
Volume = {21},
Number = {1},
Month = {DEC 11},
Abstract = {Background Individuals with impaired fasting glucose (IFG) who have poor
health behaviors are at a greater risk for various health outcomes. This
study compared the health behaviors and health literacy between
individuals with non-IFG and IFG; factors that were associated with IFG
were identified by sex. Methods This study was an observational study
with a cross-sectional design based on data from the Korea National
Health and Nutrition Examination Survey (KNHANES) that used a
stratified, multi-stage, cluster-sampling design to obtain a nationally
representative sample. This study analyzed the KNHANES Health
Examination Survey and Health Behavior Survey from 2016 to 2018
(N=9919). Multiple logistic regression analysis was employed to compute
the odds ratios of health behaviors and health literacy to identify the
risk factors for IFG. Results The prevalence of IFG among the total was
29.0\% (weighted n=2826, 95\% CI 27.8-30.2). In the IFG group, 63.6\%
were male and 36.4\% were female (X-2=320.57, p<.001). In multiple
logistic regression by sex, the factors associated with IFG in male were
as follows: age (50s; OR=2.36, 95\% CI 1.79-3.13), high BMI (OR=2.27,
95\% CI 1.78-2.90), frequent drinking (OR=1.83, 95\% CI 1.23-2.72), and
using nutrition fact labels (OR=1.35, 95\% CI 1.05-1.75). Low economic
status (OR=4.18, 95\% CI 1.57-11.15) and high BMI (OR=2.35, 95\% CI
1.29-4.28) were the affecting factors in female. On the other hand,
employment status, perceived stress, and job type were not related to
IFG in both male and female. Conclusions Strategies should be targeted
to improve health behaviors and health literacy for those in their 40s
and 60s, male in shift work, those who frequently dine out, overweight
male, female with low economic statuses, and frequent drinkers.
Moreover, healthcare providers should understand the barriers to health
behaviors and literacy to effectively deliver healthcare service.},
Type = {Article},
Language = {English},
Affiliation = {Kim, B (Corresponding Author), Hallym Polytech Univ, Dept Nursing, 48 Janghak Gil, Dong Myeon Chuncheon Si 24210, Gangwon Do, South Korea.
Song, Y (Corresponding Author), Chungnam Natl Univ, Coll Nursing, Munhwa Ro 266, Daejeon 35015, Daejeon, South Korea.
Lee, Hyunjin, Eulji Univ, Coll Nursing, 712 Dongil Ro, Uijeongbu Si, Gyeonggi Do, South Korea.
Kim, Bohyun, Hallym Polytech Univ, Dept Nursing, 48 Janghak Gil, Dong Myeon Chuncheon Si 24210, Gangwon Do, South Korea.
Song, Youngshin, Chungnam Natl Univ, Coll Nursing, Munhwa Ro 266, Daejeon 35015, Daejeon, South Korea.},
DOI = {10.1186/s12889-021-12276-5},
Article-Number = {2256},
EISSN = {1471-2458},
Keywords = {Impaired fasting glucose; Diabetes mellitus; Health behavior; Health
Literacy},
Keywords-Plus = {LOW HEALTH LITERACY; RISK-FACTORS; TYPE-2; MANAGEMENT; BEHAVIORS;
PEOPLE; GENDER},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {bhkim@hsc.ac.kr
yssong87@cnu.ac.kr},
ORCID-Numbers = {Kim, Bohyun/0000-0002-0604-1319},
Number-of-Cited-References = {38},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000729234900010},
DA = {2023-09-28},
}
@article{ WOS:000409054800001,
Author = {Mitchell, Kaitlin F. and Barker, Anna K. and Abad, Cybele L. and Safdar,
Nasia},
Title = {Infection control at an urban hospital in Manila, Philippines: a systems
engineering assessment of barriers and facilitators},
Journal = {ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL},
Year = {2017},
Volume = {6},
Month = {SEP 2},
Abstract = {Background: Healthcare facilities in low-and middle-income countries,
including the Philippines, face substantial challenges in achieving
effective infection control. Early stages of interventions should
include efforts to understand perceptions held by healthcare workers who
participate in infection control programs.
Methods: We performed a qualitative study to examine facilitators and
barriers to infection control at an 800-bed, private, tertiary hospital
in Manila, Philippines. Semi-structured interviews were conducted with
22 nurses, physicians, and clinical pharmacists using a guide based on
the Systems Engineering Initiative for Patient Safety (SEIPS). Major
facilitators and barriers to infection control were reported for each
SEIPS factor: person, organization, tasks, physical environment, and
technology and tools.
Results: Primary facilitators included a robust, long-standing infection
control committee, a dedicated infection control nursing staff, and
innovative electronic hand hygiene surveillance technology. Barriers
included suboptimal dissemination of hand hygiene compliance data, high
nursing turnover, clinical time constraints, and resource limitations
that restricted equipment purchasing.
Conclusions: The identified facilitators and barriers may be used to
prioritize possible opportunities for infection control interventions. A
systems engineering approach is useful for conducting a comprehensive
work system analysis, and maximizing resources to overcome known
barriers to infection control in heavily resource-constrained settings.},
Type = {Article},
Language = {English},
Affiliation = {Safdar, N (Corresponding Author), Univ Wisconsin, Dept Med, Div Infect Dis, Madison, WI 53705 USA.
Safdar, N (Corresponding Author), William S Middleton Mem Vet Adm Med Ctr, Madison, WI 53705 USA.
Safdar, N (Corresponding Author), Univ Wisconsin, Infect Control Dept, 5221 Med Fdn Centennial Bldg,1685 Highland Ave, Madison, WI 53705 USA.
Mitchell, Kaitlin F.; Barker, Anna K., Univ Wisconsin, Dept Populat Hlth Sci, Madison, WI 53705 USA.
Mitchell, Kaitlin F.; Barker, Anna K.; Safdar, Nasia, Univ Wisconsin, Dept Med, Div Infect Dis, Madison, WI 53705 USA.
Abad, Cybele L., Med City, Dept Med, Div Infect Dis, Pasig, Philippines.
Safdar, Nasia, William S Middleton Mem Vet Adm Med Ctr, Madison, WI 53705 USA.
Safdar, Nasia, Univ Wisconsin, Infect Control Dept, 5221 Med Fdn Centennial Bldg,1685 Highland Ave, Madison, WI 53705 USA.},
DOI = {10.1186/s13756-017-0248-2},
Article-Number = {90},
ISSN = {2047-2994},
Keywords = {Systems Engineering Initiative for Patient Safety; Philippines;
Infection control; Hand hygiene; Intervention implementation},
Keywords-Plus = {INTENSIVE-CARE UNITS; HAND HYGIENE; COLLABORATION; PRESCRIPTION;
IMPROVEMENT; PREVENTION; DOCTORS; IMPACT; SAFETY; ADULT},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health; Infectious Diseases;
Microbiology; Pharmacology \& Pharmacy},
Author-Email = {ns2@medicine.wisc.edu},
Number-of-Cited-References = {33},
Times-Cited = {9},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {18},
Unique-ID = {WOS:000409054800001},
DA = {2023-09-28},
}
@article{ WOS:000375542100028,
Author = {Kristjansson, Elizabeth and Francis, Damian K. and Liberato, Selma and
Jandu, Maria Benkhalti and Welch, Vivian and Batal, Malek and
Greenhalgh, Trish and Rader, Tamara and Noonan, Eamonn and Shea,
Beverley and Janzen, Laura and Wells, George A. and Petticrew, Mark},
Title = {Food supplementation for improving the physical and psychosocial health
of socio-economically disadvantaged children aged three months to five
years (Review)},
Journal = {COCHRANE DATABASE OF SYSTEMATIC REVIEWS},
Year = {2015},
Number = {3},
Abstract = {Background
Undernutrition contributes to five million deaths of children under five
each year. Furthermore, throughout the life cycle, undernutrition
contributes to increased risk of infection, poor cognitive functioning,
chronic disease, and mortality. It is thus important for decision-makers
to have evidence about the effectiveness of nutrition interventions for
young children.
Objectives
Primary objective
1. To assess the effectiveness of supplementary feeding interventions,
alone or with co-intervention, for improving the physical and
psychosocial health of disadvantaged children aged three months to five
years.
Secondary objectives
1. To assess the potential of such programmes to reduce socio-economic
inequalities in undernutrition.
2. To evaluate implementation and to understand how this may impact on
outcomes.
3. To determine whether there are any adverse effects of supplementary
feeding.
Search methods
We searched CENTRAL, Ovid MEDLINE, PsycINFO, and seven other databases
for all available years up to January 2014. We also searched
ClinicalTrials.gov and several sources of grey literature. In addition,
we searched the reference lists of relevant articles and reviews, and
asked experts in the area about ongoing and unpublished trials.
Selection criteria
Randomised controlled trials (RCTs), cluster-RCTs, controlled clinical
trials (CCTs), controlled before-and-after studies (CBAs), and
interrupted time series (ITS) that provided supplementary food (with or
without co-intervention) to children aged three months to five years,
from all countries. Adjunctive treatments, such as nutrition education,
were allowed. Controls had to be untreated.
Data collection and analysis
Two or more review authors independently reviewed searches, selected
studies for inclusion or exclusion, extracted data, and assessed risk of
bias. We conducted meta-analyses for continuous data using the mean
difference (MD) or the standardised mean difference (SMD) with a 95\%
confidence interval (CI), correcting for clustering if necessary. We
analysed studies from low-and middle-income countries and from
high-income countries separately, and RCTs separately from CBAs. We
conducted a process evaluation to understand which factors impact on
effectiveness.
Main results
We included 32 studies (21 RCTs and 11 CBAs); 26 of these (16 RCTs and
10 CBAs) were in meta-analyses. More than 50\% of the RCTs were judged
to have low risk of bias for random selection and incomplete outcome
assessment. We judged most RCTS to be unclear for allocation
concealment, blinding of outcome assessment, and selective outcome
reporting. Because children and parents knew that they were given food,
we judged blinding of participants and personnel to be at high risk for
all studies.
Growth. Supplementary feeding had positive effects on growth in
low-andmiddle-income countries. Meta-analysis of the RCTs showed that
supplemented children gained an average of 0.12 kg more than controls
over six months (95\% confidence interval (CI) 0.05 to 0.18, 9 trials,
1057 participants, moderate quality evidence). In the CBAs, the effect
was similar; 0.24 kg over a year (95\% CI 0.09 to 0.39, 1784
participants, very low quality evidence). In high-income countries, one
RCT found no difference in weight, but in a CBA with 116 Aboriginal
children in Australia, the effect on weight was 0.95 kg (95\% CI 0.58 to
1.33). For height, meta-analysis of nine RCTs revealed that supplemented
children grew an average of 0.27 cm more over six months than those who
were not supplemented (95\% CI 0.07 to 0.48, 1463 participants, moderate
quality evidence). Meta-analysis of seven CBAs showed no evidence of an
effect (mean difference (MD) 0.52 cm, 95\% CI -0.07 to 1.10, 7 trials,
1782 participants, very low quality evidence). Meta-analyses of the RCTs
demonstrated benefits for weight-for-age z-scores (WAZ) (MD 0.15, 95\%
CI 0.05 to 0.24, 8 trials, 1565 participants, moderate quality
evidence), and height-for-age z-scores (HAZ) (MD 0.15, 95\% CI 0.06 to
0.24, 9 trials, 4638 participants, moderate quality evidence), but not
for weight-for-height z-scores MD 0.10 (95\% CI -0.02 to 0.22, 7 trials,
4176 participants, moderate quality evidence). Meta-analyses of the CBAs
showed no effects on WAZ, HAZ, or WHZ (very low quality evidence). We
found moderate positive effects for haemoglobin (SMD 0.49, 95\% CI 0.07
to 0.91, 5 trials, 300 participants) in a meta-analysis of the RCTs.
Psychosocial outcomes. Eight RCTs in low-and middle-income countries
assessed psychosocial outcomes. Our meta-analysis of two studies showed
moderate positive effects of feeding on psychomotor development (SMD
0.41, 95\% CI 0.10 to 0.72, 178 participants). The evidence of effects
on cognitive development was sparse and mixed.
We found evidence of substantial leakage. When feeding was given at
home, children benefited from only 36\% of the energy in the supplement.
However, when the supplementary food was given in day cares or feeding
centres, there was less leakage; children took in 85\% of the energy
provided in the supplement. Supplementary food was generally more
effective for younger children (less than two years of age) and for
those who were poorer/less well-nourished. Results for sex were
equivocal. Our results also suggested that feeding programmes which were
given in day-care/feeding centres and those which provided a
moderate-to-high proportion of the recommended daily intake (\% RDI) for
energy were more effective.
Authors' conclusions
Feeding programmes for young children in low- and middle-income
countries can work, but good implementation is key.},
Type = {Review},
Language = {English},
Affiliation = {Kristjansson, E (Corresponding Author), Univ Ottawa, Sch Psychol, Fac Social Sci, Room 407C,Montpetit Hall,125 Univ, Ottawa, ON K1N 6N5, Canada.
Kristjansson, Elizabeth, Univ Ottawa, Sch Psychol, Fac Social Sci, Room 407C,Montpetit Hall,125 Univ, Ottawa, ON K1N 6N5, Canada.
Francis, Damian K., Univ W Indies, Epidemiol Res Unit, Mona Kingston 7, Jamaica.
Liberato, Selma, Charles Darwin Univ, Nutr Res Team, Menzies Sch Hlth Res, Darwin, NT 0909, Australia.
Jandu, Maria Benkhalti, Univ Ottawa, Ctr Global Hlth, Inst Populat Hlth, Ottawa, ON, Canada.
Welch, Vivian, Univ Ottawa, Bruyere Res Inst, Ottawa, ON, Canada.
Batal, Malek, Univ Montreal, Fac Med, Dept Nutr, WHO Collaborating Ctr Nutr Changes \& Dev TRANSNUT, Quebec City, PQ, Canada.
Greenhalgh, Trish, Barts \& London Queen Marys Sch Med \& Dent, Ctr Primary Care \& Publ Hlth, London, England.
Rader, Tamara, Cochrane Musculoskeletal Grp, Ottawa, ON, Canada.
Noonan, Eamonn, Norwegian Knowledge Ctr Hlth Serv, Oslo, Norway.
Shea, Beverley; Wells, George A., Univ Ottawa, Dept Epidemiol \& Community Med, Ottawa, ON, Canada.
Janzen, Laura, Hosp Sick Children, Dept Psychol, 555 Univ Ave, Toronto, ON M5G 1X8, Canada.
Janzen, Laura, Hosp Sick Children, Div Hematol Oncol, Toronto, ON M5G 1X8, Canada.
Petticrew, Mark, London Sch Hyg \& Trop Med, Dept Social \& Environm Hlth Res, Fac Publ Hlth \& Policy, London WC1, England.},
DOI = {10.1002/14651858.CD009924.pub2},
Article-Number = {CD009924},
ISSN = {1469-493X},
EISSN = {1361-6137},
Keywords-Plus = {USE THERAPEUTIC FOOD; NUTRITIONAL SUPPLEMENTATION; MICRONUTRIENT
SUPPLEMENT; UNDERNOURISHED CHILDREN; LINEAR GROWTH;
DEVELOPING-COUNTRIES; BRAIN-DEVELOPMENT; STUNTED CHILDREN; MALNOURISHED
CHILDREN; NUTRIENT SUPPLEMENTS},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {kristjan@uottawa.ca},
ResearcherID-Numbers = {Greenhalgh, Trisha/B-1825-2015
Petticrew, Mark/AAY-6274-2021
Rader, Tamara/H-9469-2013
Welch, Vivian Andrea/AAD-9338-2020
Kristjansson, Elizabeth/AAT-9709-2020
},
ORCID-Numbers = {Greenhalgh, Trisha/0000-0003-2369-8088
Welch, Vivian Andrea/0000-0002-5238-7097
Rader, Tamara/0000-0002-9059-3756},
Number-of-Cited-References = {159},
Times-Cited = {51},
Usage-Count-Last-180-days = {3},
Usage-Count-Since-2013 = {22},
Unique-ID = {WOS:000375542100028},
DA = {2023-09-28},
}
@article{ WOS:000417055700009,
Author = {Dyer, Silke J. and Vinoos, Latiefa and Ataguba, John E.},
Title = {Poor recovery of households from out-of-pocket payment for assisted
reproductive technology},
Journal = {HUMAN REPRODUCTION},
Year = {2017},
Volume = {32},
Number = {12},
Pages = {2431-2436},
Month = {DEC},
Abstract = {STUDY QUESTION: How do households recover financially from direct
out-of-pocket payment for government subsidized ART?
SUMMARY ANSWER: After a mean of 3.8 years, there was poor recovery from
initiated financial coping strategies with the poorest households being
disproportionatley affected.
WHAT IS KNOWN ALREADY: Out-of-pocket payment for health services can
create financial burdens for households and inequities in access to
care. A previous study conducted at a public-academic institution in
South Africa documented that patient co-payment for one cycle of ART
resulted in catastrophic expenditure for one in five households, and
more frequently among the poorest, requiring diverse financial coping
strategies to offset costs.
STUDY DESIGN, SIZE, DURATION: An observational follow-up study was
conducted similar to 4 years later to assess financial recovery among
the 135 couples who had participated in this previous study. Data were
collected over 12 months from 73 informants.
PARTICIPANTS/MATERIALS, SETTING, METHOD: The study was conducted at a
level three referral hospital in the publicacademic health sector of
South Africa. At this institution ART is subsidized but requires patient
co-payments. A purpose-built questionnaire capturing socio-economic
information and recovery from financial coping strategies which had been
activated was administered to all informants. Financial recovery was
defined as the resolution of strategies initiated for the specific
purpose of covering the original ART cycle. Results were analysed by
strategy and household with the latter including analysis by tertiles
based on socio-economic status at the time of the original expenditure.
In addition to descriptive statistics, the Pearson Chi squared test was
used to determine differences between socioeconomic tertiles and
associations between recovery and other variables.
MAIN RESULTS AND THE ROLE OF CHANCE: The participation rate in this
follow-up study was 54.1\% with equal representation from the three
socio-economic tertiles. The average duration of follow-up was 46.1
months (+/- 9.78 SD) and respondents' mean age was 42 years (range
31-52). The recovery rate was below 50\% for four of five strategies
evaluated: 23.1\% of households had re-purchased a sold asset; 23.5\%
had normalized a previous reduction in household spending, 33.8\% had
regained their savings, and 48.7\% were no longer bolstering income
through additional work. Two-thirds of households (60.0\%) had repaid
all loans and debts. The poorest households showed lower rates of
recovery when compared to households in the richest tertile. Complete
recovery from all strategies initiated was reported by only 10
households (13.7\%): 1 of 19 in the lowest tertile, 3 of 30 in the
middle and by 6 of 24 households in the richest tertile (P > 0.05). No
association was found between the degree of financial recovery and
additional cost burdens incurred, including related to babies born; or
between the degree of recovery and ongoing pursuit of ART.
LIMITATIONS, REASONS FOR CAUTION: The sample size was limited. The
participation rate was just over 50\%. Results were dependent on
participants' narrative and recall.
WIDER IMPLICATIONS OF THE FINDINGS: The willingness of patients to pay
for ART does not necessarily imply the ability to pay. As a result, the
lack of comprehensive third-party funding for ART can create immediate
and long-term financial hardship which is more pronounced among poorer
households. While more data on the impact of out-of-pocket payment for
ART are needed to illustrate the problem in other low resource settings,
the results from South Africa provide useful information for similar
developing countries. The current absence of more extensive data should
therefore not be a barrier to the promotion of financial risk protection
for infertile couples, especially the poorest, in need of ART.},
Type = {Article},
Language = {English},
Affiliation = {Dyer, SJ (Corresponding Author), Groote Schuur Hosp, Dept Obstet \& Gynaecol, Main Rd, ZA-7925 Observatory, South Africa.
Dyer, Silke J.; Vinoos, Latiefa, Univ Cape Town, Groote Schuur Hosp, Dept Obstet \& Gynaecol, Main Rd, ZA-7925 Cape Town, South Africa.
Dyer, Silke J.; Vinoos, Latiefa, Univ Cape Town, Fac Hlth Sci, Main Rd, ZA-7925 Cape Town, South Africa.
Ataguba, John E., Univ Cape Town, Fac Hlth Sci, Hlth Econ Unit, Anzio Rd, ZA-7925 Cape Town, South Africa.},
DOI = {10.1093/humrep/dex315},
ISSN = {0268-1161},
EISSN = {1460-2350},
Keywords = {assisted reproductive technology; out-of-pocket payment; infertility;
health economics; Africa; health expenditures; income; developing
countries},
Keywords-Plus = {DEVELOPING-COUNTRIES; COPING STRATEGIES; ECONOMIC-IMPACT; HEALTH-CARE;
INFERTILITY; CONSEQUENCES; PATIENT; SECTOR; COSTS; INDIA},
Web-of-Science-Categories = {Obstetrics \& Gynecology; Reproductive Biology},
Author-Email = {silke.dyer@uct.ac.za},
ORCID-Numbers = {Ataguba, John Ele-Ojo/0000-0002-7746-3826},
Number-of-Cited-References = {24},
Times-Cited = {8},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000417055700009},
DA = {2023-09-28},
}
@article{ WOS:000386128800002,
Author = {Sharif, Muhammad U. and Elsayed, Mohamed E. and Stack, Austin G.},
Title = {The global nephrology workforce: emerging threats and potential
solutions!},
Journal = {CLINICAL KIDNEY JOURNAL},
Year = {2016},
Volume = {9},
Number = {1},
Pages = {11-22},
Month = {FEB},
Abstract = {Amidst the rising tide of chronic kidney disease (CKD) burden, the
global nephrology workforce has failed to expand in order to meet the
growing healthcare needs of this vulnerable patient population. In
truth, this shortage of nephrologists is seen in many parts of the
world, including North America, Europe, Australia, New Zealand, Asia and
the African continent. Moreover, expert groups on workforce planning as
well as national and international professional organizations predict
further reductions in the nephrology workforce over the next decade,
with potentially serious implications. Although the full impact of this
has not been clearly articulated, what is clear is that the delivery of
care to patients with CKD may be threatened in many parts of the world
unless effective country-specific workforce strategies are put in place
and implemented. Multiple factors are responsible for this apparent
shortage in the nephrology workforce and the underpinning reasons may
vary across health systems and countries. Potential contributors include
the increasing burden of CKD, aging workforce, declining interest in
nephrology among trainees, lack of exposure to nephrology among students
and residents, rising cost of medical education and specialist training,
increasing cultural and ethnic disparities between patients and care
providers, increasing reliance on foreign medical graduates, inflexible
work schedules, erosion of nephrology practice scope by other
specialists, inadequate training, reduced focus on scholarship and
research funds, increased demand to meet quality of care standards and
the development of new care delivery models. It is apparent from this
list that the solution is not simple and that a comprehensive evaluation
is required. Consequently, there is an urgent need for all countries to
develop a policy framework for the provision of kidney disease services
within their health systems, a framework that is based on accurate
projections of disease burden, a full understanding of the internal care
delivery systems and a framework that is underpinned by robust health
intelligence on current and expected workforce numbers required to
support the delivery of kidney disease care. Given the expected
increases in global disease burden and the equally important increase in
many established kidney disease risk factors such as diabetes and
hypertension, the organization of delivery and sustainability of kidney
disease care should be enshrined in governmental policy and legislation.
Effective nephrology workforce planning should be comprehensive and
detailed, taking into consideration the structure and organization of
the health system, existing care delivery models, nephrology workforce
practices and the size, quality and success of internal nephrology
training programmes. Effective training programmes at the undergraduate
and postgraduate levels, adoption of novel recruitment strategies,
flexible workforce practices, greater ownership of the traditional
nephrology landscape and enhanced opportunities for research should be
part of the implementation process. Given that many of the factors that
impact on workforce capacity are generic across countries, cooperation
at an international level would be desirable to strengthen efforts in
workforce planning and ensure sustainable models of healthcare delivery.},
Type = {Review},
Language = {English},
Affiliation = {Stack, AG (Corresponding Author), Univ Hosp Limerick, Div Nephrol, Dept Med, Limerick, Ireland.
Stack, AG (Corresponding Author), Univ Limerick, Grad Entry Med Sch, Limerick, Ireland.
Stack, AG (Corresponding Author), Univ Limerick, HRI, Limerick, Ireland.
Sharif, Muhammad U.; Elsayed, Mohamed E.; Stack, Austin G., Univ Hosp Limerick, Div Nephrol, Dept Med, Limerick, Ireland.
Sharif, Muhammad U.; Elsayed, Mohamed E.; Stack, Austin G., Univ Limerick, Grad Entry Med Sch, Limerick, Ireland.
Stack, Austin G., Univ Limerick, HRI, Limerick, Ireland.},
DOI = {10.1093/ckj/sfv111},
ISSN = {1753-0784},
EISSN = {1753-0792},
Keywords = {chronic kidney disease; nephrology workforce; planning; solutions},
Keywords-Plus = {CHRONIC KIDNEY-DISEASE; STAGE RENAL-DISEASE; UNITED-STATES;
TRAINING-PROGRAMS; INTERNAL-MEDICINE; LATIN-AMERICA; PRIMARY-CARE;
DIALYSIS; PREVALENCE; BURDEN},
Web-of-Science-Categories = {Urology \& Nephrology},
Author-Email = {austin.stack@ul.ie},
ORCID-Numbers = {Elsayed, Mohamed/0000-0002-0591-8051},
Number-of-Cited-References = {107},
Times-Cited = {96},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {19},
Unique-ID = {WOS:000386128800002},
DA = {2023-09-28},
}
@article{ WOS:000499078400016,
Author = {Boseto, Hensllyn and Gray, Marion and Langmead, Ruth},
Title = {The role occupational therapy in the Solomon Islands: experiences and
perceptions of occupational therapists and rehabilitation health workers},
Journal = {RURAL AND REMOTE HEALTH},
Year = {2019},
Volume = {19},
Number = {4},
Abstract = {Introduction: In most Western countries occupational therapy is well
established as a crucial aspect of overall health care; however, in
low-middle-income countries it is still an emerging profession. This
article investigates the role of occupational therapy in the Solomon
Islands by examining the experiences and perceptions of occupational
therapists (OTs) and other rehabilitation health workers who have worked
there.
Methods: Using a qualitative research design, participants were
recruited using purposive sampling, and data were gathered through
in-depth interviews, diary entries and observations of an occupational
therapy setting in the Solomon Islands. Ten participants were
interviewed.
Results: A significant role in health-promoting practices was revealed
through the various tasks undertaken by OTs in the Solomon Islands,
including influencing health policy and practice broadly through
advocacy and education. Challenges relating to geography, cultural,
language and resource barriers, and professional practice issues were
identified. Implications for practice were drawn from the data including
the need for culturally safe practice, pragmatism, creativity and
practising across disciplinary boundaries.
Conclusions: Results illustrate a clear role for occupational therapy in
promoting health and sustainability of rehabilitation therapy services
in the Solomon Islands, which also have relevance throughout Pacific
island nations.},
Type = {Article},
Language = {English},
Affiliation = {Gray, M (Corresponding Author), Univ Sunshine Coast, Fac Sci Hlth \& Educ, Sch Hlth \& Sport Sci, Maroochydore, Qld 4558, Australia.
Boseto, Hensllyn, ESSI, POB 180, Gizo, Western Provinc, Solomon Islands.
Gray, Marion, Univ Sunshine Coast, Fac Sci Hlth \& Educ, Sch Hlth \& Sport Sci, Maroochydore, Qld 4558, Australia.
Langmead, Ruth, Curtin Univ, Fac Hlth Sci, Sch Occupat Therapy \& Social Work, Perth, WA 6845, Australia.},
DOI = {10.22605/RRH5376},
Article-Number = {5376},
ISSN = {1445-6354},
Keywords = {community based rehabilitation; developing countries; health promotion;
occupational therapy; Solomon Islands},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {mgray67@hotmail.com},
Number-of-Cited-References = {27},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {8},
Unique-ID = {WOS:000499078400016},
DA = {2023-09-28},
}
@article{ WOS:000220771200004,
Author = {Drezner, DW},
Title = {The outsourcing bogeyman},
Journal = {FOREIGN AFFAIRS},
Year = {2004},
Volume = {83},
Number = {3},
Pages = {22+},
Month = {MAY-JUN},
Abstract = {WHEN a presidential election year coincides with an uncertain economy,
campaigning politicians invariably invoke an international economic
issue as a dire threat to the well-being of Americans. Speechwriters
denounce the chosen scapegoat, the media provides blanket coverage of
the alleged threat, and legislators scurry to introduce supposed
remedies. The cause of this year's commotion is offshore outsourcing-the
alleged migration of American jobs overseas. The depth of alarm was
strikingly illustrated by the firestorm of reaction to recent testimony
by N. Gregory Mankiw, the head of President George W Bush's Council of
Economic Advisers. No economist really disputed Mankiw's observation
that ``outsourcing is just a new way of doing international trade,{''}
which makes it ``a good thing.{''} But in the political arena, Mankiw's
comments sparked a furor on both sides of the aisle. Democratic
presidential candidate John Kerry accused the Bush administration of
wanting ``to export more of our jobs overseas,{''} and Senate Minority
Leader Tom Daschle quipped, ``If this is the administratior's position,
I think they owe an apology to every worker in America.{''} Speaker of
the House Dennis Hastert, meanwhile, warned that ``outsourcing can be a
problem for American workers and the American economy.{''}
Critics charge that the information revolution (especially the Internet)
has accelerated the decimation of U.S. manufacturing and facilitated the
outsourcing of service-sector jobs once considered safe, from backroom
call centers to high-level software programming. (This concern feeds
into the suspicion that U.S. corporations are exploiting globalization
to fatten profits at the expense of workers.) They are right that
offshore outsourcing deserves attention and that some measures to assist
affected workers are called for. But if their exaggerated alarmism
succeeds in provoking protectionist responses from lawmakers, it will do
far more harm than good, to the U.S. economy and to American workers. S
hould Americans be concerned about the economic effects of outsourcing?
Not particularly. Most of the numbers thrown around are vague, overhyped
estimates. What hard data exist suggest that gross job losses due to
offshore outsourcing have been minimal when compared to the size of the
entire U.S. economy. The outsourcing phenomenon has shown that
globalization can affect white-collar professions, heretofore immune to
foreign competition, in the same way that it has affected manufacturing
jobs for years. But Mankiw's statements on outsourcing are absolutely
correct; the law of comparative advantage does not stop working just
because 401(K)plans are involved. The creation of new jobs overseas will
eventually lead to more jobs and higher incomes in the United States.
Because the economy and especially job growth-is sluggish at the moment,
commentators are attempting to draw a connection between offshore
outsourcing and high unemployment. But believing that offshore
outsourcing causes unemployment is the economic equivalent of believing
that the sun revolves around the earth: intuitively compelling but
clearly wrong.
Should Americans be concerned about the political backlash to
outsourcing? Absolutely. Anecdotes of workers affected by outsourcing
are politically powerful, and demands for government protection always
increase during economic slowdowns. The short-term political appeal of
protectionism is undeniable. Scapegoating foreigners for domestic
business cycles is smart politics, and protecting domestic markets gives
leaders the appearance of taking direct, decisive action on the economy.
Protectionism would not solve the U.S. economy's employment problems,
although it would succeed in providing massive subsidies to
well-organized interest groups. In open markets, greater competition
spurs the reallocation of labor and capital to more profitable sectors
of the economy. The benefits of such free trade-to both consumers and
producers-are significant. Cushioning this process for displaced
however, sales-making TAA out of reach for those affected by it. It
makes sense to rework TAA rules to take into account workers displaced
by offshore outsourcing even when their former industries or firms
maintain robust levels of production.
Another option would be to help firms purchase targeted insurance
policies to offset the transition costs to workers directly affected by
offshore outsourcing. Because the perception of possible unemployment is
considerably greater than the actual likelihood of losing a job,
insurance programs would impose a very small cost on firms while
relieving a great deal of employee anxiety. McKinsey Global Institute
estimates that such a scheme could be created for as little as four or
five cents per dollar saved from offshore outsourcing. IBM recently
announced the creation of a two-year, \$25 million retraining fund for
its employees who fear job losses from outsourcing. Having the private
sector handle the problem without extensive government intervention
would be an added bonus.},
Type = {Article},
Language = {English},
Affiliation = {Drezner, DW (Corresponding Author), Univ Chicago, Chicago, IL 60637 USA.
Univ Chicago, Chicago, IL 60637 USA.},
DOI = {10.2307/20033973},
ISSN = {0015-7120},
Web-of-Science-Categories = {International Relations},
Number-of-Cited-References = {0},
Times-Cited = {43},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {33},
Unique-ID = {WOS:000220771200004},
DA = {2023-09-28},
}
@article{ WOS:000836142900001,
Author = {Dunn, Jennifer A. and Martin, R. A. and Hackney, J. J. and Nunnerley, J.
L. and Snell, D. L. and Bourke, J. A. and Young, T. and Hall, A. and
Derrett, S.},
Title = {Developing A Conceptual Framework for Early Intervention Vocational
Rehabilitation for People Following Spinal Cord Injury},
Journal = {JOURNAL OF OCCUPATIONAL REHABILITATION},
Year = {2023},
Volume = {33},
Number = {1},
Pages = {179-188},
Month = {MAR},
Abstract = {Purpose Early intervention vocational rehabilitation (EIVR) can improve
return to work (RTW) outcomes for people with spinal cord injury (SCI).
However, mechanisms explaining how and why EIVR works are not well
understood. This study aims to develop a conceptual framework describing
key mechanisms of EIVR intervention effect following SCI. Methods We
synthesised data from a realist literature review with data from
interviews of people with SCI (n = 30), a survey of people with SCI who
had received EIVR (n = 37), a focus group of EIVR providers and a focus
group of community vocational providers. We first synthesised the
literature review and interviews to develop an initial programme theory
describing the contexts in which mechanisms are activated to produce
EIVR outcomes. Then we used data from the survey and focus groups to
further refine the EIVR programme theory. Finally, a conceptual
framework was developed to support knowledge dissemination. Results By
ensuring consistent messaging across the multi-disciplinary team, EIVR
programmes establish and maintain hope that work is possible following
injury. Conversations about work allow individuals to determine the
priority of work following injury. These conversations can also improve
self-efficacy by providing individualized support to envisage pathways
toward RTW goals and maintain worker identity. The synthesised study
findings highlight the contexts and resources required to trigger
activation of these mechanisms. Conclusions EIVR key mechanisms of
effect are not specific to SCI as a health condition, therefore enabling
this framework to be applied to other populations who face similar
impairments and return to work barriers.},
Type = {Article},
Language = {English},
Affiliation = {Dunn, JA (Corresponding Author), Univ Otago, Dept Orthopaed Surg \& Musculoskeletal Med, Christchurch, New Zealand.
Dunn, Jennifer A.; Nunnerley, J. L.; Snell, D. L., Univ Otago, Dept Orthopaed Surg \& Musculoskeletal Med, Christchurch, New Zealand.
Martin, R. A.; Hackney, J. J.; Nunnerley, J. L.; Bourke, J. A.; Young, T., Burwood Acad Trust, Burwood Hosp, Christchurch, New Zealand.
Martin, R. A., Univ Otago, Dept Med, Rehabil Teaching \& Res Unit, Wellington, New Zealand.
Bourke, J. A., Griffith Univ, Menzies Hlth Inst, Nathan, Qld, Australia.
Hall, A., New Zealand Spinal Trust, Burwood Hosp, Christchurch, New Zealand.
Bourke, J. A.; Derrett, S., Univ Otago, Ngai Tahu Maori Hlth Res Unit, Prevent \& Social Med, Dunedin, New Zealand.},
DOI = {10.1007/s10926-022-10060-9},
EarlyAccessDate = {AUG 2022},
ISSN = {1053-0487},
EISSN = {1573-3688},
Keywords = {Vocational rehabilitation; Spinal cord injury; Return to work},
Keywords-Plus = {EMPLOYMENT OUTCOMES; SERVICE},
Web-of-Science-Categories = {Rehabilitation; Social Issues},
Author-Email = {Jennifer.dunn@otago.ac.nz},
ORCID-Numbers = {Dunn, Jennifer/0000-0002-2894-7533},
Number-of-Cited-References = {29},
Times-Cited = {1},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000836142900001},
DA = {2023-09-28},
}
@article{ WOS:000357252400003,
Author = {Leon, Natalie and Surender, Rebecca and Bobrow, Kirsty and Muller,
Jocelyn and Farmer, Andrew},
Title = {Improving treatment adherence for blood pressure lowering via mobile
phone SMS-messages in South Africa: a qualitative evaluation of the
SMS-text Adherence SuppoRt (StAR) trial},
Journal = {BMC FAMILY PRACTICE},
Year = {2015},
Volume = {16},
Month = {JUL 3},
Abstract = {Background: Effective use of proven treatments for high blood pressure,
a preventable health risk, is challenging for many patients. Prompts via
mobile phone SMS-text messaging may improve adherence to clinic visits
and treatment, though more research is needed on impact and patient
perceptions of such support interventions, especially in low-resource
settings.
Method: An individually-randomised controlled trial in a primary care
clinic in Cape Town (2012-14), tested the effect of an adherence support
intervention delivered via SMS-texts, on blood pressure control and
adherence to medication, for hypertensive patients. (Trial registration:
ClinicalTrials.gov NCT02019823). We report on a qualitative evaluation
that explored the trial participants' experiences and responses to the
SMS-text messages, and identified barriers and facilitators to
delivering adherence support via patients' own mobile phones. Two focus
groups and fifteen individual interviews were conducted. We used
comparative and thematic analysis approaches to identify themes and
triangulated our analysis amongst three researchers.
Results: Most participants were comfortable with the technology of using
SMS-text messages. Messages were experienced as acceptable, relevant and
useful to a broad range of participants. The SMS-content, the respectful
tone and the delivery (timing of reminders and frequency) and the
relational aspect of trial participation (feeling cared for) were all
highly valued. A subgroup who benefitted the most, were those who had
been struggling with adherence due to high levels of personal stress.
The intervention appeared to coincide with their readiness for change,
and provided practical and emotional support for improving adherence
behaviour. Change may have been facilitated through increased
acknowledgement of their health status and attitudinal change towards
greater self-responsibility. Complex interaction of psycho-social
stressors and health service problems were reported as broader
challenges to adherence behaviours.
Conclusion: Adherence support for treatment of raised blood pressure,
delivered via SMS-text message on the patient's own phone, was found to
be acceptable, relevant and helpful, even for those who already had
their own reminder systems in place. Our findings begin to identify for
whom and what core elements of the SMS-text message intervention appear
to work best in a low-resource operational setting, issues that future
research should explore in greater depth.},
Type = {Article},
Language = {English},
Affiliation = {Leon, N (Corresponding Author), South African Med Res Council, Hlth Syst Res Unit, POB 19070 Fransie Van Zyl Dr, ZA-7505 Cape Town, South Africa.
Leon, Natalie; Muller, Jocelyn, South African Med Res Council, Hlth Syst Res Unit, ZA-7505 Cape Town, South Africa.
Surender, Rebecca, Univ Oxford, Dept Social Policy \& Intervent, Oxford OX1 2ER, England.
Bobrow, Kirsty, Univ Cape Town, Dept Med, Div Diabet \& Endocrinol, Chron Dis Initiat Africa,Observ, ZA-7925 Cape Town, South Africa.
Bobrow, Kirsty, Groote Schuur Hosp, Observ, ZA-7925 Cape Town, South Africa.
Bobrow, Kirsty, Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford OX2 6GG, England.},
DOI = {10.1186/s12875-015-0289-7},
Article-Number = {80},
EISSN = {1471-2296},
Keywords = {Mobile phone-based SMS-messages; mHealth; Blood pressure treatment;
Hypertension; Adherence; South Africa; low-and middle-income countries;
primary-care; qualitative methodology; patient perspective},
Keywords-Plus = {HEALTH SYSTEM; GLOBAL BURDEN; INTERVENTIONS; MHEALTH; HYPERTENSION;
MEDICATION; DISEASE; ADULTS; CARE},
Web-of-Science-Categories = {Primary Health Care; Medicine, General \& Internal},
Author-Email = {Natalie.leon@mrc.ac.za},
Number-of-Cited-References = {26},
Times-Cited = {58},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {29},
Unique-ID = {WOS:000357252400003},
DA = {2023-09-28},
}
@article{ WOS:000377748300001,
Author = {Okuga, Monica and Kemigisa, Margaret and Namutamba, Sarah and Namazzi,
Gertrude and Waiswa, Peter},
Title = {Engaging community health workers in maternal and newborn care in
eastern Uganda},
Journal = {GLOBAL HEALTH ACTION},
Year = {2015},
Volume = {8},
Abstract = {Background: Community health workers (CHWs) have been employed in a
number of low-and middle-income countries as part of primary health care
strategies, but the packages vary across and even within countries. The
experiences and motivations of a multipurpose CHW in providing maternal
and newborn health have not been well described.
Objective: This study examined the perceptions of community members and
experiences of CHWs around promoting maternal and newborn care
practices, and the self-identified factors that influence the
performance of CHWs so as to inform future study design and programme
implementation.
Design: Data were collected using in-depth interviews with six local
council leaders, ten health workers/CHW supervisors, and eight mothers.
We conducted four focus group discussions with CHWs. Respondents
included 14 urban and 18 rural CHWs. Key themes explored included the
experience of CHWs according to their various roles, and the
facilitators and barriers they encounter in their work particular to
provision of maternal and newborn care. Qualitative data were analysed
using manifest content analysis methods.
Results: CHWs were highly appreciated in the community and seen as
important contributors to maternal and newborn health at grassroots
level. Factors that positively influence CHWs included being selected by
and trained in the community; being trained in problem-solving skills;
being deployed immediately after training with participation of local
leaders; frequent supervision; and having a strengthened and responsive
supply of services to which families can be referred. CHWs made use of
social networks to identify pregnant and newly delivered women, and were
able to target men and the wider family during health education
activities. Intrinsic motivators (e.g. community appreciation and the
prestige of being `a doctor'), monetary (such as a small transport
allowance), and material incentives (e.g. bicycles, bags) were also
important to varying degrees.
Conclusions: There is a continued role for CHWs in improving maternal
and newborn care and linking families with health services. However, the
process for building CHW programmes needs to be adapted to the local
setting, including the process of training, deployment, supervision, and
motivation within the context of a responsive and available health
system.},
Type = {Article},
Language = {English},
Affiliation = {Okuga, M (Corresponding Author), Makerere Univ, Sch Publ Hlth, Dept Hlth Policy Planning \& Management, Coll Hlth Sci, Kampala, Uganda.
Okuga, Monica; Namutamba, Sarah; Namazzi, Gertrude; Waiswa, Peter, Makerere Univ, Sch Publ Hlth, Dept Hlth Policy Planning \& Management, Kampala, Uganda.
Waiswa, Peter, Karolinska Inst, Dept Publ Hlth Sci, Global Hlth, Stockholm, Sweden.
Waiswa, Peter, Iganga Mayuge Hlth Demog Surveillance Site, Iganga Mayuge, Uganda.},
DOI = {10.3402/gha.v8.23968},
Article-Number = {23968},
ISSN = {1654-9880},
Keywords = {newborn health; maternal health; community health worker; pregnancy;
postnatal care; Uganda},
Keywords-Plus = {RANDOMIZED CONTROLLED-TRIAL; RURAL UGANDA; ALMA-ATA; SURVIVAL;
PERCEPTIONS; MANAGEMENT; PROGRAMS; RESOURCE},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {mokugga@yahoo.com},
Number-of-Cited-References = {24},
Times-Cited = {36},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {11},
Unique-ID = {WOS:000377748300001},
DA = {2023-09-28},
}
@article{ WOS:000460333600002,
Author = {Wereta, Tewabech and Betemariam, Wuleta and Karim, Ali Mehryar and
Zemichael, Nebreed Fesseha and Dagnew, Selamawit and Wanboru, Abera and
Bhattacharya, Antoinette},
Title = {Effects of a participatory community quality improvement strategy on
improving household and provider health care behaviors and practices: a
propensity score analysis},
Journal = {BMC PREGNANCY AND CHILDBIRTH},
Year = {2018},
Volume = {18},
Month = {SEP 24},
Abstract = {Background: Maternal and newborn health care intervention coverage has
increased in many low-income countries over the last decade, yet poor
quality of care remains a challenge, limiting health gains. The World
Health Organization envisions community engagement as a critical
component of health care delivery systems to ensure quality services,
responsive to community needs. Aligned with this, a Participatory
Community Quality Improvement (PCQI) strategy was introduced in
Ethiopia, in 14 of 91 rural woredas (districts) where the Last Ten
Kilometers Project (L10 K) Platform activities were supporting national
Basic Emergency Obstetric and Newborn Care (BEmONC) strengthening
strategies. This paper examines the effects of the PCQI strategy in
improving maternal and newborn care behaviors, and providers' and
households' practices.
Methods: PCQI engages communities in identifying barriers to access and
quality of services, and developing, implementing and monitoring
solutions. Thirty-four intervention kebeles (communities), which
included the L10 K Platform, BEmONC, and PCQI, and 82 comparison
kebeles, which included the L10 K Platform and BEmONC, were visited in
December 2010-January 2011 and again 48 months later. Twelve women with
children aged 0 to 11 months were interviewed in each kebele. Propensity
score matching was used to estimate the program's average treatment
effects (ATEs) on women's care seeking behavior, providers' service
provision behavior and households' newborn care practices.
Results: The ATEs of PCQI were statistically significant (p < 0.05) for
two care seeking behaviors - four or more antenatal care (ANC) visits
and institutional deliveries at 14\% (95\% CI: 6, 21) and 11\% (95\% CI:
4, 17), respectively - and one service provision behavior - complete ANC
at 17\% (95\% CI: 11, 24). We found no evidence of an effect on
remaining outcomes relating to household newborn care practices, and
postnatal care performed by the provider.
Conclusions: National BEmONC strengthening and government initiatives to
improve access and quality of maternal and newborn health services,
together with L10 K Platform activities, appeared to work better for
some care practices where communities were engaged in the PCQI strategy.
Additional research with more robust measure of impact and
cost-effectiveness analysis would be useful to establish effectiveness
for a wider set of outcomes.},
Type = {Article},
Language = {English},
Affiliation = {Wereta, T (Corresponding Author), JSI Res \& Training Inst Inc, Last Ten Kilometers Project L10K 2020, Kebele 03-05,Hs 2111, Addis Ababa, Ethiopia.
Wereta, Tewabech; Betemariam, Wuleta; Karim, Ali Mehryar; Zemichael, Nebreed Fesseha; Dagnew, Selamawit; Wanboru, Abera, JSI Res \& Training Inst Inc, Last Ten Kilometers Project L10K 2020, Kebele 03-05,Hs 2111, Addis Ababa, Ethiopia.
Bhattacharya, Antoinette, London Sch Hyg \& Trop Med, Fac Infect \& Trop Dis, Dept Dis Control, Keppel St, London WC1E 7HT, England.},
DOI = {10.1186/s12884-018-1977-9},
Article-Number = {364},
EISSN = {1471-2393},
Keywords = {Maternal; Newborn; Quality improvement; Community engagement},
Keywords-Plus = {ALMA-ATA; NEWBORN; DELIVERY; LESSONS},
Web-of-Science-Categories = {Obstetrics \& Gynecology},
Author-Email = {weretatewabech@gmail.com},
ResearcherID-Numbers = {Karim, Ali/AAX-4495-2021},
Number-of-Cited-References = {44},
Times-Cited = {17},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000460333600002},
DA = {2023-09-28},
}
@article{ WOS:000166195100001,
Author = {Nordberg, E},
Title = {Injuries as a public health problem in sub-Saharan Africa: Epidemiology
and prospects for control},
Journal = {EAST AFRICAN MEDICAL JOURNAL},
Year = {2000},
Volume = {77},
Number = {12, S},
Pages = {S1-S43},
Month = {DEC},
Abstract = {Injuries are common and on increase in most developing countries,
including sub-Saharan Africa. A large proportion of the injuries are
caused by road traffic accidents, falls, burns, assaults, bites, stings
and other animal-related injuries, poisonings, drownings/near-drownings
and suicide. Globally, injuries are responsible for about five per cent
of the total mortality, and the overall global annual costs were
estimated in the late 1980s at around US\$500 billion. The burden and
pattern of injuries in Africa and other developing areas are poorly
known and not well studied. The incidence is on the increase, partly due
to rapid growth of motorised transport and to expansion of industrial
production without adequate safety precautions. This is a review of data
on various kinds of injuries in developing countries with a focus on
sub-Saharan Africa. A computerised search of the relevant literature
published between 1985 and 1998 was conducted and a manual search of
journals publishing texts on health in low-income countries and in
tropical environments was also done. A few studies on injury prevention
policy and on research related to injury epidemiology and prevention
have also been identified and included. Bt is concluded that in a
relatively typical East African area with a total mortality rate of
1,300/130,000/year, injuries are likely to cause around 100 of these
deaths. The corresponding total rate of significant injuries is
estimated at 40,000/100,000/year with a breakdown as tabulated below.
Estimated incidence of injuries and injury-related deaths in East Africa
{[}GRAPHICS]
Although a few surveys and other investigations of injuries have been
conducted over the years, injury epidemiology and control remain
under-researched and relatively neglected subject areas. Much needs to
be done. Collection and analysis of injury data need to be standardised,
for example regarding age groups, gender disaggregation and severity.
Injuries and accidents should be subdivided in at least road traffic
injury, fall, burn, assault, poisoning, drowning, suicide, homicide and
others, and details regarding time and place, victim and main cause
should be noted. Morbidity survey field staff should be informed that
injuries are part of the illness concept and that questions should be
asked accordingly. Details regarding the circumstances surrounding
different injuries must be known to those who develop preventive
programmes. Injury is a public health problem affecting some people more
than others. Our ordinary environment - the home, the work-site, the
street or road - represents various kinds of risk, and some of these are
difficult to eliminate. Not only do we have to accept much of our
environment with its existing houses, equipment, vehicles, transport
systems, energy supply, toxic substances etcetera, many also suffer from
various inherited or acquired conditions that increase the risk. We
therefore need to develop safer and more ``forgiving{''} living
environments where ordinary people can live and move around safely.
Injury control activities may focus on different categories of injury.
Road safety measures often include information and education campaigns,
improved driver training, road design and maintenance, regular vehicle
safety checks, separation of pedestrians from vehicle traffic, speed
limits, safety belt, air-bag and helmet use, special training and
control of public service vehicle drivers, bicycle lane separation, road
lighting, reflectorised materials on clothing, review of the road
traffic related legislation and law enforcement, and emergency medical
services improvement. Domestic injuries can be prevented for example
with window guards, child barriers at stairs, smoke detectors, clothes
and furniture in less flammable materials, replacement of open stoves,
stabilising of open lamps, fire-fighting equipment and practice,
child-proof poison packaging and storage, safe disposal of toxic waste,
home safety education of parents, and strict building code enforcement.
Occupational injuries can largely be prevented if well adapted to the
work environment. Research is required in several areas. An improved
facility-based injury recording and reporting system needs to be
developed and tested. There is need to combine data collection methods,
such as interview surveys, hospital records, police records, focus group
discussions and key informant interviews. The outcome of emergency
medical care and of different forms of transport and referral needs to
be determined. Different combinations of preventive interventions needs
to be evaluated. This review is intended as guidance for those who need
a broad overview of the subject of injury occurrence and prevention in
Africa, for example in preparation for the development of injury control
programmes or to help identify issues requiring further research in this
field.},
Type = {Review},
Language = {English},
Affiliation = {Nordberg, E (Corresponding Author), African Med \& Res Fdn, POB 30125, Nairobi, Kenya.
African Med \& Res Fdn, Nairobi, Kenya.},
ISSN = {0012-835X},
Keywords-Plus = {ROAD TRAFFIC ACCIDENTS; RURAL SWEDISH MUNICIPALITY; NORTHEASTERN OHIO
TRAUMA; DEVELOPING-COUNTRIES; THIRD-WORLD; SRI-LANKA; CHILDHOOD BURNS;
UNITED-STATES; RISK-FACTORS; UNINTENTIONAL INJURIES},
Web-of-Science-Categories = {Medicine, General \& Internal},
Number-of-Cited-References = {372},
Times-Cited = {72},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {36},
Unique-ID = {WOS:000166195100001},
DA = {2023-09-28},
}
@article{ WOS:000559715700001,
Author = {Darlow, Ben and Stanley, James and Dean, Sarah and Abbott, J. Haxby and
Garrett, Sue and Wilson, Ross and Mathieson, Fiona and Dowell, Anthony},
Title = {The Fear Reduction Exercised Early (FREE) approach to management of low
back pain in general practice: A pragmatic cluster-randomised controlled
trial},
Journal = {PLOS MEDICINE},
Year = {2019},
Volume = {16},
Number = {9},
Month = {SEP},
Abstract = {Background
Effective and cost-effective primary care treatments for low back pain
(LBP) are required to reduce the burden of the world's most disabling
condition. This study aimed to compare the clinical effectiveness and
cost-effectiveness of the Fear Reduction Exercised Early (FREE) approach
to LBP (intervention) with usual general practitioner (GP) care
(control).
Methods and findings
This pragmatic, cluster-randomised controlled trial with process
evaluation and parallel economic evaluation was conducted in the Hutt
Valley, New Zealand. Eight general practices were randomly assigned
(stratified by practice size) with a 1:1 ratio to intervention (4
practices; 34 GPs) or control group (4 practices; 29 GPs). Adults
presenting to these GPs with LBP as their primary complaint were
recruited. GPs in the intervention practices were trained in the FREE
approach, and patients presenting to these practices received care based
on the FREE approach. The FREE approach restructures LBP consultations
to prioritise early identification and management of barriers to
recovery. GPs in control practices did not receive specific training for
this study, and patients presenting to these practices received usual
care. Between 23 September 2016 and 31 July 2017, 140 eligible patients
presented to intervention practices (126 enrolled) and 110 eligible
patients presented to control practices (100 enrolled). Patient mean age
was 46.1 years (SD 14.4), and 46\% were female. The duration of LBP was
less than 6 weeks in 88\% of patients. Primary outcome was change from
baseline in patient participant Roland Morris Disability Questionnaire
(RMDQ) score at 6 months. Secondary patient outcomes included pain,
satisfaction, and psychosocial indices. GP outcomes included attitudes,
knowledge, confidence, and GP LBP management behaviour. There was active
and passive surveillance of potential harms. Patients and outcome
assessors were blind to group assignment. Analysis followed
intention-to-treat principles. A total of 122 (97\%) patients from 32
GPs in the intervention group and 99 (99\%) patients from 25 GPs in the
control group were included in the primary outcome analysis. At 6
months, the groups did not significantly differ on the primary outcome
(adjusted mean RMDQ score difference 0.57, 95\% CI - 0.64 to 1.78; p =
0.354) or secondary patient outcomes. The RMDQ difference met the
predefined criterion to indicate noninferiority. One control group
participant experienced an activity-related gluteal tear, with no other
adverse events recorded. Intervention group GPs had improvements in
attitudes, knowledge, and confidence compared with control group GPs.
Intervention group GP LBP management behaviour became more guideline
concordant than the control group. In cost-effectiveness, the
intervention dominated control with lower costs and higher
QualityAdjusted Life Year (QALY) gains. Limitations of this study were
that although adequately powered for primary outcome assessment, the
study was not powered for evaluating some employment, healthcare use,
and economic outcomes. It was also not possible for research nurses
(responsible for patient recruitment) to be masked on group allocation
for practices.
Conclusions
Findings from this study suggest that the FREE approach improves GP
concordance with LBP guideline recommendations but does not improve
patient recovery outcomes compared with usual care. The FREE approach
may reduce unnecessary healthcare use and produce economic benefits.
Work participation or health resource use should be considered for
primary outcome assessment in future trials of undifferentiated LBP.},
Type = {Article},
Language = {English},
Affiliation = {Darlow, B (Corresponding Author), Univ Otago, Dept Primary Hlth Care \& Gen Practice, Wellington, New Zealand.
Darlow, Ben; Garrett, Sue; Dowell, Anthony, Univ Otago, Dept Primary Hlth Care \& Gen Practice, Wellington, New Zealand.
Stanley, James, Univ Otago, Biostat Grp, Wellington, New Zealand.
Dean, Sarah, Univ Exeter, Med Sch, Coll Med \& Hlth, Exeter, Devon, England.
Abbott, J. Haxby; Wilson, Ross, Univ Otago, Dept Surg Sci, Dunedin, New Zealand.
Mathieson, Fiona, Univ Otago, Dept Psychol Med, Wellington, New Zealand.},
DOI = {10.1371/journal.pmed.1002897},
Article-Number = {e1002897},
ISSN = {1549-1277},
EISSN = {1549-1676},
Keywords-Plus = {MULTIPLE IMPUTATION},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {ben.darlow@otago.ac.nz},
ResearcherID-Numbers = {Abbott, J. Haxby/AAK-4346-2020
Wilson, Ross/AAH-3161-2019
Darlow, Ben/N-9905-2013},
ORCID-Numbers = {Abbott, J. Haxby/0000-0001-6468-7284
Wilson, Ross/0000-0001-8505-8081
Dean, Sarah/0000-0002-3682-5149
Darlow, Ben/0000-0002-6248-6814},
Number-of-Cited-References = {35},
Times-Cited = {16},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000559715700001},
DA = {2023-09-28},
}
@article{ WOS:000387176300005,
Author = {Ovretveit, John and Nelson, Eugene and James, Brent},
Title = {Building a learning health system using clinical registers: a
non-technical introduction},
Journal = {JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT},
Year = {2016},
Volume = {30},
Number = {7},
Pages = {1105-1118},
Abstract = {Purpose - The purpose of this paper is to describe how clinical
registers were designed and used to serve multiple purposes in three
health systems, in order to contribute practical experience for building
learning healthcare systems.
Design/methodology/approach - Case description and comparison of the
development and use of clinical registries, drawing on participants'
experience and published and unpublished research.
Findings - Clinical registers and new software systems enable fact-based
decisions by patients, clinicians, and managers about better care, as
well as new and more economical research. Designing systems to present
the data for users' daily work appears to be the key to effective use of
the potential afforded by digital data.
Research limitations/implications - The case descriptions draw on the
experience of the authors who were involved in the development of the
registers, as well as on published and unpublished research. There is
limited data about outcomes for patients or cost-effectiveness.
Practical implications - The cases show the significant investments
which are needed to make effective use of clinical register data. There
are limited skills to design and apply the digital systems to make the
best use of the systems and to reduce their disadvantages. More use can
be made of digital data for quality improvement, patient empowerment and
support, and for research.
Social implications - Patients can use their data combined with other
data to self-manage their chronic conditions. There are challenges in
designing and using systems so that those with lower health and computer
literacy and incomes also benefit from these systems, otherwise the
digital revolution may increase health inequalities.
Originality/value - The paper shows three real examples of clinical
registers which have been developed as part of their host health
systems' strategies to develop learning healthcare systems. The paper
gives a simple non-technical introduction and overview for clinicians,
managers, policy-advisors and improvers of what is possible and the
challenges, and highlights the need to shape the design and
implementation of digital infrastructures in healthcare services to
serve users.},
Type = {Article},
Language = {English},
Affiliation = {Ovretveit, J (Corresponding Author), Karolinska Inst, LIME MMC, Stockholm, Sweden.
Ovretveit, John, Karolinska Inst, LIME MMC, Stockholm, Sweden.
Nelson, Eugene, Dartmouth Coll, Dartmouth Inst, Hanover, NH USA.
James, Brent, Intermt Healthcare, Inst Healthcare Delivery Res, Salt Lake City, UT USA.},
DOI = {10.1108/JHOM-06-2016-0110},
ISSN = {1477-7266},
EISSN = {1758-7247},
Keywords = {Information technology; Quality improvement; Safety; Healthcare; Health
information technology; Learning health system; Clinical registers},
Keywords-Plus = {INFORMATION EXCHANGE; PATIENT-CARE; QUALITY; TECHNOLOGY; IMPROVE;
REGISTRIES},
Web-of-Science-Categories = {Health Policy \& Services},
Author-Email = {jovretbis@aol.com},
ORCID-Numbers = {ovretveit, john/0000-0002-5177-6613},
Number-of-Cited-References = {45},
Times-Cited = {25},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {10},
Unique-ID = {WOS:000387176300005},
DA = {2023-09-28},
}
@article{ WOS:000841917800005,
Author = {Agaku, Israel T. and Adeoye, Caleb and Long, Theodore G.},
Title = {Geographic, Occupational, and Sociodemographic Variations in Uptake of
COVID-19 Booster Doses Among Fully Vaccinated US Adults, December 1,
2021, to January 10, 2022},
Journal = {JAMA NETWORK OPEN},
Year = {2022},
Volume = {5},
Number = {8},
Month = {AUG 19},
Abstract = {IMPORTANCE COVID-19 booster vaccine can strengthen waning immunity and
widen the range of immunity against new variants.
OBJECTIVE To describe geographic, occupational, and sociodemographic
variations in uptake of COVID-19 booster doses among fully vaccinated US
adults.
DESIGN, SETTING, AND PARTICIPANTS This cross-sectional survey study used
data from the Household Pulse Survey conducted from December 1, 2021, to
January 10, 2022. Household Pulse Survey is an online, probability-based
survey conducted by the US Census Bureau and is designed to yield
estimates nationally, by state, and across selected metropolitan areas.
MAIN OUTCOMES AND MEASURES Receipt of a booster dose was defined as
taking 2 or more doses of COVID-19 vaccines with the first one being the
Johnson and Johnson (Janssen) vaccine, or taking 3 or more doses of any
of the other COVID-19 vaccines. Weighted prevalence estimates
(percentages) were computed overall and among subgroups. Adjusted
prevalence ratios (APRs) were calculated in a multivariable Poisson
regression model to explore correlates of receiving a booster dose among
those fully vaccinated.
RESULTS A total of 135 821 adults completed the survey. Overall, 51.0\%
were female and 41.5\% were aged 18 to 44 years (mean {[}SD] age, 48.07
{[}17.18] years). Of fully vaccinated adults, the percentage who
reported being boosted was 48.5\% (state-specific range, from 39.1\% in
Mississippi to 66.5\% in Vermont). Nationally, the proportion of boosted
adults was highest among non-Hispanic Asian individuals (54.1\%); those
aged 65 years or older (71.4\%); those with a doctoral, professional, or
master's degree (68.1\%); those who were married with no children in the
household (61.2\%); those with annual household income of \$200 000 or
higher (69.3\%); those enrolled in Medicare (70.9\%); and those working
in hospitals (60.5\%) or in deathcare facilities (eg, funeral homes;
60.5\%). Conversely, only one-third of those who ever received a
diagnosis of COVID-19, were enrolled in Medicaid, working in pharmacies,
with less than a high school education, and aged 18 to 24 years old were
boosted. Multivariable analysis of pooled national data revealed that
compared with those who did not work outside their home, the likelihood
of being boosted was higher among adults working in hospitals (APR,
1.23; 95\% CI. 1.17-1.30). ambulatory health care centers (APR, 1.16;
95\% CI, 1.09-1.24), and social service settings (APR, 1.08; 95\% CI,
1.01-1.15), whereas lower likelihood was seen among those working in
food or beverage stores (APR, 0.85; 95\% CI, 0.74-0.96) and the
agriculture, forestry, fishing, or hunting industries (APR, 0.83; 95\%
CI, 0.72-0.97).
CONCLUSIONS AND RELEVANCE These findings suggest continuing disparities
in receipt of booster vaccine doses among US adults. Targeted efforts at
populations with low uptake may be needed to improve booster vaccine
coverage in the US.},
Type = {Article},
Language = {English},
Affiliation = {Agaku, IT (Corresponding Author), NYC Hlth Hosp, NYC Test \& Trace Corps, 125 Worth St, New York, NY 10013 USA.
Agaku, Israel T.; Adeoye, Caleb; Long, Theodore G., NYC Hlth Hosp, NYC Test \& Trace Corps, 125 Worth St, New York, NY 10013 USA.},
DOI = {10.1001/jamanetworkopen.2022.27680},
Article-Number = {e2227680},
ISSN = {2574-3805},
Keywords-Plus = {PRACTICES INTERIM RECOMMENDATION; ADVISORY-COMMITTEE; UNITED-STATES;
HOSPITALIZATIONS; PREVALENCE; 2-DOSE},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {agakui@nychhc.org},
Number-of-Cited-References = {34},
Times-Cited = {7},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000841917800005},
DA = {2023-09-28},
}
@article{ WOS:000725254500006,
Author = {Thirumurthy, Harsha and Bair, Elizabeth F. and Ochwal, Perez and Marcus,
Noora and Putt, Mary and Maman, Suzanne and Napierala, Sue and Agot,
Kawango},
Title = {The effect of providing women sustained access to HIV self-tests on male
partner testing, couples testing, and HIV incidence in Kenya: a
cluster-randomised trial},
Journal = {LANCET HIV},
Year = {2021},
Volume = {8},
Number = {12},
Pages = {E736-E746},
Month = {DEC},
Abstract = {Background HIV self-testing can overcome barriers to HIV testing, but
its potential as an HIV prevention strategy for women in sub-Saharan
Africa has not been assessed. We examined whether sustained provision of
self-tests to women promotes testing among sexual partners and reduces
HIV incidence.
Methods We conducted a pair-matched cluster-randomised trial in 66
community clusters in Siaya County, Kenya. Clusters were communities
with a high prevalence of transactional sex, including beach communities
along Lake Victoria and inland communities with hotspots for
transactional sex such as bars and hotels. Within clusters, we recruited
HIV-negative women aged 18 years or older with two or more sexual
partners within the past 4 weeks. In each of the 33 cluster pairs, we
randomly assigned clusters to an intervention and comparison group. In
intervention clusters, we provided participants with multiple self-tests
at regular intervals and encouraged secondary distribution of self-tests
to sexual partners. In comparison clusters, we provided participants
referral cards for facility-based testing. Follow-up visits and HIV
testing occurred at 6-month intervals for up to 24 months. The primary
outcome of HIV incidence among all participants who contributed at least
one HIV test was analysed using discrete-time mixed effects models. This
study is registered with ClinicalTrials.gov, NCT03135067.
Findings Between June 4, 2017, and Aug 31, 2018, we enrolled 2090
participants (1033 in the 33 intervention clusters and 1057 in the 33
comparison clusters). Participants' median age was 25 years (IQR 22-31)
and 1390 (66.6\%) of 2086 participants reported sex work as an income
source. 1840 participants completed the 18-month follow-up and 570
participants completed the 24-month follow up, which ended on March 25,
2020, with a median follow-up duration of 17.6 months. HIV incidence was
not significantly different between the intervention and comparison
groups (1.2 vs 1.0 per 100 person-years; hazard ratio 12, 95\% CI
0.6-2.3, p=0.64). Social harms related to study participation occurred
in three participants (two in the intervention group and one in the
comparison group).
Interpretation Sustained provision of multiple self-tests to women at
high risk of HIV infection in Kenya enabled secondary distribution of
self-tests to sexual partners but did not affect HIV incidence.
Copyright (C) 2021 Published by Elsevier Ltd. All rights reserved.},
Type = {Article},
Language = {English},
Affiliation = {Thirumurthy, H (Corresponding Author), Univ Penn, Dept Med Eth \& Hlth Policy, Philadelphia, PA 19004 USA.
Thirumurthy, Harsha; Bair, Elizabeth F.; Marcus, Noora, Univ Penn, Perelman Sch Med, Dept Med Eth \& Hlth Policy, Philadelphia, PA 19004 USA.
Putt, Mary, Univ Penn, Perelman Sch Med, Dept Biostat \& Epidemiol, Philadelphia, PA 19004 USA.
Ochwal, Perez; Agot, Kawango, Impact Res \& Dev Org, Kisumu, Kenya.
Maman, Suzanne, Univ N Carolina, Dept Hlth Behav, Chapel Hill, NC 27515 USA.
Napierala, Sue, RTI Int, Womens Global Hlth Imperat, Berkeley, CA USA.},
ISSN = {2352-3018},
Keywords-Plus = {FEMALE SEX WORKERS; NYANZA PROVINCE; TRANSMISSION; MIGRANTS; CLIENTS;
RISKS; CARE},
Web-of-Science-Categories = {Immunology; Infectious Diseases},
Author-Email = {hthirumu@upenn.edu},
ORCID-Numbers = {Napierala, Sue/0000-0003-1146-8154},
Number-of-Cited-References = {27},
Times-Cited = {4},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000725254500006},
DA = {2023-09-28},
}
@article{ WOS:000525108900001,
Author = {Fowlie, Julie and Forder, Clare},
Title = {Can students be `nudged' to develop their employability? Using
behavioural change methods to encourage uptake of industrial placements},
Journal = {JOURNAL OF EDUCATION AND WORK},
Year = {2020},
Volume = {33},
Number = {2},
Pages = {154-168},
Month = {FEB 17},
Abstract = {Preparing students for employment involves encouraging ownership of
their employability and engagement in opportunities that can help them
improve it. Industrial placements play an important role in this but
declining numbers of students are undertaking them. Using data collected
over a three-year period at a Business School in a UK university, this
paper will explore an intervention based on nudge theory designed to
increase the uptake of these placements. Drawing upon behavioural
science, it will explore nudge theory and its criticisms. It will
discuss the concept of employability, including the tensions between the
necessity of promoting students' ownership of theirs and the inherent
assumptions that they will engage in opportunities to achieve this.
Critical assessment of how the nudge intervention worked will be
provided, demonstrating how almost half of those `nudged' responded
positively, thereby successfully increasing the uptake of placements. It
will identify soft outcomes, notably the breaking down of some typical
behavioural barriers to placements and encouraging students to think
reflectively. It will offer recommendations for replicable practice in
other universities; specifically a model for developing nudges not only
in relation to employability but within higher education more broadly.
It concludes by proposing a new pedagogic definition of employability.},
Type = {Article},
Language = {English},
Affiliation = {Forder, C (Corresponding Author), Univ Brighton, Brighton Business Sch, Brighton, E Sussex, England.
Fowlie, Julie; Forder, Clare, Univ Brighton, Brighton Business Sch, Brighton, E Sussex, England.},
DOI = {10.1080/13639080.2020.1749247},
EarlyAccessDate = {APR 2020},
ISSN = {1363-9080},
EISSN = {1469-9435},
Keywords = {Employability; nudge theory; higher education; work placement},
Keywords-Plus = {HIGHER-EDUCATION; GRADUATE EMPLOYABILITY; SKILLS DEVELOPMENT; WORK
PLACEMENTS; PERCEPTIONS; EXPERIENCE; CHOICE; FUTURE},
Web-of-Science-Categories = {Education \& Educational Research},
Author-Email = {c.l.forder@brighton.ac.uk},
ResearcherID-Numbers = {Fowlie, Julie/G-6029-2015},
ORCID-Numbers = {Forder, Clare/0000-0002-6658-2707
Fowlie, Julie/0000-0003-1131-7612},
Number-of-Cited-References = {90},
Times-Cited = {3},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {55},
Unique-ID = {WOS:000525108900001},
DA = {2023-09-28},
}
@article{ WOS:000684207000002,
Author = {Obol, James Henry and Lin, Sophia and Obwolo, Mark James and Harrison,
Reema and Richmond, Robyn},
Title = {Provision of cervical cancer prevention services in Northern Uganda: a
survey of health workers from rural health centres},
Journal = {BMC HEALTH SERVICES RESEARCH},
Year = {2021},
Volume = {21},
Number = {1},
Month = {AUG 11},
Abstract = {Background Cervical cancer is the leading cancer among Ugandan women,
contributing to 40 \% of all cancer cases recorded in the cancer
registry. Having identified the substantial impact of cervical cancer
among Ugandan women, the Ministry of Health in 2010 launched a Strategic
Plan for Cervical Cancer prevention and control. This study was
conducted to determine if health workers working in rural health centres
(HCs) III and IV in Northern Uganda provide cervical cancer screening
services as recommended in the Strategic Plan. Methods A cross-sectional
survey using a structured questionnaire was conducted among nurses,
midwives and clinical officers working in rural HC III and IV in
Northern Uganda. Data were entered in Epidata 3.1 and analysed using
Stata 16 statistical software. Univariate, bivariate, and multivariate
analyses were performed. Any factor with p-value <= 0.05 was considered
a significant predictor of outcome. Results We surveyed 286 health
workers. Fifty-one (18 \%) health workers were screening women for
cervical cancer. Fifty-eight (21 \%) health workers have guideline for
cervical cancer screening in their HCs, 93 (33 \%) participants were
trained to screen women for cervical cancer. Two hundred sixty-two (92
\%) participants provided HPV vaccination. Two hundred forty-six (87 \%)
participants were conducting health education about cervical cancer in
their HCs. Factors associated with screening women for cervical cancer
include: being a staff member from HCs III (AOR = 0.30, 95 \% CI
0.13-0.68, p = 0.00), being staff of HCs that have organization to
support cervical cancer screening services (AOR = 4.38, 95 \% CI
1.99-9.63, p-=0.00), being a health worker who had been trained to
screen for cervical cancer (AOR = 2.21, 95 \% CI 1.00-4.90, p = 0.05)
and staff from HCs that has guideline for cervical cancer screening (AOR
= 2.89, 95 \% CI 1.22-6.86, p = 0.02). Conclusions This study shows an
overall structural problem related to the delivery of cervical cancer
screening services in HC III and IV in Northern Uganda which the
Strategic Plan has not addressed. These structural problems need urgent
attention if the Uganda government and other sub-Saharan African (SSA)
countries are to achieve the World Health Organization (WHO) 90-70-90
targets by 2030 to be on track for cervical cancer elimination.},
Type = {Article},
Language = {English},
Affiliation = {Obol, JH (Corresponding Author), Univ New South Wales, Sch Populat Hlth \& Community Med, Kensington, NSW 2033, Australia.
Obol, JH (Corresponding Author), Gulu Univ, Fac Med, POB 166, Gulu, Uganda.
Obol, James Henry; Lin, Sophia; Harrison, Reema; Richmond, Robyn, Univ New South Wales, Sch Populat Hlth \& Community Med, Kensington, NSW 2033, Australia.
Obol, James Henry; Obwolo, Mark James, Gulu Univ, Fac Med, POB 166, Gulu, Uganda.},
DOI = {10.1186/s12913-021-06795-5},
Article-Number = {794},
EISSN = {1472-6963},
Keywords = {Cervical cancer; Health worker; Prevention services; Northern Uganda},
Keywords-Plus = {GLOBAL BURDEN; LOW-INCOME; BARRIERS; PERSPECTIVES; WOMEN; CARE},
Web-of-Science-Categories = {Health Care Sciences \& Services},
Author-Email = {obolh@yahoo.com},
ResearcherID-Numbers = {Obol, James Henry/AAW-4023-2021
Obol, James Henry/U-6763-2018
},
ORCID-Numbers = {Obol, James Henry/0000-0001-7789-3888
Harrison, Reema/0000-0002-8609-9827},
Number-of-Cited-References = {59},
Times-Cited = {2},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000684207000002},
DA = {2023-09-28},
}
@article{ WOS:000793591000003,
Author = {Morrello, Ruth and Cook, Penny A. and Coffey, Margaret},
Title = {``Now, with a bit more knowledge, I understand why I'm asking those
questions.{''} midwives' perspectives on their role in the Greater
Manchester health and social care partnership's programme to reduce
alcohol exposed pregnancies},
Journal = {MIDWIFERY},
Year = {2022},
Volume = {110},
Month = {JUL},
Abstract = {Objective: To understand midwives' perspectives regarding the effect of
a programme of activities aimed at reducing alcohol exposed pregnancies
at two NHS Trusts in Greater Manchester. The programme included new
protocols for screening, a referral pathway for specialist support and
alcohol training for midwives. Design and participants: Semi-structured
interviews were conducted with 6 midwives working in antenatal care at
the two Trusts over the telephone and via video conferencing. A review
of the literature provided insight into contemporary midwifery practice.
The Theory of Planned Behaviour was used to inform the interview
schedule design. Data analysis used a Framework Approach and drew on a
priori themes from the literature review. Findings: Participating
midwives described objective screening practice using a validated tool
on multiple antenatal occasions and were confident to discuss alcohol.
Participants were cognisant of local and national policies and
guidelines. Discussing alcohol was viewed as important and part of the
midwife's role, beliefs which supported participants' intention to
practice in line with new protocols. Maternal underreporting and denial
of alcohol consumption was a key barrier to providing effective care.
Key conclusions and implications for practice: The professional practice
of participants was more in keeping with the Chief Medical Officer's
recommendations than that reported in recent research from the UK and
other high-income countries. However, from this small study it is not
possible to attribute this directly to the local Reducing Alcohol
Exposed Pregnancies programme. Training to prepare midwives to elicit
more accurately details of maternal alcohol consumption may improve the
efficacy of the programme. (c) 2022 The Authors. Published by Elsevier
Ltd. This is an open access article under the CC BY-NC-ND license (
http://creativecommons.org/licenses/by-nc-nd/4.0/ )},
Type = {Article},
Language = {English},
Affiliation = {Morrello, R (Corresponding Author), Univ Salford, Sch Hlth \& Soc, Salford M6 6PU, Lancs, England.
Morrello, Ruth; Cook, Penny A.; Coffey, Margaret, Univ Salford, Sch Hlth \& Soc, Salford M6 6PU, Lancs, England.},
DOI = {10.1016/j.midw.2022.103335},
EarlyAccessDate = {APR 2022},
Article-Number = {103335},
ISSN = {0266-6138},
EISSN = {1532-3099},
Keywords = {Alcohol; Pregnancy; Screening; Midwife; Brief intervention; Foetal
alcohol spectrum disorder (FASD)},
Keywords-Plus = {BRIEF INTERVENTIONS; CONSUMPTION; PROFESSIONALS; INFORMATION;
POPULATION; DISORDERS; INTERVIEW; DRINKING; BEHAVIOR; OUTCOMES},
Web-of-Science-Categories = {Nursing},
Author-Email = {r.morrello@edu.salford.ac.uk},
ORCID-Numbers = {Coffey, Margaret/0000-0001-5837-5532},
Number-of-Cited-References = {68},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000793591000003},
DA = {2023-09-28},
}
@article{ WOS:000889432600001,
Author = {Reynolds, Kristin A. and Pankratz, Lily and Cameron, Emily E. and Roos,
Leslie E. and Giesbrecht, Gerald F. and Lebel, Catherine and
Tomfohr-Madsen, Lianne M.},
Title = {Pregnancy during the COVID-19 pandemic: a qualitative examination of
ways of coping},
Journal = {ARCHIVES OF WOMENS MENTAL HEALTH},
Year = {2022},
Volume = {25},
Number = {6},
Pages = {1137-1148},
Month = {DEC},
Abstract = {The COVID-19 pandemic and related public health restrictions have
impacted the mental health and coping strategies of many population
groups, including people who are pregnant. Our study sought to explore
the ways that pregnant people described coping with stressors associated
with the pandemic. N = 5879 pregnant individuals completed the
pan-Canadian Pregnancy During the COVID-19 Pandemic Survey between April
and December 2020. We used descriptive statistics to quantify
sociodemographic characteristics and thematic analysis (Braun \& Clarke,
2006, 2019) to analyze n = 3316 open-ended text responses to the
question ``Can you tell us what things you are doing to cope with the
COVID-19 pandemic?{''} The average age of participants was 32 years (SD
= 4.4), with the majority identifying as White (83.6\%), female
(99.7\%), married (61.5\%), having completed post-secondary education
(90.0\%), and working full-time (75.4\%). We categorized participant
responses into two overarching thematic dimensions: (1) ways of coping
and (2) coping challenges. Ways of coping included the following main
themes: (1) taking care of oneself, (2) connecting socially, (3)
engaging in pandemic-specific coping strategies, (4) keeping busy, (5)
taking care of others, (6) creating a sense of normalcy, (7) changing
perspectives, and (8) practicing spirituality. Coping challenges
included the following: (1) the perception of coping poorly, (2) loss of
coping methods, (3) managing frontline or essential work, and (4)
worries about the future. Findings highlight important implications for
targeted prenatal supports delivered remotely, including opportunities
for social support, prenatal care, and mental health strategies.},
Type = {Article},
Language = {English},
Affiliation = {Reynolds, KA (Corresponding Author), Univ Manitoba, Dept Psychol, Winnipeg, MB, Canada.
Reynolds, KA (Corresponding Author), Univ Manitoba, Dept Psychiat, Winnipeg, MB, Canada.
Reynolds, Kristin A.; Pankratz, Lily; Cameron, Emily E.; Roos, Leslie E., Univ Manitoba, Dept Psychol, Winnipeg, MB, Canada.
Reynolds, Kristin A., Univ Manitoba, Dept Psychiat, Winnipeg, MB, Canada.
Giesbrecht, Gerald F., Univ Calgary, Dept Pediat, Calgary, AB, Canada.
Giesbrecht, Gerald F., Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada.
Lebel, Catherine, Univ Calgary, Dept Radiol, Calgary, AB, Canada.
Tomfohr-Madsen, Lianne M., Univ Calgary, Dept Psychol, Calgary, AB, Canada.},
DOI = {10.1007/s00737-022-01277-x},
EarlyAccessDate = {NOV 2022},
ISSN = {1434-1816},
EISSN = {1435-1102},
Keywords = {Prenatal; COVID-19; Coping; Qualitative},
Keywords-Plus = {PERCEIVED BARRIERS; ANXIETY; DEPRESSION; PREVALENCE; PREFERENCES;
DISTRESS; STRESS; IMPACT},
Web-of-Science-Categories = {Psychiatry},
Author-Email = {Kristin.Reynolds@Umanitoba.ca},
ResearcherID-Numbers = {Lebel, Catherine/B-4298-2015
},
ORCID-Numbers = {Lebel, Catherine/0000-0002-0344-4032
Tomfohr-Madsen, Lianne/0000-0002-0860-5392},
Number-of-Cited-References = {65},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000889432600001},
DA = {2023-09-28},
}
@article{ WOS:000434093900010,
Author = {Devan, Hemakumar and Hale, Leigh and Hempel, Dagmar and Saipe, Barbara
and Perry, Meredith A.},
Title = {What Works and Does Not Work in a Self-Management Intervention for
People With Chronic Pain? Qualitative Systematic Review and
Meta-Synthesis},
Journal = {PHYSICAL THERAPY},
Year = {2018},
Volume = {98},
Number = {5},
Pages = {381-397},
Month = {MAY},
Abstract = {Background. Self-management interventions fostering self-efficacy
improve the well-being of people with chronic pain.
Purpose. The purpose of this study was to synthesize the enablers (what
works) and barriers (what does not) of incorporating self-management
strategies for people in everyday life after completion of a pain
self-management intervention.
Data Sources. Major electronic databases (MEDLINE, AMED, PsycINFO,
Cochrane Library, PubMed, CINAHL, Scopus, and Google Scholar) were
searched from inception to July 2016.
Study Selection. Study selection included qualitative and mixed-method
studies that explored the perceptions of individuals with chronic pain
after completion of a self-management intervention.
Data Extraction. A thematic analysis approach was used to synthesize the
review findings, and a Confidence in the Evidence from Reviews of
Qualitative Research (CER-Qual) Approach was used to assess the level of
confidence.
Data Synthesis. Thirty-three studies with 512 participants were
included. Enablers to self-management included self-discovery-the
ability to distinguish self (ie, body, thoughts, and feelings) from
pain; feeling empowered by incorporating self-management strategies into
practice; and supportive ambience via collaborative relationships with
clinicians and support from family and friends. Barriers to
self-management included difficulty with sustaining motivation for pain
self-management; distress experienced from ongoing pain, anxiety, and
depression; and unsupportive relationships with clinicians, family, and
friends.
Limitations. This review only included interventions that involved at
least 4 self-management skills; thus, informative studies may have been
missed. The follow-up period varied from immediately after the
intervention to 72 months following the intervention; therefore, it is
uncertain which of the key enablers and barriers were most influential
long term. Only articles published in the English language were
included; studies conducted in low-and middle-income countries could not
be located.
Conclusions. The sustained effort to self-manage chronic pain could be
exhausting, and motivation could wane over time following intervention.
Providing intermittent support in the form of booster sessions and peer
support groups may be important. Person-centered care via shared
decision making and guided problem solving is essential to facilitating
ongoing self-management.},
Type = {Review},
Language = {English},
Affiliation = {Devan, H (Corresponding Author), Univ Otago, Sch Physiotherapy, CHARR, Wellington, New Zealand.
Devan, Hemakumar; Hale, Leigh; Perry, Meredith A., Univ Otago, Sch Physiotherapy, CHARR, Wellington, New Zealand.
Hempel, Dagmar; Saipe, Barbara, CCDHB, Pain Management Serv, Wellington, New Zealand.},
DOI = {10.1093/ptj/pzy029},
ISSN = {0031-9023},
EISSN = {1538-6724},
Keywords-Plus = {RANDOMIZED CONTROLLED-TRIAL; LOW-BACK-PAIN; COGNITIVE-BEHAVIORAL
TREATMENT; SHARED DECISION-MAKING; PRIMARY-CARE PATIENTS;
MUSCULOSKELETAL PAIN; COMMITMENT THERAPY; SOCIAL SUPPORT; ACCEPTANCE;
IMPACT},
Web-of-Science-Categories = {Orthopedics; Rehabilitation},
Author-Email = {hemakumar.devan@otago.ac.nz},
ResearcherID-Numbers = {Hale, Leigh Anne/AFD-2919-2022
Devan, Hemakumar/I-3218-2019
Perry, Meredith/G-8108-2017},
ORCID-Numbers = {Devan, Hemakumar/0000-0002-2923-7277
Perry, Meredith/0000-0003-1602-4421},
Number-of-Cited-References = {86},
Times-Cited = {77},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {16},
Unique-ID = {WOS:000434093900010},
DA = {2023-09-28},
}
@article{ WOS:000439450400006,
Author = {Morcillo Martinez, Juana Ma and Sotomayor Morales, Eva Ma and de la
Fuente Robles, Yolanda Ma},
Title = {The triad: initiation, transit and consolidation versus return of women
that move from Tangier to Andalucia in a context of economic crisis},
Journal = {REVISTA DE ESTUDIOS REGIONALES},
Year = {2018},
Number = {111},
Pages = {157-180},
Month = {JAN-APR},
Abstract = {In this paper we analyze, on the one hand, the migratory process of
women from Morocco to Andalusia in a context of economic crisis. And, on
the other hand, the categories of influence in their process of social
participation. For this, we have used a qualitative methodology through
in-depth interviews. In the same way, it has been investigated in its
speeches from a longitudinal approach taking into account three key
moments in this question; the beginning, the transit and the settlement
in the consolidation versus return to the society of origin. The results
show how the expectations of women crossing the Mediterranean to reach
Spain are built and blurred, demonstrating a lack of respect for human
rights.
1. Methodology
In this work, we have not intended to measure the migratory phenomenon
but to describe its determinants and through the discourses, try to
identify the deep nature of this social reality, its relationship system
and its dynamic structure. Neither, we have not started with a
consolidated explanatory theory in scientific knowledge to, through the
deductive method, verify or refute the behavior of certain paradigms in
social reality. This has already been done successfully on occasions as
we quoted below but, based on these and starting from the reality a
migratory movement carried out by women, the present work has obtained
the necessary information for its development from the qualitative
methodology. The strategy that we carry out is oriented to discover and
understand a concrete phenomenon and this methodology is what gives
meaning to our research work. In this sense, we have carefully selected
the key informants with the intention of collecting their speech and
obtaining a broad vision of the experiences that come with the migratory
processes of Morocco women in their process of social integration in the
Autonomous Community of Andalusia.
On the other hand, understanding that the phenomenon can not be analyzed
only from the discourse of the social actors, we carry out an
ethnographic method through participant observation, culminated through
registration and observation of the social context, the way in which the
social actors in their context, the attitude of the professionals, the
public policies and norms of the context and the behaviors and attitudes
of the actors who do not intervene in the first person of the migratory
phenomenon.
Therefore, in addition to the ethnographic method, the methodology that
we have used has been qualitative, through the technique of
semi-structured interview with a sample size defined by saturation,
which reached 18 cases selected through a Sampling, given the nature of
the population under study. (Ruiz Olabuenaga, 1996).
The in-depth interviews were carried out in the city of Tangier and in
the Autonomous Community of Andalusia. The application of the in-depth
interviews to our key informants was not intended, in any case, the
statistical representation, but the socio-structural representation in
relation to the objectives of this research work.
In the same way we use two fundamental criteria when deciding who and
how many women to interview: the sampling criteria of a practical nature
and the sampling outside the control of the design.
(I). Sample criteria of a practical nature have to do with the
classification of two general types of interviewees: key and
representative.
The four questions or basic criteria that we considered in the selection
of interviewees were: (i) who has the relevant information?; (ii) who
are the most accessible women ?; (lii) who are more willing to report?
And, (iv) who are better able to communicate information more
accurately?
Other requirements were also: (i) to be knowledgeable about the object
to be investigated; (ii) that they were willing to speak, and (iii) that
they represented different points of view when different perspectives
existed on what was being studied.
(II). Sampling out of control of the design synthesized several ideas
and also had to do with the snowball procedure. Another issue to
consider is the duration and repetition of the interviews that were part
of the design tasks, some sample decisions were reviewed during the
field work. The length of each interview session ranged from about
forty-five minutes to some interviews over an hour long.
It is important to emphasize that not only is it enough to ask who and
how many women to interview, it must be considered that sufficient
interviews must be conducted so that the interviewer feels that he has
leamed everything that has to be learned and has verified these
understandings through the most knowledgeable informants and that They
deserve more confidence, from there came the principle of saturation.
We also address two important aspects in the preparation of in-depth
interviews. On the one hand, the selection of the most suitable
interviewees. And on the other hand, the decisions on the most suitable
conditions of date, place and record of the interviews.
(I). About the researcher; It is interesting to ask how they can affect
a research-interviewed interaction, since it is interviewed for research
and knowledge purposes. Some interviews specified the training and
special knowledge to make pertinent interventions in a conversational
situation not always is easy. Decisions in this regard depended on the
purposes of the study and other research contingencies.
(II). About the date, place and registration; It became necessary to
condition it to the interests of the study, combining a series of
elements, without forcing, because to that extent the success of the
interviews was largely dependent.
Regarding the evaluative criteria of the quality of the interviews, we
distinguished different groups of quality criteria applied. These
include: (i) reliability criteria; (ii) credibility criteria; (iii)
transferability; (iv) dependability; (v) authenticity and, (vi) ethical
criteria.
Likewise, a moderately alternative redefinition of the internal,
external validity and reliability standards was applied. In our opinion
we judge the credibility of the work applied for its transparency and
coherence, since the quality of the information depended to a great
extent on the collaboration of the interviewees, which entails serious
ethical obligations towards them.
In sum, the quality of the interviews applied is intrinsically related
to the characteristics of the interviewed women and the ethical
guidelines of the research. Jointly, informed consent and
confidentiality play a key role. All these are criteria that we have
taken into account in the evaluation of the quality of the interviews
applied.
Women were selected who:
1. They intended to emigrate.
2. In full transit.
3. They would have completed the migration process for two years or
less.
The categories previously selected for the analysis have been defined
through the following topics:
1. The system of attributions of the beginning of the migratory process.
2. The reception process and the contextual conditions of the receiving
society.
3. Comparative patterns of well-being in Morocco and Andalusia.
4. Expectations, desires and feelings.
5. Familiar social networks around the beginning of the migration
project.
6. Difficulties during transit.
7. Perception of the migration project itself.
8. Interference of the economic crisis in speeches.
9. Perceptions about returning to their home society.
2. The description of the methodological approach, a special condition.
Work plan and description of the phases.
The work plan developed in the different phases carried out consisted of
the following actions:
Phase I. Initial Conceptual Model.
In the first phase called the initial conceptual model, we proceeded to
review and analyze the literature related to our object of study. This
phase corresponds to the exploration and analysis of the scientific
production in the issue that concerns us and that directly links gender
and migration.
Together, we follow exhaustively the design of the model according to
Miles and Huberman, (1984) who; ``Establishes that from the categories
emerged in the bibliographic review, conclusions must be drawn up
graphically so that the relationships between the named categories are
described in detail.{''}
In this context, we note that the field work was carried out in the city
of Tangier (Morocco) and the Autonomous Community of Andalusia in the
framework of various projects for Development Cooperation of the
University of Jaen and the Spanish Agency for International Cooperation
Development (AECID)'. We resorted to using the intentional sampling
procedure that allowed us to select the subjects in the sample. The
sample was generated progressively where each subject proposed to other
people they knew.
At the same time we made use of participant observation or ethnographic
observation. Three elements of this technique were taken into account at
the time of its use; (I) social interaction, (ii) data collection
protocol, and (ii) control of information.
Phase II. Intermediate Model of Interviewees.
In this second phase of the research, we proceeded to design the
intermediate model, which starts from an empirical data, that is, from
the experience on the subject to be studied.
For this phase the interviews were structured in depth, whose questions
were revealed by key informants and interviewed women, both of whom were
intentionally selected. In order to do so, the criteria they used to
contribute relevant information to our research were taken as criteria.
In this sense, we use the snowball procedure. In this respect, the
sample frame is the meanings. That is, those of the experience emerge.
The snowball procedure allowed us to select the subjects of the sample
arbitrarily, that is, allowed us to choose Moroccan women and key
informants who presented very special characteristics. Once identified
and with the available information they were asked to locate other
members of the same study population, either by familiarity, knowledge
or ease of access. The sample was generated progressively where each
subject proposed to other people they knew.
The analysis of the interviews was performed after the transcript. The
transcripts were then sorted according to the application sequence where
the statements of the informants were taken into account. Subsequently,
a first sweep of data was made that allowed to be debugged the
information that was repeated.
In this sense, the theoretical basis of the research, the direct
experience of the researchers, the different contributions of key
professionals in this issue in Tangier and Andalusia, together with the
application of the in-depth interviews, are guarantees that allowed to
develop an exhaustive analysis Which is reflected with the development
of the present investigation.
Phase III. Final Conceptual Model.
In the final conceptual model the observations and the discussion were
elaborated according to the theoretical positions described in the
theoretical review and with the answers of the people interviewed. The
contrast of these two phases made it possible to formulate theorizing.
Theorizing, according to Martinez, (1999): ``Is a way to look at the
facts, to organize them and to represent them conceptually, through a
new network of relations between the constituent parts.{''} From this
point of view, the theory turns out to be the production of human
intelligence, since imagination and experience have been part of the
construction of knowledge.
We consider that the content analysis as a way to approach an
investigation, is a methodological complement that allows to obtain
knowledge of precise and effective way. The systematization of
information leads to the construction of a theorization, which is
reached, to the extent that we appropriate the acquired knowledge.
In sum, the design of the final conceptual model originated from the
interaction and contrast of the matching elements of the categories and
subcategories extracted from both the initial model and the intermediate
model.
Research objectives:
1. Observe the legislative framework and immigration policies and
integration models in the context of Andalusia and Tangier.
2. Analyze the conditions and discourses that are generated in this
migration process both in the context of departure, in transit and in
the receiving society.
3. Analyze the migration process of Moroccan women to Andalusia, based
on their expectations, experiences and personal assessments.
4. Identify the discourses around the exclusion processes that affect
the Moroccan woman in the host society
5. Design proposals for improvement, achieving the overcoming of the
more generalist positions insofar as they identify the migratory
phenomenon as unique.
Results in relation to objectives.
1. The exclusionary factors of this particular phenomenon are identified
in such a way that proposes the adaptation of public policies and
measures in which integration and socio-labor participation is the key
axis of action and women are recognized in all areas of performance.
However, it is recognized that certain changes in their societies of
origin are also necessary.
2. The speeches that are generated in the migratory process are
analyzed. These discourses related to the intention to emigrate that is
generated in the society of origin, in the transit and in the process of
consolidation that takes place in the receiving society. It is
highlighted that migratory flows bring into contact the systems of
gender and social class inequality of two different societies: the
society of origin and the host society. Therefore, the importance of
analyzing these issues is recognized. This is why we have analyzed this
migratory phenomenon in three key moments.
{[}GRAPHICS]
.
The migratory process of Moroccan women, in their economic character,
has a specific reception in a segmented labor market, with tasks of
family and domestic care, surrounded by a great vulnerability, but which
satisfies to some extent their migratory expectations.
3. The current economic crisis suffered by Andalusia, for almost a
decade, provokes that, although this is identified by the protagonists
in forms that are ignored in their speeches, I acted as a mechanism to
curb and expel female migration, or Precarization of underemployment to
which they access.
4. Different situations related to different moments of the migration
are exposed within a frame of fatigue and wear. Subsequently, some
perceptions of well-being are shown, in cases where women understand
that their expectations have been met.
5. We believe it is necessary, despite not being evident, an improvement
in Spanish policies to improve the quality of life of women, to make
proposals generated by the results of the analysis in the sense of
improving the integration and social participation of Moroccan women who
should have institutional resources in different areas, highlighting
improvements in the current Aliens Act, access to the education system,
labor insertion, language learning, accreditation of studies, gender
violence, impartial media and poor housing.
In our opinion, it is important to develop many positive actions and
political will to achieve an optimal process of integration and social
participation of women from Morocco in Andalusia.},
Type = {Article},
Language = {Spanish},
Affiliation = {Martinez, JMM (Corresponding Author), Univ Jaen, Jaen, Spain.
Morcillo Martinez, Juana Ma; Sotomayor Morales, Eva Ma; de la Fuente Robles, Yolanda Ma, Univ Jaen, Jaen, Spain.},
ISSN = {0213-7585},
Keywords = {Migration; Women from the Morocco; Economic aisle; Exclusion processes
and public policies},
Web-of-Science-Categories = {Environmental Studies},
Number-of-Cited-References = {19},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {23},
Unique-ID = {WOS:000439450400006},
DA = {2023-09-28},
}
@article{ WOS:000753486400005,
Author = {Parreiras Martins, Maria Auxiliadora and De Medeiros, Amanda Fonseca and
Carneiro de Almeida, Claudmeire Dias and Moreira Reis, Adriano Max},
Title = {Preparedness of pharmacists to respond to the emergency of the COVID-19
pandemic in Brazil: a comprehensive overview},
Journal = {DRUGS \& THERAPY PERSPECTIVES},
Year = {2020},
Volume = {36},
Number = {10},
Pages = {455-462},
Month = {OCT},
Abstract = {The outbreak of COVID-19 in low- and middle-income countries is
worrisome due to the social inequalities in these countries, their
limited health budgets and the significant burden of other acute and
chronic diseases. The leap in the number of cases in Brazil has imposed
a huge strain on the healthcare system. We sought to provide a
comprehensive overview of the challenges encountered by pharmacy
services in responding to the COVID-19 pandemic emergency in Brazil and
discuss the role of clinical pharmacists in this context. Pharmaceutical
services play a key role in the emergency response to the pandemic. The
pharmacy workforce has been actively working to manage drug shortages,
redesign workflow, and review drug formularies/protocols to improve
safety for patients and healthcare professionals (HCPs). COVID-19
patients may present high risk in the use of medications and clinical
pharmacists can contribute substantially as part of a multidisciplinary
team to improve outcomes in drug therapy in severe and critical illness.
The participation of pharmacists as members of antimicrobial stewardship
programs should be enhanced to ensure appropriate and safe use of
antibiotics in this context. HCPs should be encouraged to seek
improvements in the performance of pharmaceutical services and
innovative practices to respond to the pandemic. Further studies are
needed to generate knowledge on COVID-19 to improve patient care in
vulnerable populations.},
Type = {Article},
Language = {English},
Affiliation = {Martins, MAP (Corresponding Author), Univ Fed Minas Gerais, Fac Farm, Av Pres Antonio Carlos 6627,Campus Pampulha, BR-31270901 Belo Horizonte, MG, Brazil.
Martins, MAP (Corresponding Author), Hosp Risoleta Tolentino Neves, R Gabirobas 1, BR-31744012 Belo Horizonte, MG, Brazil.
Martins, MAP (Corresponding Author), Univ Fed Minas Gerais, Hosp Clin, Av Prof Alfredo Balena 110, BR-30130100 Belo Horizonte, MG, Brazil.
Martins, MAP (Corresponding Author), ISMP Brasil, Inst Prat Seguras Uso Medicamentos, Av Contorno 9215,Sl 502, BR-30110063 Belo Horizonte, MG, Brazil.
Parreiras Martins, Maria Auxiliadora; Moreira Reis, Adriano Max, Univ Fed Minas Gerais, Fac Farm, Av Pres Antonio Carlos 6627,Campus Pampulha, BR-31270901 Belo Horizonte, MG, Brazil.
Parreiras Martins, Maria Auxiliadora; De Medeiros, Amanda Fonseca; Moreira Reis, Adriano Max, Hosp Risoleta Tolentino Neves, R Gabirobas 1, BR-31744012 Belo Horizonte, MG, Brazil.
Parreiras Martins, Maria Auxiliadora; Carneiro de Almeida, Claudmeire Dias; Moreira Reis, Adriano Max, Univ Fed Minas Gerais, Hosp Clin, Av Prof Alfredo Balena 110, BR-30130100 Belo Horizonte, MG, Brazil.
Parreiras Martins, Maria Auxiliadora; Moreira Reis, Adriano Max, ISMP Brasil, Inst Prat Seguras Uso Medicamentos, Av Contorno 9215,Sl 502, BR-30110063 Belo Horizonte, MG, Brazil.},
DOI = {10.1007/s40267-020-00761-7},
ISSN = {1172-0360},
EISSN = {1179-1977},
Keywords-Plus = {CORONAVIRUS; CARE},
Web-of-Science-Categories = {Pharmacology \& Pharmacy},
Author-Email = {auxiliadorapmartins@hotmail.com},
ResearcherID-Numbers = {Reis, Adriano/AAN-5180-2021
Martins, Maria/IQT-0561-2023
Reis, Adriano/A-4449-2014
Martins, Maria Auxiliadora P/I-6136-2018
},
ORCID-Numbers = {Reis, Adriano/0000-0002-0017-7338
Martins, Maria Auxiliadora P/0000-0002-5211-411X
Fonseca Medeiros, Amanda/0000-0002-6747-6172},
Number-of-Cited-References = {60},
Times-Cited = {5},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000753486400005},
DA = {2023-09-28},
}
@article{ WOS:001022208700001,
Author = {Kelly, Crystal and Cornwell, Petrea and Hewetson, Ronelle and Copley,
Anna},
Title = {The pervasive and unyielding impacts of cognitive-communication changes
following traumatic brain injury},
Journal = {INTERNATIONAL JOURNAL OF LANGUAGE \& COMMUNICATION DISORDERS},
Year = {2023},
Month = {2023 JUL 10},
Abstract = {BackgroundCognitive-communication disorders (CCDs) are common in the
traumatic brain injury (TBI) population. Despite this, there has been
limited research that explores the long-term impacts of reduced
cognitive-communication functioning on daily life for this population.
AimsTo identify the long-term impacts of cognitive-communication
impairment as reported by adults with TBI and their significant others.
Methods \& ProceduresA qualitative descriptive approach grounded in
phenomenology was used. Semi-structured, one-on-one interviews were
conducted with adults with CCDs following TBI (n = 16) and their
significant others (n = 12) to explore their lived experiences. Outcomes
\& ResultsReflexive thematic analysis revealed an overarching theme of
`The pervasive and unyielding impacts of cognitive-communication changes
on daily life following TBI'. Within this overarching theme, three
subthemes were identified: (1) self-awareness of communication changes;
(2) fatigue; and (3) self-identity and life roles. Conclusion \&
ImplicationsThe findings from this study highlight the long-term
negative impacts of reduced cognitive-communication functioning on daily
life. Health professionals supporting this population should consider
ways to reduce the significant impact CCDs have on the lives of adults
following TBI and their significant others. In addition, the findings
highlight the importance of long-term rehabilitation services following
TBI, with further research needed that explores how these services can
be optimised. What this paper addsWhat is already known on this
subjectCognitive-communication disorders (CCDs) affect the majority of
adults who experience moderate to severe traumatic brain injury (TBI)
and encompass any component of communication that is affected by
cognition. The hallmark characteristic of CCDs are breakdowns that
affect social communication skills as well as cognitive-linguistic
deficits. Combined, these can have dramatic implications for a person's
quality of life, their level of independence, employment opportunities
and social participation. There has been limited research to date that
explores the long-term impacts of CCDs on the lives of adults following
TBI. Further research that explores these impacts is needed to improve
the support services and rehabilitation models of care available for
this population. What this study addsThe overarching theme was `The
pervasive and unyielding impacts of communication changes on daily life
following TBI' with subthemes including changed communication,
self-awareness of communication changes, fatigue and self-identity and
life roles. The findings from this study highlight the long-term
negative impacts of reduced cognitive-communication functioning on
everyday functioning and quality of life as well as the importance of
long-term rehabilitation services following TBI. What are the clinical
implications of this work?Speech-language therapists and other health
professionals working with this clinical population should consider how
to address the significant and long-lasting impacts of CCDs. Due to the
complex nature of the barriers experienced by this clinical population,
an interdisciplinary targeted approach is advised wherever possible when
providing rehabilitation services.},
Type = {Article; Early Access},
Language = {English},
Affiliation = {Kelly, C (Corresponding Author), Griffith Univ, Sch Hlth Sci \& Social Work, Nathan, Qld, Australia.
Kelly, Crystal; Cornwell, Petrea; Hewetson, Ronelle, Griffith Univ, Sch Hlth Sci \& Social Work, Nathan, Qld, Australia.
Copley, Anna, Univ Queensland, Sch Hlth \& Rehabil Sci, Brisbane, Australia.},
DOI = {10.1111/1460-6984.12923},
EarlyAccessDate = {JUL 2023},
ISSN = {1368-2822},
EISSN = {1460-6984},
Keywords = {cognitive-communication; qualitative methodology; speech and language
therapists; traumatic brain injury},
Keywords-Plus = {IMPAIRED SELF-AWARENESS; QUALITATIVE RESEARCH; MENTORING PROGRAM;
REHABILITATION; COMMUNITY; INTERVENTIONS; SATURATION; INTERVIEWS;
RECOVERY; IDENTITY},
Web-of-Science-Categories = {Audiology \& Speech-Language Pathology; Linguistics; Rehabilitation},
Author-Email = {crystal.kelly@griffithuni.edu.au},
ORCID-Numbers = {Kelly, Crystal/0000-0003-1669-5137},
Number-of-Cited-References = {58},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:001022208700001},
DA = {2023-09-28},
}
@article{ WOS:000313626800001,
Author = {Vahabi, Mandana and Damba, Cynthia},
Title = {Perceived barriers in accessing food among recent Latin American
immigrants in Toronto},
Journal = {INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH},
Year = {2013},
Volume = {12},
Month = {JAN 3},
Abstract = {Objective: In Canada, recent immigrant households experience more food
insecurity than the general population, but limited information is
available about the personal, cultural, and social factors that
contribute to this vulnerability. This study focused on recent Latin
American (LA) immigrants to explore their perceived barriers in
acquiring safe, nutritious, and culturally-appropriate food.
Design: A cross-sectional mixed-method design was applied to collect
information from a convenience sample of 70 adult Spanish/Portuguese
speakers who had arrived in Toronto within the last five years.
Face-to-face interviews were conducted with primary household caregivers
to obtain responses about barriers to acquiring food for their
households; data were analyzed using a thematic analysis technique.
Results: Four main categories of barriers were identified: limited
financial resources; language difficulty; cultural food preferences; and
poor knowledge of available community-based food resources and services.
Inadequate income was the main impediment in accessing adequate food,
and was related to affordability of food items, accessibility of food
outlets and transportation cost, and limited time for grocery shopping
due to work conditions. Language barriers affected participants' ability
to obtain well-paid employment and their awareness about and access to
available community-based food resources. Cultural barriers were related
to food preferences and limited access to culturally-appropriate foods
and resources.
Conclusion: The main barrier to food security among our sample of LA
newcomers to Toronto is limited financial resources, highlighting the
need for policies and strategies that could improve their financial
power to purchase sufficient, nutritious, and culturally-acceptable
food. Linguistic barriers and limited information among newcomers
suggest the need to provide linguistically-and culturally-appropriate
information related to community-based food programs and resources, as
well as accessible subsidized English language programs, in the
community and at workplaces. Participatory community-based food programs
can augment, in a socially acceptable manner, food resources and reduce
the social stigma attached to food charity. Finally, it is crucial to
monitor and evaluate existing social and community-based services for
their accessibility, cultural appropriateness and diversity, and
effectiveness.},
Type = {Article},
Language = {English},
Affiliation = {Vahabi, M (Corresponding Author), Ryerson Univ, Daphne Cockwell Sch Nursing, Fac Community Serv, 350 Victoria St, Toronto, ON M5B 2K3, Canada.
Vahabi, Mandana, Ryerson Univ, Daphne Cockwell Sch Nursing, Fac Community Serv, Toronto, ON M5B 2K3, Canada.
Vahabi, Mandana, Ryerson Univ, Ctr Studies Food Secur, Toronto, ON M5B 2K3, Canada.},
DOI = {10.1186/1475-9276-12-1},
Article-Number = {1},
EISSN = {1475-9276},
Keywords = {Canada-Toronto; Recent Latin American immigrants; Food security;
Cultural and Linguistic barriers; Community- based food programs},
Keywords-Plus = {INSECURITY; HEALTH; INSUFFICIENCY; SECURITY; RISK},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {mvahabi@ryerson.ca},
ORCID-Numbers = {Vahabi, Mandana/0000-0002-7950-7335},
Number-of-Cited-References = {45},
Times-Cited = {38},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {42},
Unique-ID = {WOS:000313626800001},
DA = {2023-09-28},
}
@article{ WOS:000573375500018,
Author = {Fry, M. Whitney and Saidi, Salima and Musa, Abdirahman and Kithyoma,
Vanessa and Kumar, Pratap},
Title = {``Even though I am alone, I feel that we are many{''} - An appreciative
inquiry study of asynchronous, provider-to-provider teleconsultations in
Turkana, Kenya},
Journal = {PLOS ONE},
Year = {2020},
Volume = {15},
Number = {9},
Month = {SEP 15},
Abstract = {Non-physician clinicians (NPCs) in low and middle-income countries
(LMICs) often have little physical proximity to the resources-equipment,
supplies or skills-needed to deliver effective care, forcing them to
refer patients to distant sites. Unlike equipment or supplies, which
require dedicated supply chains, physician/specialist skills needed to
support NPCs can be sourced and delivered through telecommunication
technologies. In LMICs however, these skills are scarce and sparsely
distributed, making it difficult to implement commonly used real-time
(synchronous), hub-and-spoke telemedicine paradigms. An asynchronous
teleconsultations service was implemented in Turkana County, Kenya,
connecting NPCs with a volunteer network of remote physicians and
specialists. In 2017-18, the service supported over 100
teleconsultations and referrals across 20 primary healthcare clinics and
two hospitals. This qualitative study aimed to explore the impact of the
telemedicine intervention on health system stakeholders, and perceived
health-related benefits to patients. Data were collected using
Appreciative Inquiry, a strengths-based, positive approach to assessing
interventions and informing systems change. We highlight the impact of
provider-to-provider asynchronous teleconsultations on multiple
stakeholders and healthcare processes. Provider benefits include
improved communication and team work, increased confidence and capacity
to deliver services in remote sites, and professional satisfaction for
both NPCs and remote physicians. Health system benefits include
efficiency improvements through improved care coordination and avoiding
unnecessary referrals, and increased equity and access to
physician/specialist care by reducing geographical, financial and social
barriers. Providers and health system managers recognised several
non-health benefits to patients including increased trust and care
seeking from NPCs, and social benefits of avoiding unnecessary referrals
(reduced social disruption, displacement and costs). The findings reveal
the wider impact that modern teleconsultation services enabled by mobile
technologies and algorithms can have on LMIC communities and health
systems. The study highlights the importance of viewing
provider-to-provider teleconsultations as complex health service
delivery interventions with multiple pathways and processes that can
ultimately improve health outcomes.},
Type = {Article},
Language = {English},
Affiliation = {Kumar, P (Corresponding Author), Hlth E Net Ltd, Nairobi, Kenya.
Kumar, P (Corresponding Author), Strathmore Univ, Sch Business, Inst Healthcare Management, Nairobi, Kenya.
Fry, M. Whitney; Saidi, Salima; Kithyoma, Vanessa; Kumar, Pratap, Hlth E Net Ltd, Nairobi, Kenya.
Musa, Abdirahman, Minist Hlth Serv \& Sanitat, Nairobi, Turkana County, Kenya.
Kumar, Pratap, Strathmore Univ, Sch Business, Inst Healthcare Management, Nairobi, Kenya.
Fry, M. Whitney, Iris Grp, Nairobi, Kenya.
Kithyoma, Vanessa, MHlth Kenya Ltd, Nairobi, Kenya.},
DOI = {10.1371/journal.pone.0238806},
Article-Number = {e0238806},
ISSN = {1932-6203},
Keywords-Plus = {MIDDLE-INCOME COUNTRIES; MOBILE-HEALTH; CARE; CLINICIAN; MORTALITY;
SERVICES; PROGRAM; PEOPLE},
Web-of-Science-Categories = {Multidisciplinary Sciences},
Author-Email = {pkumar@strathmore.edu},
ORCID-Numbers = {Kumar, Pratap/0000-0002-9807-3579
Fry, Whitney/0000-0001-5442-7964},
Number-of-Cited-References = {45},
Times-Cited = {6},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000573375500018},
DA = {2023-09-28},
}
@article{ WOS:000424550200002,
Author = {Gabriel Brida, Juan and Noel Gonzalez, Maria and Lanzilotta, Bibiana},
Title = {Analysis of the Determinants of Domestic Tourism in Uruguay},
Journal = {REVISTA DE ESTUDIOS REGIONALES},
Year = {2017},
Number = {108},
Pages = {43-78},
Month = {JAN-APR},
Abstract = {This paper analyses the determinants of flows of domestic tourism in
Uruguay in the context of an extended gravity model during the period
2010-2012. This analysis is done at a disaggregated level, considering
the bilateral flows between two regions (department) of the country, one
as source of tourism and the other as the destination. Gravity models
suggest that tourist flows depend positively on the size of each region
(department in Uruguay) and negatively on the distance between them. The
extended version includes explanatory variables to characterize the
supply and demand for domestic tourism.
Three models are estimated, one for each year, which allows to compare
and to estimate the robustness of the results. The methodology of
estimating applied (following Santos, Silva and Teynero 2006)) was
Pseudo-Poisson Maximum Likelihood with cross-section data which has been
proven, is one of the most appropriate for estimating gravity models.
Domestic tourist flows are represented from the number of trips from one
region (department) to another, for the 19 departments of the country
within a calendar year.
Results obtained in this paper constitute a first contribution to the
analysis of the determinants of domestic tourist movements, and provides
potentially valuable information for decision-making of public and
private sectors (planning strategies, policy, marketing, communication).
The study shows that tourist flows depend positively on the size of
population of each department and negatively of the distance that
separates them. This result is in line with the general gravity models
and also with the results recently found in another countries (Galvez,
Muro and Such, 2014; Massida and Etzo, 2012; Marrocu and Pacci, 2013).
The regions (departments) with higher income and the capital of the
country (Montevideo) are the main sources of domestic tourists. The
research also shows that the departments that share a border have
greater tourist flows between each other. In addition, departments with
ocean coasts or good quality accommodation have a significant
comparative advantage over the others.
On the demand side, income earnings of people, as well as being
determinant of the number of tourists that a department emits, has an
elasticity greater than unity, showing that domestic tourism behaves as
a luxury good. It is important to highlight the role that the capital as
an issuer of tourists. Montevideo is the city where the main terminals
of public transport are located and begins the national road network,
allowing direct connection of the city with any department of the
interior. The results suggest also that strategies of communication and
promotion of tourism products and destinations, both public and private
utilities, are oriented towards/from the capital (Montevideo) and the
regions with higher levels of population and income. In this regard, it
is important to think of better transport links between the different
departmental capitals that, although have transport infrastructure
(terminals and road network), in some cases, do not have direct mobility
to all departments if no prior connection to Montevideo.
From the supply-side point of view, the Atlantic Ocean beaches are the
main comparative advantage of the departments as a tourist destination.
This is the reason that explains the fact that the departments of
Maldonado and Rocha concentrate much of the tourism of sun and beach
during the summer months. One of the unexpected results of this work was
the negative impact on incoming tourism flows of the departments that
have coasts on the Rio de la Plata. This result is closely related to
the concentration of domestic tourism in the summer season where the
preferences of tourists are sun and beach, and the quality of water and
sand is better on the Atlantic coast.
Additionally, it was found that the existence of good quality
accommodation (3-5 stars) causes a differential effect on the decision
about which department tourists choose to vacation. Controlled by the
other factors, the existence of differential lodging has a positive and
differential effect on the inflow of tourists.
Finally, there is a negative effect on domestic tourism flows if
departments share border with Argentina. In these regions, the border
effect is clearly unfavourable. Therefore, in these cases should be
maximized efforts to improve the competitiveness of services, from the
quality of services provided and tourism products offered.
In more general terms, the results show the rationality of that
communication strategies and promotion of tourism products and
destinations, are geared towards Montevideo and the departments with
major population and income per capita. It is also important to address
these efforts to neighbours departments, as empirical evidence shows a
positive relationship between tourist flows and the fact that
departments share administrative boundaries.
In terms of the policy implications of these results, it would be
interesting to think of departmental or regional agreements for the
creation of a network of promotion, where the adjoining departments can
benefit from the implementation of joint tourist promotion strategies.
Finally, thinking of an efficient marketing, this work provides relevant
information on the system components of internal tourism in Uruguay: the
peculiarities of the source market of tourists in the country and also
provides information on the competitive position of destinations. Taking
into account these information would help to attract and retain domestic
tourists.
Thinking in extensions of this work, a first one that emerges is the
incorporation of the information for the years 2013 onwards (not
available at the date of preparation of this paper). For example,
extending the information a couple of years would enable applying other
estimation techniques (pool cross section and panel data) that would
enrich the analysis. In turn, it would make it possible to analyse the
robustness of the results obtained by applying alternative estimation
methods (Models Zero Inflated, etc.) and to explore a better way to
capture the effect of the (not significant as these results)
multilateral resistance.
Moreover, the desegregation of analysis between tourist flows
corresponding to regular trips, no regular trips and excursions, could
yield to relevant results for public policy. Regular trips have
different characteristics than the other (more associated with vacation
travel) and it is important to considering them separately.
Finally, another possible variant of this study is to consider a
different regional disaggregation, for example using the regionalization
criteria defined by the Ministry of Tourism and Sports, grouping them in
six tourist areas (Montevideo, Southeast, Central, South west, Coast,
North).},
Type = {Article},
Language = {Spanish},
Affiliation = {Brida, JG (Corresponding Author), Univ Republ Uruguay, Montevideo, Uruguay.
Gabriel Brida, Juan; Noel Gonzalez, Maria; Lanzilotta, Bibiana, Univ Republ Uruguay, Montevideo, Uruguay.},
ISSN = {0213-7585},
Keywords = {Domestic tourism; Gravity model; Pseudo-Poisson Maximum Likelihood;
Uruguay; Tourism economics},
Keywords-Plus = {INTERNATIONAL TOURISM; GRAVITY},
Web-of-Science-Categories = {Environmental Studies},
ResearcherID-Numbers = {Mernies, Bibiana Lanzilotta/AAB-3946-2022
Lanzilotta, Bibiana/HKN-4417-2023
Brida, Juan Gabriel/H-3727-2015
},
ORCID-Numbers = {Brida, Juan Gabriel/0000-0002-2319-5790
Lanzilotta, Bibiana/0000-0001-6590-7277},
Number-of-Cited-References = {28},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {14},
Unique-ID = {WOS:000424550200002},
DA = {2023-09-28},
}
@article{ WOS:000443789900003,
Author = {Loignon, Christine and Nouvet, Elysee and Couturier, Francois and
Benhadj, Lynda and Adhikari, Neill K. J. and Murthy, Srinivas and
Fowler, Rob A. and Lamontagne, Francois},
Title = {Barriers to supportive care during the Ebola virus disease outbreak in
West Africa: Results of a qualitative study},
Journal = {PLOS ONE},
Year = {2018},
Volume = {13},
Number = {9},
Month = {SEP 5},
Abstract = {Background
During the 2013-2016 West Africa Ebola outbreak, supportive care was the
only non-experimental treatment option for patients with Ebola virus
disease (EVD). However, providing care that would otherwise be routine
for most clinical settings in the context of a highly contagious and
lethal pathogen is much more challenging. The objective of this study
was to document and deepen understanding of barriers to provision of
supportive care in Ebola treatment units (ETUs) as perceived by those
involved in care delivery during the outbreak.
Methods
This qualitative study consisted of 29 in-depth semi-structured
interviews with stakeholders (decision-makers, physicians, nurses)
involved in patient care delivery during the outbreak. Analysis
consisted of interview debriefing and team-based transcript coding in
NVivo10 software using thematic analysis.
Findings
Participants emphasized three interconnected barriers to providing
high-quality supportive care during the outbreak: 1) lack of material
and human resources in ETUs; 2) ETU organizational structure limiting
the provision of supportive clinical care; and 3) delayed and poorly
coordinated policies limiting the effectiveness of global and national
responses. Participants also noted the ethical complexities of defining
and enacting best clinical practices in low-income countries. They noted
tension between, on one hand, scaling up minimal care and investing in
clinical care preparedness to a level sustainable in West Africa and, on
the other, providing a higher level of supportive care, which in
low-resource health systems would require important investments.
Conclusion
Our findings identified potentially modifiable barriers to the delivery
of supportive care to patients with EVD in West Africa. Addressing these
in the inter-outbreak period will be useful to improve patient care and
outcomes during inevitable future outbreaks. Promoting community trust
and engagement through long-term capacity building of the healthcare
work-force and infrastructure would increase both health system
resilience and ability to handle other outbreaks of emerging diseases.},
Type = {Article},
Language = {English},
Affiliation = {Loignon, C (Corresponding Author), Univ Sherbrooke, Fac Med \& Hlth Sci, Sherbrooke, PQ, Canada.
Loignon, Christine; Couturier, Francois; Benhadj, Lynda; Lamontagne, Francois, Univ Sherbrooke, Fac Med \& Hlth Sci, Sherbrooke, PQ, Canada.
Nouvet, Elysee, Univ Western Ontario, Sch Hlth Studies, London, ON, Canada.
Adhikari, Neill K. J.; Fowler, Rob A., Univ Toronto, Interdept Div Crit Care, Dept Crit Care Med, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada.
Murthy, Srinivas, Univ British Columbia, Fac Med, Vancouver, BC, Canada.},
DOI = {10.1371/journal.pone.0201091},
Article-Number = {e0201091},
ISSN = {1932-6203},
Keywords-Plus = {EPIDEMIC},
Web-of-Science-Categories = {Multidisciplinary Sciences},
Author-Email = {Christine.Loignon@Usherbrooke.ca},
ResearcherID-Numbers = {Murthy, Srinivas/AAS-7243-2020
},
ORCID-Numbers = {Murthy, Srinivas/0000-0002-9476-839X
Nouvet, Elysee/0000-0002-1607-3453
Ansumana, Rashid/0000-0002-1973-7200
Lamontagne, Francois/0000-0002-0360-3427},
Number-of-Cited-References = {32},
Times-Cited = {14},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {12},
Unique-ID = {WOS:000443789900003},
DA = {2023-09-28},
}
@article{ WOS:000315279500006,
Author = {Farin, Erik and Nagl, Michaela},
Title = {The patient-physician relationship in patients with breast cancer:
influence on changes in quality of life after rehabilitation},
Journal = {QUALITY OF LIFE RESEARCH},
Year = {2013},
Volume = {22},
Number = {2},
Pages = {283-294},
Month = {MAR},
Abstract = {The objective of this study was to examine whether aspects of the
patient-physician relationship for breast cancer patients have an
influence on the change in health-related quality of life (HRQOL) after
inpatient rehabilitation.
N = 329 breast cancer patients undergoing inpatient rehabilitation in
Germany were surveyed using questionnaires at the beginning of
rehabilitation, end of rehabilitation, and 6 months after
rehabilitation. Multiple imputations and multilevel models of change
were used in the data analyses.
Even after comprehensive adjustment for sociodemographic, medical,
psychological variables, and center effects, aspects of the
physician-patient relationship were statistically and clinically
relevant predictors of HRQOL after rehabilitation. Satisfaction with
physician's care appears to have a rather short-term effect, but the
effect of promoting patient participation can still be partially
determined 6 months after rehabilitation. Other important predictors of
HRQOL improvement are optimism, higher level of education, higher
income, living with a partner, and the ability to work.
By taking into consideration the patient's communication and
participation needs, physicians can contribute to an improved HRQOL
after rehabilitation. The high predictive power of socioeconomic factors
shows that rehabilitation care can be more effective if it accounts for
the specific situation of socially disadvantaged individuals.},
Type = {Article},
Language = {English},
Affiliation = {Farin, E (Corresponding Author), Univ Freiburg, Med Ctr, Dept Qual Management \& Social Med, Engelbergerstr 21, D-79106 Freiburg, Germany.
Farin, Erik; Nagl, Michaela, Univ Freiburg, Med Ctr, Dept Qual Management \& Social Med, D-79106 Freiburg, Germany.},
DOI = {10.1007/s11136-012-0151-5},
ISSN = {0962-9343},
EISSN = {1573-2649},
Keywords = {Patient-physician relationship; Quality of life; Oncology; Optimism;
Socioeconomic factors},
Keywords-Plus = {HEALTH-RELATED-QUALITY; MEDICAL DECISION-MAKING; FUNCTIONAL ASSESSMENT;
FOLLOW-UP; PSYCHOLOGICAL DISTRESS; SOCIAL SUPPORT; CHINESE WOMEN;
NECK-CANCER; PREDICTORS; SCALE},
Web-of-Science-Categories = {Health Care Sciences \& Services; Health Policy \& Services; Public,
Environmental \& Occupational Health},
Author-Email = {erik.farin@uniklinik-freiburg.de},
ORCID-Numbers = {Farin-Glattacker, Erik/0000-0001-6867-0316},
Number-of-Cited-References = {74},
Times-Cited = {18},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {19},
Unique-ID = {WOS:000315279500006},
DA = {2023-09-28},
}
@article{ WOS:000860555400002,
Author = {Maringe, F. and Chiramba, O.},
Title = {DISRUPTIONS IN HIGHER EDUCATION: MITIGATING ISSUES OF ACCESS AND SUCCESS
IN THE COVID-19 PANDEMIC},
Journal = {SOUTH AFRICAN JOURNAL OF HIGHER EDUCATION},
Year = {2022},
Volume = {36},
Number = {4},
Pages = {6-20},
Abstract = {Disruptions create both new opportunities and challenges in higher
education. In settled times, education systems plod along with an
assumed and uncritical acceptance of normalcy of the status-quo. When
the status quo is disrupted, suddenly the patched-up cracks reveal the
depth and magnitude of the simmering problems of the sector in graphic
ways.Access and success are arguably the two most poignant indicators of
the performance of higher education systems. In post-colonial societies
such as South Africa, access is used to estimate progress in broadening
participation in higher education, particularly to young people from
previously disadvantaged communities. Access has two broad meanings:
increased enrolments and enhanced epistemological impact. Success, on
the other hand is measured variously but mainly through graduation and
progression rates across different socio-economic higher education
students groups and also on the quality of their performances.In this
article we provide a theoretical discussion of the notions of
disruptions and their impact in higher education; examine the questions
of access and success in higher education; and conclude that the chasm
lying between access by participation and access by success requires
substantial transformation of a knowledge system that is alien to the
cultural context of the country; rebalancing and recalibrating the
broader ideological environment that privileges liberalism while paying
token attention to social justice and inclusion beyond mere symbolism;
and a persistent refocusing on emancipatory pedagogies, designed to
liberate rather than subjugate graduates into pigeon holed choices in
the labour market which are designed to serve the needs of owners of
capital as the primary motive of employment.We conclude by identifying
critical factors that appear to lead to a failure by universities to
bridge the gap between access by participation and access by success or
epistemological access.Most of these tend to be structurally embedded in
the fabric of higher education institutions and the sector and include,
a persistent coloniality of the sector, disjuncture between the intended
ideological framework guiding national development and the operating
economic models and institutional inertia to move beyond the canonical
bases of higher education based on western epistemes.},
Type = {Article},
Language = {English},
Affiliation = {Maringe, F (Corresponding Author), Univ Witwatersrand, Leadership \& Policy Studies, Johannesburg, South Africa.
Maringe, F., Univ Witwatersrand, Leadership \& Policy Studies, Johannesburg, South Africa.
Chiramba, O., Univ Johannesburg, Fac Educ, Johannesburg, South Africa.},
DOI = {10.20853/36-4-5382},
ISSN = {1011-3487},
EISSN = {1753-5913},
Keywords = {access in higher education; COVID-19 pandemic; disruptions; higher
education; success in higher education; teaching and learning;
transformation},
Web-of-Science-Categories = {Education \& Educational Research},
Number-of-Cited-References = {29},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000860555400002},
DA = {2023-09-28},
}
@article{ WOS:000865029600001,
Author = {Groen, Gunter and Joerns-Presentati, Astrid and Dessauvagie, Anja and
Seedat, Soraya and van den Heuvel, Leigh L. and Suliman, Sharain and
Grobler, Gerhard and Jansen, Ronelle and Mwape, Lonia and Mukwato,
Patricia and Chapima, Fabian and Korhonen, Joonas and Stein, Dan J. and
Jonker, Deborah and Mudenda, John and Turunen, Timo and Valtins, Karlis
and Beinarovica, Anete and Grada, Leva and Lahti, Mari},
Title = {Development of a Mobile Application for Detection of Adolescent Mental
Health Problems and Feasibility Assessment with Primary Health Care
Workers},
Journal = {ISSUES IN MENTAL HEALTH NURSING},
Year = {2022},
Volume = {43},
Number = {11},
Pages = {1046-1055},
Month = {NOV 2},
Abstract = {Introduction: There has been a sharp increase in the use of digital
health interventions in global health, particularly mobile health
applications, in recent years. The extreme shortage of health care
providers trained in mental health screening and intervention in low-
and middle-income countries raises questions about the applicability of
mobile applications to deliver these services due to their accessibility
and availability. This exploratory paper describes the development and
feasibility assessment of a mobile screening application for the
detection of mental disorders among adolescents in Zambia and South
Africa. Methods: Eighty-two health care workers (HCW) working in primary
care evaluated the acceptability and practicality of the mobile
screening application after receiving brief training. The evaluation
included questions from the Mobile Application Rating Scale (MARS) as
well as open-ended questions. Results: The acceptability of the
screening app was high and study participants were positive about using
the app in routine care. Problems with internet connectivity, and time
and staff constraints were perceived as the main barriers to regular
use. Conclusion: HCW in primary care were able and willing to use a
mobile screening app for the detection of mental health problems among
treatment-seeking adolescents. Implementation in clinical practice needs
to be further evaluated.},
Type = {Article},
Language = {English},
Affiliation = {Groen, G (Corresponding Author), Hamburg Univ Appl Sci, Dept Social Work, Hamburg, Germany.
Groen, Gunter; Joerns-Presentati, Astrid; Dessauvagie, Anja, Hamburg Univ Appl Sci, Dept Social Work, Hamburg, Germany.
Seedat, Soraya; van den Heuvel, Leigh L.; Suliman, Sharain, Stellenbosch Univ, Fac Med \& Hlth Sci, Dept Psychiat, Cape Town, South Africa.
Seedat, Soraya; van den Heuvel, Leigh L.; Suliman, Sharain, Stellenbosch Univ, Univ Genom Brain Disorders Res Unit, South African Med Res Council Stellenbosch, Cape Town, South Africa.
Grobler, Gerhard, Univ Pretoria, Steve Biko Acad Hosp, Clin Unit, Psychiat, Pretoria, South Africa.
Grobler, Gerhard, Univ Pretoria, Dept Psychiat, Pretoria, South Africa.
Jansen, Ronelle, Univ Free State, Sch Nursing, Bloemfontein, South Africa.
Mwape, Lonia; Mukwato, Patricia; Chapima, Fabian, Univ Zambia, Dept Nursing, Lusaka, Zambia.
Korhonen, Joonas; Lahti, Mari, Turku Univ Appl Sci, Nursing Sci Dept, Hlth \& Well Being, Turku, Finland.
Lahti, Mari, Univ Turku, Dept Nursing Sci, Turku, Finland.
Stein, Dan J., Univ Cape Town, Dept Psychiat \& Neurosci Inst, SA MRC Unit Risk \& Resilience Mental Disorders, Cape Town, South Africa.
Jonker, Deborah, Univ Cape Town, Dept Psychiat \& Mental Hlth, Cape Town, South Africa.
Mudenda, John, Lusaka Apex Med Univ, Med Educ, Lusaka, Zambia.
Turunen, Timo, Riga Tech Univ, Riga, Latvia.
Valtins, Karlis; Grada, Leva, Univ Latvia, Riga, Latvia.
Beinarovica, Anete, Latvian Acad Culture, Riga, Latvia.},
DOI = {10.1080/01612840.2022.2124003},
EarlyAccessDate = {SEP 2022},
ISSN = {0161-2840},
EISSN = {1096-4673},
Keywords-Plus = {INFORMATION; COUNTRIES},
Web-of-Science-Categories = {Nursing; Psychiatry},
Author-Email = {gunter.groen@haw-hamburg.de},
ResearcherID-Numbers = {Stein, Dan J/A-1752-2008
},
ORCID-Numbers = {Stein, Dan J/0000-0001-7218-7810
Groen, Gunter/0000-0001-9947-8722
Jonker, Deborah/0000-0002-7624-738X
Joerns-Presentati, Astrid/0000-0002-5846-4321
Seedat, Soraya/0000-0002-5118-786X
van den Heuvel, Leigh/0000-0003-3884-4754
Grobler, Gerhard/0000-0002-4815-1583},
Number-of-Cited-References = {57},
Times-Cited = {1},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {9},
Unique-ID = {WOS:000865029600001},
DA = {2023-09-28},
}
@article{ WOS:000811474900001,
Author = {Buys, Estelle and Nadasan, Thayananthee and Pefile, Ntsikelelo and
Ogunlana, Michael O. and Naidoo, Deshini},
Title = {Clinics and socio-demographic determinants of community reintegration in
people with spinal cord injury in eThekwini Municipality, KwaZulu-Natal
province},
Journal = {SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY},
Year = {2022},
Volume = {78},
Number = {1},
Month = {MAY 27},
Abstract = {Background: Community reintegration is a major outcome of rehabilitation
after the acute phase in people with spinal cord injury (PWSCI).
Objective: To investigated clinical and socio-demographic factors
determining community participation in PWSCI, living in the greater
eThekwini Municipality, KwaZulu-Natal province.
Method: Our quantitative, cross-sectional study had a convenient sample
of 41 PWSCI. A trained interviewer obtained socio-demographic
information using a structured questionnaire. Participants completed the
Reintegration to Normal Living Index (RNLI). Descriptive statistics were
used in summarising the data; inferential statistics, -a t-test and
analysis of variance (ANOVA) assessed the association of clinical and
socio-demographic factors with the extent of community reintegration. A
multiple linear regression investigated the determinants of community
reintegration with the alpha level set at p = 0.05.
Results: Mean age of the participants was 41 years (s.d.: 10, range
25-66), with the majority (n = 32, 78\%) being male. The mean RNLI score
was 68\% (s.d.: 22, range 24-100). Participants scored higher on the
RNLI if they were male (mean difference {[}MD] 18\%, 95\% confidence
interval {[}CI]: 2-34), were employed (MD 16\%, 95\% CI: 0-32), had a
salary (MD 19\%, 95\% CI: 5-32) and had no muscle spasms (MD 14\%, 95\%
CI: 1-27. Muscle spasms (p = 0.012, 95\% CI: 3.85-29.05) and being
female PWSCI (p = 0.010, 95\% CI: -35.75 to -5.18) were significant
negative predictors of community reintegration.
Conclusion: Community reintegration may be influenced by socio-economic
factors. Special interventions for muscle spasms and support for women
living with spinal cord injuries may enhance community reintegration.
Clinical implication: Therapists need to focus on community
reintegration with female PWSCI and on returning to PWSCI to work as
this was improved community reintegration.},
Type = {Article},
Language = {English},
Affiliation = {Naidoo, D (Corresponding Author), Univ KwaZulu Natal, Fac Hlth Sci, Dept Occupat Therapy, Durban, South Africa.
Nadasan, Thayananthee; Pefile, Ntsikelelo, Univ KwaZulu Natal, Fac Hlth Sci, Dept Physiotherapy, Durban, South Africa.
Ogunlana, Michael O.; Naidoo, Deshini, Univ KwaZulu Natal, Fac Hlth Sci, Dept Occupat Therapy, Durban, South Africa.
Ogunlana, Michael O., Fed Med Ctr, Dept Physiotherapy, Abeokuta, Nigeria.},
DOI = {10.4102/sajp.v78i1.1631},
Article-Number = {a1631},
ISSN = {0379-6175},
EISSN = {2410-8219},
Keywords = {community reintegration; spinal cord injury; functioning; participation;
Reintegration to Normal Living Index (RNLI)},
Keywords-Plus = {NORMAL LIVING INDEX; SOUTH-AFRICA; SOCIAL-PARTICIPATION; CAPE-TOWN;
EMPLOYMENT; INDIVIDUALS; ASSOCIATION; VALIDATION; DISABILITY; BARRIERS},
Web-of-Science-Categories = {Rehabilitation},
Author-Email = {naidoodes@ukzn.ac.za},
ResearcherID-Numbers = {Govender, Pragashnie/G-5213-2013
NAIDOO, DESHINI/IAM-6465-2023
},
ORCID-Numbers = {Govender, Pragashnie/0000-0003-3155-3743
Pefile, Ntsikelelo/0000-0001-8856-8482
Ogunlana, Michael/0000-0001-6877-6938
Naidoo, Deshini/0000-0001-6276-221X},
Number-of-Cited-References = {39},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000811474900001},
DA = {2023-09-28},
}
@article{ WOS:000809657600008,
Author = {Leung, I, Tiffany and Wang, Karen H. and Lin, Tammy L. and Gin, Geneen
T. and Pendharkar, S. and Chen, Chwen-Yuen Angie},
Title = {Women Physicians in Transition Learning to Navigate the Pipeline from
Early to Mid-Career: Protocol for a Qualitative Study},
Journal = {JMIR RESEARCH PROTOCOLS},
Year = {2022},
Volume = {11},
Number = {6},
Month = {JUN},
Abstract = {Background: Women physicians face unique obstacles while progressing
through their careers, navigating career advancement and seeking balance
between professional and personal responsibilities. Systemic changes,
along with individual and institutional changes, are needed to overcome
obstacles perpetuating physician gender inequities. Developing a deeper
understanding of women physicians' experiences during important
transition points could reveal both barriers and opportunities for
recruitment, retention, and promotion, and inform best practices
developed based on these experiences.
Objective: The aim is to learn from the experiences and perspectives of
women physicians as they transition from early to mid-career, then
develop best practices that can serve to support women physicians as
they advance through their careers.
Methods: Semistructured interviews were conducted with women physicians
in the United States in 2020 and 2021. Eligibility criteria included
self-identification as a woman who is in the process of transitioning or
who recently transitioned from early to mid-career stage. Purposeful
sampling facilitated identification of participants who represented
diversity in career pathway, practice setting, specialty, and
race/ethnicity. Each participant was offered compensation for their
participation. Interviews were audio-recorded and professionally
transcribed. Interview questions were open-ended, exploring
participants' perceptions of this transition. Qualitative thematic
analysis will be performed. We will use an open coding and grounded
theory approach on interview transcripts.
Results: The Ethics Review Committee of the Faculty of Health, Medicine,
and Life Sciences at Maastricht University approved the study; Stanford
University expedited review approved the study; and the University of
California, San Diego certified the study as exempt from review. Twelve
in-depth interviews of 50-100 minutes in duration were completed.
Preliminary analyses indicate one key theme is a tension resulting from
finite time divided between demands from a physician career and demands
from family needs. In turn, this results in constant boundary control
between these life domains that are inextricable and seemingly competing
against each other within a finite space; family needs impinge on
planned career goals, if the boundary between them is not carefully
managed. To remedy this, women sought resources to help them
redistribute home responsibilities, freeing themselves to have more
time, especially for children. Women similarly sought resources to help
with career advancement, although not with regard to time directly, but
to first address foundational knowledge gaps about career milestones and
how to achieve them.
Conclusions: Preliminary results provide initial insights about how
women identify or activate a career shift and how they marshaled
resources and support to navigate barriers they faced. Further analyses
are continuing as of March 2022 and are expected to be completed by June
2022. The dissemination plan includes peer-reviewed open-access journal
publication of the results and presentation at the annual meeting of the
American Medical Association's Women Physicians Section.},
Type = {Article},
Language = {English},
Affiliation = {Leung, TI (Corresponding Author), Maastricht Univ, Care \& Publ Hlth Res Inst, Postbus 5800, NL-6202 AZ Maastricht, Netherlands.
Leung, Tiffany, I, Maastricht Univ, Care \& Publ Hlth Res Inst, Postbus 5800, NL-6202 AZ Maastricht, Netherlands.
Leung, Tiffany, I, Southern Illinois Univ, Dept Internal Med Adjunct, Sch Med, Springfield, IL USA.
Wang, Karen H., Yale Sch Med, Dept Internal Med, New Haven, CT USA.
Wang, Karen H., Yale Sch Med, Med Informat Ctr, New Haven, CT USA.
Lin, Tammy L., Univ Calif San Diego Hlth Sci, Dept Med voluntary, San Diego, CA USA.
Gin, Geneen T., Univ Calif San Diego, Dept Family Med \& Publ Hlth, Sch Med, La Jolla, CA USA.
Pendharkar, S., Jersey City Med Ctr, Div Hosp Med, Jersey City, NJ USA.
Chen, Chwen-Yuen Angie, Stanford Univ, Dept Primary Care \& Populat Hlth, Palo Alto, CA USA.},
DOI = {10.2196/38126},
Article-Number = {e38126},
ISSN = {1929-0748},
Keywords = {gender equity; women physician; female physicians; career development;
professional development; career pipeline; leaky pipeline; mid-career
physicians; early-career physicians; physician; healthcare profession;
peer support; physician perspective; physician experience; professional
learning; healthcare; health care; healthcare education; career support;
gender equality; gender bias; healthcare learning},
Keywords-Plus = {ACADEMIC MEDICINE; GENDER-DIFFERENCES; WORK; FACULTY; RATES; CHALLENGES;
RESIDENCY; ATTRITION; INSIGHTS; LEAVE},
Web-of-Science-Categories = {Health Care Sciences \& Services; Public, Environmental \& Occupational
Health},
Author-Email = {t.leung@maastrichtuniversity.nl},
ResearcherID-Numbers = {Leung, Tiffany I./K-8472-2019
},
ORCID-Numbers = {Leung, Tiffany I./0000-0002-6007-4023
Gin, Geneen/0000-0001-8438-5830
Chen, Chwen-Yuen Angie/0000-0002-7207-598X},
Number-of-Cited-References = {59},
Times-Cited = {0},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {5},
Unique-ID = {WOS:000809657600008},
DA = {2023-09-28},
}
@article{ WOS:A1997YD39500006,
Author = {Lasater, TM and Becker, DM and Hill, MN and Gans, KM},
Title = {Synthesis of findings and issues from religious-based cardiovascular
disease prevention trials},
Journal = {ANNALS OF EPIDEMIOLOGY},
Year = {1997},
Volume = {7},
Number = {7, S},
Pages = {S46-S53},
Month = {OCT},
Note = {Conference on Community Trials for Cardiopulmonary Health - Directions
for Public Health Practice, Policy and Research, BETHESDA, MD, SEP
25-26, 1996},
Abstract = {PURPOSE: Widespread prevention of cardiovascular disease (CVD) requires
significant aggregate lifestyle behavior changes. Extensive resources
including money, time, access, facilities, materials, and programs are
needed to bring about such behavior changes on a large scale. Over the
past several decades, funds for large scale public health efforts and
related CVD research have become more difficult to acquire, and
prevention efforts have been shifting to state and community sites.
Thus, large scale behavior modification for CVD prevention requires
active efforts to access resources from partnerships with multiple
private sector organizations.
METHODS: Religious organizations (ROs) are a potentially valuable
channel with many advantages for undertaking behavior change programming
in partnership with public health researchers. ROs have a broad, direct
`'reach'' with people and provide social support structures, facilities,
volunteers, communication channels and access to many sub-populations as
well as a compatible mission and history of interest in health. In spite
of the many advantages of partnerships between CVD health researchers
and ROs, very few formal research studies have been conducted. Existing
reports have emphasized the feasibility and powerful benefits of
implementing RO-based health programs; however, little data or formal
hypothesis testing have been reported. Very few formal CVD research
projects have employed scientifically acceptable research designs with
random assignment of intact groups to intervention and comparison
conditions.
RESULTS: In this review, conducted by the current authors, only six
projects have been identified that meet these more rigorous scientific
criteria. In a discussion of these projects, we classify RO-based
studies into four levels of involvement of the RO: 1) use of ROs as
sites for recruitment and tracking of experimental subjects; 2) use of
RO facilities to conduct interventions; 3) involvement of RO members in
delivering behavior change programs; and 4) the addition of significant
religious components as an integral part of the intervention. This paper
discusses the design, results and implications of these studies
including information on what we already know about conducting research
with ROs, gaps in existing research and recommendations for future
studies.
CONCLUSIONS: There is enormous untapped potential for RO-based CVD
prevention research, but considerably more work is required to achieve
the level of research that is currently conducted in other channels such
as worksites and schools. Health practitioners/researchers and ROs are
increasingly seizing the opportunity for partnerships to improve health.
The knowledge gained from these projects and their documented successes
will hopefully encourage other components of the public health system
such as hospitals, managed care organizations and departments of health
to continue developing ways of including ROs in health research and
behavior change programming. (C) 1997 Elsevier Science Inc.},
Type = {Article; Proceedings Paper},
Language = {English},
Affiliation = {Lasater, TM (Corresponding Author), BROWN UNIV,MEM HOSP RHODE ISL,CTR PRIMARY CARE \& PREVENT,111 BREWSTER ST,PAWTUCKET,RI 02860, USA.
BROWN UNIV,SCH MED,DEPT COMMUNITY HLTH,PROVIDENCE,RI 02912.
JOHNS HOPKINS UNIV,SCH MED,CTR HLTH PROMOT,BALTIMORE,MD.
JOHNS HOPKINS UNIV,SCH MED,DIV GEN INTERNAL MED,BALTIMORE,MD.
JOHNS HOPKINS UNIV,SCH NURSING,BALTIMORE,MD.},
DOI = {10.1016/S1047-2797(97)80007-5},
ISSN = {1047-2797},
Keywords = {religious organization; church; cardiovascular disease prevention;
research design},
Keywords-Plus = {HEALTH-EDUCATION; CHURCH; COMMUNITY; PROGRAM; HEART; HYPERTENSION;
INTERVENTION; VOLUNTEERS; PROMOTION; IMPACT},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Number-of-Cited-References = {62},
Times-Cited = {72},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {4},
Unique-ID = {WOS:A1997YD39500006},
DA = {2023-09-28},
}
@article{ WOS:000379898500001,
Author = {Harris, Matthew and Weisberger, Emily and Silver, Diana and Dadwal, Viva
and Macinko, James},
Title = {That's not how the learning works - the paradox of Reverse Innovation: a
qualitative study},
Journal = {GLOBALIZATION AND HEALTH},
Year = {2016},
Volume = {12},
Month = {JUL 5},
Abstract = {Background: There are significant differences in the meaning and use of
the term `Reverse Innovation' between industry circles, where the term
originated, and health policy circles where the term has gained
traction. It is often conflated with other popularized terms such as
Frugal Innovation, Co-development and Trickle-up Innovation. Compared to
its use in the industrial sector, this conceptualization of Reverse
Innovation describes a more complex, fragmented process, and one with no
particular institution in charge. It follows that the way in which the
term `Reverse Innovation', specifically, is understood and used in the
healthcare space is worthy of examination.
Methods: Between September and Decemsber 2014, we conducted eleven
in-depth face-to-face or telephone interview with key informants from
innovation, health and social policy circles, experts in international
comparative policy research and leaders in the Reverse Innovation space
in the United States. Interviews were open-ended with guiding probes
into the barriers and enablers to Reverse Innovation in the US context,
specifically also informants' experience and understanding of the term
Reverse Innovation. Interviews were recorded, transcribed and analyzed
thematically using the process of constant comparison.
Results: We describe three main themes derived from the interviews.
First, `Reverse Innovation,' the term, has marketing currency to
convince policy-makers that may be wary of learning from or adopting
innovations from unexpected sources, in this case Low-Income Countries.
Second, the term can have the opposite effect - by connoting frugality,
or innovation arising from necessity as opposed to good leadership, the
proposed innovation may be associated with poor quality, undermining
potential translation into other contexts. Finally, the term `Reverse
Innovation' is a paradox - it breaks down preconceptions of the
directionality of knowledge and learning, whilst simultaneously
reinforcing it.
Conclusions: We conclude that this term means different things to
different people and should be used strategically, and with some
caution, depending on the audience.},
Type = {Article},
Language = {English},
Affiliation = {Harris, M (Corresponding Author), St Marys Hosp, Inst Global Hlth Innovat, Praed St, London W2 1NY, England.
Harris, M (Corresponding Author), Imperial Coll London, Sch Publ Hlth, Reynolds Bldg,St Dunstans Rd, London W6 8RP, England.
Harris, Matthew, St Marys Hosp, Inst Global Hlth Innovat, Praed St, London W2 1NY, England.
Harris, Matthew, Imperial Coll London, Sch Publ Hlth, Reynolds Bldg,St Dunstans Rd, London W6 8RP, England.
Weisberger, Emily, Commonwealth Fund, 1 East 75th St, New York, NY 10021 USA.
Silver, Diana, NYU, Dept Nutr Food Studies \& Publ Hlth, 411 Lafayette St, New York, NY 10003 USA.
Dadwal, Viva, Johns Hopkins Univ, Bloomberg Sch Publ Hlth, 615 N Wolfe St, Baltimore, MD 21205 USA.
Macinko, James, UCLA Fielding Sch Publ Hlth, Ctr Hlth Sci, 650 Charles E Young Dr South,Room 31-235B, Los Angeles, CA 90095 USA.},
DOI = {10.1186/s12992-016-0175-7},
Article-Number = {36},
EISSN = {1744-8603},
Keywords = {Diffusion of innovation; Evidence based medicine; Developing countries},
Keywords-Plus = {HEALTH; LESSONS; KNOWLEDGE; COMMUNITIES; INDIA; CARE},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {m.harris@imperial.ac.uk},
ORCID-Numbers = {Harris, Matthew/0000-0002-0005-9710
Macinko, James/0000-0001-8055-5441},
Number-of-Cited-References = {48},
Times-Cited = {31},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {35},
Unique-ID = {WOS:000379898500001},
DA = {2023-09-28},
}
@article{ WOS:000319429100001,
Author = {Cavalieri, Marina},
Title = {Geographical variation of unmet medical needs in Italy: a multivariate
logistic regression analysis},
Journal = {INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS},
Year = {2013},
Volume = {12},
Month = {MAY 12},
Abstract = {Background: Unmet health needs should be, in theory, a minor issue in
Italy where a publicly funded and universally accessible health system
exists. This, however, does not seem to be the case. Moreover, in the
last two decades responsibilities for health care have been
progressively decentralized to regional governments, which have
differently organized health service delivery within their territories.
Regional decision-making has affected the use of health care services,
further increasing the existing geographical disparities in the access
to care across the country. This study aims at comparing self-perceived
unmet needs across Italian regions and assessing how the reported
reasons - grouped into the categories of availability, accessibility and
acceptability - vary geographically.
Methods: Data from the 2006 Italian component of the European Union
Statistics on Income and Living Conditions are employed to explore
reasons and predictors of self-reported unmet medical needs among 45,175
Italian respondents aged 18 and over. Multivariate logistic regression
models are used to determine adjusted rates for overall unmet medical
needs and for each of the three categories of reasons.
Results: Results show that, overall, 6.9\% of the Italian population
stated having experienced at least one unmet medical need during the
last 12 months. The unadjusted rates vary markedly across regions, thus
resulting in a clear-cut north-south divide (4.6\% in the North-East vs.
10.6\% in the South). Among those reporting unmet medical needs, the
leading reason was problems of accessibility related to cost or
transportation (45.5\%), followed by acceptability (26.4\%) and
availability due to the presence of too long waiting lists (21.4\%). In
the South, more than one out of two individuals with an unmet need
refrained from seeing a physician due to economic reasons. In the
northern regions, working and family responsibilities contribute
relatively more to the underutilization of medical services. Logistic
regression results suggest that some population groups are more
vulnerable than others to experiencing unmet health needs and to
reporting some categories of reasons. Adjusting for the predictors
resulted in very few changes in the rank order of macro-area rates.
Conclusions: Policies to address unmet health care needs should adopt a
multidimensional approach and be tailored so as to consider such
geographical heterogeneities.},
Type = {Article},
Language = {English},
Affiliation = {Cavalieri, M (Corresponding Author), Univ Catania, Dept Econ \& Business, Corso Italia 55, I-95129 Catania, Italy.
Univ Catania, Dept Econ \& Business, I-95129 Catania, Italy.},
DOI = {10.1186/1476-072X-12-27},
Article-Number = {27},
ISSN = {1476-072X},
Keywords = {Italy; Unmet health care needs; Access to health care; Barriers to
health care; Decentralization},
Keywords-Plus = {HEALTH-CARE-SYSTEM; SERVICES; ACCESS; USERS},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {mcavali@unict.it},
ORCID-Numbers = {Cavalieri, Marina/0000-0002-2294-5588},
Number-of-Cited-References = {29},
Times-Cited = {53},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {10},
Unique-ID = {WOS:000319429100001},
DA = {2023-09-28},
}
@inproceedings{ WOS:000380253706030,
Author = {Kitto, Kathleen L. and Guenter-Schlesinger, Sue},
Book-Group-Author = {ASEE},
Title = {WOMEN OF WESTERN: THE VOICES OF WOMEN-ADVANCE CATALYST AT A
COMPREHENSIVE INSTITUTION},
Booktitle = {2012 ASEE ANNUAL CONFERENCE},
Series = {ASEE Annual Conference \& Exposition},
Year = {2012},
Note = {ASEE Annual Conference, San Antonio, TX, JUN 10-13, 2012},
Abstract = {Overall, the ADVANCE Catalyst program at Western Washington University
provides the resources and time necessary for us to probe deeply into
our internal practices, measure outcomes for faculty, and, most
importantly, find and focus on the barriers that impede the advancement
of women faculty within the College of Sciences and Technology (CST).
One component of the project was the development of a climate survey,
which was based upon previous surveys at ADVANCE (research-intensive)
universities, but was specifically adapted to address faculty issues
unique to comprehensive universities. The development of our survey
involved our Faculty Leadership Team (FLT), our department
chairs/directors, and several other faculty members. This paper focuses
on the findings from the comprehensive institution climate survey that
we developed, which consisted of approximately 100 questions in seven
areas of climate indicators: employment demographics, job satisfaction,
mentoring, leadership, department climate, professional development, and
equal opportunity. Specifically, we were probing whether department
dynamics stay ``status quo{''} longer, if perceptions of peers play a
heavier role in evaluation, if there are more feelings of isolation, and
if opportunities for collaborative work are greatly decreased in our
relatively small sized departments (as compared to research-intensive
institutions). All faculty members within CST were surveyed. The overall
response rate was 58\%. Tenured women had the highest response rate, at
87\%, and 73\% of nontenure track (NTT) women responded. After analyzing
the data from the survey and meeting with our ADVANCE FLT, we identified
several key areas of climate indicators that were explored further in
focus groups: balance of work-life and work-load, leadership and career
development, and equal opportunity.
Through our survey, town hall meeting, and focus groups, we found that
the evolution of our comprehensive institution from a primarily teaching
university to an institution where a research program is expected has
placed considerable pressure on our faculty, especially those at
midcareer. Our heavy teaching responsibilities (inflexible lab
schedules, research with undergraduates, course innovation,
mentoring/advising), and service commitments constrain time to such an
extent that many faculty feel that their research programs suffer or
become second jobs. CST women serve on more committees, perform much of
the more time consuming service, and have had fewer leadership roles and
opportunities. Lack of formal mentoring exacerbates these issues for our
women. While Western has many policies and programs to address such
obstacles, faculty are often not aware of them or misunderstand them,
making them, in fact, inaccessible. Until recently, department chairs
did not have enough leadership training, development, and support.
Continuing budget cuts and soaring STEM student demand at our
institution further intensify these key issues. Based upon the survey,
focus groups, and conversations with our FLT, we believe that a Faculty
Advancement Center (FACT) focused on career span initiatives and based
upon ADVANCE best practices would be the next logical step necessary to
support women at our institution.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Kitto, KL (Corresponding Author), Western Washington Univ, Grad Sch, Bellingham, WA 98225 USA.
Kitto, Kathleen L., Western Washington Univ, Grad Sch, Bellingham, WA 98225 USA.
Guenter-Schlesinger, Sue, Western Washington Univ, Equal Opportun \& Employment Divers, Bellingham, WA USA.},
ISSN = {2153-5965},
Keywords-Plus = {GENDER; DISCIPLINES; FACULTY},
Web-of-Science-Categories = {Education \& Educational Research; Education, Scientific Disciplines;
Engineering, Multidisciplinary},
Number-of-Cited-References = {25},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000380253706030},
DA = {2023-09-28},
}
@article{ WOS:000553464500003,
Author = {Matetic, Andrija and Bharadwaj, Aditya and Mohamed, Mohamed O. and
Chugh, Yashasvi and Chugh, Sanjay and Minissian, Margot and Amin, Amit
and Van Spall, Harriette and Fischman, David L. and Savage, Michael and
Volgman, Annabelle Santos and Mamas, Mamas A.},
Title = {Socioeconomic Status and Differences in the Management and Outcomes of
6.6 Million US Patients With Acute Myocardial Infarction},
Journal = {AMERICAN JOURNAL OF CARDIOLOGY},
Year = {2020},
Volume = {129},
Pages = {10-18},
Month = {AUG 15},
Abstract = {Little is known about the impact of socioeconomic status (SES) on
management strategies and in-hospital clinical outcomes in patients with
acute myocardial infarction (AMI) and its subtypes, and whether these
trends have changed over time. All AMI hospitalizations from the
National Inpatient Sample (2004 to 2014) were analyzed and stratified by
zip code-based median household income (MHI) into 4 quartiles (poorest
to wealthiest): 0th to 25th, 26th to 50th, 51st to 75 th , and 76th to
100th. Logistic regression was performed to examine the association
between MHI and AMI management strategy and in-hospital clinical
outcomes. A total of 6,603,709 AMI hospitalizations were analyzed.
Patients in the lowest MHI group had more co-morbidities, a worse
cardiovascular risk factor profile and were more likely to be female.
Differences in receipt of invasive management were observed between the
lowest and highest MID quartiles, with the lowest MHI group less likely
to undergo coronary angiography (63.4\% vs 64.3\%, p <0.001) and
percutaneous coronary intervention (40.4\% vs 44.3\%, p <0.001) compared
with the highest MHI group, especially in the STEMI subgroup. In
multivariable analysis, the highest MHI group experienced better
outcomes including lower risk (adjusted odds ratio; 95\% confidence
intervals) of mortality (0.88; 0.88 to 0.89), MACCE (0.91; 0.91 to 0.92)
and acute ischemic stroke (0.90; 0.88 to 0.91), but higher all-cause
bleeding (1.08; 1.06 to 1.09) in comparison to the lowest MHI group. In
conclusion, the provision of invasive management for AMI in patients
with lower SES is less than patients with higher SES and is associated
with worse in-hospital clinical outcomes. This work highlights the
importance of ensuring equity of access and care across all strata SES.
(C) 2020 Elsevier Inc. All rights reserved.},
Type = {Article},
Language = {English},
Affiliation = {Mamas, MA (Corresponding Author), Keele Univ, Ctr Prognosis Res, Keele Cardiovasc Res Grp, Keele, Staffs, England.
Mamas, MA (Corresponding Author), Royal Stoke Univ Hosp, Dept Cardiol, Stoke On Trent, Staffs, England.
Mamas, MA (Corresponding Author), Thomas Jefferson Univ Hosp, Dept Med Cardiol, Philadelphia, PA 19107 USA.
Matetic, Andrija, Univ Hosp Split, Dept Cardiol, Split, Croatia.
Bharadwaj, Aditya, Loma Linda Univ, Med Ctr, Loma Linda, CA 92350 USA.
Mohamed, Mohamed O.; Mamas, Mamas A., Keele Univ, Ctr Prognosis Res, Keele Cardiovasc Res Grp, Keele, Staffs, England.
Mohamed, Mohamed O.; Mamas, Mamas A., Royal Stoke Univ Hosp, Dept Cardiol, Stoke On Trent, Staffs, England.
Chugh, Yashasvi, Mt Sinai St Lukes Roosevelt Hosp, New York, NY USA.
Chugh, Sanjay, Jaipur Natl Univ Hosp \& Med Coll, IMSRC, Jaipur, Rajasthan, India.
Minissian, Margot, Cedars Sinai Med Ctr, Barbara Streisand Womens Heart Ctr, Smidt Heart Inst, Los Angeles, CA 90048 USA.
Amin, Amit, Washington Sch Med, St Louis, MO USA.
Van Spall, Harriette, McMaster Univ, Dept Med, Hamilton, ON, Canada.
Van Spall, Harriette, Populat Hlth Res Inst, Hamilton, ON, Canada.
Fischman, David L.; Savage, Michael; Mamas, Mamas A., Thomas Jefferson Univ Hosp, Dept Med Cardiol, Philadelphia, PA 19107 USA.
Volgman, Annabelle Santos, Rush Med Coll, Dept Med, Sect Cardiol, Chicago, IL 60612 USA.},
DOI = {10.1016/j.amjcard.2020.05.025},
ISSN = {0002-9149},
EISSN = {1879-1913},
Keywords-Plus = {RISK-FACTORS; HEALTH; MORTALITY; DISPARITIES; INDICATORS; AREA},
Web-of-Science-Categories = {Cardiac \& Cardiovascular Systems},
Author-Email = {mamasmamas1@yahoo.co.uk},
ResearcherID-Numbers = {Volgman, Annabelle/AAF-3387-2021
Matetic, Andrija/AAK-2351-2020
Mohamed, Mohamed/S-9668-2017
Mohamed, Mohamed Osama/O-8339-2019
Mamas, Mamas Andreas/A-2549-2019
},
ORCID-Numbers = {Volgman, Annabelle/0000-0002-9918-0878
Mohamed, Mohamed/0000-0002-9678-5222
Mohamed, Mohamed Osama/0000-0002-9678-5222
Mamas, Mamas Andreas/0000-0001-9241-8890
Van Spall, Harriette Gillian Christine/0000-0002-8370-4569
Chugh, Yashasvi/0000-0001-9724-9088
fischman, david/0000-0001-9711-7616},
Number-of-Cited-References = {23},
Times-Cited = {22},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000553464500003},
DA = {2023-09-28},
}
@article{ WOS:000660866300002,
Author = {Crookston, Benjamin T. and West, Josh H. and Davis, Siena F. and Hall,
P. Cougar and Seymour, Greg and Gray, Bobbi L.},
Title = {Understanding female and male empowerment in Burkina Faso using the
project-level Women's Empowerment in Agriculture Index (pro-WEAI): a
longitudinal study},
Journal = {BMC WOMENS HEALTH},
Year = {2021},
Volume = {21},
Number = {1},
Month = {JUN 3},
Abstract = {BackgroundAchieving gender equality and women's empowerment is a major
global priority. The purpose of this study was to determine whether the
Building the Resilience of Vulnerable Communities in Burkina Faso (BRB)
project, an agricultural development program, improved women's
empowerment, as measured by the project-level Women's Empowerment in
Agriculture Index (pro-WEAI).MethodsThis study used a longitudinal,
quasi-experimental study design. Participants included both treatment
and comparison groups (total N=751) comprising female members of savings
groups and their husbands or main male household member in Burkina Faso.
All participants completed the pro-WEAI questionnaire at both baseline
and endline. The treatment group received a comprehensive intervention
package consisting of agriculture loans and services, microenterprise
loans, and education, nutrition education, and women's empowerment
programs including gender-based discussions designed to facilitate
personalized changes in gender relations.ResultsThe proportion of the
treatment group achieving empowerment did not change from baseline for
women, but improved substantially for men. Women from the comparison
group saw an increase in empowerment at endline while men saw a
substantial decrease. Gender parity was high for women in both groups at
baseline and increased slightly at endline. Women were more likely to
have adequate empowerment in input in productive decisions, group
membership, and membership in influential groups than men while men were
more likely to have adequate empowerment in attitudes about domestic
violence, control over use of income, and work balance than women.
Participants from the treatment group reported an increase in the
average number of empowerment indicators that they were adequate in
while the comparison group saw a decrease in average adequacy over time
(p=0.002) after controlling for age, sex, and level of
education.ConclusionDespite starting at an empowerment disadvantage, the
treatment group experienced gains in individual indicators of
empowerment while the comparison group men and women experienced mixed
results, with the women gaining, and the men losing empowerment. This
research suggests that the BRB intervention may have provided some
protection for the treatment group when they faced an economic down-turn
prior to the endline, indicative of household resilience. Future
research should consider and strengthen relationships between resilience
and empowerment.},
Type = {Article},
Language = {English},
Affiliation = {Crookston, BT (Corresponding Author), Brigham Young Univ, Dept Publ Hlth, 2137 LSB, Provo, UT 84606 USA.
Crookston, Benjamin T.; West, Josh H.; Davis, Siena F.; Hall, P. Cougar, Brigham Young Univ, Dept Publ Hlth, 2137 LSB, Provo, UT 84606 USA.
Seymour, Greg, Int Food Policy Res Inst, 1201 I St NW, Washington, DC 20005 USA.
Gray, Bobbi L., Grameen Fdn, 1400 K St NW,Suite 550, Washington, DC 20005 USA.},
DOI = {10.1186/s12905-021-01371-9},
Article-Number = {230},
EISSN = {1472-6874},
Keywords = {Burkina Faso; Women's health; Agricultural development; Women's
empowerment},
Keywords-Plus = {INTIMATE PARTNER VIOLENCE; GENDER-BASED VIOLENCE; EAST-AFRICA; MEN;
BANGLADESH; RESOURCES; IMPACT; MARRIAGE; LESSONS},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health; Obstetrics \& Gynecology},
Author-Email = {benjamin\_crookston@byu.edu},
ORCID-Numbers = {Seymour, Greg/0000-0002-2213-0450
Crookston, Benjamin/0000-0003-3110-9562},
Number-of-Cited-References = {63},
Times-Cited = {9},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000660866300002},
DA = {2023-09-28},
}
@article{ WOS:000626772700001,
Author = {Buttery, Sara C. and Zysman, Maeva and Vikjord, Sigrid A. A. and
Hopkinson, Nicholas S. and Jenkins, Christine and Vanfleteren, Lowie E.
G. W.},
Title = {Contemporary perspectives in COPD: Patient burden, the role of gender
and trajectories of multimorbidity},
Journal = {RESPIROLOGY},
Year = {2021},
Volume = {26},
Number = {5},
Pages = {419-441},
Month = {MAY},
Abstract = {An individual's experience of COPD is determined by many factors in
addition to the pathological features of chronic bronchitis and
emphysema and the symptoms that derive directly from them.
Multimorbidity is the norm rather than the exception, so most people
with COPD are living with a range of other medical problems which can
decrease overall quality of life. COPD is caused by the inhalation of
noxious particles or gases, in particular tobacco smoke, but also by
early life disadvantage impairing lung development and by occupations
where inhaled exposures are common (e.g. industrial, farming and
cleaning work). Wealthy people are therefore relatively protected from
developing COPD and people who do develop the condition may have reduced
resources to cope.
COPD is also no longer a condition that predominantly affects men. The
prevalence of COPD among women has equalled that of men since 2008 in
many high-income countries, due to increased exposure to tobacco, and in
low-income countries due to biomass fuels. COPD is one of the leading
causes of death in women in the USA, and death rates attributed to COPD
in women in some countries are predicted to overtake those of men in the
next decade. Many factors contribute to this phenomenon, but in addition
to socioeconomic and occupational factors, there is increasing evidence
of a higher susceptibility of females to smoking and pollutants. Quality
of life is also more significantly impaired in women. Although most
medications (bronchodilators and inhaled corticosteroids) used to treat
COPD demonstrate similar trends for exacerbation prevention and lung
function improvement in men and women, this is an understudied area and
clinical trials frequently have a preponderance of males. A better
understanding of gender-based predictors of efficacy of all therapeutic
interventions is crucial for comprehensive patient care. There is an
urgent need to recognize the increasing burden of COPD in women and to
facilitate global improvements in disease prevention and management in
this specific population.
Many individuals with COPD follow a trajectory of both lung function
decline and also multimorbidity. Unfavourable lung function trajectories
throughout life have implications for later development of other chronic
diseases. An enhanced understanding of the temporal associations
underlying the development of coexisting diseases is a crucial first
step in unravelling potential common disease pathways. Lessons can be
learned from exploring disease trajectories of other NCD as well as
multimorbidity development. Further research will be essential to
explain how early life risk factors commonly influence trajectories of
COPD and other diseases, how different diseases develop in relation to
each other in a temporal way and how this ultimately leads to different
multimorbidity patterns in COPD.
This review integrates new knowledge and ideas pertaining to three broad
themes (i) the overall burden of disease in COPD, (ii) an unappreciated
high burden in women and (iii) the contrast of COPD trajectories and
different multimorbidity patterns with trajectories of other NCD. The
underlying pathology of COPD is largely irreversible, but many factors
noted in the review are potentially amenable to intervention. Health and
social care systems need to ensure that effective treatment is
accessible to all people with the condition. Preventive strategies and
treatments that alter the course of disease are crucial, particularly
for patients with COPD as one of many problems.},
Type = {Review},
Language = {English},
Affiliation = {Zysman, M (Corresponding Author), CHU Bordeaux, Serv Malad Resp, Ave Magellan, F-33604 Pessac, France.
Hopkinson, NS (Corresponding Author), Imperial Coll, Natl Heart \& Lung Inst, Royal Brompton Hosp Campus,Fulham Rd, London SW3 6HP, England.
Vanfleteren, LEGW (Corresponding Author), Univ Gothenburg, Sahlgrenska Univ Hosp, COPD Ctr, Dept Resp Med \& Allergol,Inst Med, Vita Straket 12, SE-41345 Gothenburg, Sweden.
Buttery, Sara C.; Hopkinson, Nicholas S., Imperial Coll London, Natl Heart \& Lung Inst, London, England.
Zysman, Maeva, Univ Bordeaux, Ctr Rech Cardiothorac Bordeaux, Pessac, France.
Zysman, Maeva, CHU Bordeaux, Serv Malad Resp, Ave Magellan, F-33604 Pessac, France.
Vikjord, Sigrid A. A., Nord Trondelag Hosp Trust, Levanger Hosp, Dept Med \& Rehabil, Levanger, Norway.
Vikjord, Sigrid A. A., Norwegian Univ Sci \& Technol NTNU, Fac Med \& Hlth Sci, HUNT Res Ctr, Dept Publ Hlth \& Nursing, Levanger, Norway.
Jenkins, Christine, George Inst Global Hlth, Resp Grp, Sydney, NSW, Australia.
Vanfleteren, Lowie E. G. W., Sahlgrens Univ Hosp, COPD Ctr, Dept Resp Med \& Allergol, Gothenburg, Sweden.
Vanfleteren, Lowie E. G. W., Univ Gothenburg, Sahlgrenska Acad, Inst Med, Dept Internal Med \& Clin Nutr, Gothenburg, Sweden.},
DOI = {10.1111/resp.14032},
EarlyAccessDate = {MAR 2021},
ISSN = {1323-7799},
EISSN = {1440-1843},
Keywords = {frailty; inequality; patient perspective; patient\&\#8208; reported
outcome measure; symptoms},
Keywords-Plus = {OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; BLOOD-PRESSURE
TRAJECTORIES; ALL-CAUSE MORTALITY; BODY-MASS INDEX; LUNG-FUNCTION;
PHYSICAL-ACTIVITY; CHRONIC-BRONCHITIS; PRIMARY-CARE; DEVELOPMENTAL
ORIGINS},
Web-of-Science-Categories = {Respiratory System},
Author-Email = {maeva.zysman@chu-bordeaux.fr
n.hopkinson@ic.ac.uk
lowie.vanfleteren@gu.se},
ResearcherID-Numbers = {ZYSMAN, Maéva/ACP-5812-2022
OMOSIGHO, BLESSING/ISS-7818-2023
},
ORCID-Numbers = {Jenkins, Christine/0000-0003-2717-5647
ZYSMAN, Maeva/0000-0003-1459-2409
Buttery, Sara/0000-0001-9410-414X
Vanfleteren, Lowie/0000-0002-4387-4096},
Number-of-Cited-References = {255},
Times-Cited = {14},
Usage-Count-Last-180-days = {4},
Usage-Count-Since-2013 = {17},
Unique-ID = {WOS:000626772700001},
DA = {2023-09-28},
}
@article{ WOS:000270138000003,
Author = {Mainga, Wise and Hirschsohn, Philip and Shakantu, Winston},
Title = {An exploratory review of the relationship between enterprise training
and technology upgrading: evidence from South African manufacturing
firms},
Journal = {INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT},
Year = {2009},
Volume = {20},
Number = {9},
Pages = {1879-1895},
Abstract = {The study examines the extent to which disaggregated training variables
are related to technological upgrading, in the context of a
middle-income developing country trying to manage its integration into
the global economy. For a developing country, successful integration
into the global economy requires that local manufacturing firms are able
to competitively restructure, as a precondition for survival and
long-term growth. Consequently, skills and technological upgrading are
crucial in raising the international competitive advantage of local
firms. Enterprise-provided training is one means that can be used by
local firms to continuously upgrade their knowledge bases, increase
their international competitiveness, and enhance employment growth over
time. This paper uses South Africa as a case study, to demonstrate how
economic reform measures can expose skills deficiencies in the
manufacturing sector and lead to an increase in capital intensity of the
sector. Exposure of skills deficiencies, in turn, raises the importance
of skill-upgrading through schooling and training of existing workforce.
Despite a couple of studies on the evolution of the labour market in
South Africa, no previous research has explicitly examined the
relationship between technological upgrading and disaggregated
training/learning variables at the firm level. This paper aims to fill
that gap by focusing on disaggregated enterprise-based training efforts.
The study uses the Human Capital theoretical framework to answer the
main research question: Which disaggregated learning variables (i.e.,
on-the-job or off-the-job training offered to different occupational
groups) are significantly associated with technological upgrading? The
study raises possible issues of heterogeneity in returns to training
offered to different occupational groups in the context of
technological-upgrading. On the other hand, technological upgrading may
not necessarily always disadvantage all unskilled workers. Possible
policy implications of research findings are outlined.},
Type = {Article},
Language = {English},
Affiliation = {Mainga, W (Corresponding Author), 97 Highland Rd, Coventry, W Midlands, England.
Hirschsohn, Philip, Univ Western Cape, Dept Management, Fac Econ \& Management Sci, ZA-7535 Bellville, South Africa.
Shakantu, Winston, Univ Cape Town, Dept Construct Econ \& Management, ZA-7700 Rondebosch, South Africa.},
DOI = {10.1080/09585190903142340},
Article-Number = {PII 915179442},
ISSN = {0958-5192},
EISSN = {1466-4399},
Keywords = {enterprise training; globalisation; learning; manufacturing; technology
upgrading},
Keywords-Plus = {SKILLS; GLOBALIZATION; DETERMINANTS; PERFORMANCE; INVESTMENT;
EMPLOYMENT; RETURNS; GROWTH; IMPACT; CHINA},
Web-of-Science-Categories = {Management},
Author-Email = {wmainga@yahoo.com},
Number-of-Cited-References = {65},
Times-Cited = {7},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {25},
Unique-ID = {WOS:000270138000003},
DA = {2023-09-28},
}
@article{ WOS:000228128000014,
Author = {Crone, LK},
Title = {Southeast Alaska economics - A resource-abundant region competing in a
global marketplace},
Journal = {LANDSCAPE AND URBAN PLANNING},
Year = {2005},
Volume = {72},
Number = {1-3},
Pages = {215-233},
Month = {APR 30},
Abstract = {Questions related to economics figured prominently in the priority
information needs identified in the 1997 Tongass Land Management Plan.
Follow-on studies in economics were designed to improve understanding of
aspects of the competitiveness of the Alaska forest sector, links
between Alaska timber markets and other markets as evident in prices,
and the relationship between resource allocation decisions and economic
conditions in communities and the region. Analysis of the role of
recreation and tourism in the regional economy was added to the topics
addressed, based on early results of work to describe economic dynamics.
Comparisons are undertaken to evaluate the economic changes taking place
in southeast Alaska, to analyze the sources of these changes, and to
determine if and why they differ from the changes taking place at larger
scales and those occurring in a similar rural and resource-abundant
region. Divergent views regarding the current role of the Tongass in the
regional economy are summarized and assessed by using contemporary
evidence. A variety of factors contribute to comparative and competitive
disadvantages for the forest products sector in southeast Alaska. Alaska
product and log markets are effectively integrated with other markets
supplied by producers in British Columbia and the Pacific Northwest.
Empirical evidence suggests the need to re-examine assumptions regarding
the relation between changes in ``basic{''} sector activities and
employment (such as timber harvesting and wood products manufacturing)
and ``nonbasic{''} (or support sector) employment in the rural
communities of southeast Alaska. Many of the changes occurring in the
economy of rural southeast Alaska are driven by changes in the
international markets in which Alaskan products compete, and are largely
independent of Tongass forest management.
Unearned income and tourism have replaced resource-extractive industries
as the principal sources of income growth in the region. The
contribution of the Tongass National Forest to the regional economy has
become more complex and difficult to quantify. Forest management
policies that enhance the comparative advantages the region enjoys in
providing both tourism opportunities and quality of life attributes will
aid communities in maintaining and expanding their economic
opportunities. (c) 2004 Elsevier B.V. All rights reserved.},
Type = {Article},
Language = {English},
Affiliation = {Crone, LK (Corresponding Author), US Forest Serv, USDA, Recreat Solut, POB 1165, Troy, MT 59935 USA.
US Forest Serv, USDA, Pacific NW Res Stn, Forestry Sci Lab, Juneau, AK 99801 USA.},
DOI = {10.1016/j.landurbplan.2004.09.019},
ISSN = {0169-2046},
EISSN = {1872-6062},
Keywords = {competitiveness of the Alaska forest sector; economic changes in rural
southeast Alaska; forest sector models; timber prices; market arbitrage;
timber production; timber supply},
Keywords-Plus = {EMPLOYMENT; MULTIPLIERS},
Web-of-Science-Categories = {Ecology; Environmental Studies; Geography; Geography, Physical; Regional
\& Urban Planning; Urban Studies},
Author-Email = {lcrone@fs.fed.us},
Number-of-Cited-References = {71},
Times-Cited = {9},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {14},
Unique-ID = {WOS:000228128000014},
DA = {2023-09-28},
}
@article{ WOS:000914071400001,
Author = {Mengi, Mehak and Malhotra, Deepti},
Title = {A systematic literature review on traditional to artificial intelligence
based socio-behavioral disorders diagnosis in India: Challenges and
future perspectives},
Journal = {APPLIED SOFT COMPUTING},
Year = {2022},
Volume = {129},
Month = {NOV},
Abstract = {Background : Socio-behavioral disorders(SBD), a subtype of
neurodevelopmental disorders (NDDs) characterized by social and
behavioral abnormalities, is a significant mental health concern
requiring immediate attention. Phenotypic knowledge, biological
understanding and the tools developed are all from western countries.
Numerous researches have been conducted that have scrutinized the
performance accuracy of traditional-based SBD tools developed in western
culture. However, very little information is available for low or
middle-income countries. Objective: In middle-income countries like
India, there is a shortage of resources, trained professionals and a
lack of knowledge regarding which tools are effective for a particular
target group owing to which most of the cases go undetected and
undiagnosed until adolescence. Motivated by the earlier discussion, this
study's objective is to consider all the pathways from traditional to
Artificial Intelligence (AI) tools developed for diagnosing SBD in the
Indian population. This research work expounds on the systematic study
and analysis of various conventional and fuzzy-based expert systems
introduced between 1925-2021. Methods: PRISMA guidelines were used to
select the articles published on the web of science, SCOPUS, and EMBASE
to identify relevant Indian studies. A total of 148 papers are
considered impactful for SBD prediction using traditional or fuzzy-based
techniques. This survey deliberated the work done by the different
researchers, highlighting the limitations in the existing literature and
the performance comparison of tools based on various parameters such as
accuracy, sensitivity, specificity, target audience, along with their
pros and cons. Some investigations have been designed, and the solutions
to those were explored. Results : Results of this study indicated that
most validated SBD tools present many barriers to use in the Indian
population. Thus, to overcome these implications, an Artificial
Intelligence(AI) framework, MRIMMTL, based on MRI multimodality transfer
learning techniques(TL), is proposed to be implemented for the early
detection of SBD subjects. (c) 2022 Elsevier B.V. All rights reserved.},
Type = {Review},
Language = {English},
Affiliation = {Mengi, M (Corresponding Author), Cent Univ, Dept Comp Sci \& Informat Technol, Jammu 181143, India.
Mengi, Mehak; Malhotra, Deepti, Cent Univ, Dept Comp Sci \& Informat Technol, Jammu 181143, India.},
DOI = {10.1016/j.asoc.2022.109633},
EarlyAccessDate = {SEP 2022},
Article-Number = {109633},
ISSN = {1568-4946},
EISSN = {1872-9681},
Keywords = {Socio-behavioral disorders; Neurodevelopmental disorders; Autism
spectrum disorder; Attention deficit hyperactivity disorder; ASD; ADHD;
Artificial intelligence; Fuzzy tools; Soft computing; Transfer learning;
Domain adaptation; Screening tools; Diagnostic tools; Biomarkers},
Keywords-Plus = {AUTISM SPECTRUM DISORDER; CHILD-BEHAVIOR-CHECKLIST; HIGH-FUNCTIONING
AUTISM; FUZZY COGNITIVE MAPS; ADHD RATING-SCALE; SCREENING TOOL;
ASPERGERS-DISORDER; 2-YEAR-OLDS STAT; YOUNG-CHILDREN; PRIMARY-CARE},
Web-of-Science-Categories = {Computer Science, Artificial Intelligence; Computer Science,
Interdisciplinary Applications},
Author-Email = {0550519.csit@cujammu.ac.in
deepti.csit@cujammu.ac.in},
Number-of-Cited-References = {152},
Times-Cited = {1},
Usage-Count-Last-180-days = {4},
Usage-Count-Since-2013 = {5},
Unique-ID = {WOS:000914071400001},
DA = {2023-09-28},
}
@article{ WOS:000627897500001,
Author = {Cervantes, Lilia and Martin, Marlene and Frank, Maria G. and Farfan,
Julia F. and Kearns, Mark and Rubio, Luis A. and Tong, Allison and Matus
Gonzalez, Andrea and Camacho, Claudia and Collings, Adriana and Mundo,
William and Powe, Neil R. and Fernandez, Alicia},
Title = {Experiences of Latinx Individuals Hospitalized for COVID-19 A
Qualitative Study},
Journal = {JAMA NETWORK OPEN},
Year = {2021},
Volume = {4},
Number = {3},
Month = {MAR 11},
Abstract = {IMPORTANCE Latinx individuals, particularly immigrants, are at higher
risk than non-Latinx White individuals of contracting and dying from
coronavirus disease 2019 (COVID-19). Little is known about Latinx
experiences with COVID-19 infection and treatment.
OBJECTIVE To describe the experiences of Latinx individuals who were
hospitalized with and survived COVID-19.
DESIGN, SETTING, AND PARTICIPANTS The qualitative study used
semistructured phone interviews of 60 Latinx adults who survived a
COVID-19 hospitalization in public hospitals in San Francisco,
California, and Denver, Colorado, from March 2020 to July 2020.
Transcripts were analyzed using qualitative thematic analysis. Data
analysis was conducted from May 2020 to September 2020.
MAIN OUTCOMES AND MEASURES Themes and subthemes that reflected patient
experiences.
RESULTS Sixty people (24 women and 36 men; mean {[}SD] age, 48 {[}12]
years) participated. All lived in low-income areas, 47 participants
(78\%) had more than 4 people in the home, and most (44 participants
{[}73\%]) were essential workers. Four participants (9\%) could work
from home, 12 (20\%) had paid sick leave, and 21 (35\%) lost their job
because of COVID-19. We identified 5 themes (and subthemes) with public
health and clinical care implications: COVID-19 was a distant and
secondary threat (invincibility, misinformation and disbelief, ingrained
social norms); COVID-19 was a compounder of disadvantage (fear of
unemployment and eviction, lack of safeguards for undocumented
immigrants, inability to protect self from COVID-19, and high-density
housing); reluctance to seek medical care (worry about health care
costs, concerned about ability to access care if uninsured or
undocumented, undocumented immigrants fear deportation); health care
system interactions (social isolation and change in hospital procedures,
appreciation for clinicians and language access, and discharge with
insufficient resources or clinical information); and faith and community
resiliency (spirituality, Latinx COVID-19 advocates).
CONCLUSIONS AND RELEVANCE In interviews, Latinx patients with COVID-19
who survived hospitalization described initial disease misinformation
and economic and immigration fears as having driven exposure and delays
in presentation. To confront COVID-19 as a compounder of social
disadvantage, public health authorities should mitigate COVID-19-related
misinformation, immigration fears, and challenges to health care access,
as well as create policies that provide work protection and address
economic disadvantages.},
Type = {Article},
Language = {English},
Affiliation = {Cervantes, L (Corresponding Author), Denver Hlth, 777 Bannock,MC 4000, Denver, CO 80204 USA.
Cervantes, Lilia; Frank, Maria G.; Kearns, Mark; Camacho, Claudia, Denver Hlth, Div Med, Denver, CO USA.
Cervantes, Lilia; Collings, Adriana, Denver Hlth, Off Res, Denver, CO USA.
Cervantes, Lilia; Frank, Maria G.; Kearns, Mark; Mundo, William, Univ Colorado, Dept Med, Aurora, CO USA.
Martin, Marlene; Rubio, Luis A.; Powe, Neil R.; Fernandez, Alicia, Univ Calif San Francisco, Dept Med, Zuckerberg San Francisco Gen Hosp, San Francisco, CA 94143 USA.
Farfan, Julia F., Univ Illinois, Coll Med, Chicago, IL USA.
Tong, Allison; Matus Gonzalez, Andrea, Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW, Australia.
Tong, Allison; Matus Gonzalez, Andrea, Childrens Hosp Westmead, Ctr Kidney Res, Westmead, NSW, Australia.},
DOI = {10.1001/jamanetworkopen.2021.0684},
Article-Number = {e210684},
ISSN = {2574-3805},
Keywords-Plus = {DEATHS},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {lilia.cervantes@dhha.org},
ResearcherID-Numbers = {Gonzalez, Andrea/HDM-9987-2022
gonzalez, Andrea/JBJ-3290-2023
Frank, Maria (Gaby)/AHA-0816-2022
Rubio, Luis/AAJ-9561-2021
Martin, Marlene/HKO-3958-2023
González Ríos, Andrea/HGU-7618-2022
},
ORCID-Numbers = {Kearns, Mark/0000-0003-1273-686X},
Number-of-Cited-References = {51},
Times-Cited = {60},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {11},
Unique-ID = {WOS:000627897500001},
ESI-Highly-Cited-Paper = {Y},
ESI-Hot-Paper = {N},
DA = {2023-09-28},
}
@article{ WOS:000367061300002,
Author = {Patterson, Fiona and Zibarras, Lara and Ashworth, Vicki},
Title = {Situational judgement tests in medical education and training: Research,
theory and practice: AMEE Guide No. 100},
Journal = {MEDICAL TEACHER},
Year = {2016},
Volume = {38},
Number = {1},
Pages = {3-17},
Month = {JAN 2},
Abstract = {Why use SJTs? Traditionally, selection into medical education
professions has focused primarily upon academic ability alone. This
approach has been questioned more recently, as although academic
attainment predicts performance early in training, research shows it has
less predictive power for demonstrating competence in postgraduate
clinical practice. Such evidence, coupled with an increasing focus on
individuals working in healthcare roles displaying the core values of
compassionate care, benevolence and respect, illustrates that
individuals should be selected on attributes other than academic ability
alone. Moreover, there are mounting calls to widen access to medicine,
to ensure that selection methods do not unfairly disadvantage
individuals from specific groups (e.g. regarding ethnicity or
socio-economic status), so that the future workforce adequately
represents society as a whole. These drivers necessitate a method of
assessment that allows individuals to be selected on important
non-academic attributes that are desirable in healthcare professionals,
in a fair, reliable and valid way.What are SJTs? Situational judgement
tests (SJTs) are tests used to assess individuals' reactions to a number
of hypothetical role-relevant scenarios, which reflect situations
candidates are likely to encounter in the target role. These scenarios
are based on a detailed analysis of the role and should be developed in
collaboration with subject matter experts, in order to accurately assess
the key attributes that are associated with competent performance. From
a theoretical perspective, SJTs are believed to measure prosocial
Implicit Trait Policies (ITPs), which are shaped by socialisation
processes that teach the utility of expressing certain traits in
different settings such as agreeable expressions (e.g. helping others in
need), or disagreeable actions (e.g. advancing ones own interest at
others, expense).Are SJTs reliable, valid and fair? Several studies,
including good quality meta-analytic and longitudinal research,
consistently show that SJTs used in many different occupational groups
are reliable and valid. Although there is over 40 years of research
evidence available on SJTs, it is only within the past 10 years that
SJTs have been used for recruitment into medicine. Specifically,
evidence consistently shows that SJTs used in medical selection have
good reliability, and predict performance across a range of medical
professions, including performance in general practice, in early years
(foundation training as a junior doctor) and for medical school
admissions. In addition, SJTs have been found to have significant added
value (incremental validity) over and above other selection methods such
as knowledge tests, measures of cognitive ability, personality tests and
application forms. Regarding differential attainment, generally SJTs
have been found to have lower adverse impact compared to other selection
methods, such as cognitive ability tests. SJTs have the benefit of being
appropriate both for use in selection where candidates are novices (i.e.
have no prior role experience or knowledge such as in medical school
admissions) as well as settings where candidates have substantial job
knowledge and specific experience (as in postgraduate recruitment for
more senior roles). An SJT specification (e.g. scenario content,
response instructions and format) may differ depending on the level of
job knowledge required.
Research consistently shows that SJTs are usually found to be positively
received by candidates compared to other selection tests such as
cognitive ability and personality tests. Practically, SJTs are difficult
to design effectively, and significant expertise is required to build a
reliable and valid SJT. Once designed however, SJTs are cost efficient
to administer to large numbers of candidates compared to other tests of
non-academic attributes (e.g. personal statements, structured
interviews), as they are standardised and can be computer-delivered and
machine-marked.},
Type = {Article},
Language = {English},
Affiliation = {Patterson, F (Corresponding Author), Univ Cambridge, Dept Psychol, 27 Brunel Pkwy,Pride Pk, Derby DE24 8HR, England.
Patterson, Fiona; Ashworth, Vicki, Work Psychol Grp, Derby DE24 8HR, England.
Patterson, Fiona, Univ Cambridge, Cambridge CB2 1TN, England.
Zibarras, Lara, City Univ London, London, England.},
DOI = {10.3109/0142159X.2015.1072619},
ISSN = {0142-159X},
EISSN = {1466-187X},
Keywords-Plus = {HIGH-STAKES SELECTION; JOB-PERFORMANCE; PREDICTIVE-VALIDITY;
GENERAL-PRACTICE; RESPONSE INSTRUCTIONS; INCREMENTAL VALIDITY; SUBGROUP
DIFFERENCES; APPLICANT REACTIONS; PROCEDURAL KNOWLEDGE; PERSONAL
STATEMENTS},
Web-of-Science-Categories = {Education, Scientific Disciplines; Health Care Sciences \& Services},
Author-Email = {f.patterson@workpsychologygroup.com},
ResearcherID-Numbers = {Zibarras, Lara/L-3792-2019},
ORCID-Numbers = {Zibarras, Lara/0000-0002-9522-1679},
Number-of-Cited-References = {115},
Times-Cited = {115},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {72},
Unique-ID = {WOS:000367061300002},
DA = {2023-09-28},
}
@article{ WOS:000398622000001,
Author = {Hategeka, Celestin and Mwai, Leah and Tuyisenge, Lisine},
Title = {Implementing the Emergency Triage, Assessment and Treatment plus
admission care (ETAT plus ) clinical practice guidelines to improve
quality of hospital care in Rwandan district hospitals: healthcare
workers' perspectives on relevance and challenges},
Journal = {BMC HEALTH SERVICES RESEARCH},
Year = {2017},
Volume = {17},
Month = {APR 7},
Abstract = {Background: An emergency triage, assessment and treatment plus admission
care (ETAT+) intervention was implemented in Rwandan district hospitals
to improve hospital care for severely ill infants and children. Many
interventions are rarely implemented with perfect fidelity under
real-world conditions. Thus, evaluations of the real-world experiences
of implementing ETAT+ are important in terms of identifying potential
barriers to successful implementation. This study explored the
perspectives of Rwandan healthcare workers (HCWs) on the relevance of
ETAT+ and documented potential barriers to its successful
implementation.
Methods: HCWs enrolled in the ETAT+ training were asked, immediately
after the training, their perspective regarding (i) relevance of the
ETAT+ training to Rwandan district hospitals; (ii) if attending the
training would bring about change in their work; and (iii) challenges
that they encountered during the training, as well as those they
anticipated to hamper their ability to translate the knowledge and
skills learned in the ETAT+ training into practice in order to improve
care for severely ill infants and children in their hospitals. They
wrote their perspectives in French, Kinyarwanda, or English and
sometimes a mixture of all these languages that are official in the
post-genocide Rwanda. Their notes were translated to (if not already in)
English and transcribed, and transcripts were analyzed using thematic
content analysis.
Results: One hundred seventy-one HCWs were included in our analysis.
Nearly all these HCWs stated that the training was highly relevant to
the district hospitals and that it aligned with their work expectation.
However, some midwives believed that the ``neonatal resuscitation and
feeding{''} components of the training were more relevant to them than
other components. Many HCWs anticipated to change practice by initiating
a triage system in their hospital and by using job aids including
guidelines for prescription and feeding. Most of the challenges stemmed
from the mode of the ETAT+ training delivery (e.g., language barriers,
intense training schedule); while others were more related to uptake of
guidelines in the district hospitals (e.g., staff turnover, reluctance
to change, limited resources, conflicting protocols).
Conclusion: This study highlights potential challenges to successful
implementation of the ETAT+ clinical practice guidelines in order to
improve quality of hospital care in Rwandan district hospitals.
Understanding these challenges, especially from HCWs perspective, can
guide efforts to improve uptake of clinical practice guidelines
including ETAT+ in Rwanda.},
Type = {Article},
Language = {English},
Affiliation = {Hategeka, C (Corresponding Author), Rwanda Paediat Assoc, ETAT Program, Kigali, Rwanda.
Hategeka, C (Corresponding Author), Univ British Columbia, Fac Med, Sch Populat \& Publ Hlth, Vancouver, BC, Canada.
Hategeka, Celestin; Tuyisenge, Lisine, Rwanda Paediat Assoc, ETAT Program, Kigali, Rwanda.
Hategeka, Celestin, Univ British Columbia, Fac Med, Sch Populat \& Publ Hlth, Vancouver, BC, Canada.
Mwai, Leah, Int Dev Res Ctr, Maternal \& Child Hlth Program, Ottawa, ON, Canada.
Mwai, Leah, Afya Res Afr, Nairobi, Kenya.
Tuyisenge, Lisine, Univ Teaching, Hosp Kigali, Dept Pediat, Kigali, Rwanda.},
DOI = {10.1186/s12913-017-2193-4},
Article-Number = {256},
ISSN = {1472-6963},
Keywords = {Implementation; Clinical practical guidelines; ETAT; Healthcare worker;
District hospital; Qualitative research; Rwanda},
Keywords-Plus = {KNOWLEDGE; PROGRAM; KENYA},
Web-of-Science-Categories = {Health Care Sciences \& Services},
Author-Email = {celestin.hategeka@alumni.ubc.ca},
ORCID-Numbers = {Hategeka, Celestin/0000-0001-7808-4652},
Number-of-Cited-References = {42},
Times-Cited = {27},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000398622000001},
DA = {2023-09-28},
}
@article{ WOS:000208130400004,
Author = {Urmee, Tania and Harries, David},
Title = {A survey of solar PV program implementers in Asia and the Pacific
regions},
Journal = {ENERGY FOR SUSTAINABLE DEVELOPMENT},
Year = {2009},
Volume = {13},
Number = {1},
Pages = {24-32},
Month = {MAR},
Abstract = {Numerous renewable energy electrification programs that have been
implemented in developing countries over the past decade have met with
relatively limited success. Much of the effort that has been invested in
attempting to understand the causes of lack of success has focused on
the identification of barriers. This narrow focus on only barriers,
however, fails to consider other important factors that may contribute
to the success or lack of success of programs. An email survey was used
to obtain the views of those with responsibility for the implementation
of solar PV home system programs in Asia and the Pacific region on their
programs. The purpose of the survey was to better understand the factors
that implementing agencies consider to be important in the designing and
implementation of SHS programs. The survey results indicated that
program objectives tend to be couched in very broad and administrative
terms rather than in terms of the outcomes for system users, weakening
the ability to make meaningful assessments of program success. Although
best practice program guidelines were infrequently used, even where
program implementers were aware of their existence, even more
fundamental problems were found to beset some programs. Adequate funding
support and the use of appropriate financing mechanisms were considered
to be the most critical factors for program success and a variety of
financing mechanisms were used, including micro-credit and a novel
mechanism which indicated a maturation of program design. System
maintenance and monitoring were considered important by most program
implementers, although training was reported to be provided to both
technicians and system users in a minority of cases and some program
implementers expressed concerns over the timeliness of program
monitoring and maintenance where this had been outsourced. Unit system
cost varied from US\$7.20/Wp to US\$14.58/Wp between programs and was
determined by factors such as remoteness, number of system program users
and reliance on imported equipment. The program outcomes commonly
regarded to be achieved were increased gender equity, increased social
activities, increased access to information and increased working hours.
The majority of program implementers, however, did not regard their
programs as having resulted in increased employment or household income.
Factors seen as instrumental in limiting program success were lack of
adequate government policy and funding support, lack of involvement of
local communities in program design, and a lack of in-house technical
know-how, and a lack of availability of components in locations
proximate to users. The main conclusions from results of the survey are
that the reasons behind program success or lack of success are complex,
but that program success could be improved in many instances by
following best practice guidelines, specifying program objectives in
terms of outcomes for users, ensuring that adequate funding and policy
support is available and that program implementers have adequate
training in program management. The results were used to develop a
comprehensive set of criteria that could be applied in the development
of future programs. (C) 2009 International Energy Initiative. Published
by Elsevier Inc. All rights reserved.},
Type = {Article},
Language = {English},
Affiliation = {Urmee, T (Corresponding Author), Murdoch Univ, RISE, Murdoch Dr, Murdoch, WA 6150, Australia.
Urmee, Tania; Harries, David, Murdoch Univ, RISE, Murdoch, WA 6150, Australia.},
DOI = {10.1016/j.esd.2009.01.002},
ISSN = {0973-0826},
Keywords = {Solar home systems (SHS); PV; Success factors; Program implementers;
Barriers; Success indicators},
Web-of-Science-Categories = {Green \& Sustainable Science \& Technology; Energy \& Fuels},
Author-Email = {t.urmee@murdoch.edu.au
dharries@rise.murdoch.edu.au},
ResearcherID-Numbers = {Harries, David/AEQ-0198-2022
},
ORCID-Numbers = {Urmee, Tania/0000-0002-4385-9734},
Number-of-Cited-References = {9},
Times-Cited = {37},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {8},
Unique-ID = {WOS:000208130400004},
DA = {2023-09-28},
}
@article{ WOS:000791993900003,
Author = {Gupta, Snehil and Misra, Maitreyi and Gill, Neeraj},
Title = {Mental health review board under the Mental Health Care Act (2017),
India: A critique and learning from review boards of other nations},
Journal = {INTERNATIONAL JOURNAL OF LAW AND PSYCHIATRY},
Year = {2022},
Volume = {81},
Month = {MAR-APR},
Abstract = {The Mental Healthcare Act, 2017 (MHCA) of India is a landmark and
welcome step towards centering persons with mental illness (PwMI) and
recognizing their rights concerning their treatment and care decisions
and ensuring the availability of mental healthcare services. As
mentioned in its preamble, the Act is a step towards aligning India's
laws or mental health (MH) policy with the United Nations Convention on
the Rights of Persons with Disabilities (UNCRPD), which India ratified
in 2007. Amidst several positives, the implementation of the Act has
been marred by certain practical issues which are partly attributed to
the inherent conceptual limitations.Countries across the globe, both
High Income-and Low-and Middle-Income Countries, have enacted
legislation to ensure that the rights of treatment and care of PwMI are
respected, protected, and fulfilled. They have also provisioned
quasi-judicial bodies (Mental Health Review Boards MHRBs/tribunals) for
ensuring these rights. However, their structure and function vary.This
paper compares the constitution and functioning of review boards across
different countries and intends to provide future directions for the
effective implementation and functioning of the MHRB under India's
MHCA.This review found that effective implementation of the MHRB under
MHCA is compromised by an ambitious, six-membered, constitution of the
MHRB, lack of clarity about the realistic combination of the quorum to
adjudicate decisions, inadequate human and financial resources, and an
overstretched area of functioning.Although MHRB has been envisaged as a
quasi-judicial authority to ensure the rights of PwMI, it needs to be
made more pragmatic. The size and composition of the MHRB currently
envisaged is likely to be a barrier in the establishment of the MHRB as
well as its functioning. A smaller composition (3-5 membered) involving
one psychiatrist, one judicial/legal member, and at least one PwMI or
member from civil society having lived experience of working with PwMI
or caregiver, could be a more pragmatic approach. The passing of this
law also necessitates increasing the overall health budget, especially
the mental health budget with funds earmarked specifically for the
implementation of the law, which necessarily includes setting up the
MHRB. An evaluation of the implementation of the MHRB, including its
determinants, would be a useful step in this direction.},
Type = {Review},
Language = {English},
Affiliation = {Gupta, S (Corresponding Author), All India Inst Med Sci AIIMS, Dept Psychiat, Bhopal 462022, Madhya Pradesh, India.
Gupta, Snehil, All India Inst Med Sci AIIMS, Dept Psychiat, Bhopal 462022, Madhya Pradesh, India.
Gill, Neeraj, Univ Canberra, Hlth Res Inst, Canberra, ACT, Australia.
Gill, Neeraj, Griffith Univ, Sch Med \& Dent, Gold Cost, Qld, Australia.
Gill, Neeraj, Gold Coast Hlth QLD Australia, Mental Hlth \& Specialist Serv, Gold Cost, Qld, Australia.
Misra, Maitreyi, Natl Law Univ, Mental Hlth \& Legal Justice Syst, Delhi, India.},
DOI = {10.1016/j.ijlp.2021.101774},
EarlyAccessDate = {JAN 2022},
Article-Number = {101774},
ISSN = {0160-2527},
EISSN = {1873-6386},
Keywords = {Mental health legislation; Psychiatry; Review board; Tribunal; Mental
health care act; India},
Web-of-Science-Categories = {Law; Psychiatry},
Author-Email = {snehil2161@gmail.com
maitreyi.misra@nludelhi.ac.in
neeraj.gill@griffith.edu.au},
ORCID-Numbers = {GUPTA, SNEHIL/0000-0001-5498-2917},
Number-of-Cited-References = {46},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000791993900003},
DA = {2023-09-28},
}
@article{ WOS:000167682700009,
Author = {Kessler, RC and Greenberg, PE and Mickelson, KD and Meneades, LM and
Wang, PS},
Title = {The effects of chronic medical conditions on work loss and work cutback},
Journal = {JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE},
Year = {2001},
Volume = {43},
Number = {3},
Pages = {218-225},
Month = {MAR},
Abstract = {Although work performance has become an important outcome in
cost-of-illness studies, little is known about the comparative effects
of different commonly occurring chronic conditions on work impairment in
general population samples. Such data are presented here from a
large-scale nationally representative general population survey. The
data are from the MacArthur Foundation Midlife Development in the United
States (MIDUS) survey, a nationally representative telephone-mail survey
of 3032 respondents in the age range of 25 to 74 years. The 2074 survey
respondents in the age range of 25 to 54 years are the focus of the
current report. The data collection included a chronic-conditions
checklist and questions about how many days out of the past 30 each
respondent was either totally unable to work or perform normal
activities because of health problems (work-loss days) ol had to cut
back on these activities because of health problems (work-cutback days).
Regression analysis was used to estimate the effects of conditions on
work impairments, controlling for sociodemographics. At least one
illness-related work-loss or work-cutback day in the past 30 days was
reported by 22.4\% of respondents, with a monthly average of 6.7 such
days among those with any work impairment. This is equivalent to an
annualized national estimate of over 2.5 billion work-impairment days in
the age range of the sample. Cancer is associated with by far the
highest reported prevalence of any impairment (66.2\%) and the highest
conditional number of impairment days in the past 30 (16.4 days). Other
conditions associated with high odds of any impairment include ulcers,
major depression, and panic disorder, whereas other conditions
associated with a large conditional number of impairment days include
heart disease and high blood pressure. Comorbidities involving
combinations of arthritis, ulcers, mental disorders, and substance
dependence are associated with higher impairments than expected on the
basis of an additive model. The effects of conditions do not differ
systematically across subsamples defined on the basis of age, sex,
education, or employment status. The enormous magnitude of the work
impairment associated with chronic conditions and the economic
advantages of interventions for ill workers that reduce work impairments
should be factored into employer cost-benefit calculations of expanding
health insurance coverage. Given the enormous work impairment associated
with cancer and the fact that the vast majority of employed people who
are diagnosed with cancer stay in the workforce through at least part of
their course of treatment, interventions aimed at reducing the workplace
costs of this illness should be a priority.},
Type = {Article},
Language = {English},
Affiliation = {Kessler, RC (Corresponding Author), Harvard Univ, Sch Med, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA.
Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA.
Kent State Univ, Dept Psychol, Kent, OH 44242 USA.
Brigham \& Womens Hosp, Div Pharmacoepidemiol \& Pharmacoecon, Boston, MA 02115 USA.},
DOI = {10.1097/00043764-200103000-00009},
ISSN = {1076-2752},
Keywords-Plus = {QUALITY-OF-LIFE; BREAST-CANCER; DEPRESSION; IMPACT; PREVALENCE;
DISABILITY; WORKPLACE},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
ORCID-Numbers = {Mickelson, Kristin/0000-0001-8946-2356
Mickelson, Kristin/0000-0002-1833-9147},
Number-of-Cited-References = {24},
Times-Cited = {336},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {33},
Unique-ID = {WOS:000167682700009},
DA = {2023-09-28},
}
@article{ WOS:000378955400012,
Author = {Hudson, Sharon M. and Rondinelli, June and Glenn, Beth A. and Preciado,
Melissa and Chao, Chun},
Title = {Human papillomavirus vaccine series completion: Qualitative information
from providers within an integrated healthcare organization},
Journal = {VACCINE},
Year = {2016},
Volume = {34},
Number = {30},
Pages = {3515-3521},
Month = {JUN 24},
Abstract = {Objective: This qualitative study aimed to identify doctors' and nurses'
perceptions of patient-, provider-, and system-level factors associated
with human papillomavirus (HPV) vaccine completion that may be targets
for intervention.
Methods: We analyzed data from 61 qualitative interviews with
pediatricians, family medicine physicians, and immunization nurses at
medical centers that had the highest and lowest HPV vaccine completion
rates within the same health care system.
Results: In both groups, almost all providers reported strong support
for the HPV vaccine. In detailing how they talk to parents and patients
about the vaccine, more of the providers working at higher completion
centers described using effective communication techniques, including
engaging parents and patients in two-way conversation and demonstrating
awareness of cultural and practical barriers to completion that families
may face. Providers at higher completion centers were also more likely
to depict a local medical culture supportive of and committed to HPV
vaccine completion, with greater levels of proactivity and teamwork. In
contrast, providers working at lower completion medical centers
described a lack of proactivity, and the strategies they suggested to
improve HPV vaccine completion tended to be approaches that someone
other than medical providers would implement. The comments made by these
providers sometimes reflected a level of negativity and judgment absent
from the comments of providers at higher completion centers.
Conclusion: Interventions to improve HPV vaccination completion rates
should address both individual and system-level factors. Improving
communication skills, encouraging a supportive medical culture, and
addressing resource issues is likely to improve vaccine adherence. (C)
2016 Published by Elsevier Ltd.},
Type = {Article},
Language = {English},
Affiliation = {Hudson, SM; Chao, C (Corresponding Author), Kaiser Permanente So Calif, Dept Res \& Evaluat, 100 S Los Robles,2nd Floor, Pasadena, CA 91101 USA.
Hudson, Sharon M.; Preciado, Melissa; Chao, Chun, Kaiser Permanente So Calif, Dept Res \& Evaluat, 100 S Los Robles,2nd Floor, Pasadena, CA 91101 USA.
Rondinelli, June, Kaiser Permanente So Calif, Reg Nursing Res Program, 393 E Walnut St, Pasadena, CA 91188 USA.
Glenn, Beth A., Univ Calif Los Angeles, Ctr Canc Prevent \& Control Res, UCLA Kaiser Permanente Ctr Hlth Equ, Fielding Sch Publ Hlth, 650 Charles Young Dr South,A2-125 CHS,Box 956900, Los Angeles, CA 90095 USA.
Glenn, Beth A., Univ Calif Los Angeles, Jonsson Comprehens Canc Ctr, 650 Charles Young Dr South,A2-125 CHS,Box 956900, Los Angeles, CA 90095 USA.},
DOI = {10.1016/j.vaccine.2016.02.066},
ISSN = {0264-410X},
EISSN = {1873-2518},
Keywords = {Human papillomavirus; Vaccine; Adherence; Patient-provider communication},
Keywords-Plus = {HPV VACCINE; LOW-INCOME; PHYSICIAN COMMUNICATION; GIRLS;
RECOMMENDATIONS; ATTITUDES},
Web-of-Science-Categories = {Immunology; Medicine, Research \& Experimental},
Author-Email = {Sharon.M.Hudson@kp.org
June.L.Rondinelli@kp.org
bglenn@ucla.edu
Melissa.X.Preciado@kp.org
Chun.R.Chao@kp.org},
Number-of-Cited-References = {34},
Times-Cited = {14},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {9},
Unique-ID = {WOS:000378955400012},
DA = {2023-09-28},
}
@article{ WOS:000862598200001,
Author = {Brooke-Sumner, Carrie and Petersen-Williams, Petal and Sorsdahl,
Katherine and Kruger, James and Mahomed, Hassan and Myers, Bronwyn},
Title = {Strategies for supporting the implementation of a task-shared
psychological intervention in South Africa's chronic disease services:
qualitative insights from health managers' experiences of project MIND},
Journal = {GLOBAL HEALTH ACTION},
Year = {2022},
Volume = {15},
Number = {1},
Month = {DEC 31},
Abstract = {Background Although evidence indicates that task-shared psychological
interventions can reduce mental health treatment gaps in
resource-constrained settings, systemic barriers have limited their
widespread implementation. Evidence on how to sustain and scale such
approaches is scant. This study responds to this gap by examining the
experiences of South African health managers involved in the
implementation of a task-shared counselling service for Project MIND.
Objectives To qualitatively describe managers' experiences of
implementing the MIND programme and their insights into potential
strategies for supporting sustained implementation. Methods Two focus
group discussions (FGDs) and eight in-depth interviews (IDIs) were
conducted with managers of urban and rural primary care facilities in
the Western Cape province. All managers were female and 30-50 years old.
FGDs and IDIs used an identical semi-structured topic guide to explore
the experiences of the MIND programme and perceived barriers to
sustained implementation. Normalisation process theory (NPT) guided the
thematic analysis. Results Four themes emerged that mapped onto the NPT
constructs. First, managers noted that their relational work with staff
to promote support for the intervention and reduce resistance was key to
facilitating implementation. Second, managers emphasised the need for
staff reorientation and upskilling to foster openness to mental health
practice and for adequate time for quality counselling. Third, managers
underscored the importance of strengthening linkages between the health
and social service sectors to facilitate delivery of comprehensive
mental health services. Finally, managers recommended ongoing monitoring
of the service and communication about its impacts as strategies for
supporting integration into routine practice. Conclusions Findings
contribute to the emerging literature on strategies to support
implementation of task-shared interventions in low- and middle-income
countries. The findings highlight the leadership role of managers in
identifying and actioning these strategies. Investing in managers'
capacity to support implementation of psychological interventions is
critical for scale-up of these mental health innovations.},
Type = {Article},
Language = {English},
Affiliation = {Myers, B (Corresponding Author), South African Med Res Council, Alcohol Tobacco \& Other Drug Res Unit, Francie Van Zijl Dr, ZA-7501 Cape Town, South Africa.
Brooke-Sumner, Carrie; Petersen-Williams, Petal; Myers, Bronwyn, South African Med Res Council, Alcohol Tobacco \& Other Drug Res Unit, Francie Van Zijl Dr, ZA-7501 Cape Town, South Africa.
Brooke-Sumner, Carrie; Sorsdahl, Katherine, Univ Cape Town, Dept Psychiat \& Mental Hlth, Alan J Flisher Ctr Publ Mental Hlth, Rondebosch, South Africa.
Petersen-Williams, Petal; Myers, Bronwyn, Univ Cape Town, Groote Schuur Hosp, Dept Psychiat \& Mental Hlth, J Block, Cape Town, South Africa.
Kruger, James; Mahomed, Hassan, Western Cape Govt Hlth, Metro Hlth Serv, Bellville Hlth Pk, Cape Town, South Africa.
Mahomed, Hassan, Stellenbosch Univ, Fac Hlth Sci, Dept Global Hlth, Div Hlth Syst \& Publ Hlth, Cape Town, South Africa.
Myers, Bronwyn, Curtin Univ, Curtin enAble Inst, Fac Hlth Sci, Bentley, WA, Australia.},
DOI = {10.1080/16549716.2022.2123005},
Article-Number = {2123005},
EISSN = {1654-9880},
Keywords = {Psychological interventions; global mental health; implementation
strategy; low- and-middle-income countries},
Keywords-Plus = {MENTAL-HEALTH; SUBSTANCE USE; LEADERSHIP; CARE; INTEGRATION; DISORDERS;
SETTINGS},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {carrie.brooke-sumner@mrc.ac.za},
ORCID-Numbers = {Myers, Bronwyn/0000-0003-0235-6716
Petersen Williams, Petal/0000-0001-5535-2458
Sorsdahl, Katherine/0000-0002-5517-1697
Brooke-Sumner, Carrie/0000-0002-9489-8717},
Number-of-Cited-References = {46},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000862598200001},
DA = {2023-09-28},
}
@article{ WOS:001000808800004,
Author = {Hedemann, Thea Lynne and Asif, Muqaddas and Aslam, Huma and Maqsood,
Aneela and Bukhsh, Ameer and Kiran, Tayyeba and Ahsan, Umair and
Shahzad, Salman and Zaheer, Juveria and Lane, Steven and Chaudhry, Nasim
and Husain, M. Ishrat and Husain, M. Omair},
Title = {Clinicians', patients' and carers' perspectives on borderline
personality disorder in Pakistan: A mixed methods study protocol},
Journal = {PLOS ONE},
Year = {2023},
Volume = {18},
Number = {6},
Month = {JUN 2},
Abstract = {Borderline Personality Disorder (BPD) is a condition characterised by
significant social and occupational impairment and high rates of
suicide. In high income countries, mental health professionals carry
negative attitudes towards patients with BPD, find it difficult to work
with patients with BPD, and even avoid seeing these patients. Negative
attitudes and stigma can cause patients to fear mistreatment by health
care providers and create additional barriers to care. Patients'
self-stigma and illness understanding BPD also affects treatment
engagement and outcomes; better knowledge about mental illness predicts
intentions to seek care. The perspectives of mental health clinicians
and patients on BPD have not been researched in the Pakistani setting
and likely differ from other settings due to economic, cultural, and
health care system differences. Our study aims to understand the
attitudes of mental health clinicians towards patients with BPD in
Pakistan using a self-report survey. We also aim to explore explanatory
models of illness in individuals with BPD and their family
members/carers using a Short Explanatory Model Interview (SEMI). The
results of this study are important as we know attitudes and illness
understanding greatly impact care. Results of this study will help guide
BPD-specific training for mental health clinicians who care for patients
with BPD and help inform approaches to interventions for patients with
BPD in Pakistan.},
Type = {Article},
Language = {English},
Affiliation = {Hedemann, TL (Corresponding Author), Univ Toronto, Dept Psychiat, Toronto, ON, Canada.
Hedemann, Thea Lynne; Zaheer, Juveria; Husain, M. Ishrat; Husain, M. Omair, Univ Toronto, Dept Psychiat, Toronto, ON, Canada.
Asif, Muqaddas; Bukhsh, Ameer; Kiran, Tayyeba; Ahsan, Umair; Chaudhry, Nasim, Pakistan Inst Living \& Learning, Karachi, Pakistan.
Aslam, Huma, Allama Iqbal Med Coll \& Jinnah Hosp, Dept Psychiat \& Behav Sci, Lahore, Pakistan.
Maqsood, Aneela, Fatima Jinnah Women Univ, Rawalpindi, Pakistan.
Shahzad, Salman, Univ Karachi, Inst Clin Psychol, Karachi, Pakistan.
Zaheer, Juveria; Husain, M. Ishrat; Husain, M. Omair, Ctr Addict \& Mental Hlth, Toronto, ON, Canada.
Lane, Steven, Univ Liverpool, Liverpool, England.},
DOI = {10.1371/journal.pone.0286459},
ISSN = {1932-6203},
Keywords-Plus = {EXPLANATORY MODELS; MENTAL-DISORDERS; BARRIERS; STIGMA},
Web-of-Science-Categories = {Multidisciplinary Sciences},
Author-Email = {thea.hedemann@mail.utoronto.ca},
ResearcherID-Numbers = {Husain, Muhammad Ishrat/IYJ-9872-2023
},
ORCID-Numbers = {Asif, Muqaddas/0000-0003-1605-9181},
Number-of-Cited-References = {27},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:001000808800004},
DA = {2023-09-28},
}
@article{ WOS:000427977400034,
Author = {Khan, Fauzia A. and Merry, Alan F.},
Title = {Improving Anesthesia Safety in Low-Resource Settings},
Journal = {ANESTHESIA AND ANALGESIA},
Year = {2018},
Volume = {126},
Number = {4},
Pages = {1312-1320},
Month = {APR},
Abstract = {The safety of anesthesia characteristic of high-income countries today
is not matched in low-resource settings with poor infrastructure,
shortages of anesthesia providers, essential drugs, equipment, and
supplies. Health care is delivered through complex systems. Achieving
sustainable widespread improvement globally will require an
understanding of how to influence such systems. Health outcomes depend
not only on a country's income, but also on how resources are allocated,
and both vary substantially, between and within countries. Safety is
particularly important in anesthesia because anesthesia is intrinsically
hazardous and not intrinsically therapeutic. Nevertheless, other
elements of the quality of health care, notably access, must also be
considered. More generally, there are certain prerequisites within
society for health, captured in the Jakarta declaration. It is necessary
to have adequate infrastructure (notably for transport and primary
health care) and hospitals capable of safely carrying out the Bellwether
Procedures (cesarean delivery, laparotomy, and the treatment of compound
fractures). Surgery, supported by safe anesthesia, is critical to the
health of populations, but avoidable harm from health care (including
very high mortality rates from anesthesia in many parts of the world) is
a major global problem. Thus, surgical and anesthesia services must not
only be provided, they must be safe. The global anesthesia workforce
crisis is a major barrier to achieving this. Many anesthetics today are
administered by nonphysicians with limited training and little access to
supervision or support, often working in very challenging circumstances.
Many organizations, notably the World Health Organization and the World
Federation of Societies of Anaesthesiologists, are working to improve
access to and safety of anesthesia and surgery around the world.
Challenges include collaboration with local stakeholders, coordination
of effort between agencies, and the need to influence national health
policy makers to achieve sustainable improvement. It is conceivable that
safe anesthesia and perioperative care could be provided for essential
surgical services today by clinicians with moderate levels of training
using relatively simple (but appropriately designed and maintained)
equipment and a limited number of inexpensive generic medications.
However, there is a minimum standard for these resources, below which
reasonable safety cannot be assured. This minimum (at least) should be
available to all. Not only more resources, but also more equitable
distribution of existing resources is required. Thus, the starting point
for global access to safe anesthesia is acceptance that access to health
care in general should be a basic human right everywhere.},
Type = {Article},
Language = {English},
Affiliation = {Merry, AF (Corresponding Author), Univ Auckland, Dept Anaesthesiol, Fac Med \& Hlth Sci, Auckland, New Zealand.
Khan, Fauzia A., Aga Khan Univ, Dept Anaesthesiol, Coll Med, Fac Hlth Sci, Karachi, Pakistan.
Merry, Alan F., Univ Auckland, Dept Anaesthesiol, Fac Med \& Hlth Sci, Auckland, New Zealand.
Merry, Alan F., Auckland City Hosp, Dept Anaesthesia, Auckland, New Zealand.},
DOI = {10.1213/ANE.0000000000002728},
ISSN = {0003-2999},
Keywords-Plus = {MIDDLE-INCOME COUNTRIES; PERIOPERATIVE MORTALITY-RATE; HEALTH-CARE;
PATIENT SAFETY; GLOBAL INDICATOR; SURGERY; CHECKLIST; OXIMETRY; QUALITY;
EQUIPMENT},
Web-of-Science-Categories = {Anesthesiology},
Author-Email = {a.merry@auckland.ac.nz},
Number-of-Cited-References = {64},
Times-Cited = {24},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {8},
Unique-ID = {WOS:000427977400034},
DA = {2023-09-28},
}
@article{ WOS:000873173600004,
Author = {Zack, Rachel M. and Bronico, Jackie V. Rodriguez and Babbin, Molly and
Nguyen, Tra and Weil, Rachel and Granick, Jean and Fiechtner, Lauren and
Mulugeta, Wudeneh and Odayar, Varshini and Cortes, Dharma E.},
Title = {Facilitators and Barriers to Patient Attendance at a Free Health Center
Produce Market},
Journal = {AMERICAN JOURNAL OF PREVENTIVE MEDICINE},
Year = {2022},
Volume = {63},
Number = {3, 2},
Pages = {S131-S143},
Month = {SEP},
Abstract = {Introduction: Patient participation in healthcare system-sponsored
efforts to address food insecurity varies widely. This mixed-methods
study sought to understand the patient sociodemographic factors
associated with and barriers and facilitators to the use of a monthly
produce market held at Cambridge Health Alliance in partnership with The
Greater Boston Food Bank.
Methods: Baseline surveys (N=715) were conducted from February 2019 to
March 2020 before market attendance, followed by 1-year follow-up
surveys (n=514) and qualitative interviews (n=45). Robust Poisson
regression estimated associations between sociodemographic
characteristics and market attendance. Analyses were conducted from 2021
to 2022.
Results: A total of 37.1\% attended the market >= 1 time. Market
attendance was associated with being aged 30-49 years (Risk Ratio
(RR)=1.36, 95\% CI=1.00, 1.86), having a monthly household income
<\$1,000 (RR=1.73, 95\% CI=1.29, 2.32), identifying as Asian (RR=2.48,
95\% CI=1.58, 3.89), having a preferred language for medical care other
than English (RR=1.35, 95\% CI=1.03, 1.76), being retired (RR=1.90, 95\%
CI=1.17, 3.08), and living in the city of the market's location
(RR=1.36, 95\% CI=1.12, 1.63). Barriers included limited time (28\%),
work conflict (23\%), forgetfulness (23\%), and not knowing market
location/date (22\%). Interviews revealed that accessibility barriers
(e.g., limited market hours, transportation issues, competing demands,
medical conditions, long lines) were obstacles to attendance, whereas
access to novel, healthy foods motivated attendance.
Conclusions: Healthcare-based food distributions have the potential to
reach patients with unmet food needs who cannot or would not access
other forms of food assistance. Time constraints, physical limitations,
and transportation challenges impact attendance; program modifications
are necessary to improve accessibility. (C) 2022 Published by Elsevier
Inc. on behalf of American Journal of Preventive Medicine.},
Type = {Article},
Language = {English},
Affiliation = {Zack, RM (Corresponding Author), Greater Boston Food Bank, 70 South Bay Ave, Boston, MA 02118 USA.
Zack, Rachel M.; Nguyen, Tra; Weil, Rachel; Fiechtner, Lauren, Greater Boston Food Bank, 70 South Bay Ave, Boston, MA 02118 USA.
Bronico, Jackie V. Rodriguez; Babbin, Molly; Granick, Jean, Cambridge Hlth Alliance, Community Hlth Improvement Dept, Cambridge, MA USA.
Fiechtner, Lauren, Mass Gen Hosp Children, Div Gen Acad Pediat, Boston, MA USA.
Fiechtner, Lauren, Mass Gen Hosp Children, Div Gastroenterol \& Nutr, Boston, MA USA.
Mulugeta, Wudeneh, Cambridge Hlth Alliance, Revere, MA USA.
Odayar, Varshini; Cortes, Dharma E., Cambridge Hlth Alliance, Hlth Equ Res Lab, Cambridge, MA USA.},
DOI = {10.1016/j.amepre.2022.03.034},
EarlyAccessDate = {AUG 2022},
ISSN = {0749-3797},
EISSN = {1873-2607},
Keywords-Plus = {FOOD INSECURITY; PERCEPTIONS},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health; Medicine, General \&
Internal},
Author-Email = {rmzack@gmail.com},
ResearcherID-Numbers = {Cortés, Dharma E/JCE-0305-2023
},
ORCID-Numbers = {Zack, Rachel/0000-0003-1048-8938
Odayar, Varshini/0000-0002-0284-814X},
Number-of-Cited-References = {43},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000873173600004},
DA = {2023-09-28},
}
@article{ WOS:000634795100003,
Author = {Pinazo, Maria-Jesus and Cidoncha, Ainize and Gopal, Gurram and Moriana,
Silvia and Saravia, Ruth and Torrico, Faustino and Gascon, Joaquim},
Title = {Multi-criteria decision analysis approach for strategy scale-up with
application to Chagas disease management in Bolivia},
Journal = {PLOS NEGLECTED TROPICAL DISEASES},
Year = {2021},
Volume = {15},
Number = {3},
Month = {MAR},
Abstract = {Objective
Design and build a strategy construction and evaluation software system
to help stakeholders to develop viable strategies to expand (and adapt)
the Chagas Platform healthcare model through the primary healthcare
system in Bolivia.
Methods
The software was built based on a ranking of medical Interventions and
Actions (needed to support Interventions' implementation) needed for
comprehensive management of Chagas Disease in Bolivia. The ranking was
performed using a Multi Criteria Decision Analysis (MCDA) methodology
adapted to the WHO's building blocks framework. Data regarding the
criteria and the rankings was obtained through surveys and interviews
with health care professionals working on Chagas disease. The Analytical
Hierarchy Process was used to construct the decision criteria weights.
Data Envelopment Analysis was used to identify the Interventions that
lay on the efficiency frontier of outcomes and the complexity of
associated Actions. These techniques were combined with integer
programing tools using the open-source software R to build a
decision-making tool to assess the outcomes and complexity of any
combination of Interventions and Actions. This model and tool were
applied to data concerning the care of Chagas disease in Bolivia
collected through surveys of experts. The tool works by loading the data
from each specific context.
Results
The initial set of Interventions and Actions recommended after analysis
of the survey data was further refined through face-to-face interviews
with field experts in Bolivia, resulting in a strategy of 18
Interventions and 15 Actions. Within the WHO model the Leadership and
Governance building block came up as the one needing more support with
Actions such as the inclusion of Chagas into Annual Municipal
Operational Plans by appointing local and provincial coordinators.
Conclusion
This project established the suitability of the model for constructing
healthcare strategies. The model could be developed further resulting in
a decision-making tool for program managers in a wide range of
healthcare related issues, including neglected and/ or prevalent
diseases. The tool has the potential to be used at different stages of
decision making by diverse stakeholders in order to coordinate
activities needed to address a health problem.
Author summary
This manuscript presents a strategy construction tool to generate viable
strategies to expand the Chagas platforms for healthcare pilot through
the primary healthcare system in Bolivia. Relevance of this work resides
in the need for performing a rational planification to address Neglected
Diseases in low- and middle-income countries, by prioritizing
Interventions and Actions. After gathering and loading the data from
each specific context and problem, policy makers can use the tool for
construction or evaluation of strategies using the WHO Building Block
model. The main comparative advantage is that the model does not only
include the identification and evaluation of Interventions for the
comprehensive care of Chagas, but also includes the necessary activities
in the health system to support the large-scale implementation of them.
The tool has the potential to be used at different stages of decision
making to coordinate activities to address a health problem. The tool
could be adapted for its use in other neglected and/ or prevalent
diseases or in other locations.},
Type = {Article},
Language = {English},
Affiliation = {Pinazo, MJ (Corresponding Author), Hosp Clin Univ Barcelona, Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain.
Pinazo, Maria-Jesus; Gascon, Joaquim, Hosp Clin Univ Barcelona, Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain.
Cidoncha, Ainize; Gopal, Gurram, IIT, Chicago, IL 60616 USA.
Cidoncha, Ainize, Univ Politecn Cataluna, Barcelona, Spain.
Moriana, Silvia, Chagas Dis Global Coalit, Barcelona, Spain.
Saravia, Ruth; Torrico, Faustino, Fdn CEADES, Cochabamba, Bolivia.},
DOI = {10.1371/journal.pntd.0009249},
Article-Number = {e0009249},
ISSN = {1935-2735},
Web-of-Science-Categories = {Infectious Diseases; Parasitology; Tropical Medicine},
Author-Email = {mariajesus.pinazo@isglobal.org},
ResearcherID-Numbers = {Gascon, Joaquim/M-3598-2015
Delgado, Maria Jesús Pinazo/X-6093-2018},
ORCID-Numbers = {Gascon, Joaquim/0000-0002-5045-1585
Delgado, Maria Jesús Pinazo/0000-0002-4237-1075},
Number-of-Cited-References = {18},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000634795100003},
DA = {2023-09-28},
}
@article{ WOS:000332172800007,
Author = {Siefert, Mary Lou and Hong, Fangxin and Valcarce, Bianca and Berry,
Donna L.},
Title = {Patient and Clinician Communication of Self-reported Insomnia During
Ambulatory Cancer Care Clinic Visits},
Journal = {CANCER NURSING},
Year = {2014},
Volume = {37},
Number = {2},
Pages = {E51-E59},
Month = {MAR-APR},
Abstract = {Background:
Insomnia, the most commonly reported sleep-wake disturbance in people
with cancer, has an adverse effect on quality of life including
emotional well-being, distress associated with other symptoms, daily
functioning, relationships, and ability to work.
Objective:
The aim of this study was to describe the content of discussions between
clinicians and 120 patients with self-reported insomnia and to examine
the associations of sociodemographic, clinical, and environmental
factors with insomnia.
Methods:
A secondary analysis was conducted with self-reported symptom data and
sociodemographic, clinical, and environmental factors. Recordings of
clinician and patient discussions during clinic visits were examined by
conducting a content analysis.
Results:
Severe insomnia was more likely to be reported by women, minority, and
lower-income individuals. Seven major topics were identified in the
discussions. The clinicians did not always discuss insomnia; discussion
rates differed by diagnosis and clinical service.
Conclusions:
Reporting of insomnia by the patient and clinician communication about
insomnia may have differed by demographic and clinical characteristics.
Clinicians attended to insomnia about half the time with management
strategies likely to be effective. Explanations may be that insomnia had
a low clinician priority for the clinic visit or lack of clear evidence
to support insomnia interventions.
Implications for Practice:
A better understanding is needed about why insomnia is not addressed
even when reported by patients; it is well known that structured
assessments and early interventions can improve quality of life.
Research is warranted to better understand potential disparities in
cancer care.},
Type = {Article},
Language = {English},
Affiliation = {Siefert, ML (Corresponding Author), Dana Farber Canc Inst, 450 Brookline Ave LW515, Boston, MA 02215 USA.
Siefert, Mary Lou; Valcarce, Bianca; Berry, Donna L., Phyllis F Cantor Ctr Res Nursing \& Patient Care S, Boston, MA USA.
Hong, Fangxin, Dana Farber Canc Inst, Dept Biostat \& Computat Biol, Boston, MA 02215 USA.},
DOI = {10.1097/NCC.0b013e318283a7bc},
ISSN = {0162-220X},
EISSN = {1538-9804},
Keywords = {Self-reported symptoms; Sleep; Cancer; Insomnia; Patient/provider
communication},
Keywords-Plus = {QUALITY-OF-LIFE; BREAST-CANCER; PROSTATE-CANCER; HOT FLASHES; SLEEP;
FATIGUE; TRIAL; DIAGNOSIS; SYMPTOMS; CHEMOTHERAPY},
Web-of-Science-Categories = {Oncology; Nursing},
Author-Email = {mlsiefet@aya.yale.edu},
Number-of-Cited-References = {52},
Times-Cited = {27},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {6},
Unique-ID = {WOS:000332172800007},
DA = {2023-09-28},
}
@inproceedings{ WOS:000289269700034,
Author = {Juarez Sanchez R, C. and Hernandez Hernandez, M. and Rico Amoros, A. M.},
Editor = {Brebbia, CA and Hernandez, S and Tiezzi, E},
Title = {Guarantee of water availability and change in land use in the southern
coastal area of the community of Valencia (Spain)},
Booktitle = {SUSTAINABLE CITY VI: URBAN REGENERATION AND SUSTAINABILITY},
Series = {WIT Transactions on Ecology and the Environment},
Year = {2010},
Volume = {129},
Pages = {393+},
Note = {Sustainable City 2010: 6th International Conference on Urban
Regeneration and Sustainability, A Coruna, SPAIN, APR 14-16, 2010},
Abstract = {The coast and the pre-littoral zone of Bajo Segura region (Alicante) is
a geographical area suffering from a natural scarcity of water
resources. However, since 1960 until today, water consumption has
increased due to a profound economic, demographic and landscape
transformation. Statistical confirmation of this change is verified by
the value reached by the use-indicators: participation in the gross
domestic product, employment generated, disposable household income,
population growth and concentration. The new economic trend has
increased the allocation of water resources to ensure the enhancement of
the territory. The water infrastructure of Tajo-Segura is that which
ensures urban supply and production of the irrigated area. Overcoming
water shortages involves converting the risk or bottlenecks into a great
productive opportunity embodied in a growing urban/tourist impact, which
reduces the irrigated area by competing for water. This dynamic
urban-residential process of expansion penetrates from the coast to the
inland municipalities because of the increased availability of cheap
land and urban planning flexibility. As the prosperity of this area of
Alicante will always be linked to solving the problem of water, water
conflicts need to be resolved in order to avoid increased competition
with other uses of the land. For this reason, the aim of this work is to
understand and study the current status of the territorial model as well
as to offer a diagnosis of the deficits, advantages and potential for
better management of land and water without affecting the environment.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Sanchez, CJ (Corresponding Author), Univ Alicante, Inst Geog, Alicante, Spain.
Juarez Sanchez R, C.; Hernandez Hernandez, M.; Rico Amoros, A. M., Univ Alicante, Inst Geog, Alicante, Spain.},
DOI = {10.2495/SC100341},
ISSN = {1743-3541},
ISBN = {978-1-84564-432-1},
Keywords = {tourist and residential development; water resources; comparative
advantages; sustainability; water indicators; adaptive and integral
management},
Web-of-Science-Categories = {Engineering, Environmental; Regional \& Urban Planning; Urban Studies},
ResearcherID-Numbers = {Hernández, María Hernández/H-2198-2015},
ORCID-Numbers = {Hernández, María Hernández/0000-0002-8823-0083},
Number-of-Cited-References = {6},
Times-Cited = {2},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {6},
Unique-ID = {WOS:000289269700034},
DA = {2023-09-28},
}
@article{ WOS:000905932200001,
Author = {Kulisewa, Kazione and Dussault, Josee M. and Gaynes, Bradley N. and
Hosseinipour, Mina C. and Go, Vivian F. and Kutengule, Anna and
LeMasters, Katherine and Meltzer-Brody, Samantha and Midiani, Dalitso
and Mphonda, Steven M. and Udedi, Michael and Pence, Brian W. and
Bengtson, Angela M.},
Title = {The feasibility and acceptability of a task-shifted intervention for
perinatal depression among women living with HIV in Malawi: a
qualitative analysis},
Journal = {BMC PSYCHIATRY},
Year = {2022},
Volume = {22},
Number = {1},
Month = {DEC 29},
Abstract = {BackgroundPerinatal depression (PND) is prevalent and negatively impacts
HIV care among women living with HIV (WLHIV), yet PND remains
under-identified in Malawian WLHIV. Accordingly, this formative study
explored perceptions of the feasibility and acceptability of an
integrated, task-shifted approach to PND screening and treatment in
maternity clinics. MethodsWe completed consecutive PND screenings of
HIV+ women attending pre- or post-natal appointments at 5 clinics in
Lilongwe district, Malawi. We conducted in-depth interviews with the
first 4-5 women presenting with PND per site (n = 24 total) from July to
August 2018. PND classification was based on a score \& GE; 10 on the
Edinburgh Postnatal Depression Scale (EPDS). We conducted 10 additional
in-depth interviews with HIV and mental health providers at the 5
clinics. ResultsMost participants endorsed the feasibility of integrated
PND screening, as they believed that PND had potential for significant
morbidity. Among providers, identified barriers to screening were
negative staff attitudes toward additional work, inadequate staffing
numbers and time constraints. Suggested solutions to barriers were
health worker training, supervision, and a brief screening tool.
Patient-centered counselling strategies were favored over medication by
WLHIV as the acceptable treatment of choice, with providers supporting
the role of medication to be restricted to severe depression. Providers
identified nurses as the most suitable health workers to deliver
task-shifted interventions and emphasized further training as a
requirement to ensure successful task shifting. ConclusionImproving PND
in a simple, task-shifted intervention is essential for supporting
mental health among women with PND and HIV. Our results suggest that an
effective PND intervention for this population should include a brief,
streamlined PND screening questionnaire and individualized counselling
for those who have PND, with supplemental support groups and depression
medication readily available. These study results support the
development of a PND intervention to address the gap in treatment of PND
and HIV among WLHIV in Malawi.},
Type = {Article},
Language = {English},
Affiliation = {Dussault, JM (Corresponding Author), Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC 27599 USA.
Kulisewa, Kazione, Kamuzu Univ Hlth Sci, Fac Med, Dept Psychiat \& Mental Hlth, Private Bag 360, Blantyre, Malawi.
Dussault, Josee M.; Gaynes, Bradley N.; LeMasters, Katherine; Pence, Brian W., Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC 27599 USA.
Gaynes, Bradley N.; Meltzer-Brody, Samantha, Univ N Carolina, UNC Sch Med, Dept Psychiat, Chapel Hill, NC USA.
Hosseinipour, Mina C.; Kutengule, Anna; Mphonda, Steven M., UNC Project Malawi, Lilongwe, Malawi.
Hosseinipour, Mina C., Univ N Carolina, UNC Sch Med, Dept Med, Chapel Hill, NC USA.
Go, Vivian F., Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC USA.
Midiani, Dalitso; Udedi, Michael, Minist Hlth, Lilongwe, Malawi.
Bengtson, Angela M., Brown Univ, Brown Sch Publ Hlth, Dept Epidemiol, Providence, RI USA.},
DOI = {10.1186/s12888-022-04476-z},
Article-Number = {833},
EISSN = {1471-244X},
Keywords = {Perinatal depression; Mental health; HIV; Malawi; Task-shifting},
Keywords-Plus = {OPTION B PLUS; MENTAL-HEALTH; POSTNATAL DEPRESSION; PRIMARY-CARE;
LOW-INCOME; COUNSELING INTERVENTION; ANTIRETROVIRAL THERAPY; ANTENATAL
DEPRESSION; PRENATAL DEPRESSION; POSTPARTUM},
Web-of-Science-Categories = {Psychiatry},
Author-Email = {josee.dussault@unc.edu},
ResearcherID-Numbers = {Udedi, Michael/V-6147-2017
},
ORCID-Numbers = {Udedi, Michael/0000-0001-8769-4313
Dussault, Josee/0000-0001-7434-2159},
Number-of-Cited-References = {54},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000905932200001},
DA = {2023-09-28},
}
@article{ WOS:000330541400019,
Author = {Alexander, Thomas and Victor, Suma M. and Mullasari, Ajit S. and
Veerasekar, Ganesh and Subramaniam, Kala and Nallamothu, Brahmajee K.
and TN-STEMI Programme Investigators},
Title = {Protocol for a prospective, controlled study of assertive and timely
reperfusion for patients with ST-segment elevation myocardial infarction
in Tamil Nadu: the TN-STEMI programme},
Journal = {BMJ OPEN},
Year = {2013},
Volume = {3},
Number = {12},
Abstract = {Introduction: Over the past two decades, India has witnessed a
staggering increase in the incidence and mortality of ST-elevation
myocardial infarction (STEMI). Indians have higher rates of STEMI and
younger populations that suffer from it when compared with developed
countries. Yet, the recommended reperfusion therapy with fibrinolysis
and percutaneous coronary intervention is available only to a minority
of patients. This gap in care is a result of financial barriers, limited
healthcare infrastructure and poor knowledge and accessibility of acute
medical services for a majority of its population.
Methods and analysis: This is a prospective, multicentre,
`pretest/post-test' quasi-experimental, community-based study. This
programme will use a `hub-and-spoke' model of an integrated healthcare
network based on clusters of primary-care health clinics, small
hospitals and large tertiary-care facilities. It is an `all-comers'
study which will enrol consecutive patients presenting with STEMI to the
participating hospitals. The primary objectives of the study is to
improve the use of reperfusion therapy and reduce the time from first
medical contact to device or drug in STEMI patients; and to increase the
rates of early invasive risk stratification with coronary angiography
within 3-24 h of fibrinolytic therapy in eligible patients through
changes in process of care. Outcomes will be measured with statistical
comparison made before and after implementing the TN-STEMI programme.
The estimated sample size is based on the Kovai Erode Pilot study, which
provided an initial work on establishing this type of programme in South
India. It will be adequately powered at 80\% with a superiority margin
of 10\% if 36 patients are enrolled per cluster or 108 patients in three
clusters. Thus, the enrolment period of 9 months will result in a sample
size of 1500 patients.
Ethics: This study will be conducted in accordance with the ethical
principles that have their origin in the current Declaration of Helsinki
and `ethical guidelines for biomedical research on human participants'
as laid down by the Indian Council for Medical Research. All
participating hospitals will still obtain local ethics committee
approval of the study protocol and written informed consent will be
obtained from all participants.
Dissemination and results: Our findings will be reported through
scientific publications, research conferences and public policy venues
aimed at state and local governments in India. If successful, this model
can be extended to other areas of India as well as serve as a model of
STEMI systems of care for low-income and middle-income countries across
the world.},
Type = {Article},
Language = {English},
Affiliation = {Alexander, T (Corresponding Author), Kovai Med Ctr \& Hosp, Dept Intervent Cardiol, Coimbatore, Tamil Nadu, India.
Alexander, Thomas, Kovai Med Ctr \& Hosp, Dept Intervent Cardiol, Coimbatore, Tamil Nadu, India.
Victor, Suma M.; Mullasari, Ajit S., Madras Med Mission Hosp, Dept Intervent Cardiol, Madras, Tamil Nadu, India.
Veerasekar, Ganesh, Kovai Med Ctr \& Hosp, Dept Epidemiol, Coimbatore, Tamil Nadu, India.
Subramaniam, Kala, Lotus Clin Res Acad Pvt Ltd, Clin Res, Madras, Tamil Nadu, India.
Nallamothu, Brahmajee K., Univ Michigan, Ann Arbor, MI 48109 USA.},
DOI = {10.1136/bmjopen-2013-003850},
Article-Number = {e003850},
ISSN = {2044-6055},
Keywords-Plus = {HEART},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {tomalex41@gmail.com},
Number-of-Cited-References = {9},
Times-Cited = {17},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {4},
Unique-ID = {WOS:000330541400019},
DA = {2023-09-28},
}
@article{ WOS:000265682700021,
Author = {Petersen, Poul Erik},
Title = {Oral cancer prevention and control - The approach of the World Health
Organization},
Journal = {ORAL ONCOLOGY},
Year = {2009},
Volume = {45},
Number = {4-5},
Pages = {454-460},
Month = {APR-MAY},
Abstract = {Cancer is one of the most common causes of morbidity and mortality
today. It is estimated that around 43\% of cancer deaths are due to
tobacco use, unhealthy diets, alcohol consumption, inactive lifestyles
and infection. Low-income and disadvantaged groups are generally more
exposed to avoidable risk factors such as environmental carcinogens,
alcohol, infectious agents, and tobacco use. These groups also have less
access to the health services and health education that would empower
them to make decisions to protect and improve their own health.
Oro-pharyngeal cancer is significant component of the global burden of
cancer. Tobacco and alcohol are regarded as the major risk factors for
oral cancer. The populationattributable risks of smoking and alcohol
consumption have been estimated to 80\% for males, 61\% for females, and
74\% overall. The evidence that smokeless tobacco causes oral cancer was
confirmed recently by the International Agency for Research on Cancer.
Studies have shown that heavy intake of alcoholic beverages is
associated with nutrient deficiency, which appears to contribute
independently to oral carcinogenesis. Oral cancer is preventable through
risk factors intervention. Prevention of HIV infection will also reduce
the incidence of HIV/AIDS-related cancers such as Kaposi sarcoma and
lymphoma. The WHO Global Oral Health Programme is committed to work for
country capacity building in oral cancer prevention, inter-country
exchange of information and experiences from integrated approaches in
prevention and health promotion, and the development of global
surveillance systems for oral cancer and risk factors. The WHO Global
Oral Health Programme has established a global surveillance system of
oral cavity cancer in order to assess risk factors and to help the
planning of effective national intervention programmes. Epidemiological
data on oral cancer (ICD-10: C00-C08) incidence and mortality are stored
in the Global Oral Health Data Bank. In 2007, the World Health Assembly
(WHA) passed a resolution on oral health for the first time in 25 years,
which also considers oral cancer prevention. The resolution WHA60 A16
URGES Member states-To take steps to ensure that prevention of oral
cancer is an integral part of national cancer-control programmes, and to
involve oral-health professionals or primary health care personnel with
relevant training in oral health in detection, early diagnosis and
treatment;The WHO Global Oral Health Programme will use this statement
as the lead for its work for oral cancer control
www.who.int/oral\_health. (C) 2008 Elsevier Ltd. All rights reserved.},
Type = {Review},
Language = {English},
Affiliation = {Petersen, PE (Corresponding Author), WHO, Global Oral Hlth Programme, 20 Ave Appia, CH-1211 Geneva 27, Switzerland.
WHO, Global Oral Hlth Programme, CH-1211 Geneva 27, Switzerland.},
DOI = {10.1016/j.oraloncology.2008.05.023},
ISSN = {1368-8375},
EISSN = {1879-0593},
Keywords = {Cancer epidemiology; Chronic disease risk factors; Oral cancer
intervention; Oral cancer surveillance; National cancer policy; World
Health Organization},
Web-of-Science-Categories = {Oncology; Dentistry, Oral Surgery \& Medicine},
Author-Email = {petersenpe@who.int},
Number-of-Cited-References = {15},
Times-Cited = {371},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {62},
Unique-ID = {WOS:000265682700021},
DA = {2023-09-28},
}
@article{ WOS:001010197200001,
Author = {Hummel, Julia and Voss, Stephan and Clark, Holly and Coenen, Michaela
and Klein, Christoph and Rehfuess, Eva A. and Zu Rhein, Valerie and
Voigt-Blaurock, Varinka and Jung-Sievers, Caroline},
Title = {Implementing a psychosocial care approach in pediatric inpatient care:
process evaluation of the pilot Child Life Specialist program at the
University Hospital of Munich, Germany},
Journal = {FRONTIERS IN PEDIATRICS},
Year = {2023},
Volume = {11},
Month = {JUN 7},
Abstract = {BackgroundChild Life Specialists (CLSs) are psychosocial care
professionals of child development and health who focus on the
individual needs and rights of young patients. CLSs accompany sick
children and focus on the children's perspective and their reality of
life. CLS programs are already established in clinical settings in the
United States and other Anglophone countries but have not yet been
piloted in the German health care setting, neither has their
implementation been evaluated in this context. This study aimed to
explore the factors influencing the implementation of a pilot CLS
program in pediatric inpatient care at the Dr. von Hauner Children's
Hospital at the University Hospital of Munich, Germany. MethodsBuilding
on methods commonly employed in the evaluation of complex interventions,
we developed a logic model to guide the process evaluation of our
program. Semi-structured interviews with four groups of stakeholders
were conducted in person or via videoconferencing between June 2021 and
January 2022. Data was analyzed collectively using the method of
qualitative content analysis by Mayring. ResultsFifteen individual
interviews were conducted with patients (children aged 5-17 years, n =
4), parents (n = 4), CLSs (n = 4) and other health professionals (n =
3). Factors influencing the implementation were identified on three
levels: system, staff and intervention. On the system level, a clearer
definition of CLSs' tasks and responsibilities was perceived as
important and would likely lead to a delineation from other
(psychosocial) professions and a reduction of potential resistances. On
the staff level, lacking training opportunities and feelings of being
insufficiently skilled were limiting the CLSs professional
self-confidence. On the intervention level, the emergence of a unique
characteristic of the CLSs' work (i.e., preparation for medical
procedures) supported the acceptance of the new program. ConclusionsThe
implementation of a CLS program into an established hospital system with
existing psychosocial care services is challenging. Our results
contribute to a better understanding of implementation processes of such
an additional psychosocial care approach and provide recommendations for
addressing upcoming challenges.},
Type = {Article},
Language = {English},
Affiliation = {Hummel, J (Corresponding Author), Ludwig Maximilians Univ LMU Munich, Univ Hosp, Dr Hauner Childrens Hosp, Dept Pediat Surg, Munich, Germany.
Hummel, J (Corresponding Author), Ludwig Maximilians Univ Munchen, Inst Med Data Proc Biometr \& Epidemiol IBE, Fac Med, Chair Publ Hlth \& Hlth Serv Res, Munich, Germany.
Hummel, J (Corresponding Author), Pettenkofer Sch Publ Hlth, Munich, Germany.
Hummel, Julia; Clark, Holly; Klein, Christoph; Voigt-Blaurock, Varinka, Ludwig Maximilians Univ LMU Munich, Univ Hosp, Dr Hauner Childrens Hosp, Dept Pediat Surg, Munich, Germany.
Hummel, Julia; Voss, Stephan; Coenen, Michaela; Rehfuess, Eva A.; Zu Rhein, Valerie; Jung-Sievers, Caroline, Ludwig Maximilians Univ Munchen, Inst Med Data Proc Biometr \& Epidemiol IBE, Fac Med, Chair Publ Hlth \& Hlth Serv Res, Munich, Germany.
Hummel, Julia; Voss, Stephan; Coenen, Michaela; Rehfuess, Eva A.; Zu Rhein, Valerie; Jung-Sievers, Caroline, Pettenkofer Sch Publ Hlth, Munich, Germany.},
DOI = {10.3389/fped.2023.1178871},
Article-Number = {1178871},
ISSN = {2296-2360},
Keywords = {child life specialist; complex intervention; influencing factors; logic
model; pediatric psychosocial care; process evaluation; qualitative
interviews},
Keywords-Plus = {COMPLEX INTERVENTIONS; POSTTRAUMATIC STRESS; FACILITATORS; BARRIERS;
ANXIETY},
Web-of-Science-Categories = {Pediatrics},
Author-Email = {jhummel@ibe.med.uni-muenchen.de},
Number-of-Cited-References = {40},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:001010197200001},
DA = {2023-09-28},
}
@article{ WOS:000850208600007,
Author = {Steinman, Lesley and van Pelt, Maurits and Hen, Heang and Chhorvann,
Chhea and Lan, Channe Suy and Te, Vannarath and LoGerfo, James and
Fitzpatrick, Annette L.},
Title = {Can mHealth and eHealth improve management of diabetes and hypertension
in a hard-to-reach population? -lessons learned from a process
evaluation of digital health to support a peer educator model in
Cambodia using the RE-AIM framework br},
Journal = {MHEALTH},
Year = {2020},
Volume = {6},
Number = {4},
Month = {OCT},
Abstract = {Background: The burden of non-communicable diseases (NCDs) is increasing
in low-and middle-income countries (LMICs) where NCDs cause 4:5 deaths,
disproportionately affect poorer populations, and carry a large economic
burden. Digital interventions can improve NCD management for these
hard-to-reach populations with inadequate health systems and high
cell-phone coverage; however, there is limited research on whether
digital health is reaching this potential. We conducted a process
evaluation to understand challenges and successes from a digital health
intervention trial to support Cambodians living with NCDs in a peer
educator (PE) program. Methods: MoPoTsyo, a Cambodian non-governmental
organization (NGO), trains people living with diabetes and/or
hypertension as PEs to provide self-management education, support, and
healthcare linkages for better care management among underserved
populations. We partnered with MoPoTsyo and InSTEDD in 2016-2018 to test
tailored and targeted mHealth mobile voice messages and eHealth tablets
to facilitate NCD management and clinical-community linkages. This
cluster randomized controlled trial (RCT) engaged 3,948 people and 75
PEs across rural and urban areas. Our mixed methods process evaluation
was guided by RE-AIM to understand impact and real-world implications of
digital health. Data included patient (20) and PE interviews (6),
meeting notes, and administrative datasets. We triangulated and analyzed
data using thematic analysis, and descriptive and complier average
causal effects statistics (CACE). Results: Reach: intervention
participants were more urban (66\% vs. 44\%), had more PE visits (39 vs.
29), and lower uncontrolled hypertension {[}12\% and 7\% vs. 23\% and
16\% uncontrolled systolic blood pressure (SBP) and diastolic blood
pressure (DBP)]. Adoption: patients were sent mean {[}standard deviation
(SD)] 30 {[}14] and received 14 {[}8] messages; 40\% received no
messages due to frequent phone number changes. Effectiveness: CACE found
clinically but not statistically significant improvements in blood
pressure and sugar for mHealth participants who received at least one
message vs. no messages. Implementation: main barriers were limited
cellular access and that mHealth/eHealth could not solve structural
barriers to NCD control faced by people in poverty. Maintenance: had the
intervention been universally effective, it could be paid for from
additional revolving drug fund revenue, new agreements with mobile
networks, or the government. Conclusions: Evidence for digital health to
improve NCD outcomes in LMICs are limited. This study suggests digital
health alone is insufficient in countries with low resource health
systems and that high cell phone coverage did not translate to access.
Adding digital health to an NCD peer network may not significantly
benefit an already effective program; mHealth may be better for
hard-to-reach populations not connected to other supports. As long as
mHealth remains an individual-level intervention, it will not address
social determinants of health that drive outcomes. Future digital health
research and practice to improve NCD management in LMICs requires
engaging government, NGOs, and technology providers to work together to
address barriers.},
Type = {Article},
Language = {English},
Affiliation = {Steinman, L (Corresponding Author), Univ Washington, Hlth Promot Res Ctr, UW Box 354804, Seattle, WA 98105 USA.
Steinman, Lesley, Univ Washington, Sch Publ Hlth, Dept Hlth Serv, Seattle, WA 98105 USA.
van Pelt, Maurits; Hen, Heang, MoPoTsyo Patient Informat Ctr, Phnom Penh, Cambodia.
Chhorvann, Chhea; Te, Vannarath, Natl Inst Publ Hlth, Phnom Penh, Cambodia.
Lan, Channe Suy, InSTEDD, Phnom Penh, Cambodia.
LoGerfo, James; Fitzpatrick, Annette L., Univ Washington, Sch Publ Hlth, Dept Global Hlth, Seattle, WA 98105 USA.
LoGerfo, James, Univ Washington, Dept Med, Seattle, WA 98105 USA.
Fitzpatrick, Annette L., Univ Washington, Sch Med, Dept Family Med, Seattle, WA 98105 USA.
Fitzpatrick, Annette L., Univ Washington, Sch Publ Hlth, Dept Epidemiol, Seattle, WA 98105 USA.},
DOI = {10.21037/mhealth-19-249},
Article-Number = {40},
EISSN = {2306-9740},
Keywords = {Diabetes; hypertension; mHealth; Cambodia; implementation science},
Keywords-Plus = {NONCOMMUNICABLE DISEASE; PREVENTION; INTERVENTION; TECHNOLOGY;
ADHERENCE; PROGRAM; SERVICE; BURDEN; IMPACT},
Web-of-Science-Categories = {Health Care Sciences \& Services; Medical Informatics},
Author-Email = {lesles@uw.edu},
Number-of-Cited-References = {82},
Times-Cited = {7},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {6},
Unique-ID = {WOS:000850208600007},
DA = {2023-09-28},
}
@article{ WOS:000462359300008,
Author = {Ingold, Heather and Mwerinde, Ombeni and Ross, Anna Laura and Leach,
Ross and Corbett, Elizabeth L. and Hatzold, Karin and Johnson, Cheryl C.
and Ncube, Getrude and Nyirenda, Rose and Baggaley, Rachel C.},
Title = {The Self-Testing AfRica (STAR) Initiative: accelerating global access
and scale-up of HIV self-testing},
Journal = {JOURNAL OF THE INTERNATIONAL AIDS SOCIETY},
Year = {2019},
Volume = {22},
Number = {1, SI},
Month = {MAR},
Abstract = {IntroductionHIV self-testing (HIVST) was first proposed as an additional
option to standard HIV testing services in the 1980s. By 2015, two years
after the first HIVST kit was approved for the American market and the
year in which Unitaid invested in the HIV Self-Testing AfRica (STAR)
Initiative, HIVST remained unexplored with negligible access in low- and
middle-income countries (LMIC). However, rapid progress had been made.
This commentary outlines the interlinked market, regulatory and policy
barriers that had inhibited product development and kept HIVST out of
LMIC policy. We detail the components of STAR that enabled rapid HIVST
scale-up, including critical investments in implementation, research,
market forecasting, and engagement with manufacturers and regulators.
DiscussionThe STAR Initiative has generated crucial information about
how to distribute HIVST products effectively, ethically and efficiently.
Service delivery models range from clinic-based distribution to
workplace and partner-delivered approaches to reach first-time male
testers, to community outreach to sex workers and general population
hotspots. These data directly informed supportive policy, notably the
2016 WHO guidelines strongly recommending HIVST as an additional testing
approach, and regulatory change through support for WHO prequalification
of the first HIVST kit in 2017. In July 2015, only two countries had
national HIVST policies and were implementing HIVST. Three years later,
59 countries have policies, actively implemented in 28, with an
additional 53 countries reporting policies under development. By
end-November 2018 several quality-assured HIVST products had been
registered, including two WHO prequalified tests. STAR Initiative
countries have drafted regulations governing invitro diagnostics,
including HIVST products. With enabling policies, pre-qualification and
regulations in place, donor procurement of kits has increased rapidly,
to a forecasted estimate of 16million HIVST kits procured by 2020.
ConclusionsThe STAR Initiative provided a strong foundation to introduce
HIVST in LMICs and allow for rapid scale-up based on the wealth of
multi-country evidence gathered. Together with sustained coordination
and acceleration of market development work, HIVST can help address the
testing gap and provide a focused and cost-effective means to expand
access to treatment and prevention services.},
Type = {Article},
Language = {English},
Affiliation = {Ingold, H (Corresponding Author), Unitaid, Global Hlth Campus,Chemin Pommier 40,5th Floor, CH-1218 Geneva, Switzerland.
Ingold, Heather; Mwerinde, Ombeni; Ross, Anna Laura; Leach, Ross, Unitaid, Global Hlth Campus,Chemin Pommier 40,5th Floor, CH-1218 Geneva, Switzerland.
Corbett, Elizabeth L., Malawi Liverpool Wellcome Trust Clin Res Programm, Blantyre, Malawi.
Corbett, Elizabeth L., London Sch Hyg \& Trop Med, Fac Infect \& Trop Dis, London, England.
Hatzold, Karin, Populat Serv Int, Washington, DC USA.
Johnson, Cheryl C.; Baggaley, Rachel C., WHO, Dept HIV AIDS, Geneva, Switzerland.
Johnson, Cheryl C., London Sch Hyg \& Trop Med, Dept Infect \& Trop Dis, London, England.
Ncube, Getrude, Zimbabwe Minist Hlth, Harare, Zimbabwe.
Nyirenda, Rose, Malawi Minist Hlth, Lilongwe, Malawi.},
DOI = {10.1002/jia2.25249},
Article-Number = {e25249},
EISSN = {1758-2652},
Keywords = {HIV testing; HIV self-testing; market shaping; scale-up; prevention;
linkage to care; cost effectiveness},
Keywords-Plus = {RURAL MALAWI; ACCEPTABILITY; POLICY},
Web-of-Science-Categories = {Immunology; Infectious Diseases},
Author-Email = {ingoldh@who.int},
ORCID-Numbers = {Ingold, Heather/0000-0002-8714-8889
Corbett, Elizabeth/0000-0002-3552-3181
Hatzold, Karin/0000-0002-5117-3732
Johnson, Cheryl/0000-0001-5499-5523},
Number-of-Cited-References = {36},
Times-Cited = {36},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {5},
Unique-ID = {WOS:000462359300008},
DA = {2023-09-28},
}
@article{ WOS:000306267900005,
Author = {Daumerie, N. and Bacle, S. Vasseur and Giordana, J. -Y. and Mannone, C.
Bourdais and Caria, A. and Roelandt, J. -L.},
Title = {Discrimination perceived by people with a diagnosis of schizophrenic
disorders. INtemational study of Discrimination and stiGma Outcomes
(INDIGO): French results},
Journal = {ENCEPHALE-REVUE DE PSYCHIATRIE CLINIQUE BIOLOGIQUE ET THERAPEUTIQUE},
Year = {2012},
Volume = {38},
Number = {3},
Pages = {224-231},
Month = {JUN},
Abstract = {Introduction. - The INDIGO study (INternational study of Discrimination
and stiGma Outcomes) aims at assessing the impact of schizophrenic
disorders diagnosis on privacy, social and professional life, in terms
of discrimination. In the general population, and even among health and
social professionals, erroneous negative stereotypes (double
personality, dangerosity) lead to high social distance. And this has an
impact on various parts of daily life: employment, housing, compliance,
self-esteem... About a tenth of the adult population suffers from mental
disorders at any one time. These disorders now account for about 12\% of
the global impact of disability, and this will rise to 15\% by the year
2020. People living with schizophrenia, for example, experience reduced
social participation, whilst public images of mental illness and social
reactions add a dimension of suffering, which has been described as a
``second illness{''}. Stigmatizing attitudes and discriminatory behavior
among the general population against people with severe mental illness
are common in all countries. Globally, little is known of effective
interventions against stigma. It is clear that the negative effects of
stigma can act as formidable barriers to active recovery.
Methodology. - The INDIGO study intends to establish detailed
international data on how stigma and discrimination affect the lives of
people with a diagnosis of schizophrenia. The first aim of the INDIGO
study is to conduct qualitative and quantitative interviews with 25
people with a diagnosis of schizophrenia in each participating site, to
elicit information on how the condition affects their everyday lives,
with a focus upon sites in Europe. The second is to gather data for all
participating countries on the laws, policies and regulations which set
a clear distinction between people with a diagnosis of mental illness
and others, to establish an international profile of such
discrimination. A new scale (Discrimination and Stigma Scale {[}DISC]),
used in a face-to-face setting was developed. Interviewers asked service
users to comment on how far their mental disorder has affected key areas
of their lives, including work, marriage and partnerships, housing,
leisure, and religious activities. For country-level information, staff
at each national site gathered the best available data on whether
special legal, policy or administrative arrangements are made for people
with a diagnosis of mental illness. These items included, for example,
information on access to insurance, financial services, driving
licenses, voting, jury service, or travel visas. The INDIGO study is
conducted within the framework of the WPA global program to fight stigma
and discrimination because of schizophrenia. French interviews occurred
in two sites (Lille and Nice) on a sample of 25 patients.
Results. - First, expressed disadvantages are high for several items
(all relations, work and training, housing). In addition, we wish to
highlight three specific points: almost half of the participants (46\%)
suffer from not being respected because of contacts with services, 88\%
of them felt rejected by people who know their diagnosis, and 76\%
hide/conceal their diagnosis. Positive experienced discrimination was
rare. Two thirds of participants anticipated discrimination for job
seeking and close personal relationships, sometimes with no experienced
discrimination.
Conclusions. - This study, one of the rare in France adopting the point
of view of a stigmatized group, revealed the numerous impacts of a
diagnosis of schizophrenic disorders on everyday life. Comparisons
between French and international results confirmed that the situation is
not different in France, and even highlighted the extent of the
stigmatization in the country. (C) L'Encephale, Paris, 2011.},
Type = {Article},
Language = {French},
Affiliation = {Bacle, SV (Corresponding Author), Ctr Collaborateur Org Mondiale Sante Rech \& Forma, Lille, France.
Daumerie, N.; Bacle, S. Vasseur; Caria, A.; Roelandt, J. -L., Ctr Collaborateur Org Mondiale Sante Rech \& Forma, Lille, France.
Daumerie, N.; Bacle, S. Vasseur; Caria, A.; Roelandt, J. -L., CCOMS EPSM Lille Metropole, F-59370 Mons En Baroeul, France.
Giordana, J. -Y., Ctr Hosp St Marie, F-06009 Nice, France.
Mannone, C. Bourdais, Ctr Hosp Univ Nice, DIIM, Cimiez, F-06000 Nice, France.},
DOI = {10.1016/j.encep.2011.06.007},
ISSN = {0013-7006},
Keywords = {Schizophrenic disorders; Stigma; Discrimination; Self stigma; Exclusion},
Keywords-Plus = {MENTAL-ILLNESS; SOCIAL DISTANCE; CONSEQUENCES; DEPRESSION},
Web-of-Science-Categories = {Neurosciences; Psychiatry},
Author-Email = {svasseurbacle@epsm-lille-metropole.fr},
Number-of-Cited-References = {25},
Times-Cited = {28},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {40},
Unique-ID = {WOS:000306267900005},
DA = {2023-09-28},
}
@article{ WOS:000452201800011,
Author = {Jensen, Jessica K. and Ciolino, Jody D. and Diebold, Alicia and Segovia,
Melissa and Degillio, Aria and Solano-Martinez, Jesus and Tandon, S.
Darius},
Title = {Comparing the Effectiveness of Clinicians and Paraprofessionals to
Reduce Disparities in Perinatal Depression via the Mothers and Babies
Course: Protocol for a Cluster-Randomized Controlled Trial},
Journal = {JMIR RESEARCH PROTOCOLS},
Year = {2018},
Volume = {7},
Number = {11},
Month = {NOV},
Abstract = {Background: Postpartum depression is highly prevalent in low-income
women and has significant health and mental health effects on mother and
child. Home visiting (HV) programs provide services to large numbers of
perinatal women in the United States and are a logical setting for
delivering mental health services. Although there are interventions that
reduce the risk of developing postpartum depression among low-income
women, none have used nonhealth or nonmental health professionals as
interventionists.
Objective: This study aimed to outline the protocol of a cluster
randomized trial funded by the Patient-Centered Outcomes Research
Institute that evaluates whether the Mothers and Babies (MB) group
intervention, when led by paraprofessional home visitors, is more
efficacious than usual care. It will also examine if MB, when led by
home visitors, is not inferior to MB delivered by mental health
professionals (MHPs). MB has previously demonstrated efficacy when
delivered by MHPs, and pilot work indicated promising results using home
visitors to deliver the intervention.
Methods: A cluster randomized trial is being conducted with 38 HV
programs. Sixteen HV programs will deliver MB using MHPs, 16 will
deliver MB using paraprofessional home visitors, and 6 will deliver
usual HV services. The study employs a modified covariate-constrained
randomization design at the site level. We anticipate recruiting 933
women aged >= 16 years enrolled in HV programs, who are 33 or more
weeks' gestation and speak either English or Spanish. Women in the 2
intervention arms will receive the 6-session MB group intervention.
Baseline, postintervention, 12-week postpartum, and 24-week postpartum
assessments will be conducted to assess client outcomes. The primary
outcome will be the change in Quick Inventory of Depressive
Symptomatology Self-Report 16 scores from baseline to 24-week follow-up.
Secondary outcomes associated with core MB content will also be
examined. Semistructured interviews will be conducted with home visitors
and MHPs who are group facilitators and 90 study participants to gain
data on intervention successes and challenges. Analyses will proceed at
the participant level. Primary analyses for depressive symptoms score at
24 weeks postpartum will involve a linear mixed model, controlling for
baseline symptoms and other covariates, and random effects to account
for clustering.
Results: We have recruited 838 women through the end of August 2018.
Recruitment will be completed at the end of September 2018.
Conclusions: There is considerable potential to disseminate MB to HV
programs throughout the United States. Should our results demonstrate
home visitor efficacy when compared with usual care and/noninferiority
between home visitors and MHPs in improving mental health outcomes, no
additional financial resources would be required for the existing HV
staff to implement MB. Should this study determine that home visitors
are less effective than MHPs, we will generate more wide-scale evidence
on MB effectiveness when led by MHPs.},
Type = {Article},
Language = {English},
Affiliation = {Jensen, JK (Corresponding Author), Northwestern Univ, Ctr Community Hlth, Inst Publ Hlth \& Med, Feinberg Sch Med, 750 N Lake Shore Dr,Suite 680, Chicago, IL 60611 USA.
Jensen, Jessica K.; Diebold, Alicia; Segovia, Melissa; Degillio, Aria; Solano-Martinez, Jesus; Tandon, S. Darius, Northwestern Univ, Ctr Community Hlth, Inst Publ Hlth \& Med, Feinberg Sch Med, 750 N Lake Shore Dr,Suite 680, Chicago, IL 60611 USA.
Ciolino, Jody D., Northwestern Univ, Dept Prevent Med, Feinberg Sch Med, Chicago, IL 60611 USA.},
DOI = {10.2196/11624},
Article-Number = {e11624},
ISSN = {1929-0748},
Keywords = {depression; postpartum; pregnancy; randomized controlled trial;
community health},
Keywords-Plus = {IN-HOME CBT; LOW-INCOME; POSTPARTUM DEPRESSION; SYMPTOMS; SCALE;
INFANTS; PERCEPTIONS; OUTCOMES; EVENTS},
Web-of-Science-Categories = {Health Care Sciences \& Services; Public, Environmental \& Occupational
Health},
Author-Email = {jessica.jensen@northwestern.edu},
ORCID-Numbers = {Johnson, Jessica/0000-0001-9482-7225
Diebold, Alicia/0000-0002-1085-9105
Tandon, Darius/0000-0002-3243-903X
Solano-Martinez, Jesus/0000-0002-3826-6408},
Number-of-Cited-References = {44},
Times-Cited = {11},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000452201800011},
DA = {2023-09-28},
}
@article{ WOS:000729238200130,
Author = {Smith, Rebecca M. and Marroney, Natalie and Beattie, Jenna and Newdick,
Abby and Tahtis, Vassilios and Burgess, Caroline and Marsden, Jonathan
and Seemungal, Barry M.},
Title = {A mixed methods randomised feasibility trial investigating the
management of benign paroxysmal positional vertigo in acute traumatic
brain injury},
Journal = {PILOT AND FEASIBILITY STUDIES},
Year = {2020},
Volume = {6},
Number = {1},
Abstract = {BackgroundTraumatic brain injury (TBI) is the leading cause of long-term
disability in working age adults. Recent studies show that most acute
TBI patients demonstrate vestibular features of dizziness and imbalance,
often from combined peripheral and central vestibular dysfunction.
Effective treatment for vestibular impairments post-TBI is important
given its significant adverse impact upon quality of life and employment
prospects. The most frequent peripheral vestibular disorder in acute TBI
is benign paroxysmal positional vertigo (BPPV), affecting approximately
half of acute cases. Although there is effective treatment for
idiopathic BPPV, there are no high-quality clinical data for post-TBI
BPPV regarding its prevalence, natural history, which treatment is most
effective and when is the best time to treat. In particular,
observational studies suggest post-TBI BPPV may be recurrent, indicating
that hyperacute treatment of BPPV may be futile. Given the potential
hurdles and the lack of accurate post-TBI BPPV data, the current study
was designed to provide information regarding the feasibility and
optimal design of future large-scale prospective treatment studies that
would compare different interventions and their timing for post-TBI
BPPV.MethodA multi-centre randomised mixed methods feasibility study
design was employed. We aim to recruit approximately 75 acute TBI
patients across a range of clinical severities, from three major trauma
centres in London. Patients will be randomised to one of three treatment
arms: (1) therapist-led manoeuvres, (2) patient-led exercises and (3)
advice. Participants will be re-assessed by blinded outcome assessors at
4 and 12weeks. Acceptability of the intervention will be obtained by
patient interviews at the end of their treatment and therapist
interviews at the end of the study. Primary outcomes relate to
feasibility parameters including recruitment and retention rates,
adverse events and intervention fidelity. We will also aim to provide a
more accurate estimate of the prevalence of BPPV in TBI cases on the
trauma ward.DiscussionThe multi-centre nature of our feasibility study
will inform the design of a future prospective treatment trial of BPPV
in acute TBI. Important parameters we will obtain from this study, key
for designing a future prospective treatment study, include estimating
the prevalence of BPPV in TBI patients admitted to UK major trauma
wards, and elucidating both patient and care-provider barriers in
delivering BPPV treatment.Trial registrationISRCTN, ISRCTN91943864.
Registered on 10 February 2020.},
Type = {Article},
Language = {English},
Affiliation = {Smith, RM; Seemungal, BM (Corresponding Author), Imperial Coll London, Dept Brain Sci, Neurootol Unit, Brain \& Vestibular Grp BAVG, London, England.
Smith, Rebecca M.; Tahtis, Vassilios; Seemungal, Barry M., Imperial Coll London, Dept Brain Sci, Neurootol Unit, Brain \& Vestibular Grp BAVG, London, England.
Marroney, Natalie; Beattie, Jenna; Seemungal, Barry M., Imperial Coll Healthcare NHS Trust, London, England.
Newdick, Abby, St Georges Univ Hosp NHS Fdn Trust, London, England.
Tahtis, Vassilios, Kings Coll Hosp NHS Fdn Trust, London, England.
Burgess, Caroline, Kings Coll London, Populat Hlth Sci, London, England.
Marsden, Jonathan, Univ Plymouth, Sch Hlth Profess, Plymouth, Devon, England.},
DOI = {10.1186/s40814-020-00669-z},
Article-Number = {130},
EISSN = {2055-5784},
Keywords = {Feasibility study; Traumatic brain injury; Benign paroxysmal positional
vertigo; Rehabilitation},
Keywords-Plus = {QUALITY-OF-LIFE; CLINICAL-TRIAL; RISK-FACTORS; DIZZINESS; FALLS; SCALE;
DISABILITY; COMMUNITY; VALIDITY; OUTCOMES},
Web-of-Science-Categories = {Medicine, Research \& Experimental},
Author-Email = {rmsmi15@ic.ac.uk
bmseem@ic.ac.uk},
ORCID-Numbers = {Smith, Rebecca/0000-0003-2628-9861
Seemungal, Barry/0000-0002-6578-0904},
Number-of-Cited-References = {58},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000729238200130},
DA = {2023-09-28},
}
@article{ WOS:000727870500009,
Author = {Martel, Rhiannon and Shepherd, Matthew and Goodyear-Smith, Felicity},
Title = {Implementing the Routine Use of Electronic Mental Health Screening for
Youth in Primary Care: Systematic Review},
Journal = {JMIR MENTAL HEALTH},
Year = {2021},
Volume = {8},
Number = {11},
Month = {NOV 1},
Abstract = {Background: Adolescents often present at primary care clinics with
nonspecific physical symptoms when, in fact, they have at least 1 mental
health or risk behavior (psychosocial) issue with which they would like
help but do not disclose to their care provider. Despite global
recommendations, over 50\% of youths are not screened for mental health
and risk behavior issues in primary care.
Objective: This review aimed to examine the implementation,
acceptability, feasibility, benefits, and barriers of e-screening tools
for mental health and risk behaviors among youth in primary care
settings.
Methods: Electronic databases-MEDLINE, CINAHL, Scopus, and the Cochrane
Database of Systematic Reviews-were searched for studies on the routine
screening of youth in primary care settings. Screening tools needed to
be electronic and screen for at least 1 mental health or risk behavior
issue. A total of 11 studies that were reported in 12 articles, of which
all were from high-income countries, were reviewed.
Results: e-Screening was largely proven to be feasible and acceptable to
youth and their primary care providers. Preconsultation e-screening
facilitated discussions about sensitive issues and increased disclosure
by youth. However, barriers such as the lack of time, training, and
discomfort in raising sensitive issues with youth continued to be
reported.
Conclusions: To implement e-screening, clinicians need to change their
behaviors, and e-screening processes must become normalized into their
workflows. Co-designing and tailoring screening implementation
frameworks to meet the needs of specific contexts may be required to
ensure that clinicians overcome initial resistances and perceived
barriers and adopt the required processes in their work.},
Type = {Review},
Language = {English},
Affiliation = {Goodyear-Smith, F (Corresponding Author), Univ Auckland, Fac Med \& Hlth Sci, Dept Gen Practice \& Primary Hlth Care, 22 Pk Rd, Auckland 1142, New Zealand.
Martel, Rhiannon; Goodyear-Smith, Felicity, Univ Auckland, Fac Med \& Hlth Sci, Dept Gen Practice \& Primary Hlth Care, 22 Pk Rd, Auckland 1142, New Zealand.
Shepherd, Matthew, Massey Univ, Sch Psychol, Auckland, New Zealand.},
DOI = {10.2196/30479},
Article-Number = {e30479},
ISSN = {2368-7959},
Keywords = {adolescent; mental health; risk behavior; screening; primary care},
Keywords-Plus = {PEDIATRIC PRIMARY-CARE; INTERVENTIONS; TECHNOLOGY; ALCOHOL; SBIRT; VIEWS},
Web-of-Science-Categories = {Psychiatry},
Author-Email = {f.goodyear-smith@auckland.ac.nz},
ResearcherID-Numbers = {Goodyear-Smith, Felicity/K-2538-2017
},
ORCID-Numbers = {Goodyear-Smith, Felicity/0000-0002-6657-9401
Martel, Rhiannon/0000-0002-0828-2415},
Number-of-Cited-References = {57},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000727870500009},
DA = {2023-09-28},
}
@article{ WOS:000796226800001,
Author = {Jennings Mayo-Wilson, Larissa and Yen, Bing-Jie and Nabunya, Proscovia
and Bahar, Ozge Sensoy and Wright, Brittanni N. and Kiyingi, Joshua and
Filippone, Prema L. and Mwebembezi, Abel and Kagaayi, Joseph and Tozan,
Yesim and Nabayinda, Josephine and Witte, Susan S. and Ssewamala, Fred
M.},
Title = {Economic Abuse and Care-seeking Practices for HIV and Financial Support
Services in Women Employed by Sex Work: A Cross-Sectional Baseline
Assessment of a Clinical Trial Cohort in Uganda},
Journal = {JOURNAL OF INTERPERSONAL VIOLENCE},
Year = {2023},
Volume = {38},
Number = {1-2},
Pages = {NP1920-NP1949},
Month = {JAN},
Abstract = {Economic hardship is a driver of entry into sex work, which is
associated with high HIV risk. Yet, little is known about economic abuse
in women employed by sex work (WESW) and its relationship to uptake of
HIV prevention and financial support services. This study used
cross-sectional baseline data from a multisite, longitudinal clinical
trial that tests the efficacy of adding economic empowerment to
traditional HIV risk reduction education on HIV incidence in 542 WESW.
Mixed effects logistic and linear regressions were used to examine
associations in reported economic abuse by demographic characteristics,
sexual behaviors, HIV care-seeking, and financial care-seeking. Mean age
was 31.4 years. Most WESW were unmarried (74\%) and had less than
primary school education (64\%). 48\% had savings, and 72\% had debt.
93\% reported at least one economic abuse incident. Common incidents
included being forced to ask for money (80\%), having financial
information kept from them (61\%), and being forced to disclose how
money was spent (56\%). WESW also reported partners/relatives spending
money needed for bills (45\%), not paying bills (38\%), threatening them
to quit their job(s) (38\%), and using physical violence when earning
income (24\%). Married/partnered WESW (OR = 2.68, 95\% CI:1.60-4.48),
those with debt (OR = 1.70, 95\% CI:1.04-2.77), and those with sex-work
bosses (OR = 1.90, 95\% CI:1.07-3.38) had higher economic abuse.
Condomless sex (beta = +4.43, p < .05) was higher among WESW
experiencing economic abuse, who also had lower odds of initiating PrEP
(OR = .39, 95\% CI:.17-.89). WESW experiencing economic abuse were also
more likely to ask for cash among relatives (OR = 2.36, 95\%
CI:1.13-4.94) or banks (OR = 2.12, 95\% CI:1.11-4.03). The high
prevalence of HIV and economic abuse in WESW underscores the importance
of integrating financial empowerment in HIV risk reduction interventions
for WESW, including education about economic abuse and strategies to
address it. Programs focusing on violence against women should also
consider economic barriers to accessing HIV prevention services.},
Type = {Article},
Language = {English},
Affiliation = {Mayo-Wilson, LJ (Corresponding Author), Univ N Carolina, Gillings Sch Global Publ Hlth, 170 Rosenau Hall, Chapel Hill, NC 27599 USA.
Jennings Mayo-Wilson, Larissa, Univ N Carolina, Gillings Sch Global Publ Hlth, 170 Rosenau Hall, Chapel Hill, NC 27599 USA.
Jennings Mayo-Wilson, Larissa, Johns Hopkins Univ, Sch Nursing, Commun Global \& Publ Hlth Div, Baltimore, MD USA.
Yen, Bing-Jie; Wright, Brittanni N., Indiana Univ, Dept Appl Hlth Sci, Ctr Sexual Hlth Promot, Sch Publ Hlth, Bloomington, IN USA.
Nabunya, Proscovia; Bahar, Ozge Sensoy; Kiyingi, Joshua; Nabayinda, Josephine; Ssewamala, Fred M., Washington Univ St Louis, Brown Sch, St Louis, MO USA.
Nabunya, Proscovia; Bahar, Ozge Sensoy; Kiyingi, Joshua; Mwebembezi, Abel; Nabayinda, Josephine; Ssewamala, Fred M., Int Ctr Child Hlth \& Dev, Masaka, Uganda.
Filippone, Prema L.; Witte, Susan S., Columbia Sch Social Work, New York, NY USA.
Mwebembezi, Abel, Reach Youth Uganda, Kampala, Uganda.
Kagaayi, Joseph, Rakai Hlth Sci Program, Kalisizo, Uganda.
Tozan, Yesim, New York Univ, Coll Global Publ Hlth, New York, NY USA.},
DOI = {10.1177/08862605221093680},
EarlyAccessDate = {MAY 2022},
Article-Number = {08862605221093680},
ISSN = {0886-2605},
EISSN = {1552-6518},
Keywords = {HIV; sexual risk behaviors; economic abuse; female sex workers;
violence; Uganda},
Keywords-Plus = {INTIMATE PARTNER VIOLENCE; CONDOM USE; RISK-FACTORS; INSECURITY;
BEHAVIORS; SCALE; MEN},
Web-of-Science-Categories = {Criminology \& Penology; Family Studies; Psychology, Applied},
Author-Email = {larissajmw@gmail.com},
ResearcherID-Numbers = {DSILVA, BROOKE/HCI-4879-2022
},
ORCID-Numbers = {Jennings Mayo-Wilson, Larissa/0000-0001-9349-2283
Wright, Brittanni/0000-0003-2051-8205},
Number-of-Cited-References = {47},
Times-Cited = {0},
Usage-Count-Last-180-days = {3},
Usage-Count-Since-2013 = {10},
Unique-ID = {WOS:000796226800001},
DA = {2023-09-28},
}
@article{ WOS:000578286200003,
Author = {Fernandez Turienzo, Cristina and Bick, Debra and Briley, Annette L. and
Bollard, Mary and Coxon, Kirstie and Cross, Pauline and Silverio, Sergio
A. and Singh, Claire and Seed, Paul T. and Tribe, Rachel M. and Shennan,
Andrew H. and Sandall, Jane and POPPIE Pilot Collaborative Grp},
Title = {Midwifery continuity of care versus standard maternity care for women at
increased risk of preterm birth: A hybrid implementation-effectiveness,
randomised controlled pilot trial in the UK},
Journal = {PLOS MEDICINE},
Year = {2020},
Volume = {17},
Number = {10},
Month = {OCT},
Abstract = {Background
Midwifery continuity of care is the only health system intervention
shown to reduce preterm birth (PTB) and improve perinatal survival, but
no trial evidence exists for women with identified risk factors for PTB.
We aimed to assess feasibility, fidelity, and clinical outcomes of a
model of midwifery continuity of care linked with a specialist obstetric
clinic for women considered at increased risk for PTB.
Methods and findings
We conducted a hybrid implementation-effectiveness, randomised,
controlled, unblinded, parallel-group pilot trial at an inner-city
maternity service in London (UK), in which pregnant women identified at
increased risk of PTB were randomly assigned (1:1) to either midwifery
continuity of antenatal, intrapartum, and postnatal care (Pilot study Of
midwifery Practice in Preterm birth Including women's Experiences
{[}POPPIE] group) or standard care group (maternity care by different
midwives working in designated clinical areas). Pregnant women attending
for antenatal care at less than 24 weeks' gestation were eligible if
they fulfilled one or more of the following criteria: previous cervical
surgery, cerclage, premature rupture of membranes, PTB, or late
miscarriage; previous short cervix or short cervix this pregnancy; or
uterine abnormality and/or current smoker of tobacco. Feasibility
outcomes included eligibility, recruitment and attrition rates, and
fidelity of the model. The primary outcome was a composite of
appropriate and timely interventions for the prevention and/or
management of preterm labour and birth. We analysed by intention to
treat. Between 9 May 2017 and 30 September 2018, 334 women were
recruited; 169 women were allocated to the POPPIE group and 165 to the
standard group. Mean maternal age was 31 years; 32\% of the women were
from Black, Asian, and ethnic minority groups; 70\% were in employment;
and 46\% had a university degree. Nearly 70\% of women lived in areas of
social deprivation. More than a quarter of women had at least one
pre-existing medical condition and multiple risk factors for PTB. More
than 75\% of antenatal and postnatal visits were provided by a
named/partner midwife, and a midwife from the POPPIE team was present at
80\% of births. The incidence of the primary composite outcome showed no
statistically significant difference between groups (POPPIE group 83.3\%
versus standard group 84.7\%; risk ratio 0.98 {[}95\% confidence
interval (CI) 0.90 to 1.08]; p = 0.742). Infants in the POPPIE group
were significantly more likely to have skin-to-skin contact after birth,
to have it for a longer time, and to breastfeed immediately after birth
and at hospital discharge. There were no differences in other secondary
outcomes. The number of serious adverse events was similar in both
groups and unrelated to the intervention (POPPIE group 6 versus standard
group 5). Limitations of this study included the limited power and the
nonmasking of group allocation; however, study assignment was masked to
the statistician and researchers who analysed the data.
Conclusions
In this study, we found that it is feasible to set up and achieve
fidelity of a model of midwifery continuity of care linked with
specialist obstetric care for women at increased risk of PTB in an
inner-city maternity service in London (UK), but there is no impact on
most outcomes for this population group.
Larger appropriately powered trials are needed, including in other
settings, to evaluate the impact of relational continuity and
hypothesised mechanisms of effect based on increased trust and
engagement, improved care coordination, and earlier referral on
disadvantaged communities, including women with complex social factors
and social vulnerability.},
Type = {Article},
Language = {English},
Affiliation = {Turienzo, CF (Corresponding Author), Kings Coll London, Fac Life Sci \& Med, Dept Women \& Childrens Hlth, London, England.
Fernandez Turienzo, Cristina; Silverio, Sergio A.; Singh, Claire; Seed, Paul T.; Tribe, Rachel M.; Shennan, Andrew H.; Sandall, Jane, Kings Coll London, Fac Life Sci \& Med, Dept Women \& Childrens Hlth, London, England.
Bick, Debra, Univ Warwick, Warwick Med Sch, Warwick Clin Trials Unit, Coventry, W Midlands, England.
Briley, Annette L., Flinders Univ S Australia, Caring Futures Inst, Adelaide, SA, Australia.
Bollard, Mary, Lewisham \& Greenwich NHS Trust, Matern Serv, London, England.
Coxon, Kirstie, Kingston Univ, Dept Midwifery, London, England.
Coxon, Kirstie, St Georges Univ London, London, England.
Cross, Pauline, London Borough Lewisham, Dept Publ Hlth, London, England.},
DOI = {10.1371/journal.pmed.1003350},
Article-Number = {e1003350},
ISSN = {1549-1277},
EISSN = {1549-1676},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {cristina.fernandez\_turienzo@kcl.ac.uk},
ResearcherID-Numbers = {Fernandez Turienzo, Cristina/IUM-1522-2023
Sandall, Jane/D-4146-2009
Coxon, KIRSTIE/HGQ-1180-2022
Silverio, Sergio A./Y-7118-2019
Seed, Paul T/C-4435-2008
Bick, Debra/P-9575-2018
},
ORCID-Numbers = {Fernandez Turienzo, Cristina/0000-0002-7393-6593
Sandall, Jane/0000-0003-2000-743X
Silverio, Sergio A./0000-0001-7177-3471
Seed, Paul T/0000-0001-7904-7933
Coxon, Kirstie/0000-0001-5480-597X
Singh, Claire/0000-0003-1681-8467
Tribe, Rachel/0000-0003-3675-9978
Briley, Annette/0000-0002-4266-920X
Bick, Debra/0000-0002-8557-7276
Shennan, Andrew/0000-0001-5273-3132},
Number-of-Cited-References = {30},
Times-Cited = {22},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {12},
Unique-ID = {WOS:000578286200003},
DA = {2023-09-28},
}
@article{ WOS:000769088500001,
Author = {Tumlinson, Katherine and Britton, Laura E. and Williams, Caitlin R. and
Wambua, Debborah Muthoki and Onyango, Dickens Otieno},
Title = {Absenteeism Among Family Planning Providers: A Mixed-Methods Study in
Western Kenya},
Journal = {HEALTH POLICY AND PLANNING},
Year = {2022},
Volume = {37},
Number = {5},
Pages = {575-586},
Month = {MAY 12},
Abstract = {Public-sector healthcare providers are on the frontline of family
planning service delivery in low- and middle-income countries like
Kenya, yet research suggests public-sector providers are frequently
absent. The current prevalence of absenteeism in Western Kenya, as well
as the impact on family planning clients, is unknown. The objective of
this paper is to quantify the prevalence of public-sector healthcare
provider absenteeism in this region of Kenya, to describe the potential
impact on family planning uptake and to source locally-grounded
solutions to provider absenteeism. We used multiple data collection
methods including unannounced visits to a random sample of 60
public-sector healthcare facilities in Western Kenya, focus group
discussions with current and former family planning users, key informant
interviews with senior staff from healthcare facilities and both
governmental and non-governmental organizations, and journey mapping
activities with current family planning providers and clients. We found
healthcare providers were absent in nearly 60\% of unannounced visits
and, among those present, 19\% were not working at the time of the
visit. In 20\% of unannounced visits, the facility had no providers
present. Provider absenteeism took many forms including providers
arriving late to work, taking an extended lunch break, not returning
from lunch, or being absent for the entire day. While 56\% of provider
absences resulted from sanctioned activities such as planned vacation,
sick leave, or off-site work responsibilities, nearly half of the
absences were unsanctioned, meaning providers were reportedly running
personal errands, intending to arrive later, or no one at the facility
could explain the absence. Key informants and focus group participants
reported high provider absence is a substantial barrier to contraceptive
use, but solutions for resolving this problem remain elusive.
Identification and rigorous evaluation of interventions designed to
redress provider absenteeism are needed.},
Type = {Article},
Language = {English},
Affiliation = {Tumlinson, K (Corresponding Author), Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Maternal \& Child Hlth, Chapel Hill, NC 27515 USA.
Tumlinson, K (Corresponding Author), Univ N Carolina, Carolina Populat Ctr, Chapel Hill, NC 27515 USA.
Tumlinson, Katherine; Williams, Caitlin R., Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Maternal \& Child Hlth, Chapel Hill, NC 27515 USA.
Tumlinson, Katherine, Univ N Carolina, Carolina Populat Ctr, Chapel Hill, NC 27515 USA.
Britton, Laura E., Columbia Univ, Sch Nursing, New York, NY USA.
Williams, Caitlin R., Inst Clin Effectiveness \& Hlth Policy, Dept Mother \& Child Hlth, Buenos Aires, DF, Argentina.
Wambua, Debborah Muthoki, Innovat Poverty Act Kenya IPA K, Nairobi, Kenya.
Onyango, Dickens Otieno, Kisumu Cty Dept Hlth, Kisumu, Kenya.
Onyango, Dickens Otieno, Inst Trop Med, Antwerp, Belgium.},
DOI = {10.1093/heapol/czac022},
EarlyAccessDate = {MAR 2022},
ISSN = {0268-1080},
EISSN = {1460-2237},
Keywords = {Absenteeism; low- and middle-income countries; universal health
coverage; Kenya; family planning; quality of care; maternal health},
Keywords-Plus = {HEALTH-WORKERS; OUTCOMES; IMPACT},
Web-of-Science-Categories = {Health Care Sciences \& Services; Health Policy \& Services},
Author-Email = {ktumlin@email.unc.edu},
ResearcherID-Numbers = {Tumlinson, Katherine/E-6975-2013
},
ORCID-Numbers = {Tumlinson, Katherine/0000-0001-8314-8219
Williams, Caitlin Rain/0000-0002-4925-869X},
Number-of-Cited-References = {28},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000769088500001},
DA = {2023-09-28},
}
@article{ WOS:000487036600018,
Author = {Opara, Stanley Chibuzo and Stanton, Pauline and Wahed, Waheduzzaman},
Title = {For love or money: human resource management in the performing arts},
Journal = {EMPLOYEE RELATIONS},
Year = {2019},
Volume = {41},
Number = {6},
Pages = {1451-1466},
Month = {OCT 7},
Abstract = {Purpose The purpose of this paper is to focus on the perceptions of key
stakeholders of the human resource management (HRM) practices and
challenges in performing arts organisations in Victoria, Australia.
Challenges include the precarious nature of employment in the industry;
poor wages and conditions leading to financial insecurity and the
domination of the industry by small- and medium-sized organisations. The
passion and commitment of the performing arts workforce are both a
strength and a weakness in that they ``buy in{''} to the expectations of
long hours and unpaid work. These challenges impact on managers and
administrators as well as performers and raise many challenges for the
HRM function and places constraints on even basic HRM practices. Despite
the claims of the stakeholders that the large companies have
sophisticated HRM practices the early evidence suggests otherwise.
Furthermore, many of these problems cannot be solved at the
organisational level and need an industry and government response.
Design/methodology/approach A qualitative research approach is used to
guide this study as it allows contextual evaluation of the data. Eight
key stakeholders interviewed for this study included one official
specialising in industrial relations from Live Performance Australia,
one official from the Media and Entertainment and Arts Alliance, two
government officials from the State government, one with responsibility
for working with Performing Arts companies in relation to funding and
resources, and the other with responsibility for government arts policy
development; two chief executive officers - one from a small arts
company and the other from a large arts company; one HR director from a
large arts company; and one manager from a small-to-medium-size company.
Face-to-face, semi-structured interviews were undertaken to provide an
information-rich inquiry. Findings The study suggests that there are
considerable barriers to the effective adoption and implementation of
HRM in the performing arts. In particular, the research identified four
major features that impact on HRM practices in the arts sector. These
are: first, the precarious nature of employment, due to the short-term
and project focussed work. Second, the reliance on often limited
government funding, supplemented by philanthropy, sponsorship and box
office takings, leading to short-term and long-term financial insecurity
and limited capacity for long-term planning. Third, limited resources
and high levels of casualisation which leads to low income, poor working
conditions, lack of training and few opportunities for career
development. Fourth, despite these difficult conditions, the sector
appears to attract a highly motivated and committed workforce including
not just performers but also managers and administrators and the sector
appears to rely on their passion, commitment and shared endeavour.
Originality/value This study contributes to the understanding of HRM
systems and practices in the performing arts.},
Type = {Article},
Language = {English},
Affiliation = {Opara, SC (Corresponding Author), RMIT Univ, Coll Business, Melbourne, Vic, Australia.
Opara, Stanley Chibuzo, RMIT Univ, Coll Business, Melbourne, Vic, Australia.
Stanton, Pauline, RMIT Univ, Melbourne, Vic, Australia.
Wahed, Waheduzzaman, Swinburne Univ Technol, Dept Management \& Mkt, Melbourne, Vic, Australia.},
DOI = {10.1108/ER-05-2018-0128},
ISSN = {0142-5455},
EISSN = {1758-7069},
Keywords = {HRM and creative industry and performing arts; Industrial relations and
creative industries and performing arts},
Keywords-Plus = {WORK; HRM; PROFESSIONALS; ORGANIZATION; MATTER},
Web-of-Science-Categories = {Industrial Relations \& Labor; Management},
Author-Email = {Stanley.Opara@rmit.edu.au
Pauline.stanton@rmit.edu.au
wwaheduzzaman@swin.edu.au},
ORCID-Numbers = {Opara, Stanley/0000-0001-8022-5098
Stanton, Pauline/0000-0002-2036-6726},
Number-of-Cited-References = {48},
Times-Cited = {4},
Usage-Count-Last-180-days = {5},
Usage-Count-Since-2013 = {33},
Unique-ID = {WOS:000487036600018},
DA = {2023-09-28},
}
@article{ WOS:000835888900004,
Author = {Gadallah, Mohsen and Amin, Wagdy and Rady, Mervat},
Title = {Household catastrophic total cost due to tuberculosis in Egypt:
incidence, cost drivers and policy implication},
Journal = {EASTERN MEDITERRANEAN HEALTH JOURNAL},
Year = {2022},
Volume = {28},
Number = {7},
Pages = {489-497},
Month = {JUL},
Abstract = {Background: Tuberculosis (TB) is a disease that disproportionately
affects the poor. The World Health Organization lists economic factors
as one of main barriers to tuberculosis management. Aims: This study
aimed to estimate the household total catastrophic cost of TB and its
determinants among newly diag-nosed Egyptian tuberculous patients.
Methods: This was a cohort prospective study covering 257 TB patients
registered in 2019. The patients were followed up bi-monthly until the
end of the treatment regimen (4 visits). A standardized questionnaire
published by the poverty sub-working group of the Stop TB Partnership
was used after minor modification. The following costs were measured:
pre-diagnosis, direct and indirect, guardian and coping, as well as
annual household income. Catastrophic cost (direct plus indirect) was
considered if the total cost of TB treatment exceeded 20\% of the
household's annual income. Sensitivity analyses were conducted using
different thresholds. Results: The incidence of household total
catastrophic cost was 24.1\%. The mean total cost of TB treatment was
US\$ 198. Over 50\% of the total direct cost was incurred during the
pre-diagnosis period. After adjustment for other determinant variables
using multivariable logistic regression, we found that age < 30 years,
living in a house with crowding index > 2, poverty and coping were more
likely to cause higher total catastrophic cost. Conclusions:
Catastrophic cost was experienced by 1 out of every 4 new TB patients.
As the main cost drivers were pover-ty and coping, the Ministry of
Health and Population should be collaborated with Ministry of Finance
and NGOs to put a plan of social protection system for poor families
with TB patients.},
Type = {Article},
Language = {English},
Affiliation = {Gadallah, M (Corresponding Author), Ain Shams Univ, Dept Community Med, Fac Med, Cairo, Egypt.
Gadallah, Mohsen; Rady, Mervat, Ain Shams Univ, Dept Community Med, Fac Med, Cairo, Egypt.
Amin, Wagdy, Minist Hlth \& Populat, Chest Dept, Cairo, Egypt.},
DOI = {10.26719/emhj.22.049},
ISSN = {1020-3397},
EISSN = {1687-1634},
Keywords = {catastrophic cost; tuberculosis; economic burden; cohort study; Egypt},
Keywords-Plus = {ECONOMIC BURDEN; DETERMINANTS; COUNTRIES; ILLNESS; CARE},
Web-of-Science-Categories = {Health Care Sciences \& Services; Health Policy \& Services; Public,
Environmental \& Occupational Health},
Author-Email = {mohsengadallah@gmail.com},
Number-of-Cited-References = {24},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000835888900004},
DA = {2023-09-28},
}
@article{ WOS:000292362000004,
Author = {Varekamp, Inge and Verbeek, Jos H. and de Boer, Angela and van Dijk,
Frank J. H.},
Title = {Effect of job maintenance training program for employees with chronic
disease - a randomized controlled trial on self-efficacy, job
satisfaction, and fatigue},
Journal = {SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT \& HEALTH},
Year = {2011},
Volume = {37},
Number = {4},
Pages = {288-297},
Month = {JUL},
Abstract = {Objective Employees with a chronic physical condition may be hampered in
job performance due to physical or cognitive limitations, pain, fatigue,
psychosocial barriers, or because medical treatment interferes with
work. This study investigates the effect of a group-training program
aimed at job maintenance. Essential elements of the program are
exploration of work-related problems, communication at the workplace,
and the development and implementation of solutions.
Methods Participants with chronic physical diseases were randomly
assigned to the intervention (N=64) or control group (N=58).
Participants were eligible for the study if they had a chronic physical
disease, paid employment, experienced work-related problems, and were
not on long-term 100\% sick leave. Primary outcome measures were
self-efficacy in solving work- and disease-related problems (14-70), job
dissatisfaction (0-100), fatigue (20-140) and job maintenance measured
at 4-, 8-, 12- and 24-month follow-up. We used GLM repeated measures for
the analysis.
Results After 24 months, loss to follow-up was 5.7\% (7/122).
Self-efficacy increased and fatigue decreased significantly more in the
experimental than the control group {[}10 versus 4 points (P=0.000) and
19 versus 8 points (P=0.032), respectively]. Job satisfaction increased
more in the experimental group but not significantly {[}6 versus 0
points (P=0.698)]. Job maintenance was 87\% in the experimental and 91\%
in the control group, which was not a significant difference. Many
participants in the control group also undertook actions to solve
work-related problems.
Conclusions Empowerment training increases self-efficacy and helps to
reduce fatigue complaints, which in the long term could lead to more job
maintenance. Better understanding of ways to deal with work-related
problems is needed to develop more efficient support for employees with
a chronic disease.},
Type = {Article},
Language = {English},
Affiliation = {Varekamp, I (Corresponding Author), Univ Amsterdam, Acad Med Ctr, Coronel Inst Occupat Hlth, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands.
Varekamp, Inge; Verbeek, Jos H.; de Boer, Angela; van Dijk, Frank J. H., Univ Amsterdam, Acad Med Ctr, Coronel Inst Occupat Hlth, NL-1105 AZ Amsterdam, Netherlands.
Verbeek, Jos H., Finnish Inst Occupat Hlth, Knowledge Transfer Team, Kuopio, Finland.},
DOI = {10.5271/sjweh.3149},
ISSN = {0355-3140},
EISSN = {1795-990X},
Keywords = {empowerment; occupational health; psychological distress; RCT; training;
work-related problem},
Keywords-Plus = {INFLAMMATORY-BOWEL-DISEASE; RHEUMATOID-ARTHRITIS; WORK DISABILITY;
VOCATIONAL-REHABILITATION; HEALTH; EMPLOYMENT; UNEMPLOYMENT;
EMPOWERMENT; RETENTION; WORKPLACE},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {i.varekamp@amc.uva.nl},
ResearcherID-Numbers = {Verbeek, Jos H.A.M./F-8382-2013
},
ORCID-Numbers = {Verbeek, Jos H.A.M./0000-0002-6537-6100
de Boer, Angela/0000-0003-1942-6848},
Number-of-Cited-References = {47},
Times-Cited = {36},
Usage-Count-Last-180-days = {5},
Usage-Count-Since-2013 = {24},
Unique-ID = {WOS:000292362000004},
DA = {2023-09-28},
}
@article{ WOS:000173508300006,
Author = {Meyer-Rosberg, K and Kvarnstrom, A and Kinnman, E and Gordh, T and
Nordfors, LO and Kristofferson, A},
Title = {Peripheral neuropathic pain - a multidimensional burden for patients},
Journal = {EUROPEAN JOURNAL OF PAIN},
Year = {2001},
Volume = {5},
Number = {4},
Pages = {379-389},
Abstract = {The present study was undertaken to assess the health-related quality of
life (HRQoL) and burden of illness due to pain and its treatment for
patients with peripheral neuropathic pain (PNP). It is the first step in
finding reliable instruments/targets to evaluate treatment outcome in
this patient population. Study population consisted of 126 patients
suffering from neuropathic, pain due to a peripheral nerve or root
lesion, recruited from two multidisciplinary pain clinics. HRQoL was
examined using Short Form 36 (SF-36) Health Survey and Nottingham Health
Profile (NHP). Pain intensity in four categories (at rest and evoked by
movement, touch and cold) was rated on a visual analogue scale (VAS).
Degree of discomfort from pain and 25 symptoms related to pain and
side-effects was also assessed. Reduction in workload due to pain was
recorded, as was the pain relief from previous and current treatments
and the reasons for discontinuing previous treatments.
All dimensions in SF-36 and NHP were significantly impaired. SF-36 was a
valid instrument for describing the impact of pain on the HRQoL of
patients with PNP. NHP had a lower reliability but has other advantages
that might be of importance. Many patients experienced poor pain relief
from ongoing pain treatments. Most previous treatments were discontinued
owing to lack of efficacy and/or severe side-effects. Many patients
experienced a high intensity of at least one type of pain; median VAS
for the highest pain intensity score of each patient (any type of pain)
was 74/100. Besides pain, patients were most bothered by difficulty in
sleeping, lack of energy, drowsiness, difficulty in concentrating and
dry mouth. Employment status was reduced owing to pain in 52\% of the
patients.
The intense pain, other troublesome symptoms, limited efficacy and
tolerability of available treatments, together with the impaired health
and reduced work status, amount to a substantial burden for patients
with PNP. (C) 2001 European Federation of Chapters of the International
Association for the Study of Pain.},
Type = {Article},
Language = {English},
Affiliation = {Astra Pain Control AB, SE-15185 Sodertalje, Sweden.
Univ Uppsala Hosp, Dept Anesthesiol \& Intens Care, Acad Hosp, SE-75105 Uppsala, Sweden.
Danderyd Hosp, Dept Anesthesiol \& Intens Care, SE-18288 Stockholm, Sweden.},
DOI = {10.1053/eujp.2001.0259},
ISSN = {1090-3801},
EISSN = {1532-2149},
Keywords = {peripheral neuropathic pain; peripheral nerve injury; nerve root lesion;
SF-36; Nottingham Health Profile; health related quality of life; rating
scale},
Keywords-Plus = {QUALITY-OF-LIFE; RANDOMIZED CONTROLLED TRIAL; HEALTH SURVEY SF-36;
GABAPENTIN; VALIDITY; DISEASE},
Web-of-Science-Categories = {Anesthesiology; Clinical Neurology; Neurosciences},
Author-Email = {karin.meyer-rosberg@quintiles.com},
ORCID-Numbers = {Gordh, Torsten/0000-0003-1454-3148},
Number-of-Cited-References = {25},
Times-Cited = {173},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {17},
Unique-ID = {WOS:000173508300006},
DA = {2023-09-28},
}
@article{ WOS:000289592700001,
Author = {Carr, S. M. and Lhussier, M. and Forster, N. and Geddes, L. and Deane,
K. and Pennington, M. and Visram, S. and White, M. and Michie, S. and
Donaldson, C. and Hildreth, A.},
Title = {An evidence synthesis of qualitative and quantitative research on
component intervention techniques, effectiveness, cost-effectiveness,
equity and acceptability of different versions of health-related
lifestyle advisor role in improving health},
Journal = {HEALTH TECHNOLOGY ASSESSMENT},
Year = {2011},
Volume = {15},
Number = {9},
Pages = {1+},
Month = {FEB},
Abstract = {Background: There is a need to identify and analyse the range of models
developed to date for delivering health-related lifestyle advice (HRLA),
or training, for effectiveness and cost-effectiveness in improving the
health and well-being of individuals and communities in the UK, with
particular reference to the reduction of inequalities.
Objectives: To identify the component intervention techniques of
lifestyle advisors (LAs) in the UK and similar contexts, and the
outcomes of HRLA interventions.
Data sources: Stakeholder views, secondary analysis of the National
Survey of Health Trainer Activity, telephone survey of health trainer
leads/coordinators. A search of a range of electronic databases was
undertaken {[}including the Applied Social Sciences Index and Abstracts
(ASSIA), EMBASE, NHS Economic Evaluation Database (NHS EED), MEDLINE,
Psyc INFO, etc.], as well searching relevant journals and reference
lists, conducted from inception to September 2008.
Review methods: Identified studies were scanned by two reviewers and
those meeting the following criteria were included: studies carrying out
an evaluation of HRLA; those taking place in developed countries similar
to the UK context; those looking at adult groups; interventions with the
explicit aim of health improvement; interventions that involved paid or
voluntary work with an individual or group of peers acting in an
advisory role; advice delivered by post, online or electronically;
training, support or counselling delivered to patients, communities or
members of the public. After quality assessment, studies were selected
for inclusion in the review. Data were abstracted from each study
according to an agreed procedure and narrative, and realist and economic
approaches were used to synthesise the data. Cost-effectiveness analysis
of interventions was undertaken.
Results: In total, 269 studies were identified but 243 were excluded.
The 26 included studies addressing chronic care, mental health,
breastfeeding, smoking, diet and physical activity, screening and human
immunodeficiency virus (HIV) infection prevention. Overall, there was
insufficient evidence to either support or refute the use of LAs to
promote health and improve quality of life (QoL), and thus uncertainty
about the interventions' cost-effectiveness. However, the economic
analysis showed that LA interventions were cost-effective in chronic
care and smoking cessation, inconclusive for breastfeeding and mental
health and not cost-effective for screening uptake and diet/physical
activity. LA interventions for HIV prevention were cost-effective, but
not in a UK context.
Limitations: The wide variety of LA models, delivery settings and target
populations prevented the reviewers from establishing firm causal
relationships between intervention mode and study outcomes.
Conclusions: Evidence was variable, giving only limited support to LAs
having a positive impact on health knowledge, behaviours and outcomes.
Levels of acceptability appeared to be high. LAs acted as translational
agents, sometimes removing barriers to prescribed behaviour or helping
to create facilitative social environments. Reporting of processes of
accessing or capitalising on indigenous knowledge was limited. Ambiguity
was apparent with respect to the role and impact of lay and peer
characteristics of the interventions. A future programme of research on
HRLA could benefit from further emphasis on identification of needs, the
broadening of population focus and intervention aims, the measurement of
outcomes and the reviewing of evidence.},
Type = {Article},
Language = {English},
Affiliation = {Carr, SM (Corresponding Author), Northumbria Univ, Newcastle Upon Tyne NE1 8ST, Tyne \& Wear, England.
Carr, S. M.; Lhussier, M.; Forster, N.; Geddes, L.; Visram, S.; Hildreth, A., Northumbria Univ, Newcastle Upon Tyne NE1 8ST, Tyne \& Wear, England.
Deane, K.; Pennington, M.; White, M.; Donaldson, C., Newcastle Univ, Newcastle Upon Tyne NE1 7RU, Tyne \& Wear, England.
Deane, K., Univ E Anglia, Norwich NR4 7TJ, Norfolk, England.
Michie, S., UCL, London, England.},
DOI = {10.3310/hta15090},
ISSN = {1366-5278},
EISSN = {2046-4924},
Keywords-Plus = {RANDOMIZED CONTROLLED-TRIAL; AFRICAN-AMERICAN WOMEN; DISEASE
SELF-MANAGEMENT; SMOKING TREATMENT SERVICES; PSYCHIATRIC SYMPTOM INDEX;
BREAST-FEEDING PRACTICES; HIV PREVENTION; PUBLIC-HEALTH; LOW-INCOME;
PHYSICAL-ACTIVITY},
Web-of-Science-Categories = {Health Care Sciences \& Services},
ResearcherID-Numbers = {White, Martin J. R./G-2410-2010
Deane, Katherine/E-4030-2010
Pennington, Mark/AAS-9946-2020
Michie, Susan/A-1745-2010
},
ORCID-Numbers = {Deane, Katherine/0000-0002-0805-2708
Pennington, Mark/0000-0002-1392-8700
Lhussier, Monique/0000-0001-9383-2356
Carr, Susan/0000-0003-4722-985X
Michie, Susan/0000-0003-0063-6378
Donaldson, Cam/0000-0003-4670-5340
Visram, Shelina/0000-0001-9576-2689
Forster, Natalie/0000-0001-8039-7017},
Number-of-Cited-References = {394},
Times-Cited = {44},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {51},
Unique-ID = {WOS:000289592700001},
DA = {2023-09-28},
}
@article{ WOS:000300462800001,
Author = {Harris, J. and Felix, L. and Miners, A. and Murray, E. and Michie, S.
and Ferguson, E. and Free, C. and Lock, K. and Landon, J. and Edwards,
P.},
Title = {Adaptive e-learning to improve dietary behaviour: a systematic review
and cost-effectiveness analysis},
Journal = {HEALTH TECHNOLOGY ASSESSMENT},
Year = {2011},
Volume = {15},
Number = {37},
Pages = {1+},
Month = {OCT},
Abstract = {Background: UK public health policy strongly advocates dietary change
for the improvement of population health and emphasises the importance
of individual empowerment to improve health. A new and evolving area in
the promotion of dietary behavioural change is `e-learning', the use of
interactive electronic media to facilitate teaching and learning on a
range of issues including health. The high level of accessibility,
combined with emerging advances in computer processing power, data
transmission and data storage, makes interactive e-learning a
potentially powerful and cost-effective medium for improving dietary
behaviour.
Objective: This review aims to assess the effectiveness and
cost-effectiveness of adaptive e-learning interventions for dietary
behaviour change, and also to explore potential psychological mechanisms
of action and components of effective interventions.
Data sources: Electronic bibliographic databases (Cumulative Index to
Nursing and Allied Health Literature, The Cochrane Library, Dissertation
Abstracts, EMBASE, Education Resources Information Center, Global
Health, Health Economic Evaluations Database, Health Management
Information Consortium, MEDLINE, PsycINFO and Web of Science) were
searched for the period January 1990 to November 2009. Reference lists
of included studies and previous reviews were also screened; authors
were contacted and trial registers were searched.
Review methods: Studies were included if they were randomised controlled
trials, involving participants aged >= 13 years, which evaluated the
effectiveness of interactive software programs for improving dietary
behaviour. Primary outcomes were measures of dietary behaviours,
including estimated intakes or changes in intake of energy, nutrients,
dietary fibre, foods or food groups. Secondary outcome measures were
clinical outcomes such as anthropometry or blood biochemistry.
Psychological mediators of dietary behaviour change were also
investigated. Two review authors independently screened results and
extracted data from included studies, with any discrepancies settled by
a third author. Where studies reported the same outcome, the results
were pooled using a random-effects model, with weighted mean differences
(WMDs), and 95\% confidence intervals (CIs) were calculated.
Cost-effectiveness was assessed in two ways: through a systematic
literature review and by building a de novo decision model to assess the
cost-effectiveness of a `generic' e-learning device compared with
dietary advice delivered by a health-care professional.
Results: A total of 36,379 titles were initially identified by the
electronic searches, of which 43 studies were eligible for inclusion in
the review. All e-learning interventions were delivered in high-income
countries. The most commonly used behavioural change techniques reported
to have been used were goal setting; feedback on performance;
information on consequences of behaviour in general; barrier
identification/problem solving; prompting self-monitoring of behaviour;
and instruction on how to perform the behaviour. There was substantial
heterogeneity in the estimates of effect. E-learning interventions were
associated with a WMD of +0.24 (95\% CI 0.04 to 0.44) servings of fruit
and vegetables per day; -0.78g (95\% CI -2.5g to 0.95g) total fat
consumed per day; -0.24g (95\% CI -1.44g to 0.96g) saturated fat intake
per day; -1.4\% (95\% CI -2.5\% to -0.3\%) of total energy consumed from
fat per day; +1.45g (95\% CI -0.02g to 2.92g) dietary fibre per day; +4
kcal (95\% CI -85 kcal to 93 kcal) daily energy intake; -0.1 kg/m(2)
(95\% CI -0.7 kg/m(2) to 0.4 kg/m(2)) change in body mass index. The
base-case results from the E-Learning Economic Evaluation Model
suggested that the incremental cost-effectiveness ratio was
approximately 102,112 per quality-adjusted life-year (QALY). Expected
value of perfect information (EVPI) analysis showed that although the
individual-level EVPI was arguably negligible, the population-level
value was between 37M pound and 170M pound at a willingness to pay of
20,000-30,000 pound per additional QALY.
Limitations: The limitations of this review include potential reporting
bias, incomplete retrieval of completed research studies and data
extraction errors.
Conclusion: The current clinical and economic evidence base suggests
that e-learning devices designed to promote dietary behaviour change
will not produce clinically significant changes in dietary behaviour and
are at least as expensive as other individual behaviour change
interventions.
Future work recommendations: Despite the relatively high EVPI results
from the cost-effectiveness modelling, further clinical trials of
individual e-learning interventions should not be undertaken until
theoretically informed work that addresses the question of which
characteristics of the target population, target behaviour, content and
delivery of the intervention are likely to lead to positive results, is
completed.},
Type = {Article},
Language = {English},
Affiliation = {Edwards, P (Corresponding Author), London Sch Hyg \& Trop Med, Fac Epidemiol \& Populat Hlth, London WC1, England.
Harris, J.; Felix, L.; Ferguson, E.; Free, C.; Edwards, P., London Sch Hyg \& Trop Med, Fac Epidemiol \& Populat Hlth, London WC1, England.
Miners, A.; Lock, K., London Sch Hyg \& Trop Med, Fac Publ Hlth \& Policy, London WC1, England.
Murray, E., UCL, Res Dept Primary Care \& Populat Hlth, London, England.
Michie, S., UCL, Res Dept Clin Educ \& Hlth Psychol, London, England.
Landon, J., Natl Heart Forum, London, England.},
DOI = {10.3310/hta15370},
ISSN = {1366-5278},
EISSN = {2046-4924},
Keywords-Plus = {TAILORED NUTRITION INTERVENTION; FAT INTAKE INTERVENTION; REDUCING
RISK-FACTORS; PHYSICAL-ACTIVITY; RANDOMIZED-TRIAL; WEIGHT-LOSS;
VEGETABLE CONSUMPTION; CARDIOVASCULAR RISK; SMOKING-CESSATION;
SELF-EFFICACY},
Web-of-Science-Categories = {Health Care Sciences \& Services},
ResearcherID-Numbers = {Michie, Susan/A-1745-2010
},
ORCID-Numbers = {Michie, Susan/0000-0003-0063-6378
Edwards, Phil/0000-0003-4431-8822
Murray, Elizabeth/0000-0002-8932-3695
Harris, Jody/0000-0002-3369-1253
Felix, Lambert/0000-0001-6517-9089
Free, Caroline/0000-0003-1711-0006},
Number-of-Cited-References = {122},
Times-Cited = {56},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {77},
Unique-ID = {WOS:000300462800001},
DA = {2023-09-28},
}
@article{ WOS:000458981500016,
Author = {Nurymova, S. and Yessentay, A. and Khalitova, M. and Jumabayev, Y. and
Zainal, Mohd-Pisal},
Title = {KAZAKHSTANI FINANCIAL SECTOR PERFORMANCE FEATURES UNDER CURRENT
CONDITIONS},
Journal = {BULLETIN OF THE NATIONAL ACADEMY OF SCIENCES OF THE REPUBLIC OF
KAZAKHSTAN},
Year = {2019},
Number = {1},
Pages = {130-144},
Month = {JAN-FEB},
Abstract = {The financial sector is one of the most, if not the most significant
economic sector in modern societies. In advanced countries, it employs
more people than major manufacturing industries combined and accounts
for a high percentage of the Gross Domestic Product. But the financial
services sector also plays a large indirect role in national economies.
The financial sector mobilizes savings and allocates credit across space
and time, and enables firms and households to cope with uncertainties by
hedging, pooling, sharing and pricing risks. This ultimately improves
the quantity and quality of real investments and increases income per
capita and raises standards of living. Today financial institutions are
experiencing unprecedented change in a competitive global environment.
The existing model of the financial system of Kazakhstan requires
modernization in order to increase the possibilities to finance
strategically important areas in the economy and society. In turn, the
state should change its policy of active financing to the policy of
active stimulation.
The purpose of writing this article and making research was to justify a
model of an investment and financial system with a financial center,
capable for the formation of a knowledge-based economy and the creation
of an infrastructure of intellectual modernization of society. We
highlighted the existing conceptual approaches to the financial support
of a knowledge-based economy and social and intellectual modernization
of society in the article. The analysis of the banking and insurance
sectors of the economy, the insurance market and the stock market was
carried out, and the positive aspects and advantages of creating a
financial center - AIFC were highlighted. In addition, the work revealed
the peculiarities of the participation of the financial system of
Kazakhstan in the development of knowledge-intensive sectors of the
economy and the intellectual renewal of society, and also highlighted
the factors and conditions for restarting the financial system of
Kazakhstan and determining the model of investment and financial system.
The world experience in the use of tools and methods for financing
high-tech industries has been studied, which made it possible to
determine the general principles for financing a knowledge-intensive
economy.},
Type = {Article},
Language = {English},
Affiliation = {Nurymova, S (Corresponding Author), Minist Educ \& Sci Republ Kazakhstan, Inst Econ, Comm Sci, Astana, Kazakhstan.
Nurymova, S.; Yessentay, A.; Khalitova, M.; Jumabayev, Y., Minist Educ \& Sci Republ Kazakhstan, Inst Econ, Comm Sci, Astana, Kazakhstan.
Zainal, Mohd-Pisal, Univ Reading, Gelang Patah, Malaysia.},
DOI = {10.32014/2019.2518-1467.16},
ISSN = {1991-3494},
EISSN = {2518-1467},
Keywords = {Kazakhstan; Knowledge-based economy; Economy; Intellectual and Spiritual
modernization; Knowledge-intensive industry; Financing},
Web-of-Science-Categories = {Multidisciplinary Sciences},
Author-Email = {nurymova\_saule@mail.r
aigera588@mail.ru
madinakhalidi@mail.ru
y.dzhumabaev@gmail.com
m.zainal@reading.ac.uk},
ResearcherID-Numbers = {Khalitova, Madina/AAG-7026-2021
Nurymova, Saule/AAP-4905-2020
Zainal, Mohd Pisal/AHE-7987-2022},
ORCID-Numbers = {Khalitova, Madina/0000-0001-9564-5503
Nurymova, Saule/0000-0003-0085-0884
},
Number-of-Cited-References = {4},
Times-Cited = {2},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {5},
Unique-ID = {WOS:000458981500016},
DA = {2023-09-28},
}
@article{ WOS:000779196200001,
Author = {Palmer, Russell H. and Moulton, Morgan K. and Stone, Rebecca H. and
Lavender, Devin L. and Fulford, Michael and Phillips, Beth Bryles},
Title = {The impact of synchronous hybrid instruction on students engagement in a
pharmacotherapy course},
Journal = {PHARMACY PRACTICE-GRANADA},
Year = {2022},
Volume = {20},
Number = {1},
Month = {JAN-MAR},
Abstract = {Background: Background: Synchronous hybrid instruction offers flexible
learning opportunities by allowing a portion of students to attend class
sessions on campus while simultaneously allowing the remaining students
to attend remotely. Although such flexibility may offer a number of
advantages for pharmacy students, one area of concern is whether online
participation options within synchronous hybrid courses can promote
similar levels of engagement as courses that are designed entirely for
face-to-face (FTF) participation. Objectives: The objective of this
study was to evaluate the impact of synchronous hybrid instruction on
pharmacy students' engagement in a pharmacotherapy course. An evaluation
was completed to determine if students were more likely to actively
engage in class when they were participating remotely via
teleconferencing technology or when FTF. Additionally, students'
perspectives were evaluated to determine their views of the benefits and
challenges of the hybrid model for engagement in learning. Methods: The
course utilizes team-based learning to apply critical thinking skills
and develop a comprehensive care plan. A mixed methods approach was used
to examine students' engagement in the hybrid learning environment by
quantitatively analyzing students' responses to likert-scale survey
items and qualitatively analyzing their responses to open-ended survey
questions. Results: Students reported they were more likely to actively
listen (p=0.004), avoid distractions (p=0.008), and react emotionally to
a topic or instruction (p=0.045) when FTF. There were no significant
differences found in student reported note taking, asking questions,
responding to questions, or engaging in group work between the two modes
of participation. Content analysis identified other benefits that
supported student engagement, including perceived flexibility and
enhanced ability to interact during class via the teleconferencing
technology. For some students, challenges that negatively impacted
engagement included difficulties with internet connectivity and a sense
of dislocation or isolation in the course. Conclusion: This study
demonstrated that when participating in a synchronous hybrid course,
students participating remotely were less likely (compared to in-person
attendance) to pay close attention and react emotionally, but were just
as likely to take notes and communicate with teachers and groups. Key
benefits of the hybrid approach were increased flexibility and the
usefulness of online communication tools, while key challenges focused
on technical and psychological isolation from others. The principles of
flexible learning environments and self-regulated learning provide
opportunities for pharmacy educators who are interested in improving
hybrid instruction in the future.},
Type = {Article},
Language = {English},
Affiliation = {Palmer, RH (Corresponding Author), Univ Georgia, Coll Pharm, Athens, GA 30602 USA.
Palmer, Russell H.; Stone, Rebecca H.; Lavender, Devin L., Univ Georgia, Coll Pharm, Athens, GA 30602 USA.
Moulton, Morgan K., Dept Vet Affairs, Tuscaloosa, AL USA.
Fulford, Michael, Univ Georgia, Inst Effectiveness \& Strateg Initiat, Athens, GA 30602 USA.
Phillips, Beth Bryles, Univ Georgia, Coll Pharm, Residency Programs, Athens, GA 30602 USA.},
DOI = {10.18549/PharmPract.2022.1.2611},
Article-Number = {2611},
ISSN = {1885-642X},
EISSN = {1886-3655},
Keywords = {Distance learning; Online learning; Self-Directed learning; Pharmacy
education; Pharmacy students},
Keywords-Plus = {ONLINE; ENVIRONMENTS; AFFORDANCES; TECHNOLOGY},
Web-of-Science-Categories = {Pharmacology \& Pharmacy},
Author-Email = {rpalmer@uga.edu
morganmoulton@gmail.com
rhstone@uga.edu
devin.lavender@uga.edu
mfulford@uga.edu
bbp@uga.edu},
ResearcherID-Numbers = {Lavender, Devin/HNQ-7038-2023
},
ORCID-Numbers = {Lavender, Devin/0000-0002-6770-1974
Fulford, Michael/0000-0002-9706-2819},
Number-of-Cited-References = {30},
Times-Cited = {2},
Usage-Count-Last-180-days = {4},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000779196200001},
DA = {2023-09-28},
}
@article{ WOS:000971580700001,
Author = {GebreEyesus, Fisha Alebel and Geleta, Omega Tolessa and Shiferaw, Bisrat
Zeleke and Tarekegn, Tadesse Tsehay and Amlak, Baye Tsegaye and Emeria,
Mamo Solomon and Terefe, Tamene Fetene and Temere, Bogale Chekole and
Mewahegn, Agerie Aynalem and Jimma, Melkamu Senbeta and Chanie, Ermias
Sisay and Misganaw, Natnael Moges and Degu, Fatuma Seid and Eshetu,
Menen Amare},
Title = {Health care providers? preparedness and health care protection against
the third wave of COVID-19 pandemics in a resource-limited setting in
Southwest Ethiopia: a multi-center cross-sectional study},
Journal = {PAN AFRICAN MEDICAL JOURNAL},
Year = {2023},
Volume = {44},
Month = {JAN 26},
Abstract = {Introduction: the provision of quality health care during the COVID-19
pandemic depends largely on the health of health care providers. Health
care providers' as frontline caregivers dealing with infected patients
play a significant role in limiting the outbreak of the disease by
implementing safety and prevention practices. However, low and middle
-income countries experience barriers to preparedness due to limited
resources. Methods: an institutional-based cross-sectional study was
conducted among 326 health care providers' from August 10-25, 2021 in
Gurage zonal public hospitals. A simple random sampling technique was
used to select the study participants. A pretested self-administered
structured questionnaire was used as a data collection tool. The data
were entered into the Epi-data 3.1 and exported to Statistical package
for the social sciences (SPSS) version 25.0 for analysis. Both
descriptive statistics and inferential statistics were presented.
Results: this study showed that 53.1\%, of health care providers', had
adequate preparation against COVID-19 pandemics. The finding showed that
monthly income, occupation, and working experience were found to be
significantly associated with health care providers' preparedness.
Nearly one-quarter (24.8\%), 28.3\%, 34.5\%, and 39.8\% of health care
providers had access to facemasks, alcohol sanitizer, glove, and
isolation gowns respectively. Conclusion: the levels of health care
providers' preparedness and health care protection against the third
wave COVID-19 pandemic were found to be low. Based on our findings, the
government and other stakeholders should design interventions to
increase health care providers' preparedness to respond to the ongoing
pandemic and purchase an adequate supply of personal protective
equipment to protect the health care providers.},
Type = {Article},
Language = {English},
Affiliation = {GebreEyesus, FA (Corresponding Author), Wolkite Univ, Coll Med \& Hlth Sci, Dept Nursing, Wolkite, Ethiopia.
GebreEyesus, Fisha Alebel; Geleta, Omega Tolessa; Shiferaw, Bisrat Zeleke; Tarekegn, Tadesse Tsehay; Amlak, Baye Tsegaye; Emeria, Mamo Solomon; Terefe, Tamene Fetene; Temere, Bogale Chekole; Mewahegn, Agerie Aynalem, Wolkite Univ, Coll Med \& Hlth Sci, Dept Nursing, Wolkite, Ethiopia.
Jimma, Melkamu Senbeta, Assosa Univ, Coll Hlth Sci, Dept Nursing, Assosa, Ethiopia.
Chanie, Ermias Sisay; Misganaw, Natnael Moges, Debre Tabor Univ, Coll Hlth Sci, Dept Pediat \& Neonatal Nursing, Debre Tabor, Ethiopia.
Degu, Fatuma Seid, Wollo Univ, Coll Med \& Hlth Sci, Dept Nursing, Wollo, Ethiopia.
Eshetu, Menen Amare, Mizan Tepi Univ, Coll Med \& Hlth Sci, Dept Nursing, Mizan Tepi, Ethiopia.},
DOI = {10.11604/pamj.2023.44.53.31428},
Article-Number = {53},
EISSN = {1937-8688},
Keywords = {Healthcare providers; health care workers; preparedness; COVID-19;
Gurage},
Keywords-Plus = {AWARENESS; KNOWLEDGE},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {fishalebel@gmail.com},
ResearcherID-Numbers = {GebreEyesus, Fisha Alebel/AAH-7185-2021},
ORCID-Numbers = {GebreEyesus, Fisha Alebel/0000-0001-7358-0577},
Number-of-Cited-References = {59},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000971580700001},
DA = {2023-09-28},
}
@article{ WOS:000991974800067,
Author = {Mohammed, Shamsudeen},
Title = {Analysis of national and subnational prevalence of adolescent pregnancy
and changes in the associated sexual behaviours and sociodemographic
determinants across three decades in Ghana, 1988-2019},
Journal = {BMJ OPEN},
Year = {2023},
Volume = {13},
Number = {3},
Month = {FEB},
Abstract = {Objective Understanding the determinants of adolescent pregnancy and how
they have changed over time is essential for measuring progress and
developing strategies to improve adolescent reproductive health. This
study examined changes over time in the prevalence and determinants of
adolescent pregnancy in Ghana.
Methods A total of 11 nationally representative surveys from the Ghana
Demographic and Health Survey (1988, 1993, 1998, 2003, 2008, 2014),
Multiple Indicator Cluster Survey (2006, 2011, 2017-2018) and Malaria
Indicator Survey (2016 and 2019) provided data on 14556 adolescent girls
aged 15-19 for this analysis. A random-effect meta-analysis, time trends
and multivariable logistic regression models were used to track the
prevalence and determinants of adolescent pregnancy.
Results The pooled prevalence of adolescent pregnancy in Ghana was
15.4\% (95\% CI=13.49\% to 17.30\%). Rural areas (19.5\%) had a higher
prevalence of adolescent pregnancy than urban areas (10.6\%). In the
overall sample, middle adolescents (15-17 years) (aOR=0.30, 95\% CI=0.23
to 0.39), adolescents in urban areas (aOR=0.56, 95\% CI=0.43 to 0.74),
large households (aOR=0.62, 95\% CI=0.49 to 0.78), not working
(aOR=0.62, 95\% CI=0.43 to 0.90) and those unaware of contraceptive
methods (aOR=0.49, 95\% CI=0.27 to 0.90) were less likely to become
pregnant. Adolescents from middle-income (aOR=0.91, 95\% CI=0.67 to
1.24) or high-income (aOR=0.59, 95\%CI=0.36 to 0.94) households, those
who were semiliterate (aOR=0.56, 95\%CI=0.39 to 0.82) or literate
(aOR=0.28, 95\%CI=0.21 to 0.37) and those with fewer previous sex
partners were less likely to become pregnant. Not all determinants in
the overall sample were consistently associated with adolescent
pregnancy in the last three decades. Between 1988 and 1998, determinants
of adolescent pregnancy were age, literacy, employment, household size
and whether the mother was alive. Between 2003 and 2008, age, literacy,
household size, income, age of last sexual partner, number of previous
partners and contraception knowledge determined adolescent pregnancy.
From 2011 to 2019, age, residence, literacy and menstrual cycle
knowledge were determinants of adolescent pregnancy.
Conclusion Interventions and policies to prevent adolescent pregnancy
should prioritise adolescents from disadvantaged backgrounds.},
Type = {Article},
Language = {English},
Affiliation = {Mohammed, S (Corresponding Author), London Sch Hyg \& Trop Med, Dept Noncommunicable Dis Epidemiol, London, England.
Mohammed, Shamsudeen, London Sch Hyg \& Trop Med, Dept Noncommunicable Dis Epidemiol, London, England.},
DOI = {10.1136/bmjopen-2022-068117},
Article-Number = {e068117},
ISSN = {2044-6055},
Keywords = {Epidemiology; Public health; REPRODUCTIVE MEDICINE},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {Shamsudeen.Mohammed1@lshtm.ac.uk},
Number-of-Cited-References = {30},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000991974800067},
DA = {2023-09-28},
}
@article{ WOS:000787760200003,
Author = {Slezak, Emilia and Unger, Holger and Gadama, Luis and McCauley, Mary},
Title = {Screening for infectious maternal morbidity-knowledge, attitudes and
perceptions among healthcare providers and managers in Malawi: a
qualitative study},
Journal = {BMC PREGNANCY AND CHILDBIRTH},
Year = {2022},
Volume = {22},
Number = {1},
Month = {APR 26},
Abstract = {Background Maternal morbidity and mortality related to infection is an
international public health concern, but detection and assessment is
often difficult as part of routine maternity care in many low- and
middle-income countries due to lack of easily accessible diagnostics.
Front-line healthcare providers are key for the early identification and
management of the unwell woman who may have infection. We sought to
investigate the knowledge, attitudes, and perceptions of the use of
screening tools to detect infectious maternal morbidity during and after
pregnancy as part of routine antenatal and postnatal care. Enabling
factors, barriers, and potential management options for the use of early
warning scores were explored. Methods Key informant interviews (n = 10)
and two focus group discussions (n = 14) were conducted with healthcare
providers and managers (total = 24) working in one large tertiary public
hospital in Blantyre, Malawi. Transcribed interviews were coded by topic
and then grouped into categories. Thematic framework analysis was
undertaken to identify emerging themes. Results Most healthcare
providers are aware of the importance of the early detection of
infection and would seek to better identify women with infection if
resources were available to do so. In current practice, an early warning
score was used in the high dependency unit only. Routine screening was
not in place in the antenatal or postnatal departments. Barriers to
implementing routine screening included lack of trained staff and time,
lack of thermometers, and difficulties with the interpretation of the
early warning scores. A locally adapted early warning screening tool was
considered an enabler to implementing routine screening for infectious
morbidity. Local ownership and clinical leadership were considered
essential for successful and sustainable implementation for clinical
change. Conclusions Although healthcare providers considered infection
during and after pregnancy and childbirth a danger sign and significant
morbidity, standardised screening for infectious maternal morbidity was
not part of routine antenatal or postnatal care. The establishment of
such a service requires the availability of free and easy to access
rapid diagnostic testing, training in interpretation of results, as well
as affordable targeted treatment. The implementation of early warning
scores and processes developed in high-income countries need careful
consideration and validation when applied to women accessing care in low
resource settings.},
Type = {Article},
Language = {English},
Affiliation = {McCauley, M (Corresponding Author), Liverpool Womens Hosp, Liverpool Womens NHS Fdn Trust, Crown St, Liverpool L8 7SS, Merseyside, England.
Slezak, Emilia; Unger, Holger; McCauley, Mary, Univ Liverpool Liverpool Sch Trop Med, Ctr Maternal \& Newborn Hlth, Liverpool, Merseyside, England.
Unger, Holger, Royal Darwin Hosp, Dept Obstet \& Gynaecol, Darwin, NT, Australia.
Unger, Holger, Charles Darwin Univ, Menzies Sch Hlth Res, Darwin, NT, Australia.
Gadama, Luis, Queen Elizabeth Hosp, Blantyre, Malawi.
McCauley, Mary, Liverpool Womens Hosp, Liverpool Womens NHS Fdn Trust, Crown St, Liverpool L8 7SS, Merseyside, England.},
DOI = {10.1186/s12884-022-04583-5},
Article-Number = {362},
EISSN = {1471-2393},
Keywords = {Maternal morbidity; Infections; Early warning scores; Healthcare
providers; Antenatal care; Postnatal care; SARS-CoV-2},
Keywords-Plus = {INFLAMMATORY RESPONSE SYNDROME; WARNING SYSTEM; IMPLEMENTATION;
BARRIERS; MORTALITY; CRITERIA; OUTCOMES; IMPROVE; SEPSIS; EWS},
Web-of-Science-Categories = {Obstetrics \& Gynecology},
Author-Email = {mary.mccauley1@lwh.nhs.uk},
Number-of-Cited-References = {50},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000787760200003},
DA = {2023-09-28},
}
@article{ WOS:000644071000002,
Author = {Flanagan, Sara V. and Razafinamanana, Tina and Warren, Charlotte and
Smith, Jana},
Title = {Barriers inhibiting effective detection and management of postpartum
hemorrhage during facility-based births in Madagascar: findings from a
qualitative study using a behavioral science lens},
Journal = {BMC PREGNANCY AND CHILDBIRTH},
Year = {2021},
Volume = {21},
Number = {1},
Month = {APR 22},
Abstract = {Background Postpartum hemorrhage (PPH) is the leading cause of maternal
mortality in low-income countries, and is the most common direct cause
of maternal deaths in Madagascar. Studies in Madagascar and other
low-income countries observe low provider adherence to recommended
practices for PPH prevention and treatment. Our study addresses gaps in
the literature by applying a behavioral science lens to identify
barriers inhibiting facility-based providers' consistent following of
PPH best practices in Madagascar. Methods In June 2019, we undertook a
cross-sectional qualitative research study in peri-urban and rural areas
of the Vatovavy-Fitovinany region of Madagascar. We conducted 47
in-depth interviews in 19 facilities and five communities, with
facility-based healthcare providers, postpartum women, medical
supervisors, community health volunteers, and traditional birth
attendants, and conducted thematic analysis of the transcripts. Results
We identified seven key behavioral insights representing a range of
factors that may contribute to delays in appropriate PPH management in
these settings. Findings suggest providers' perceived low risk of PPH
may influence their compliance with best practices, subconsciously or
explicitly, and lead them to undervalue the importance of PPH prevention
and monitoring measures. Providers lack clear feedback on specific
components of their performance, which ultimately inhibits continuous
improvement of compliance with best practices. Providers demonstrate
great resourcefulness while operating in a challenging context with
limited equipment, supplies, and support; however, overcoming these
challenges remains their foremost concern. This response to chronic
scarcity is cognitively taxing and may ultimately affect clinical
decision-making. Conclusions Our study reveals how perception of low
risk of PPH, limited feedback on compliance with best practices and
consequences of current practices, and a context of scarcity may
negatively affect provider decision-making and clinical practices.
Behaviorally informed interventions, designed for specific contexts that
care providers operate in, can help improve quality of care and health
outcomes for women in labor and childbirth.},
Type = {Article},
Language = {English},
Affiliation = {Flanagan, SV (Corresponding Author), Ideas42, 80 Broad St Fl 30, New York, NY 10004 USA.
Flanagan, Sara V.; Razafinamanana, Tina; Smith, Jana, Ideas42, 80 Broad St Fl 30, New York, NY 10004 USA.
Warren, Charlotte, Populat Council, 4301 Connecticut Ave NW, Washington, DC 20008 USA.},
DOI = {10.1186/s12884-021-03801-w},
Article-Number = {320},
EISSN = {1471-2393},
Keywords = {Maternal mortality; Postpartum hemorrhage; Healthcare provider;
Madagascar; Facility-based birth; Behavioral barriers},
Keywords-Plus = {3RD STAGE; ACTIVE MANAGEMENT; RISK PERCEPTION; CONDOM USE; LABOR;
IMPLEMENTATION; FEEDBACK},
Web-of-Science-Categories = {Obstetrics \& Gynecology},
Author-Email = {sara@ideas42.org},
Number-of-Cited-References = {33},
Times-Cited = {4},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000644071000002},
DA = {2023-09-28},
}
@article{ WOS:000355304300001,
Author = {van Stiphout, F. and Zwart-van Rijkom, J. E. F. and Aarts, J. E. C. M.
and Koffijberg, H. and Klarenbeek-deJonge, E. and Krulder, M. and Roes,
K. C. B. and Egberts, A. C. G. and ter Braak, E. W. M. T.},
Title = {MEDUCATE trial: effectiveness of an intensive EDUCATional intervention
for IT-mediated MEDication management in the outpatient clinic - study
protocol for a cluster randomized controlled trial},
Journal = {TRIALS},
Year = {2015},
Volume = {16},
Month = {MAY 22},
Abstract = {Background: Using information technology for medication management is an
opportunity to help physicians to improve the quality of their
documentation and communication and ultimately to improve patient care
and patient safety. Physician education is necessary to take full
advantage of information technology systems. In this trial, we seek to
determine the effectiveness of an intensive educational intervention
compared with the standard approach in improving information
technology-mediated medication management and in reducing potential
adverse drug events in the outpatient clinic.
Methods/Design: We are conducting a multicenter, cluster randomized
controlled trial. The participants are specialists and residents working
in the outpatient clinic of internal medicine, cardiology, pulmonology,
geriatrics, gastroenterology and rheumatology. The intensive educational
intervention is composed of a small-group session and e-learning. The
primary outcome is discrepancies between registered medication (by
physicians) and actually used medication (by patients). The key
secondary outcomes are potential adverse events caused by missed
drug-drug interactions. The primary and key secondary endpoints are
being assessed shortly after the educational intervention is completed.
Sample size will be calculated to ensure sufficient power. A sample size
of 40 physicians per group and 20 patients per physician will ensure a
power of >90 \%, which means we will need a total of 80 physicians and
1,600 patients.
Discussion: We performed an exploratory trial wherein we tested the
recruitment process, e-learning, time schedule, and methods for data
collection, data management and data analysis. Accordingly, we refined
the processes and content: the recruitment strategy was intensified,
extra measures were taken to facilitate smooth conductance of the
e-learning and parts were made optional. First versions of the
procedures for data collection were determined. Data entry and analysis
was further standardized by using the G-standard database in the
telephone questionnaire.},
Type = {Article},
Language = {English},
Affiliation = {van Stiphout, F (Corresponding Author), Univ Med Ctr Utrecht, Dept Internal Med, Hijmans van den Berghgebouw Kamer 4-21, NL-3508 GA Utrecht, Netherlands.
van Stiphout, F.; ter Braak, E. W. M. T., Univ Med Ctr Utrecht, Dept Internal Med, NL-3508 GA Utrecht, Netherlands.
van Stiphout, F.; ter Braak, E. W. M. T., Univ Med Ctr Utrecht, Ctr Res \& Dev Educ, NL-3508 GA Utrecht, Netherlands.
Zwart-van Rijkom, J. E. F.; Egberts, A. C. G., Univ Med Ctr Utrecht, Dept Clin Pharm, NL-3584 CX Utrecht, Netherlands.
Zwart-van Rijkom, J. E. F.; Egberts, A. C. G., Univ Utrecht, Fac Sci, Utrecht Inst Pharmaceut Sci, Div Pharmacoepidemiol \& Clin Pharmacol, NL-3508 TB Utrecht, Netherlands.
Aarts, J. E. C. M., Erasmus Univ, Inst Hlth Policy \& Management, Rotterdam, Netherlands.
Aarts, J. E. C. M., SUNY Buffalo, Sch Med \& Biomed Sci, Dept Biomed Informat, Buffalo, NY 14203 USA.
Koffijberg, H., Univ Med Ctr Utrecht, Julius Ctr, Dept Hlth Technol Assessment, NL-3508 GA Utrecht, Netherlands.
Klarenbeek-deJonge, E.; Krulder, M., Univ Utrecht, Fac Med, NL-3584 CG Utrecht, Netherlands.
Roes, K. C. B., Univ Med Ctr Utrecht, Dept Qual \& Patient Safety, NL-3508 GA Utrecht, Netherlands.},
DOI = {10.1186/s13063-015-0744-8},
Article-Number = {223},
EISSN = {1745-6215},
Keywords = {Continuing medical education; CPOE; Information technology; Meaningful
use; Medication management; Physicians},
Keywords-Plus = {ADVERSE DRUG EVENTS},
Web-of-Science-Categories = {Medicine, Research \& Experimental},
Author-Email = {f.vanstiphout@umcutrecht.nl},
ResearcherID-Numbers = {Egberts, Toine/A-6625-2012
Aarts, Jos/B-4456-2008
Roes, Kit/AAC-4093-2019
Egberts, Toine/K-4579-2019
},
ORCID-Numbers = {Egberts, Toine/0000-0003-1758-7779
Aarts, Jos/0000-0002-9787-688X
Roes, Kit/0000-0002-6775-1963
Egberts, Toine/0000-0003-1758-7779
Koffijberg, Hendrik/0000-0002-1753-0652},
Number-of-Cited-References = {19},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000355304300001},
DA = {2023-09-28},
}
@article{ WOS:000471604500005,
Author = {Kikuchi, Toshio and Tabayashi, Akira},
Title = {Strategies for Sustaining and Developing Paddy Farming in the Saga
Plain, Southwestern Japan},
Journal = {JOURNAL OF GEOGRAPHY-CHIGAKU ZASSHI},
Year = {2019},
Volume = {128},
Number = {2, SI},
Pages = {209-233},
Abstract = {Traditional agricultural practice in the Saga plain was formerly a
combination of paddy rice, which was the main crop, and wheat/barley,
which was the secondary crop. However, when production adjustments to
paddy rice started in the 1970s, the original agricultural practice was
changed to a combination of paddy rice and a rotating crop of soybeans
along with a secondary crop of wheat/barley. Further, since the 1970s,
issues such as competition between agricultural land use and urban land
use, income disparity between agricultural and non-agricultural
employment, and a shortage of farming successors became serious, which
in turn caused great difficulty in sustaining agriculture and farmland.
Under such circumstances, farmers in the Saga plain started to develop
rural community-based farming as a strategy to sustain agriculture and
farmland, as well as to manage the harvesting and drying process of
rice, wheat/barley, and soybean collaboratively. Consequently, the block
rotation system of cultivating paddy rice and soybeans together with
shared use of rice planting and harvesting machines progressed and
agriculture and farmland that combined rice, wheat/barley, and soybeans
in the region tended to survive. On the other hand, due to a lack of
leadership, community cohesion, and full-time farmers, some rural
community-based farms began to be converted into agricultural
corporations as another strategy. This strategy was encouraged by a new
national agricultural policy. There were also farmers who did not
participate in rural community-based farming, and many of them were
full-time farmers who functioned as certified farmers. Such full-time
farmers have expanded the scale of managing arable land by purchasing
and leasing farmland (paddy field) from part-time farmers, both inside
and outside the region, with the intention of securing successors to
carry on agriculture. Thus, large-scale rice farmers gradually
amalgamated the paddy fields of part-time farmers and expanded the scale
of agricultural management. There were two types of large-scale
farmer-farmers maintaining relationships with rural community-based
farming and agricultural cooperatives such as JA, and independent
farmers who had a tendency to become agricultural corporations. The
decision to become an agricultural corporation was largely influenced by
several key factors including the existence of a successor to continue
farming, managerial skills of business operators, and the level of the
family workforce of farmers. In other words, as a result of securing
successors, large-scale rice farmers could start businesses such as
drying preparation facilities, and build their own sales networks.
Further, in order to control substantial production costs, the family
workforce was used for production, processing, clerical work, and sales
promotions. As a result, agriculture in the Saga plain was supported by
rural community-based farming, independent large-scale paddy farmers,
and large-scale paddy farmers incorporated into agricultural
organizations, and these divisions of the management strategy were based
on the degree of agricultural labor and community bonding forces. A
series of distinctive strategies largely contributed to the survival and
development of agriculture and farmland in the Saga plain.},
Type = {Article},
Language = {Japanese},
Affiliation = {Kikuchi, T (Corresponding Author), Tokyo Metropolitan Univ, Grad Sch Urban Environm Sci, Hachioji, Tokyo 1920397, Japan.
Kikuchi, Toshio, Tokyo Metropolitan Univ, Grad Sch Urban Environm Sci, Hachioji, Tokyo 1920397, Japan.
Tabayashi, Akira, Univ Tsukuba, Tsukuba, Ibaraki 3058572, Japan.},
DOI = {10.5026/jgeography.128.209},
ISSN = {0022-135X},
EISSN = {1884-0884},
Keywords = {paddy farming; community-based farming; agricultural corporation;
large-scale rice farm; Saga Plain},
Web-of-Science-Categories = {Geography, Physical},
Number-of-Cited-References = {20},
Times-Cited = {3},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000471604500005},
DA = {2023-09-28},
}
@article{ WOS:000630922700001,
Author = {Gonzalez-Perez, Maria and Sanchez-Tarjuelo, Rodrigo and Shor, Boris and
Nistal-Villan, Estanislao and Ochando, Jordi},
Title = {The BCG Vaccine for COVID-19: First Verdict and Future Directions},
Journal = {FRONTIERS IN IMMUNOLOGY},
Year = {2021},
Volume = {12},
Month = {MAR 8},
Abstract = {Despite of the rapid development of the vaccines against the severe
acute respiratory syndrome coronavirus 2 (SARS-CoV-2), it will take
several months to have enough doses and the proper infrastructure to
vaccinate a good proportion of the world population. In this interim,
the accessibility to the Bacille Calmette-Guerin (BCG) may mitigate the
pandemic impact in some countries and the BCG vaccine offers significant
advantages and flexibility in the way clinical vaccines are
administered. BCG vaccination is a highly cost-effective intervention
against tuberculosis (TB) and many low-and lower-middle-income countries
would likely have the infrastructure, and health care personnel
sufficiently familiar with the conventional TB vaccine to mount
full-scale efforts to administer novel BCG-based vaccine for COVID-19.
This suggests the potential for BCG to overcome future barriers to
vaccine roll-out in the countries where health systems are fragile and
where the effects of this new coronavirus could be catastrophic. Many
studies have reported cross-protective effects of the BCG vaccine toward
non-tuberculosis related diseases. Mechanistically, this
cross-protective effect of the BCG vaccine can be explained, in part, by
trained immunity, a recently discovered program of innate immune memory,
which is characterized by non-permanent epigenetic reprogramming of
macrophages that leads to increased inflammatory cytokine production and
consequently potent immune responses. In this review, we summarize
recent work highlighting the potential use of BCG for the treatment
respiratory infectious diseases and ongoing SARS-CoV-2 clinical trials.
In situations where no other specific prophylactic tools are available,
the BCG vaccine could be used as a potential adjuvant, to decrease
sickness of SARS-CoV-2 infection and/or to mitigate the effects of
concurrent respiratory infections.},
Type = {Review},
Language = {English},
Affiliation = {Ochando, J (Corresponding Author), Inst Salud Carlos III, Dept Immunol, Transplant Immunol Unit, Natl Ctr Microbiol, Madrid, Spain.
Ochando, J (Corresponding Author), Icahn Sch Med Mt Sinai, Dept Oncol Sci, New York, NY 10029 USA.
Gonzalez-Perez, Maria; Ochando, Jordi, Inst Salud Carlos III, Dept Immunol, Transplant Immunol Unit, Natl Ctr Microbiol, Madrid, Spain.
Sanchez-Tarjuelo, Rodrigo; Ochando, Jordi, Icahn Sch Med Mt Sinai, Dept Oncol Sci, New York, NY 10029 USA.
Shor, Boris, Manhattan BioSolut, New York, NY USA.
Nistal-Villan, Estanislao, Univ San Pablo Ctr Estudios Univ CEU, Fac Farm, Microbiol Sect, Dept Ciencias Farmaceut \& Salud, Madrid, Spain.
Nistal-Villan, Estanislao, Univ San Pablo CEU, Inst Med Mol Aplicada IMMA, Fac Med, Madrid, Spain.},
DOI = {10.3389/fimmu.2021.632478},
Article-Number = {632478},
ISSN = {1664-3224},
Keywords = {Bacille Calmette-Guerin; SARS-CoV-2; vaccination; trained immunity;
cross-protection},
Keywords-Plus = {BACILLUS-CALMETTE-GUERIN; RESPIRATORY SYNCYTIAL VIRUS; TRAINED IMMUNITY;
NONSPECIFIC PROTECTION; GUINEA-BISSAU; RECOMBINANT; INFECTION;
RESPONSES; EFFICACY; MEMORY},
Web-of-Science-Categories = {Immunology},
Author-Email = {Jordi.ochando@mssm.edu.edu},
ResearcherID-Numbers = {Ochando, jordi/ABE-2358-2020
Nistal-Villan, Estanislao/GWM-7994-2022
Nistal-Villan, Estanislao/C-6122-2015
},
ORCID-Numbers = {Ochando, jordi/0000-0001-7037-1681
Nistal-Villan, Estanislao/0000-0003-2458-8833
Gonzalez Perez, Maria/0000-0003-0838-4734
Sanchez Tarjuelo, Rodrigo/0000-0002-3252-2722},
Number-of-Cited-References = {68},
Times-Cited = {43},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {4},
Unique-ID = {WOS:000630922700001},
DA = {2023-09-28},
}
@article{ WOS:000646187600001,
Author = {Li, Chunyang},
Title = {Construction of modular teaching system of human resource management
specialty},
Journal = {INTERNATIONAL JOURNAL OF ELECTRICAL ENGINEERING EDUCATION},
Year = {2021},
Month = {2021 APR 22},
Abstract = {With the development of economy, society and science and technology, the
disadvantages of the traditional ``subject based{''} curriculum system
construction mode are increasingly apparent. Graduates go to the
society, what they learn is not what they use. There is a phenomenon
that education and employment deviate from each other. Even if they have
a job, they have to learn again, which requires a longer adaptation
period. According to the skills and abilities that human resource
management (HRM) students may enter into after graduation, a targeted
modular teaching system is constructed. The modular teaching system can
carry out customized learning in advance according to the students' work
goals, and grasp the required employability in advance. At the same
time, the reform of the system also enriches the teaching methods of
teachers. Through the questionnaire and experimental test, this paper
finds that: modular teaching breaks the traditional curriculum design
method under the framework of the discipline theoretical system, aims to
cultivate students' professional ability, improve their adaptability to
the job, and further enhance their practical employability. Experimental
results: the relationship between the quality characteristics and
academic performance of HRM students was verified, and the relationship
between them and the influence model of causality were clarified. The
results of the two classes are similar in the pre-test; and from the
back results, we can see that the scores of the experimental class after
the use of modular teaching are significantly improved, while the
comparison class is not significantly improved compared with before the
experiment, which fully shows that the implementation of modular
teaching can help students improve their comprehensive performance. The
path coefficient of growth driven to academic performance is 0.428, the
path coefficient of learning development to academic performance is
0.122, and interpersonal skills affect academic performance indirectly.
It fully verifies the relationship between the quality characteristic
model and academic performance, and shows that the quality
characteristic model constructed is relatively perfect and can be used
as a reference for students' evaluation.},
Type = {Article; Early Access},
Language = {English},
Affiliation = {Li, CY (Corresponding Author), Tech Univ Dresden, Fac Educ, D-01187 Dresden, Saxony, Germany.
Li, Chunyang, Tech Univ Dresden, Fac Educ, D-01187 Dresden, Saxony, Germany.},
DOI = {10.1177/00207209211005270},
EarlyAccessDate = {APR 2021},
Article-Number = {00207209211005270},
ISSN = {0020-7209},
EISSN = {2050-4578},
Keywords = {Modular teaching system; human resource management; modular skills
training; competency-based education; students\&\#8217; quality},
Web-of-Science-Categories = {Education, Scientific Disciplines; Engineering, Electrical \& Electronic},
Author-Email = {lichunyang5181@163.com},
Number-of-Cited-References = {25},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {11},
Unique-ID = {WOS:000646187600001},
DA = {2023-09-28},
}
@article{ WOS:000250503000001,
Author = {El-Khorazaty, M. Nabil and Johnson, Allan A. and Kiely, Michele and
El-Mohandes, Ayman Ae and Subramanian, Siva and Laryea, Haziel A. and
Murray, Kennan B. and Thornberry, Jutta S. and Joseph, Jill G.},
Title = {Recruitment and retention of low-income minority women in a behavioral
intervention to reduce smoking, depression, and intimate partner
violence during pregnancy},
Journal = {BMC PUBLIC HEALTH},
Year = {2007},
Volume = {7},
Month = {SEP 6},
Abstract = {Background: Researchers have frequently encountered difficulties in the
recruitment and retention of minorities resulting in their
under-representation in clinical trials. This report describes the
successful strategies of recruitment and retention of African Americans
and Latinos in a randomized clinical trial to reduce smoking, depression
and intimate partner violence during pregnancy. Socio-demographic
characteristics and risk profiles of retained vs. non-retained women and
lost to follow-up vs. dropped-out women are presented. In addition,
subgroups of pregnant women who are less ( more) likely to be retained
are identified.
Methods: Pregnant African American women and Latinas who were
Washington, DC residents, aged 18 years or more, and of 28 weeks
gestational age or less were recruited at six prenatal care clinics.
Potentially eligible women were screened for socio-demographic
eligibility and the presence of the selected behavioral and
psychological risks using an Audio Computer-Assisted Self-Interview.
Eligible women who consented to participate completed a baseline
telephone evaluation after which they were enrolled in the study and
randomly assigned to either the intervention or the usual care group.
Results: Of the 1,398 eligible women, 1,191 (85\%) agreed to participate
in the study. Of the 1,191 women agreeing to participate, 1,070
completed the baseline evaluation and were enrolled in the study and
randomized, for a recruitment rate of 90\%. Of those enrolled, 1,044
were African American women. A total of 849 women completed the study,
for a retention rate of 79\%. Five percent dropped out and 12\% were
lost-to-follow up. Women retained in the study and those not retained
were not statistically different with regard to socio-demographic
characteristics and the targeted risks. Retention strategies included
financial and other incentives, regular updates of contact information
which was tracked and monitored by a computerized data management system
available to all project staff, and attention to cultural competence
with implementation of study procedures by appropriately selected,
trained, and supervised staff. Single, less educated, alcohol and drug
users, non-working, and non-WIC women represent minority women with
expected low retention rates.
Conclusion: We conclude that with targeted recruitment and retention
strategies, minority women will participate at high rates in behavioral
clinical trials. We also found that women who drop out are different
from women who are lost to follow-up, and require different strategies
to optimize their completion of the study.},
Type = {Article},
Language = {English},
Affiliation = {Kiely, M (Corresponding Author), NICHD, NIH, DESPR, Collaborat Studies Unit, 6100 Execut Blvd,Rm 7B05, Rockville, MD 20852 USA.
NICHD, NIH, DESPR, Collaborat Studies Unit, Rockville, MD 20852 USA.
RTI Int, Stat \& Epidemiol Unit, Rockville, MD 20852 USA.
Howard Univ, Coll Pharm Nursing \& Allied Hlth Sci, Div Allied Hlth Sci, Washington, DC 20059 USA.
George Washington Univ, Med Ctr, Sch Publ Hlth \& Hlth Serv, Dept Prevent \& Community Hlth, Washington, DC 20037 USA.
Georgetown Univ Hosp, Div Neonatol, Washington, DC 20007 USA.
Care Of Allan A Johnson, Howard Univ, Coll Pharm Nursing \& Allied Hlth Sci, Div Allied Hlth Sci, Washington, DC 20059 USA.
Res Triangle Inst Int, Stat \& Epidemiol Unit, Rockville, MD 20852 USA.
Childrens Natl Med Ctr, Ctr Hlth Serv \& Community Res, Washington, DC 20010 USA.},
DOI = {10.1186/1471-2458-7-233},
Article-Number = {233},
EISSN = {1471-2458},
Keywords-Plus = {COMMUNITY-BASED RESEARCH; AFRICAN-AMERICAN; CLINICAL-TRIALS; HEALTH;
PARTICIPATION; BARRIERS; ISSUES},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {nek@rti.org
ajohnson@Howard.edu
kielym@nih.gov
sphaxe@gwumc.edu
SUBRAMAS@gunet.georgetown.edu
hlaryea@howard.edu
kennan17@yahoo.com
jps@rti.org
JJoseph@cnmc.org},
Number-of-Cited-References = {40},
Times-Cited = {88},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {27},
Unique-ID = {WOS:000250503000001},
DA = {2023-09-28},
}
@article{ WOS:000853675400031,
Author = {Davies, Sian M. and Jardine, Jenni and Gutridge, Kerry and Bernard, Zara
and Park, Stephen and Dawson, Tom and Abel, Kathryn M. and Whelan,
Pauline},
Title = {Preventive Digital Mental Health for Children in Primary Schools:
Acceptability and Feasibility Study},
Journal = {JMIR FORMATIVE RESEARCH},
Year = {2021},
Volume = {5},
Number = {12},
Month = {DEC},
Abstract = {Background: The incidence of mental health problems in children and
adolescents in the United Kingdom has significantly increased in recent
years, and more people are in contact with mental health services in
Greater Manchester than in other parts of the country. Children and
young people spend most of their time at school and with teachers.
Therefore, schools and other educational settings may be ideal
environments in which to identify those experiencing or those at the
risk of developing psychological symptoms and provide timely support for
children most at risk of mental health or related problems.
Objective: This study aims to test the feasibility of embedding a
low-cost, scalable, and innovative digital mental health intervention in
schools in the Greater Manchester area.
Methods: Two components of a 6-week digital intervention were
implemented in a primary school in Greater Manchester: Lexplore, a
reading assessment using eye-tracking technology to assess reading
ability and detect early atypicality, and Lincus, a digital support and
well-being monitoring platform.
Results: Of the 115 children approached, 34 (29.6\%) consented and took
part; of these 34 children, all 34 (100\%) completed the baseline
Lexplore assessment, and 30 (88\%) completed the follow-up. In addition,
most children were classified by Lincus as regular (>= 1 per week)
survey users. Overall, the teaching staff and children found both
components of the digital intervention engaging, usable, feasible, and
acceptable. Despite the widespread enthusiasm and recognition of the
potential added value from staff, we met significant implementation
barriers.
Conclusions: This study explored the acceptability and feasibility of a
digital mental health intervention for schoolchildren. Further work is
needed to evaluate the effectiveness of the digital intervention and to
understand whether the assessment of reading atypicality using Lexplore
can identify those who require additional help and whether they can also
be supported by Lincus. This study provides high-quality pilot data and
highlights the potential benefits of implementing digital assessment and
mental health support tools in a primary school setting.},
Type = {Article},
Language = {English},
Affiliation = {Davies, SM (Corresponding Author), Univ Manchester, Fac Biol Med \& Hlth, Ctr Womens Mental Hlth, Sch Hlth Sci,GM Digital Res Unit,Div Psychol \& Me, Jean McFarlane Bldg,Oxford Rd, Manchester M13 9PL, Lancs, England.
Davies, Sian M.; Gutridge, Kerry; Bernard, Zara; Abel, Kathryn M., Univ Manchester, Fac Biol Med \& Hlth, Ctr Womens Mental Hlth, Sch Hlth Sci,GM Digital Res Unit,Div Psychol \& Me, Jean McFarlane Bldg,Oxford Rd, Manchester M13 9PL, Lancs, England.
Davies, Sian M.; Jardine, Jenni; Gutridge, Kerry; Bernard, Zara; Abel, Kathryn M.; Whelan, Pauline, Greater Manchester Mental Hlth NHS Fdn Trust, Manchester Acad Hlth Sci Ctr, Manchester, Lancs, England.
Park, Stephen, Lexplore Ltd, Marple, England.
Whelan, Pauline, Univ Manchester, Ctr Hlth Informat, Div Informat Imaging \& Data Sci, GMDigital Res Unit, Manchester, Lancs, England.},
DOI = {10.2196/30668},
Article-Number = {e30668},
EISSN = {2561-326X},
Keywords = {digital mental health; acceptability; feasibility; child and adolescent
mental health and well-being; school-based mental health care;
prevention; digital assessment and monitoring; reading screening or
ability},
Keywords-Plus = {YOUNG-PEOPLE; INTERVENTIONS; INCOME},
Web-of-Science-Categories = {Health Care Sciences \& Services; Medical Informatics},
Author-Email = {sian.davies-5@manchester.ac.uk},
ORCID-Numbers = {Gutridge, Kerry/0000-0001-9705-9102
Dawson, Tom/0000-0002-2215-249X
Whelan, Pauline/0000-0001-8689-3919
Davies, Sian/0000-0001-5662-7038
Abel, Kathryn M/0000-0003-3538-8896},
Number-of-Cited-References = {40},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {5},
Unique-ID = {WOS:000853675400031},
DA = {2023-09-28},
}
@article{ WOS:000393624600005,
Author = {Mattei, Josiemer and Rodriguez-Orengo, Jose F. and Tamez, Martha and
Corujo, Francheska and Claudio, Aida and Villanueva, Hector and Campos,
Hannia and Willett, Walter C. and Tucker, Katherine L. and Rios-Bedoya,
Carlos F.},
Title = {Challenges and opportunities in establishing a collaborative multisite
observational study of chronic diseases and lifestyle factors among
adults in Puerto Rico},
Journal = {BMC PUBLIC HEALTH},
Year = {2017},
Volume = {17},
Month = {JAN 31},
Abstract = {Background: Prevalence of chronic diseases and unhealthy lifestyle
behaviors among the adult population of Puerto Rico (PR) is high;
however, few epidemiological studies have been conducted to address
these. We aimed to document the methods and operation of establishing a
multisite cross-sectional study of chronic diseases and risk factors in
PR, in partnership with academic, community, clinical, and research
institutions.
Methods: The Puerto Rico Assessment of Diet, Lifestyle and Diseases
(PRADLAD) documented lifestyle and health characteristics of adults
living in PR, with the goal of informing future epidemiological and
intervention projects, as well as public health, policy, and clinical
efforts to help improve the population's health. The study was conducted
in three primary care clinics in the San Juan, PR metropolitan area.
Eligible volunteers were 30-75y, living in PR for at least 10 months of
the previous year, and able to answer interviewer-administered
questionnaires without assistance. Questions were recorded
electronically by trained interviewers, and included socio-demographic
characteristics, lifestyle behaviors, self-reported medically-diagnosed
diseases, and psychosocial factors. Waist and hip circumferences were
measured following standardized protocols. A subset of participants
answered a validated food frequency questionnaire, a legumes
questionnaire, and had medical record data abstracted. Process and
outcome evaluation indicators were assessed.
Results: The study screened 403 participants in 5 months. Of these, 396
(98\%) were eligible and 380 (94\%) had reliable and complete
information. A subset of 242 participants had valid dietary data, and
236 had medical record data. The mean time to complete an interview was
1.5 h. Participants were generally cooperative and research
collaborators were fully engaged. Having multiple sites helped enhance
recruitment and sociodemographic representation. Diagnosed conditions
were prevalent across sites. Challenges in data monitoring, interviewer
training, and scheduling were identified and corrected, and should be
addressed in future studies.
Conclusions: Epidemiological studies in PR can be successfully
implemented in partnership with multiple institutions. Effective
recruitment and implementation requires concerted planning and continued
involvement from partners, frequent quality control, brief interviews,
reasonable incentives, and thorough training/re-training of
culturally-sensitive interviewers. Further studies are feasible and
needed to help address highly prevalent chronic conditions in PR.},
Type = {Article},
Language = {English},
Affiliation = {Mattei, J (Corresponding Author), Harvard TH Chan Sch Publ Hlth, Dept Nutr, 665 Huntington Ave,Bldg 2, Boston, MA 02115 USA.
Mattei, Josiemer; Tamez, Martha; Campos, Hannia; Willett, Walter C., Harvard TH Chan Sch Publ Hlth, Dept Nutr, 665 Huntington Ave,Bldg 2, Boston, MA 02115 USA.
Rodriguez-Orengo, Jose F.; Corujo, Francheska; Claudio, Aida; Rios-Bedoya, Carlos F., Fdn Invest Puerto Rico, San Juan, PR USA.
Rodriguez-Orengo, Jose F., Univ Puerto Rico, Sch Med, Dept Biochem, Med Sci Campus, San Juan, PR 00936 USA.
Villanueva, Hector, HealthProMed, Santurce, PR USA.
Campos, Hannia, Univ Hispanoamer, Ctr Invest \& Innovac Nutr Translac \& Salud, San Jose, Costa Rica.
Willett, Walter C., Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.
Tucker, Katherine L., Univ Massachusetts, Dept Biomed \& Nutr Sci, Lowell, MA USA.
Rios-Bedoya, Carlos F., Hurley Med Ctr, Dept Internal Med, Flint, MI USA.},
DOI = {10.1186/s12889-017-4035-z},
Article-Number = {136},
ISSN = {1471-2458},
Keywords = {Puerto Rico; Observational studies; Collaborative work; Partnerships;
Health disparities; Chronic diseases; Lifestyle behaviors; Population
health; Community health; Process evaluation},
Keywords-Plus = {HEART-HEALTH-PROGRAM; HISPANIC COMMUNITY; PHYSICAL-ACTIVITY; LATINOS
HCHS/SOL; RISK-FACTORS; PERCEIVED STRESS; SOCIAL SUPPORT;
DIETARY-INTAKE; PUBLIC-HEALTH; LOW-INCOME},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {jmattei@hsph.harvard.edu},
ResearcherID-Numbers = {Mattei, Josiemer/H-1800-2016},
ORCID-Numbers = {Tucker, Katherine/0000-0001-7640-662X
Tamez, Martha/0000-0003-3164-1647
Mattei, Josiemer/0000-0001-5424-8245},
Number-of-Cited-References = {72},
Times-Cited = {15},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {8},
Unique-ID = {WOS:000393624600005},
DA = {2023-09-28},
}
@article{ WOS:000208106900054,
Author = {Moran, Allisyn C. and Choudhury, Nuzhat and Khan, Nazib Uz Zaman and
Karar, Zunaid Ahsan and Wahed, Tasnuva and Rashid, Sabina Faiz and Alam,
M. Ashraful},
Title = {Newborn care practices among slum dwellers in Dhaka, Bangladesh: a
quantitative and qualitative exploratory study},
Journal = {BMC PREGNANCY AND CHILDBIRTH},
Year = {2009},
Volume = {9},
Abstract = {Background: Urbanization is occurring at a rapid pace, especially in
low-income countries. Dhaka, Bangladesh, is estimated to grow to 50
million by 2015, with 21 million living in urban slums. Although health
services are available, neonatal mortality is higher in slum areas than
in urban non-slum areas. The Manoshi program works to improve maternal,
newborn, and child health in urban slums in Bangladesh. This paper
describes newborn care practices in urban slums in Dhaka and provides
program recommendations.
Methods: A quantitative baseline survey was conducted in six urban slum
areas to measure newborn care practices among recently delivered women
(n = 1,256). Thirty-six in-depth semi-structured interviews were
conducted to explore newborn care practices among currently pregnant
women (n = 18) and women who had at least one delivery (n = 18).
Results: In the baseline survey, the majority of women gave birth at
home (84\%). Most women reported having knowledge about drying the baby
(64\%), wrapping the baby after birth (59\%), and cord care (46\%). In
the in-depth interviews, almost all women reported using sterilized
instruments to cut the cord. Babies are typically bathed soon after
birth to purify them from the birth process. There was extensive care
given to the umbilical cord including massage and/or applying
substances, as well as a variety of practices to keep the baby warm.
Exclusive breastfeeding was rare; most women reported first giving their
babies sweet water, honey and/or other foods.
Conclusion: These reported newborn care practices are similar to those
in rural areas of Bangladesh and to urban and rural areas in the South
Asia region. There are several program implications. Educational
messages to promote providing newborn care immediately after birth,
using sterile thread, delaying bathing, and ensuring dry cord care and
exclusive breastfeeding are needed. Programs in urban slum areas should
also consider interventions to improve social support for women,
especially first time mothers. These interventions may improve newborn
survival and help achieve MDG4.},
Type = {Article},
Language = {English},
Affiliation = {Moran, AC (Corresponding Author), ICDDR B, Reprod Hlth Unit, Dhaka, Bangladesh.
Moran, Allisyn C.; Wahed, Tasnuva, ICDDR B, Reprod Hlth Unit, Dhaka, Bangladesh.
Moran, Allisyn C., Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA.
Choudhury, Nuzhat, BRAC, Res \& Evaluat Div, Dhaka, Bangladesh.
Khan, Nazib Uz Zaman; Alam, M. Ashraful, ICDDR B, Int Ctr Diarrhoeal Dis Res, Social \& Behav Sci Unit, Dhaka, Bangladesh.
Rashid, Sabina Faiz, BRAC Univ, James P Grant Sch Publ Hlth, Dhaka, Bangladesh.
Karar, Zunaid Ahsan, World Bank, Dhaka, Bangladesh.},
DOI = {10.1186/1471-2393-9-54},
Article-Number = {54},
EISSN = {1471-2393},
Keywords-Plus = {SYLHET DISTRICT; NEONATAL-MORTALITY; CHILDHOOD DEATHS; PRETERM INFANTS;
SKIN BARRIER; HEALTH; INFECTIONS; MANAGEMENT; IMPACT},
Web-of-Science-Categories = {Obstetrics \& Gynecology},
Author-Email = {allisynmoran@gmail.com
nuzhat.choudhury@yahoo.com
nazib@icddrb.org
kzunaid@gmail.com
tasnuva@icddrb.org
sabina@bracuniversity.ac.bd
aneeloy@yahoo.com},
ResearcherID-Numbers = {Ahsan, Karar/ABB-2160-2020
},
ORCID-Numbers = {Ahsan, Karar/0000-0001-7630-288X
Rashid, Sabina Faiz/0000-0003-0916-2631
Alam, Neeloy Ashraful/0000-0001-7034-1095
Moran, Allisyn C/0000-0002-4826-1475},
Number-of-Cited-References = {40},
Times-Cited = {48},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {16},
Unique-ID = {WOS:000208106900054},
DA = {2023-09-28},
}
@article{ WOS:000174983500012,
Author = {Pachingerova, M},
Title = {Small and medium enterprises in Slovakia focusing on tourism},
Journal = {EKONOMICKY CASOPIS},
Year = {2001},
Volume = {49},
Number = {6},
Pages = {1173-1196},
Abstract = {The small and medium enterprise (SME) development is one of the assumes
of favourable economic development in SR. It belongs, along with
reclassification of the Slovak economy, to its main priorities. Despite
favourable trends, the SME share of the most important indexes has been
lower than in the EU countries. Due to barrier elimination on macro- and
micro level, as well as, a significant state support and an effective
support of the European Union and in context with other countries in the
Middle and Eastern Europe, we can expect convergence towards the target
values of SME in EU, considering this as a whole, as well as, within
particular sector-branch segments of SME.
Small and medium entrepreneurs achieve 51\% of the GDP formation, over
62 employment share and 45\% export share, however, SME in Slovakia have
got many reserves despite the relatively good shares.
The SME are worth in difficult conditions of a new economy too,
supposing they are markedly active and the state creates adequate
business environment for them. They cannot stagnate in the new economy.
They can follow one of two strategies: offensive or defensive, where
both of them have got their strengths.
The SME support in the Slovak conditions is very actual. Revaluation of
the present forms of the SME support leads to the need of redirection
from the tools bringing only a short-term effect towards the use of
long-term character tools with a striking motivational effect. We should
consider SME in Slovakia from its perspective effect point of view
within the united European market too.
Identification of SME in Slovakia, as well as, in other countries, can
be done by comparison with analogue SME partners in other countries
which are interesting for us from a particular point of view. These are
the countries of Middle and Eastern Europe and some developed countries
(EU). But the simple fact faces big barriers related to the ``soft{''}
market environment which is the result of present reform economic
processes and their interpretation, as well as, with different objective
index contents. The most of the legislative barriers within SME are
represented by increased financial duties of the entrepreneurs which
often have got a de-motivational character. It is necessary to support
the creditor legal status, to apply the right of lien, to recover the
capital market, to gain foreign investments, to support SME, to make the
interest rates real and to reduce the tax duties of the entrepreneurs.
The business environment problems mentioned above refer to tourism too,
despite it has got its strengths, as follows: dynamics, low investment
and import intensity (three times lower in tourism than in industry), a
high share of direct labor there functions as the tool of unemployment
reduction and the region development, minimized dead assets, exchange
effect for the country etc. We can expect the principal changes after
realization of the measures, as follows: working-out the Tourism
Development Program for the sake of the region development, Tourism Fund
formation, working-out and approval of the tourism legislative support,
significant financial advertising support etc.
The business success or failure reflects the financial situation of an
enterprise in tourism. Thus the managers, as well as, the external
subjects can discover many strengths or weaknesses of the enterprise,
their causes and reasons by the analysis of the business financial
situation,. of the company and, upon this, to make decisions or accept
proper arrangements.
We cannot be satisfied with the development results and trends of
particular financial indexes in the analyzed tourism enterprises-travel
agencies, hotels and restaurants in Slovakia. The failure of the
financial health is seen in a low profitability, often negative,
relatively low liquidity, high indebtedness and long liability maturity
periods. The short-term resources of the net operating capital are
missing and the long-term financial resources formation is complicated
too. Prevention can be found by respecting the need of the financial
planning, within the flow management of the company and by change of the
approach of the financial managers towards the formation of the
financial resources of the company capital.},
Type = {Article},
Language = {Slovak},
Affiliation = {Pachingerova, M (Corresponding Author), Ekon Univ Bratislave, Obchodna Fak, Katedra Sluzieb Cestovneho Ruchu, Dolnozemska Cesta 1, Bratislava 85235 5, Slovakia.
Ekon Univ Bratislave, Obchodna Fak, Katedra Sluzieb Cestovneho Ruchu, Bratislava 85235 5, Slovakia.},
ISSN = {0013-3035},
Web-of-Science-Categories = {Economics},
Number-of-Cited-References = {18},
Times-Cited = {2},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {21},
Unique-ID = {WOS:000174983500012},
DA = {2023-09-28},
}
@article{ WOS:000540800600006,
Author = {Naher, Nahitun and Hoque, Roksana and Hassan, Muhammad Shaikh and
Balabanova, Dina and Adams, Alayne M. and Ahmed, Syed Masud},
Title = {The influence of corruption and governance in the delivery of frontline
health care services in the public sector: a scoping review of current
and future prospects in low and middle-income countries of south and
south-east Asia},
Journal = {BMC PUBLIC HEALTH},
Year = {2020},
Volume = {20},
Number = {1},
Month = {JUN 8},
Abstract = {Background The dynamic intersection of a pluralistic health system,
large informal sector, and poor regulatory environment have provided
conditions favourable for `corruption' in the LMICs of south and
south-east Asia region. `Corruption' works to undermine the UHC goals of
achieving equity, quality, and responsiveness including financial
protection, especially while delivering frontline health care services.
This scoping review examines current situation regarding health sector
corruption at frontlines of service delivery in this region, related
policy perspectives, and alternative strategies currently being tested
to address this pervasive phenomenon. Methods A scoping review following
the Preferred Reporting Items for Systematic Reviews and Meta-Analysis
(PRISMA) was conducted, using three search engines i.e., PubMed, SCOPUS
and Google Scholar. A total of 15 articles and documents on corruption
and 18 on governance were selected for analysis. A PRISMA extension for
Scoping Reviews (PRISMA-ScR) checklist was filled-in to complete this
report. Data were extracted using a pre-designed template and analysed
by `mixed studies review' method. Results Common types of corruption
like informal payments, bribery and absenteeism identified in the review
have largely financial factors as the underlying cause. Poor salary and
benefits, poor incentives and motivation, and poor governance have a
damaging impact on health outcomes and the quality of health care
services. These result in high out-of-pocket expenditure, erosion of
trust in the system, and reduced service utilization. Implementing
regulations remain constrained not only due to lack of institutional
capacity but also political commitment. Lack of good governance
encourage frontline health care providers to bend the rules of law and
make centrally designed anti-corruption measures largely in-effective.
Alternatively, a few bottom-up community-engaged interventions have been
tested showing promising results. The challenge is to scale up the
successful ones for measurable impact. Conclusions Corruption and lack
of good governance in these countries undermine the delivery of quality
essential health care services in an equitable manner, make it costly
for the poor and disadvantaged, and results in poor health outcomes.
Traditional measures to combat corruption have largely been ineffective,
necessitating the need for innovative thinking if UHC is to be achieved
by 2030.},
Type = {Review},
Language = {English},
Affiliation = {Naher, N (Corresponding Author), BRAC Univ, BRAC James P Grant BRAC Sch Publ Hlth, 5th Floor Level 6,Icddrb Bldg, Dhaka 1212, Bangladesh.
Naher, Nahitun; Hoque, Roksana; Hassan, Muhammad Shaikh; Ahmed, Syed Masud, BRAC Univ, BRAC James P Grant BRAC Sch Publ Hlth, 5th Floor Level 6,Icddrb Bldg, Dhaka 1212, Bangladesh.
Balabanova, Dina, London Sch Hyg \& Trop Med LSHTM, Dept Global Hlth \& Dev, Room TP 308,15-17 Tavistock Pl, London WC1H 9SH, England.
Adams, Alayne M., McGill Univ, Fac Med, Dept Family Med, 5858 Cote Neiges,Room 332, Quebec City, PQ H3S 1Z1, Canada.},
DOI = {10.1186/s12889-020-08975-0},
Article-Number = {880},
EISSN = {1471-2458},
Keywords = {Health-sector corruption; Good governance; Frontline health care
services; Frontline health care providers; UHC; LMICs},
Keywords-Plus = {SOCIAL ACCOUNTABILITY; INFORMAL PAYMENTS; BANGLADESH; COVERAGE; OUTCOMES},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {nahitun.naher@bracu.ac.bd},
ResearcherID-Numbers = {Ahmed, Syed/GSN-7305-2022
Sorenson, T/AAM-6778-2021
Ahmed, Syed Masud/AGQ-4786-2022
},
ORCID-Numbers = {Ahmed, Syed Masud/0000-0001-5032-7181
Balabanova, Dina/0000-0001-7163-3428
Adams, Alayne Mary/0000-0002-0961-9825
Hassan, Muhammad Shaikh/0000-0003-3484-2540},
Number-of-Cited-References = {78},
Times-Cited = {35},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {16},
Unique-ID = {WOS:000540800600006},
DA = {2023-09-28},
}
@article{ WOS:000998490100041,
Author = {Dolan, Samantha B. and Wittenauer, Rachel and Shearer, Jessica C. and
Njoroge, Anne and Onyango, Penina and Owiso, George and Lober, William
B. and Liu, Shan and Puttkammer, Nancy and Rabinowitz, Peter},
Title = {Integration of a Digital Health Intervention Into Immunization Clinic
Workflows in Kenya: Qualitative, Realist Evaluation of Technology
Usability},
Journal = {JMIR FORMATIVE RESEARCH},
Year = {2023},
Volume = {7},
Abstract = {Background: In an effort to increase vaccination coverage in
low-resource settings, digital tools have been introduced to better
track immunization records, improve data management practices, and
provide improved access to vaccination coverage data for
decision-making. Despite the potential of these electronic systems to
improve the provision of health services, few digital health
interventions have been institutionalized at scale in low-and
middle-income countries. Objective: In this paper, we aimed to describe
how health care workers in Kenya had integrated an electronic
immunization registry into their immunization clinic workflows and to
use these findings to inform the development of a refined program theory
on the registry's usability.Methods: Informed by realist methodology, we
developed a program theory to explain usability of the electronic
immunization registry. We designed a qualitative study based on our
theory to describe the barriers and facilitators influencing data entry
and use. Qualitative data were collected through semistructured
interviews with users and workflow observations of immunization clinic
sessions. Our findings were summarized by context-mechanism-outcome
relationships formed after analyzing our key themes across interviews
and workflow observations. Using these relationships, we were able to
identify common rules for future implementers.Results: Across the 12
facilities included in our study, 19 health care workers were
interviewed, and 58 workflow sessions were observed. The common rules
developed from our qualitative findings are as follows: rule 1-ensure
that the users complete training to build familiarity with the system,
understand the value of the system and data, and know where to find
support; rule 2-confirm that the system captures all data needed for
users to provide routine health care services and is easy to navigate;
rule 3-identify work-arounds for poor network, system performance, and
too few staff or resources; and rule 4-make users aware of expected
changes to their workflow, and how these changes might differ over time
and by facility size or number of patients. Upon study completion, we
revised the program theory to reflect the importance of the goals and
workflows of electronic immunization registries aligning with
reality.Conclusions: We created a deeper understanding of the underlying
mechanisms for usability of the registry. We found that the electronic
immunization registry had high acceptability among users; however, there
were numerous barriers to using the system, even under ideal conditions,
causing a misalignment between the system and the reality of the users'
workflows and their environment. Human-centered design and human-factors
methods can assist during pilot stages to better align systems with
users' needs and again after scale-up to ensure that interventions are
suitable for all user settings.(JMIR Form Res 2023;7:e39775) doi:
10.2196/39775},
Type = {Article},
Language = {English},
Affiliation = {Dolan, SB (Corresponding Author), Bill \& Melinda Gates Fdn, 500 5th Ave N, Seattle, WA 98109 USA.
Dolan, Samantha B.; Njoroge, Anne; Puttkammer, Nancy; Rabinowitz, Peter, Univ Washington, Int Training \& Educ Ctr Hlth, Seattle, WA USA.
Dolan, Samantha B.; Wittenauer, Rachel; Njoroge, Anne; Lober, William B.; Puttkammer, Nancy; Rabinowitz, Peter, Univ Washington, Dept Global Hlth, Seattle, WA USA.
Dolan, Samantha B., Bill \& Melinda Gates Fdn, Seattle, WA USA.
Shearer, Jessica C., PATH, Seattle, WA USA.
Onyango, Penina, Cty Dept Hlth, Siaya, Kenya.
Owiso, George, Univ Washington, Int Training \& Educ Ctr Hlth, Nairobi, Kenya.
Lober, William B., Univ Washington, Biobehav Nursing \& Hlth Informat, Seattle, WA USA.
Liu, Shan, Univ Washington, Dept Ind \& Syst Engn, Seattle, WA USA.
Dolan, Samantha B., Bill \& Melinda Gates Fdn, 500 5th Ave N, Seattle, WA 98109 USA.},
DOI = {10.2196/39775},
EISSN = {2561-326X},
Keywords = {immunizations; electronic immunization registry; workflow; usability;
realist research},
Keywords-Plus = {HUMAN-CENTERED DESIGN; PUBLIC-HEALTH},
Web-of-Science-Categories = {Health Care Sciences \& Services; Medical Informatics},
Author-Email = {sdolan11@gmail.com},
ORCID-Numbers = {Wittenauer, Rachel/0000-0002-6606-8708
Puttkammer, Nancy/0000-0002-6693-9278
Lober, William/0000-0002-1053-7501
Rabinowitz, Peter/0000-0002-6873-0208
Dolan, Samantha/0000-0001-8088-6611},
Number-of-Cited-References = {48},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000998490100041},
DA = {2023-09-28},
}
@article{ WOS:000361069100008,
Author = {Dale-Perera, Annette and Alam, Farrukh and Barker, Peter},
Title = {Opioid-dependence treatment in the era of recovery: insights from a UK
survey of physicians, patients and out-of-treatment opioid users},
Journal = {JOURNAL OF SUBSTANCE USE},
Year = {2015},
Volume = {20},
Number = {5},
Pages = {354-362},
Abstract = {Background: Project Access UK was designed to provide real-world
observations on the status of medication-assisted treatment (MAT) of
opioid dependence.
Methods: 544 respondents from three groups (physicians, patients in MAT
and out-of-treatment users) were interviewed or completed
questionnaires.
Results: Patient reasons for seeking treatment included ending their
dependence and improving their health and well-being. Patients and users
reported a mean of 4.0 versus 2.7 prior MAT episodes, but patient
awareness of the main treatment options varied from 94\% for methadone
to 46\% for buprenorphine-naloxone. Among patients, 49\% requested a
specific medication (mostly methadone) and 78\% of requests were
granted. Forty percent of patients were not currently receiving
psychosocial or key-working support. Daily supervised dosing was most
commonly cited as a condition of staying in treatment with the biggest
impact on daily life (36\%). Among patients, 56\% continued to use
illicit drugs on top of their MAT and few (7\%) were in employment. The
majority of patients (56\%) and users (51\%) had been in prison (an
average of 6.8 times).
Conclusion: Patients are motivated to recover. However, the full range
of evidence-based interventions are not fully utilised and many patients
cycle repeatedly through periods of treatment, relapse and imprisonment.},
Type = {Article},
Language = {English},
Affiliation = {Alam, F (Corresponding Author), Pall Mall Ctr, Westminster Focus Team, 150 Barlby Rd, London W10 6BS, England.
Dale-Perera, Annette, Cent \& North West London NHS Fdn Trust, Addict \& Offender Care, London, England.
Alam, Farrukh, Cent \& North West London NHS Mental Hlth Trust, Soho Ctr Hlth, London, England.
Barker, Peter, Northamptonshire Cty Council, Publ Hlth Directorate, Northampton, England.},
DOI = {10.3109/14659891.2014.923532},
ISSN = {1465-9891},
EISSN = {1475-9942},
Keywords = {Opioid-dependence; recovery; survey},
Keywords-Plus = {METHADONE-MAINTENANCE; BUPRENORPHINE-NALOXONE; OPIATE ADDICTION;
TREATMENT ACCESS; DRUG; RETENTION; BARRIERS; OUTCOMES; THERAPY; TRIAL},
Web-of-Science-Categories = {Substance Abuse},
Author-Email = {Dr.Alam@nhs.net},
Number-of-Cited-References = {46},
Times-Cited = {3},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {9},
Unique-ID = {WOS:000361069100008},
DA = {2023-09-28},
}
@inproceedings{ WOS:000312406000052,
Author = {Ali, Asha and Aliyar, Liyamol},
Book-Group-Author = {IEEE},
Title = {Re-engineering of ICT Engineering Education},
Booktitle = {2012 IEEE INTERNATIONAL CONFERENCE ON ENGINEERING EDUCATION: INNOVATIVE
PRACTICES AND FUTURE TRENDS (AICERA)},
Year = {2012},
Note = {IEEE International Conference on Engineering Education - Innovative
Practices and Future Trends (AICERA), Amal Jyothi Coll Engn, Kottayam,
INDIA, JUL 19-21, 2012},
Abstract = {From the unique `Gurukula' style of teaching prevailed during the Vedic
period, education as on date has evolved to the most modern concept of
e-learning. The method of imparting knowledge through coexistence of
teacher and students in ancient times has been transformed to such an
extent where the direct physical interaction between students and
teacher is not at all required. However, it is a fact that we are still
accustomed to the traditional way of classroom teaching, memory checking
tests, compulsory attendance etc. even in our post graduate level of
technical education. Teaching pattern followed in high school level is
followed in the same intensity even at engineering colleges. It is well
known that science and mathematics are important tools of engineering
programme but they are not themselves sufficient for one's success as an
engineer. As world's dependence on technology is increasing
tremendously, the need of the hour is to mould engineering graduates
with adequate skills and will power required to explore and exploit the
new opportunities of the world and thereby to contribute successfully
towards the social and economic prosperity of our country. This paper
makes a humble attempt to uncover the limitations of current engineering
education and also tries to put forward some proactive measures to
attain the desired results.
It is a fact that the technological advancement we had made is not used
up to the full potential in the field of education. The factors that
restrain engineering colleges from doing so may be listed as financial
constraints, lack of professionalism, method of `result-oriented'
teaching rather than knowledge based teaching and shortage of skilled
teaching manpower. Serious exploration of the following areas will be
required to overcome some of the above deficiencies felt in the current
engineering education:
1. Thrust on Research \& Development
2. Entrepreneurship development programmes
3. Social informatics
4. Electronic Technology
5. Industry-oriented education and Institute -industry interface
The judgement regarding the intellectual capability of technical
professionals can be done on the basis of research work carried out in
their respective countries. For every one lakh people, there are 150
researchers in India while the same is 3800 in US. Number of patents per
one million is approximated as one in India where as it is 289 in US.
Today's engineers in the computer and IT field are well settled with
their jobs after graduation. Due to the high salary and lucrative
facilities offered by various IT companies, fields like research,
teaching etc. are ignored by youth. One of the reasons for above
backwardness is the lack of orientation given in the field of research
during their graduation. A remarkable progress can surely be made if
they are given motivation in pursuing career in the filed of research
and teaching during their graduation. Availability of highly skilled and
research-oriented teaching faculty is a necessity for inculcating the
flair of research to fresh engineers. Thrust on research should be
assured for assignments and project work carried out by the engineers
during their course of study. Research-oriented learning makes our youth
capable of out-of-the-box thinking and therefore innovative ideas will
be generated even at student level. As a result, teaching faculty will
also be equally benefited.
Tomorrow's success is highly guaranteed for those engineering
professionals who can address the entrepreneurial requirements and
balance them with the specialized technological competencies. The skills
and knowledge required to become a successful entrepreneur is not given
due importance in the current engineering curriculum. Presently,
entrepreneurship is taught only in business schools, but now the
situation demands the same to be incorporated sufficiently in
engineering curriculum. This will help an engineer to develop business
skills along with technical skills so that opportunities can be
efficiently transformed into workable business models.
Social informatics relates to the interaction between society and
information-communication technologies (ICT). Addition of social
informatics to engineering curriculum will help IT professionals to
increase their accountability in social, cultural, political,
economical, legal and ethical areas where their technical competencies
will be applied. The other advantage is the extension of learning
process beyond the classroom to the society and developing a sense of
caring for others.
We are now blessed with the latest networking technologies like
Internet, Intranet, Cloud computing, Wi-fi etc. It is with concern to
mention that most of the engineering colleges had made use of the above
technologies for improving their administrative efficiency and not for
bettering academic efficiency of students. Educational institutions
should embrace latest networking technologies in developing new learning
platform. Since jobs become more and more insecure and mid life career
changes are frequent, lifelong learning is becoming an essential
requirement for engineering professionals. This situation can be
effectively utilised by engineering colleges for conducting virtual
classrooms for practising engineers that can yield financial advantage
for teaching faculty and college as well.
It is often said that engineering may be the only professional course
largely taught by non-practitioners. Hence institute-industry interface,
can very well compensate the missing link of industrial exposure.
Industries today demand teamwork from fresh recruited engineers whereas
teamwork is given less priority in the current engineering curriculum.
Industry being the end user of engineering graduates, restructuring of
the curriculum in line with industrial demands may also be tried out.
Adaptability to industrial environment is a main factor for the
successful discharge of an engineer's responsibilities. Universities
must recognise the fact that industry is their main client and hence
students must be given ample opportunities to interact with industries.
Industry-oriented learning for engineering students is almost like a
`give and take policy' since both industries as well as students is
equally benefited.
India had made a remarkable progress in recent years especially in the
service sector. Global community is well aware of our mettle in IT and
BPO industries. The unique advantage we are having is the pool of
skilled manpower, which we would need to grow consistently in order to
sustain our competitive edge in current market scenario. Now we have to
aim for an equilibrium in which we should focus equally on R\&D sector
along with BPO. More than 200 companies listed in the fortune 500
companies had already established their R\&D facilities in India. To
accelerate India's growth as a hub for R\&D, availability of employable
engineers with passion for research is utmost essential. This requires
additional infrastructure and faculty requirement as well as radical
changes in current technical education system. The stage is now set for
industry experts, academia think tanks and top brass of government
policy makers to review the existing engineering education and to
initiate debate and discussions to enhance the quality of education. It
is presumed that this paper will be an eye opener for the above purpose.
This paper discusses the different challenges faced by the engineering
education systems and suggestions based on various alternative
strategies are discussed which can easily be incorporated into the
engineering curricula; the introduction of which makes the system
complete in all meaning.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Ali, A (Corresponding Author), Ilahia Coll Engn \& Technol, Dept Informat Technol, Muvattupuzha, Kerala, India.
Ali, Asha; Aliyar, Liyamol, Ilahia Coll Engn \& Technol, Dept Informat Technol, Muvattupuzha, Kerala, India.},
ISBN = {978-1-4673-2267-6},
Keywords = {Engineering Education; Social Informatics; Industry-Institute Interface;
Entrepreneurship; Research; Industrial oriented teaching and learning},
Web-of-Science-Categories = {Computer Science, Interdisciplinary Applications; Engineering,
Electrical \& Electronic},
Author-Email = {ashaali2002@gmail.com
liyanousheer@gmail.com},
ORCID-Numbers = {Ali, Asha/0009-0006-0479-9595},
Number-of-Cited-References = {11},
Times-Cited = {1},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {37},
Unique-ID = {WOS:000312406000052},
DA = {2023-09-28},
}
@article{ WOS:000285499600002,
Author = {Land, Thomas and Rigotti, Nancy A. and Levy, Douglas E. and Paskowsky,
Mark and Warner, Donna and Kwass, Jo-Ann and Wetherell, LeAnn and
Keithly, Lois},
Title = {A Longitudinal Study of Medicaid Coverage for Tobacco Dependence
Treatments in Massachusetts and Associated Decreases in Hospitalizations
for Cardiovascular Disease},
Journal = {PLOS MEDICINE},
Year = {2010},
Volume = {7},
Number = {12},
Month = {DEC},
Abstract = {Background: Insurance coverage of tobacco cessation medications
increases their use and reduces smoking prevalence in a population.
However, uncertainty about the impact of this coverage on health care
utilization and costs is a barrier to the broader adoption of this
policy, especially by publicly funded state Medicaid insurance programs.
Whether a publicly funded tobacco cessation benefit leads to decreased
medical claims for tobacco-related diseases has not been studied. We
examined the experience of Massachusetts, whose Medicaid program adopted
comprehensive coverage of tobacco cessation medications in July 2006.
Over 75,000 Medicaid subscribers used the benefit in the first 2.5
years. On the basis of earlier secondary survey work, it was estimated
that smoking prevalence declined among subscribers by 10\% during this
period.
Methods and Findings: Using claims data, we compared the probability of
hospitalization prior to use of the tobacco cessation pharmacotherapy
benefit with the probability of hospitalization after benefit use among
Massachusetts Medicaid beneficiaries, adjusting for demographics,
comorbidities, seasonality, influenza cases, and the implementation of
the statewide smoke-free air law using generalized estimating equations.
Statistically significant annualized declines of 46\% (95\% confidence
interval 2\%-70\%) and 49\% (95\% confidence interval 6\%-72\%) were
observed in hospital admissions for acute myocardial infarction and
other acute coronary heart disease diagnoses, respectively. There were
no significant decreases in hospitalizations rates for respiratory
diagnoses or seven other diagnostic groups evaluated.
Conclusions: Among Massachusetts Medicaid subscribers, use of a
comprehensive tobacco cessation pharmacotherapy benefit was associated
with a significant decrease in claims for hospitalizations for acute
myocardial infarction and acute coronary heart disease, but no
significant change in hospital claims for other diagnoses. For
low-income smokers, removing the barriers to the use of smoking
cessation pharmacotherapy has the potential to decrease short-term
utilization of hospital services.},
Type = {Article},
Language = {English},
Affiliation = {Land, T (Corresponding Author), Massachusetts Tobacco Cessat \& Prevent Program, Boston, MA USA.
Land, Thomas; Paskowsky, Mark; Warner, Donna; Kwass, Jo-Ann; Keithly, Lois, Massachusetts Tobacco Cessat \& Prevent Program, Boston, MA USA.
Rigotti, Nancy A.; Levy, Douglas E., Massachusetts Gen Hosp, Dept Med, Tobacco Res \& Treatment Ctr, Div Gen Med, Boston, MA 02114 USA.
Rigotti, Nancy A.; Levy, Douglas E., Harvard Univ, Sch Med, Boston, MA USA.
Rigotti, Nancy A.; Levy, Douglas E., Massachusetts Gen Hosp, Mongan Inst Hlth Policy, Boston, MA 02114 USA.
Wetherell, LeAnn, Off Medicaid Commonwealth Massachusetts, Boston, MA USA.},
DOI = {10.1371/journal.pmed.1000375},
Article-Number = {e1000375},
ISSN = {1549-1277},
Keywords-Plus = {ACUTE MYOCARDIAL-INFARCTION; CORONARY-HEART-DISEASE; SMOKING-CESSATION;
UNITED-STATES; QUITTING SMOKING; HEALTH; RISK; MORTALITY; EXPOSURE;
CHARGES},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {Thomas.Land@state.ma.us},
ResearcherID-Numbers = {Levy, Douglas/W-1516-2019},
ORCID-Numbers = {Levy, Douglas/0000-0001-9446-7899},
Number-of-Cited-References = {25},
Times-Cited = {37},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000285499600002},
DA = {2023-09-28},
}
@article{ WOS:000545451300009,
Author = {Pizarro Gomez, Selena},
Title = {International Relations from the decolonial feminisms. A dialogic
approach to a decolonial feminist economy},
Journal = {RELACIONES INTERNACIONALES-MADRID},
Year = {2020},
Number = {44},
Pages = {147-164},
Month = {JUN-SEP},
Abstract = {Since the mid-twentieth century, the modern-colonial capitalist system
has been consolidated by a Eurocentric logic that has aggravated the
North-South gap. Thus the international economic relations that imposed
the generation and racialization of labour were forged. In this sense,
the assurance of the socio-economic rights of the working class of the
Global North was the product of a process imbricated by the factors of
modernity, (neo)colonialism and development. Therefore, the urgency of
deconstructing the current ecocide and genocidal economic system is
presented, for this new world order has profited from the
overexploitation and death of thousands of women. This investigation
implements a theoretical-methodological intersectional approach, that is
to say, to understand the subordination of women there is a need to do
so from a set of co-constitutional variables (gender, race, sexuality,
spirituality, etc.) and from ``situated knowledges{''} as Donna Haraway
puts it.This perspective allows us to go beyond gender oppression, for
which it will be essential to actively listen to the experiences of
other women who have been marginalized and excluded by hegemonic and
Eurocentric feminisms, only considered as objects of study never as
political subjects. This work is implicated in the will to study and
move towards an alternative reading of international relations. For this
purpose, it is my proposal to begin in the feminist margins of
decolonial feminisms, from the ideas of thinkers who are characterized
by not seeking a consensus but a conversation from difference. Regarding
the structure, the first part of the article will present a critique of
mainstream international relations discourse from a decolonial
perspective.Thus, the aim is to prove through a critique of the
hegemonic paradigm that international relations serves the interests of
the Global North as a consequence of Eurocentric thinking. Subsequently,
the relegation of reproductive work to women linked to the colonial
process will be studied. Furthermore, it will seek to demonstrate the
effects of the international economic system on the subalternized,
racialized, and colonized lives of workers, refugees, or migrants. In
relation to this issue, the study and review of historical factors is
fundamental because international relations cannot be understood without
studying history; that is, the creation of the current international
economic system as a consequence of the construction of the
international and sexual division of labour and the processes of
colonization and racialization. In turn, the above study has as an
objective to demonstrate that the care economy is the backbone of the
functioning of the international economic system. In other words, if
women - traditionally responsible for maintaining lives - went on
general strike, the world economy would come to a standstill. Likewise,
the violence caused by the modern/colonial capitalist system on the
bodies of the subalternized will be analyzed. In this sense, the
epistemologies of the South become essential for the study of the
neocolonial North-South economic relations where violence against women
plays a key role. Examples of this are free-trade zones, extractivism,
or in the worst of the cases: wars. Finally, a dialogue between
decolonial feminisms and the feminist economy is presented to rethink
and justify welfare as a path towards the protection of planetary life.
In short, the global context is a system that has ceded the baton to a
model that makes it impossible to guarantee the care of lives as a
consequence of a nature that is Eurocentric, racist, colonial,
heteropatriarchal, ecocidal and so forth.The proposal to urge an
alternative is justified through a crisis of a systemic nature which,
despite attempts to blur its permanence, is still present through
political and socio-economic conflicts. Thus, the Global North is
suffering from a process leading to areas that were once part of the
centre are now peripheral - as a consequence of the globalised crisis
and increased by austerity policies.This consolidates a political,
economic, ecological and ethical crisis, which forces us to question the
direction in which we are navigating and how we will manage this
process, even if this seems inevitable with respect to environmental
degradation and being immersed in a context of social
hyper-segmentation, where growing inequalities seem to be naturalized
and at the same time legitimized. For this reason, this article aims to
establish a dialogue between descolonial feminisms and feminist
economics to seek a consensus for the creation of a feminist, subversive
and common agenda. For this sort of reflection and questioning the
presence of international relations becomes indispensable. From the
beginning, this discipline should go hand in hand with the transition
phase aimed at replacing capital with the care economy and
sustainability of life as the epicentre of the system. This research
seeks to outline the nonconformity of accepting that history has already
been written against those who prevent us from dreaming of the change we
want and believe in. But why now? The present moment is decisive. In the
face of the threat to planetary life from a destructive economic system,
it is more necessary than ever to participate in the creation of another
paradigm of international relations through other knowledges.
Undoubtedly, the image of the Amazon in flames is further proof of the
urgency of initiating a transformation of the global political and
socio-economic system. From where and for what purpose is knowledge
produced? What role does the economy play within international
relations? Who benefits and who is harmed by the globalized capitalist
model? Where do women stand within the economic system? Which lives are
worth living? Is it possible to initiate an alternative to capitalism
from Europe? These questions are not posed with the aim of giving a
definitive answer, but with the intention of provoking dialogue and
reflection.That is to say, against the logic of the ethics of war, it is
manifested to promote the transition of the current international
economic system towards a new model for which it will be essential to
initiate an analysis of international relations from feminist
genealogies and from decolonial thought.},
Type = {Article},
Language = {Spanish},
DOI = {10.15366/relacionesinternacionales2020.44.008},
ISSN = {1699-3950},
Keywords = {International Relations; decolonial feminisms; intersectionality; care;
sustainability of life},
Web-of-Science-Categories = {International Relations},
Number-of-Cited-References = {40},
Times-Cited = {0},
Usage-Count-Last-180-days = {6},
Usage-Count-Since-2013 = {25},
Unique-ID = {WOS:000545451300009},
DA = {2023-09-28},
}
@article{ WOS:000381463200002,
Author = {Aveling, Emma-Louise and Zegeye, Desalegn Tegabu and Silverman, Michael},
Title = {Obstacles to implementation of an intervention to improve surgical
services in an Ethiopian hospital: a qualitative study of an
international health partnership project},
Journal = {BMC HEALTH SERVICES RESEARCH},
Year = {2016},
Volume = {16},
Month = {AUG 17},
Abstract = {Background: Access to safe surgical care represents a critical gap in
healthcare delivery and development in many low-and middle-income
countries, including Ethiopia. Quality improvement (QI) initiatives at
hospital level may contribute to closing this gap. Many such quality
improvement initiatives are carried out through international health
partnerships. Better understanding of how to optimise quality
improvement in low-income settings is needed, including through
partnership-based approaches. Drawing on a process evaluation of an
intervention to improve surgical services in an Ethiopian hospital, this
paper offers lessons to help meet this need.
Methods: We conducted a qualitative process evaluation of a quality
improvement project which aimed to improve access to surgical services
in an Ethiopian referral hospital through better management. Data was
collected longitudinally and included: 66 in-depth interviews with
surgical staff and project team members; observation (135 h) in the
surgery department and of project meetings; project-related
documentation. Thematic analysis, guided by theoretical constructs,
focused on identifying obstacles to implementation.
Results: The project largely failed to achieve its goals. Key barriers
related to project design, partnership working and the implementation
context, and included: confusion over project objectives and project and
partner roles and responsibilities; logistical challenges concerning
overseas visits; difficulties in communication; gaps between the time
and authority team members had and that needed to implement and engage
other staff; limited strategies for addressing adaptive-as opposed to
technical-challenges; effects of hierarchy and resource scarcity on QI
efforts. While many of the obstacles identified are common to diverse
settings, our findings highlight ways in which some features of
low-income country contexts amplify these common challenges.
Conclusion: We identify lessons for optimising the design and planning
of quality improvement interventions within such challenging healthcare
contexts, with specific reference to international partnership-based
approaches. These include: the need for a funded lead-in phase to
clarify and agree goals, roles, mutual expectations and communication
strategies; explicitly incorporating adaptive, as well as technical,
solutions; transparent management of resources and opportunities;
leadership which takes account of both formal and informal power
structures; and articulating links between project goals and wider
organisational interests.},
Type = {Article},
Language = {English},
Affiliation = {Aveling, EL (Corresponding Author), Univ Cambridge, Inst Publ Hlth, Cambridge Ctr Hlth Serv Res, Forvie Site,Robinson Way, Cambridge CB2 0SR, England.
Aveling, EL (Corresponding Author), Harvard TH Chan Sch Publ Hlth, Dept Hlth Policy \& Management, Boston, MA 02115 USA.
Aveling, Emma-Louise, Univ Cambridge, Inst Publ Hlth, Cambridge Ctr Hlth Serv Res, Forvie Site,Robinson Way, Cambridge CB2 0SR, England.
Aveling, Emma-Louise, Harvard TH Chan Sch Publ Hlth, Dept Hlth Policy \& Management, Boston, MA 02115 USA.
Zegeye, Desalegn Tegabu, Fed Minist Hlth, POB 1234, Addis Ababa, Ethiopia.
Silverman, Michael, Univ Leicester, Dept Infect Inflammat \& Immun, Univ Rd, Leicester LE1 7RH, Leics, England.},
DOI = {10.1186/s12913-016-1639-4},
Article-Number = {393},
ISSN = {1472-6963},
Keywords = {Quality improvement; Surgery; Patient safety; Partnership; Ethiopia},
Keywords-Plus = {PATIENT SAFETY; COMMUNITY-DEVELOPMENT; CARE; INFRASTRUCTURE; UNIVERSITY},
Web-of-Science-Categories = {Health Care Sciences \& Services},
Author-Email = {eaveling@hsph.harvard.edu},
ORCID-Numbers = {Zegeye, Desalegn Tegabu/0000-0002-5231-9967},
Number-of-Cited-References = {36},
Times-Cited = {17},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {9},
Unique-ID = {WOS:000381463200002},
DA = {2023-09-28},
}
@article{ WOS:000322023600014,
Author = {Galukande, Moses and Ozgediz, Doruk and Elobu, Emmanuel and Kaggwa, Sam},
Title = {Pretraining Experience and Structure of Surgical Training at a
Sub-Saharan African University},
Journal = {WORLD JOURNAL OF SURGERY},
Year = {2013},
Volume = {37},
Number = {8},
Pages = {1836-1840},
Month = {AUG},
Abstract = {The common goal of surgical training is to provide effective,
well-rounded surgeons who are capable of providing a safe and competent
service that is relevant to the society within which they work. In
recent years, the surgical workforce crisis has gained greater attention
as a component of the global human resources in health problems in low-
and middle-income countries. The purpose of this study was to: (1)
describe the models for specialist surgical training in Uganda; (2)
evaluate the pretraining experience of surgical trainees; (3) explore
training models in the United States and Canada and areas of possible
further inquiry and intervention for capacity-building efforts in
surgery and perioperative care.
This was a cross-sectional descriptive study conducted at Makerere
University, College of Health Sciences during 2011-2012. Participants
were current and recently graduated surgical residents. Data were
collected using a pretested structured questionnaire and were entered
and analyzed using an excel Microsoft spread sheet. The Makerere
University, College of Health Sciences Institutional Review Board
approved the study.
Of the 35 potential participants, 23 returned the questionnaires (65
\%). Mean age of participants was 29 years with a male/female ratio of
3:1. All worked predominantly in general district hospitals. Pretraining
procedures performed numbered 2,125 per participant, which is twice that
done by their US and Canadian counterparts during their entire 5-year
training period.
A rich pretraining experience exists in East Africa. This should be
taken advantage of to enhance surgical specialist training at the
institution and regional level.},
Type = {Article},
Language = {English},
Affiliation = {Galukande, M (Corresponding Author), Makerere Univ, Dept Surg, Coll Hlth Sci, Mulago Hill Rd,POB 7072, Kampala, Uganda.
Galukande, Moses; Elobu, Emmanuel; Kaggwa, Sam, Makerere Univ, Dept Surg, Coll Hlth Sci, Kampala, Uganda.
Ozgediz, Doruk, Yale Univ, Dept Pediat, New Haven, CT 06520 USA.},
DOI = {10.1007/s00268-013-2053-2},
ISSN = {0364-2313},
Keywords-Plus = {RESIDENTS; SURGERY; UGANDA},
Web-of-Science-Categories = {Surgery},
Author-Email = {mosesg@img.co.ug},
ORCID-Numbers = {Elobu, Alex Emmanuel/0000-0003-1647-0616},
Number-of-Cited-References = {15},
Times-Cited = {8},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000322023600014},
DA = {2023-09-28},
}
@inproceedings{ WOS:000540889200020,
Author = {Cardim, Sofia and Nunes, Alcina and Fernandes, Paula Odete and Branco,
Frederico},
Editor = {Costa, C and AuYongOliveira, M and Amorim, MPC},
Title = {Implementation of Balanced ScoreCard: Simplify strategic thinking
development in Portuguese SMEs},
Booktitle = {PROCEEDINGS OF THE 13TH EUROPEAN CONFERENCE ON INNOVATION AND
ENTREPRENEURSHIP (ECIE 2018)},
Series = {Proceedings of the European Conference on Entrepreneurship and
Innovation},
Year = {2018},
Pages = {177-182},
Note = {13th European Conference on Innovation and Entrepreneurship (ECIE),
Aveiro, PORTUGAL, SEP 20-21, 2018},
Abstract = {The Portuguese business structure is essentially composed of small and
medium-sized enterprises (SMEs), which, despite their size, generate
employment and contribute to the increase of national income. In many of
these companies, some of them having less than ten employees, management
and operational functions are often carried out by the entrepreneur. In
addition, the entrepreneur does not always have technical knowledge in
management, nor do they have the available time (since they have various
responsibilities within the company) to develop and implement a
management strategy that allows the enterprise to remain in the market
while adopting a more conscious, consistent and sustained orientation.
Within the scope of the Operational Program for Competitiveness and
Internationalization - Portugal 2020, the Balanced ScoreCard (BSC)
strategic management instrument was developed and implemented in several
companies and sectors of the Portuguese economy. This instrument was
crucial in initiating a process of strategic thinking which, quite
possibly, would not have happened in such a short time horizon. This
research work analyses through an essentially qualitative research the
way the BSC instrument was developed and implemented. Another objective
is to understand the main advantages of its use and its main application
constraints. The data was gathered through a semi-structured interview
developed for the owners of four Portuguese SMEs in the northern region
Portugal, targeted under the abovementioned programme framework. The
results demonstrate the instrument was essential for the development of
a structured strategic thinking, as well as for a better performance
and, consequently, to the improvement of the competitiveness of the
targeted companies. The results also show the instrument had to be
adapted and simplified and its implementation has to involve all the
employees of the enterprises.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Cardim, S (Corresponding Author), Inst Polytech Braganca, Braganca, Portugal.
Cardim, Sofia; Nunes, Alcina; Fernandes, Paula Odete, Inst Polytech Braganca, Braganca, Portugal.
Nunes, Alcina; Fernandes, Paula Odete, Inst Polytech Braganca, Appl Management Res Unit UNIAG, Braganca, Portugal.
Branco, Frederico, Univ Tras Os Montes \& Alto Douro, Vila Real, Portugal.
Branco, Frederico, INESC TEC, Vila Real, Portugal.
Branco, Frederico, UTAD, Vila Real, Portugal.},
ISSN = {2049-1050},
EISSN = {2049-1069},
ISBN = {978-1-911218-98-2},
Keywords = {Balanced ScoreCard; SMEs; strategic thinking; performance;
competitiveness; Portugal},
Web-of-Science-Categories = {Business; Social Sciences, Interdisciplinary},
Author-Email = {sofiacardim@ipb.pt
alcina@ipb.pt
pof@ipb.pt
fbranco@utad.pt},
ResearcherID-Numbers = {Fernandes, Paula Odete/N-3804-2013
Nunes, Alcina/M-8259-2013
Fernandes, Pedro/HGF-1507-2022
Branco, Frederico/GPT-3972-2022
Cardim Barata, Ana Sofia/HPG-9403-2023
},
ORCID-Numbers = {Fernandes, Paula Odete/0000-0001-8714-4901
Nunes, Alcina/0000-0003-4056-9747
Cardim Barata, Ana Sofia/0000-0002-7506-5111
Branco, Frederico/0000-0001-8434-4887},
Number-of-Cited-References = {17},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000540889200020},
DA = {2023-09-28},
}
@article{ WOS:000751459100028,
Author = {Nortcliffe, Anne Louise and Parveen, Sajhda and Pink-Keech, Cathy},
Title = {Statistically, Does peer assisted learning make a difference on a UK
engineering degree programme? HETL Scotland 2017},
Journal = {JOURNAL OF APPLIED RESEARCH IN HIGHER EDUCATION},
Year = {2022},
Volume = {14},
Number = {1},
Pages = {489-506},
Month = {JAN 27},
Abstract = {Purpose - Black British minority ethnics (BME) students are nationally
underachieving in comparison to their Ethnic Chinese and White peers,
showing typically a 16 per cent graduate attainment gap in the UK.
Previous research has suggested that the attainment gap could be
explained by BME student disengagement, as the students typically
commute from family home to University, and they work part time.
However, peer-assisted learning (PAL) has been shown to have a positive
impact on addressing and resolving student alienation and disengagement.
However, a question still remains regarding whether student perceptions
hold up to statistical analysis when scrutinised in comparison to
similar cohorts without PAL interventions. The paper aims to discuss
these issues.
Design/methodology/approach - This paper presents the results of a
statistical study for two cohorts of students on engineering courses
with a disproportionately high representation of BME students. The
research method involved a statistical analysis of student records for
the two cohorts to ascertain any effect of correlation between: PAL;
student ethnicity; and student parental employment on student academic
performance and placement attainment.
Findings - The results indicate that PAL has no significant impact on
the academic performance; however, PAL has a positive impact on the
placement/internship attainment for BME students and students from
parental households with parents in non-managerial/professional
employment.
Research limitations/implications - The research limitations are that
the cohorts are small, but more equal diverse mix of different social
categories than any other courses. However, as the cohorts are less than
30 students, comparing social categories the data sets are small to have
absolute confidence in the statistical results of academic performance.
Even the t-test has its limitations as the subjects are human, and there
are multiple personal factors that can impact an individual academic
performance; therefore, the data sets are heterostatic.
Practical implications - The results highlight that there is need for
pedagogy interventions to support: ideally all BME students from all
social categery to secure placements; BME students who are unable to go
on placement to gain supplementary learning that has the same impact on
their personal development and learning as placement/internship
experience; and White students from managerial/professional family
households to engage more in their studies.
Social implications - Not addressing and providing appropriate pedagogy
interventions, in the wider context not addressing/resolving the BME
academic and placement attainment gap, a set of students are being
disadvantaged to their peers through no fault of their own, and
compounding their academic attainment. As academics we have a duty to
provide every opportunity to develop our student attainment, and as
student entry is generally homogeneous, all students should attain it.
Originality/value - Previous research evaluation of PAL programmes has
focused on quantitative students surveys and qualitative semi-structured
research interviews with students on their student engagement and
learning experience. On the other hand, this paper evaluates the
intervention through conducting a quantitative statistical analysis of
the student records to evaluate the impact of PAL on a cohort's
performance on different social categories (classifications) and
compares the results to a cohort of another group with a similar student
profile, but without PAL intervention implementation.},
Type = {Article},
Language = {English},
Affiliation = {Nortcliffe, AL (Corresponding Author), Canterbury Christ Church Univ, Sch Human \& Life Sci, Canterbury, Kent, England.
Nortcliffe, Anne Louise, Canterbury Christ Church Univ, Sch Human \& Life Sci, Canterbury, Kent, England.
Parveen, Sajhda, Sheffield Hallam Univ, Dept Engn \& Math, Sheffield, S Yorkshire, England.
Pink-Keech, Cathy, Sheffield Hallam Univ, Dept Lib Serv, Sheffield, S Yorkshire, England.},
DOI = {10.1108/JARHE-04-2017-0047},
ISSN = {2050-7003},
EISSN = {1758-1184},
Keywords = {BME attainment gap; Peer-assisted learning; Placement attainment; Social
economic background of students},
Keywords-Plus = {HIGHER-EDUCATION; ATTAINMENT; STUDENTS},
Web-of-Science-Categories = {Education \& Educational Research},
Author-Email = {anne.nortcliffe@canterbury.ac.uk},
Number-of-Cited-References = {37},
Times-Cited = {1},
Usage-Count-Last-180-days = {2},
Usage-Count-Since-2013 = {5},
Unique-ID = {WOS:000751459100028},
DA = {2023-09-28},
}
@article{ WOS:000330829200177,
Author = {Li, Ying and Ehiri, John and Oren, Eyal and Hu, Daiyu and Luo, Xingneng
and Liu, Ying and Li, Daikun and Wang, Qingya},
Title = {Are We Doing Enough to Stem the Tide of Acquired MDR-TB in Countries
with High TB Burden? Results of a Mixed Method Study in Chongqing, China},
Journal = {PLOS ONE},
Year = {2014},
Volume = {9},
Number = {2},
Month = {FEB 5},
Abstract = {Multi-drug resistant tuberculosis (MDR-TB) represents a threat to health
and development in countries with high TB burden. China's MDR-TB
prevalence rate of 6.8\% is the highest in the world. Interventions to
remove barriers against effective TB control, and prevention of MDR-TB
are urgently needed in the country. This paper reports a cross-sectional
questionnaire survey of 513 pulmonary TB (PTB) patients, and qualitative
interviews of 10 healthcare workers (HCWs), and 15 PTB patients. The
objective was to assess barriers against effective control of PTB and
prevention of MDR-TB by elucidating the perspectives of patients and
healthcare providers. Results showed that more than half of the patients
experienced patient delay of over 12.5 days. A similar proportion also
experienced detection delay of over 30 days, and delay in initiating
treatment of over 31 days. Consulting a non-TB health facility >= 3
times before seeking care at TB dispensary was a risk factor for both
detection delay {[}AOR (95\% CI): 1.89(1.07, 3.34) and delay in
initiating treatment{[}AOR (95\% CI): 1.88 (1.06, 3.36). Results
revealed poor implementation of Directly Observed Therapy (DOT), whereby
treatment of 34.3\% patients was never monitored by HCWs. Only 31.8\%
patients had ever accessed TB health education before their TB
diagnosis. Qualitative data consistently disclosed long patient delay,
and indicated that patient's poor TB knowledge and socioeconomic
barriers were primary reasons for patient delay. Seeking care and being
treated at a non-TB hospital was an important reason for detection
delay. Patient's long work hours and low income increased risk for
treatment non-adherence. Evidence-based measures to improve TB health
seeking behavior, reduce patient and detection delays, improve the
quality of DOT, address financial and system barriers, and increase
access to TB health promotion are urgently needed to address the
burgeoning prevalence of MDR-TB in China.},
Type = {Article},
Language = {English},
Affiliation = {Li, Y (Corresponding Author), Third Mil Med Univ, Dept Social Med \& Hlth Serv Management, Chongqing, Peoples R China.
Li, Ying; Liu, Ying, Third Mil Med Univ, Dept Social Med \& Hlth Serv Management, Chongqing, Peoples R China.
Ehiri, John, Univ Arizona, Mel \& Enid Zuckerman Coll Publ Hlth, Div Hlth Promot Sci, Tucson, AZ USA.
Oren, Eyal, Univ Arizona, Mel \& Enid Zuckerman Coll Publ Hlth, Div Epidemiol \& Biostat, Tucson, AZ USA.
Hu, Daiyu; Wang, Qingya, Chongqing Inst TB Prevent \& Treatment, Chongqing, Peoples R China.
Luo, Xingneng, Ctr Dis Control Shapingba Dist, Dept TB Control, Chongqing, Peoples R China.
Li, Daikun, Chongqing Med Univ, Univ Town Hosp, Dept Lab Med, Chongqing, Peoples R China.},
DOI = {10.1371/journal.pone.0088330},
Article-Number = {e88330},
ISSN = {1932-6203},
Keywords-Plus = {MULTIDRUG-RESISTANT TUBERCULOSIS; ANTITUBERCULOSIS-DRUG-RESISTANCE;
RISK-FACTORS; PULMONARY TUBERCULOSIS; EPIDEMIOLOGY; PREVALENCE; DELAYS;
TIME},
Web-of-Science-Categories = {Multidisciplinary Sciences},
Author-Email = {lilyliying2012@163.com},
ResearcherID-Numbers = {Oren, Eyal/AAD-5561-2019
},
ORCID-Numbers = {Oren, Eyal/0000-0001-7817-3516},
Number-of-Cited-References = {46},
Times-Cited = {17},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {26},
Unique-ID = {WOS:000330829200177},
DA = {2023-09-28},
}
@article{ WOS:000727978600001,
Author = {Khan, Unab I. and Qureshi, Asra and Lal, Karishma and Ali, Shehreen and
Barkatali, Arshnoor and Nayani, Shamim},
Title = {Implementation and evaluation of Employee Health and Wellness Program
using RE-AIM framework},
Journal = {INTERNATIONAL JOURNAL OF WORKPLACE HEALTH MANAGEMENT},
Year = {2022},
Volume = {15},
Number = {1},
Pages = {87-98},
Month = {JAN 18},
Abstract = {Purpose The study describes the design, implementation and evaluation of
an employer-sponsored health screening program - Employee Health and
Wellness Program (EHWP) - in an academic healthcare system in Pakistan.
Design/methodology/approach One year after implementation, RE-AIM
(reach, effectiveness, adoption, implementation and maintenance)
framework was used to evaluate and report participant- and
organizational-level indicators of success. Findings Of the 5,286
invited employees, 4,523 (86\%) completed blood work and 1809 (34\%)
completed health risk assessment (reach). Of the 915 (51\%) who required
referrals, 3\% were referred for new diagnoses of diabetes, hepatitis C
or severe anemia; 63\% for elevated 10-year risk of cardiometabolic
diseases (cardiovascular disease and diabetes); and 25\% for counseling
for depression, obesity or smoking cessation (effectiveness). Employees'
barriers to enrollment were explored (adoption). While institutional
costs were considered nominal (USD 20/employee), organizational barriers
were identified (implementation). Finally, 97\% of users reported
interest in enrollment if EHWP was offered again (maintenance).
Originality/value In a country with minimal focus on adult preventive
care, the study reports the impact of an employer-offered wellness
program that identified new risk factors and offered a referral for
ongoing care. Employees reported a positive experience and were willing
to re-enroll. Using the RE-AIM framework, the study has defined
indicators in the real-world setting that can be used effectively by
other institutions to start such a program.},
Type = {Article},
Language = {English},
Affiliation = {Khan, UI (Corresponding Author), Aga Khan Univ, Dept Family Med, Karachi, Pakistan.
Khan, Unab I.; Qureshi, Asra; Lal, Karishma, Aga Khan Univ, Dept Family Med, Karachi, Pakistan.
Ali, Shehreen; Barkatali, Arshnoor, Aga Khan Univ Hosp, Employee Hlth, Karachi, Pakistan.
Nayani, Shamim, Aga Khan Univ, Dept Human Resources, Karachi, Pakistan.},
DOI = {10.1108/IJWHM-04-2021-0081},
EarlyAccessDate = {DEC 2021},
ISSN = {1753-8351},
EISSN = {1753-836X},
Keywords = {Employee Health and Wellness Program; Low-middle income countries;
Preventive care model; RE-AIM framework; Framingham risk score (FRS);
Metabolic syndrome (MetS)},
Keywords-Plus = {INTERVENTIONS; DISEASES},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {unab.khan@aku.edu
asra.qureshi@aku.edu
karishma.kanhya@gmail.com
shehreen.ali@aku.edu
arshnoor.barkatali@aku.edu
shamim.nayani@aku.edu},
ORCID-Numbers = {Khan, Unab/0000-0002-7002-1726
Ali, Shehreen/0000-0002-3599-6405
Lal, Karishma/0000-0001-7561-9025},
Number-of-Cited-References = {18},
Times-Cited = {1},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000727978600001},
DA = {2023-09-28},
}
@article{ WOS:000303669600005,
Author = {Kim, Francis S. and Tran, Huong H. and Sinha, Indranil and Patel, Anup
and Nelson, Rebecca A. and Pandya, Ankur N. and Keswani, Sunil and
Watkins, James F.},
Title = {Experience With Corrective Surgery for Postburn Contractures in Mumbai,
India},
Journal = {JOURNAL OF BURN CARE \& RESEARCH},
Year = {2012},
Volume = {33},
Number = {3},
Pages = {E120-E126},
Month = {MAY-JUN},
Note = {15th Meeting of the International-Society-for-Burn-Injuries (ISBI),
Istanbul, TURKEY, JUN 25, 2010},
Abstract = {Postburn contracture is a source of significant morbidity in India, even
though its occurrence can be reduced significantly by comprehensive
postburn injury care, including surgical intervention. This study
investigates whether limited access to initial medical care after burn
injury has been associated with increased contracture formation among
lower socioeconomic class patients in Mumbai, India. During a surgical
mission in Mumbai, India, patients presenting with functionally
debilitating burn contractures and minimal income were surveyed for
initial care received immediately after burn injury. The survey
consisted of questions regarding the history of burn injury and details
of any initial treatment. Demographic data were collected by chart
review. Thirty-eight patients from the state of Maharashtra participated
in the study (mean age 28.1 years). The most common etiology of burn
injury was from kerosene stove blasts (74\%), and the most common
morbidities were contractures of the neck and upper extremity. On
average, time elapsed since the original injury was 2.8 years. Nearly
all patients sought initial medical care at hospitals (97\%) with the
majority receiving only dressing changes for their full-thickness or
deep-dermal burns (61\%). The most common reason for not seeking out
delayed burn reconstruction was perceived cost (65\%). Ultimately, 60
operations were performed, of which 9 (15\%) developed postsurgical
complications. These data suggest that a subset of lower socioeconomic
class burn patients in Maharashtra received suboptimal initial
intervention. Comprehensive initial therapy after burn injury may
provide better outcomes and limit the number of patients requiring
delayed reconstruction. (J Burn Care Res 2012;33:e120-e126)},
Type = {Article; Proceedings Paper},
Language = {English},
Affiliation = {Watkins, JF (Corresponding Author), Brigham \& Womens Hosp, Div Trauma \& Burn Surg, Dept Surg, 75 Francis St, Boston, MA 02115 USA.
Kim, Francis S.; Watkins, James F., Brigham \& Womens Hosp, Div Burn Trauma \& Crit Care, Dept Surg, Boston, MA 02115 USA.
Tran, Huong H., Univ Michigan, Sch Med, Dept Family Med, Ann Arbor, MI USA.
Sinha, Indranil, Brigham \& Womens Hosp, Sect Plast Surg, Boston, MA 02115 USA.
Patel, Anup, Yale Univ, Sch Med, Div Plast Surg, New Haven, CT USA.
Nelson, Rebecca A., Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA.
Pandya, Ankur N., MDHU Portsmouth, Portsmouth Hosp, Dept Plast Surg, Portsmouth, Hants, England.
Keswani, Sunil, Natl Burn Ctr, Bombay, Maharashtra, India.},
DOI = {10.1097/BCR.0b013e3182335a00},
ISSN = {1559-047X},
Keywords-Plus = {BURN INJURY; UPPER EXTREMITY; MANAGEMENT; PREVENTION; RETURN; WORK;
STRATEGIES; BARRIERS; SCARS; CARE},
Web-of-Science-Categories = {Critical Care Medicine; Dermatology; Surgery},
Number-of-Cited-References = {31},
Times-Cited = {7},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000303669600005},
DA = {2023-09-28},
}
@article{ WOS:000968088900007,
Author = {Noble, Helen and Ordonez, Willy Jesus Neumann and Wong, Gabriela Zavala
and Rodriguez, Manuel J. and Checa, David Ortega and Warne, Maria and
Senturia, Kirsten and Jin, Ying and Peterson, Ryan and LaGrone, Lacey
Nicole},
Title = {Does Access to Point-of-Care Medical Information Improve Trauma and
General Surgeons' Clinical Knowledge in a Middle-Income Country? A
Mixed-Methods Study with Random Assignment},
Journal = {JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS},
Year = {2023},
Volume = {236},
Number = {3},
Pages = {484-494},
Month = {MAR},
Abstract = {BACKGROUND: Investing in continued medical education strengthens
surgical systems. This study assessed the effectiveness of an
evidence-based practice (EBP) tutorial and access to UpToDate (UTD) to
improve EBP and understand how and why providers practice using
evidence.STUDY DESIGN: This is a mixed-methods, implementation study at
9 public hospitals in Peru consisting of a didactic session for surgeons
on EBP and Google Translate and support of applications for UTD access.
Change in clinical knowledge scores (CKS), access and use of UTD, and
impact of language pre-and postintervention were measured. Qualitative
interviews uncovered rea-sons for these changes.RESULTS: Intervention
participants had lower CKS at follow-up compared with baseline (odds
ratio {[}OR] of higher score 0.41 {[}0.18,0.98]; p = 0.044), and this
effect was modified (p = 0.003) to the extent that the reverse was true
for control participants (OR 2.30 {[}1.13,4.71]; p = 0.022).
Participants with 1 to 20 years of experience had significantly improved
CKS compared with students/residents (1 to 10 years: OR 4.5 {[}1.1,18];
11 to 20 years: OR 4.9 {[}1.4,17]); there was no evidence of a different
CKS between providers with > 20 years of experience compared with
students/residents (OR 1.3 {[}0.5,3.7]). Administrative disconnect,
usability, motivation, edu-cation, time, resources, and age influenced
point-of-care medical information systems impact on knowledge and EBP.
Participants reporting low English proficiency translated medical
literature mostly used Google Translate. Those with low/no English
reading proficiency had higher odds of reporting a negative impact on
research than those with working (p = 0.007) or professional (p < 0.001)
proficiency.CONCLUSIONS: Providing education on EBP, free UTD access,
and translation solutions did not correlate with increased CKS due to
complex barriers to using point-of-care medical information systems. (J
Am Coll Surg 2023;236:484-494. (c) 2022 The Author(s). Published by
Wolters Kluwer Health, Inc. on behalf of the American College of
Surgeons. This is an open-access article distributed under the terms of
the Creative Commons Attribution-Non Commercial-No Derivatives License
4.0 {[}CCBY-NC-ND], where it is permissible to download and share the
work provided it is properly cited. The work cannot be changed in any
way or used commer-cially without permission from the journal.)},
Type = {Article},
Language = {English},
Affiliation = {Noble, H (Corresponding Author), 22 S Greene St, Baltimore, MD 21231 USA.
Noble, Helen, Univ Washington, Northern Pacific Global Hlth Fogarty Int Program, Seattle, WA USA.
Senturia, Kirsten, Univ Washington, Dept Hlth Serv, Seattle, WA USA.
Ordonez, Willy Jesus Neumann; Checa, David Ortega, Soc Cirujanos Gen Peru, Lima, Peru.
Wong, Gabriela Zavala, Univ Peruana Cayetano Heredia, Med Sch, Lima, Peru.
Rodriguez, Manuel J., Univ Peruana Cayetano Heredia, Dept Surg, Lima, Peru.
Checa, David Ortega, Hosp Rebagliati, Dept Surg, Lima, Peru.
Warne, Maria; LaGrone, Lacey Nicole, Univ Colorado Hlth, Med Ctr Rockies, Dept Surg, Loveland, CO USA.
Jin, Ying; Peterson, Ryan, Univ Colorado, Anschutz Med Campus, Aurora, CO USA.},
DOI = {10.1097/XCS.0000000000000530},
ISSN = {1072-7515},
EISSN = {1879-1190},
Keywords-Plus = {COST-EFFECTIVENESS; QUALITY},
Web-of-Science-Categories = {Surgery},
Author-Email = {Helen.Noble@umm.edu},
Number-of-Cited-References = {53},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000968088900007},
DA = {2023-09-28},
}
@article{ WOS:000443426600003,
Author = {Vail, Brennan and Morgan, Melissa C. and Spindler, Hilary and Christmas,
Amelia and Cohen, Susanna R. and Walker, Dilys M.},
Title = {The power of practice: simulation training improving the quality of
neonatal resuscitation skills in Bihar, India},
Journal = {BMC PEDIATRICS},
Year = {2018},
Volume = {18},
Month = {SEP 3},
Abstract = {Background: Globally, neonatal mortality accounts for nearly half of
under-five mortality, and intrapartum related events are a leading
cause. Despite the rise in neonatal resuscitation (NR) training programs
in low-and middle-income countries, their impact on the quality of NR
skills amongst providers with limited formal medical education,
particularly those working in rural primary health centers (PHCs),
remains incompletely understood.
Methods: This study evaluates the impact of PRONTO International
simulation training on the quality of NR skills in simulated
resuscitations and live deliveries in rural PHCs throughout Bihar,
India. Further, it explores barriers to performance of key NR skills.
PRONTO training was conducted within CARE India's AMANAT intervention, a
maternal and child health quality improvement project. Performance in
simulations was evaluated using video-recorded assessment simulations at
weeks 4 and 8 of training. Performance in live deliveries was evaluated
in real time using a mobile-phone application. Barriers were explored
through semi-structured interviews with simulation facilitators.
Results: In total, 1342 nurses participated in PRONTO training and 226
NR assessment simulations were matched by PHC and evaluated. From week 4
to 8 of training, proper neck extension, positive pressure ventilation
(PPV) with chest rise, and assessment of heart rate increased by 14\%,
19\%, and 12\% respectively (all p <= 0.01). No difference was noted in
stimulation, suction, proper PPV rate, or time to completion of key
steps. In 252 live deliveries, identification of non-vigorous neonates,
use of suction, and use of PPV increased by 21\%, 25\%, and 23\%
respectively (all p < 0.01) between weeks 1-3 and 4-8. Eighteen
interviews revealed individual, logistical, and cultural barriers to key
NR skills.
Conclusion: PRONTO simulation training had a positive impact on the
quality of key skills in simulated and live resuscitations throughout
Bihar. Nevertheless, there is need for ongoing improvement that will
likely require both further clinical training and addressing barriers
that go beyond the scope of such training. In settings where clinical
outcome data is unreliable, data triangulation, the process of
synthesizing multiple data sources to generate a better-informed
evaluation, offers a powerful tool for guiding this process.},
Type = {Article},
Language = {English},
Affiliation = {Vail, B (Corresponding Author), Univ Calif San Francisco, Dept Pediat, 550 16th St,4th Floor,Box 0110, San Francisco, CA 94158 USA.
Vail, Brennan; Morgan, Melissa C., Univ Calif San Francisco, Dept Pediat, 550 16th St,4th Floor,Box 0110, San Francisco, CA 94158 USA.
Morgan, Melissa C., London Sch Hyg \& Trop Med, Maternal Adolescent Reprod \& Child Hlth Ctr, Keppel St, London WC1E 7HT, England.
Morgan, Melissa C.; Spindler, Hilary; Walker, Dilys M., Univ Calif San Francisco, Inst Global Hlth Sci, 550 16th St, San Francisco, CA 94158 USA.
Christmas, Amelia, PRONTO Int, State RMNCH A Unit, C-16 Krishi Nagar, Patna 80002, Bihar, India.
Cohen, Susanna R., Univ Utah, Coll Nursing, 10 South 2000 East, Salt Lake City, UT 84112 USA.
Walker, Dilys M., Univ Calif San Francisco, Dept Obstet \& Gynecol \& Reprod Serv, 1001 Potrero Ave, San Francisco, CA 94110 USA.
Walker, Dilys M., PRONTO Int, 1820 E Thomas St APT 16, Seattle, WA 98112 USA.},
DOI = {10.1186/s12887-018-1254-0},
Article-Number = {291},
EISSN = {1471-2431},
Keywords = {Neonatal resuscitation; Bihar; India; Simulation Training; Barriers to
Care},
Keywords-Plus = {EDUCATIONAL-IMPACT; NEWBORN CARE; MORTALITY; PROGRAM; IMPROVEMENTS;
DELIVERY; DEATHS},
Web-of-Science-Categories = {Pediatrics},
Author-Email = {brennan.vail@ucsf.edu},
ORCID-Numbers = {Medvedev, Melissa/0000-0003-3457-8452},
Number-of-Cited-References = {37},
Times-Cited = {18},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {6},
Unique-ID = {WOS:000443426600003},
DA = {2023-09-28},
}
@article{ WOS:000466276500002,
Author = {Karimi-Shahanjarini, Akram and Shakibazadeh, Elham and Rashidian, Arash
and Hajimiri, Khadijeh and Glenton, Claire and Noyes, Jane and Lewin,
Simon and Laurant, Miranda and Colvin, Christopher J.},
Title = {Barriers and facilitators to the implementation of doctornurse
substitution strategies in primary care: a qualitative evidence
synthesis},
Journal = {COCHRANE DATABASE OF SYSTEMATIC REVIEWS},
Year = {2019},
Number = {4},
Abstract = {Background
Having nurses take on tasks that are typically conducted by doctors
(doctor-nurse substitution, a form of `task-shifting') may help to
address doctor shortages and reduce doctors' workload and human resource
costs. A Cochrane Review of effectiveness studies suggested that
nurse-led care probably leads to similar healthcare outcomes as care
delivered by doctors. This finding highlights the need to explore the
factors that affect the implementation of strategies to substitute
doctors with nurses in primary care. In our qualitative evidence
synthesis (QES), we focused on studies of nurses taking on tasks that
are typically conducted by doctors working in primary care, including
substituting doctors with nurses or expanding nurses' roles.
Objectives
(1) To identify factors influencing implementation of interventions to
substitute doctors with nurses in primary care. (2) To explore how our
synthesis findings related to, and helped to explain, the findings of
the Cochrane intervention review of the effectiveness of substituting
doctors with nurses. (3) To identify hypotheses for subgroup analyses
for future updates of the Cochrane intervention review.
Search methods
We searchedCINAHL and PubMed, contacted experts in the field, scanned
the reference lists of relevant studies and conducted forward citation
searches for key articles in the Social Science Citation Index and
Science Citation Index databases, and `related article' searches in
PubMed.
Selection criteria
We constructed a maximum variation sample (exploring variables such as
country level of development, aspects of care covered and the types of
participants) from studies that had collected and analysed qualitative
data related to the factors influencing implementation of doctor-nurse
substitution and the expansion of nurses' tasks in community or primary
care worldwide. We included perspectives of doctors, nurses, patients
and their families/carers, policymakers, programme managers, other
health workers and any others directly involved in or affected by the
substitution. We excluded studies that collected data using qualitative
methods but did not analyse the data qualitatively.
Data collection and analysis
We identified factors influencing implementation of doctor-nurse
substitution strategies using a framework thematic synthesis approach.
Two review authors independently assessed the methodological strengths
and limitations of included studies using a modified Critical Appraisal
Skills Programme (CASP) tool. We assessed confidence in the evidence for
the QES findings using the GRADE-CERQual approach. We integrated our
findings with the evidence fromthe effectiveness review of doctor-nurse
substitution using amatrixmodel. Finally, we identified hypotheses for
subgroup analyses for updates of the review of effectiveness.
Main results
We included 66 studies (69 papers), 11 from low-or middle-income
countries and 55 from high-income countries. These studies found several
factors that appeared to influence the implementation of doctor-nurse
substitution strategies. The following factors were based on findings
that we assessed as moderate or high confidence. Patients in many
studies knew little about nurses' roles and the difference between
nurse-led and doctor-led care. They also had mixed views about the type
of tasks that nurses should deliver. They preferred doctors when the
tasks were more ` medical' but accepted nurses for preventive care and
follow-ups. Doctors in most studies also preferred that nurses performed
only ` non-medical' tasks. Nurses were comfortable with, and believed
they were competent to deliver a wide range of tasks, but particularly
emphasised tasks that were more health promotive/ preventive in nature.
Patients in most studies thought that nurses were more easily accessible
than doctors. Doctors and nurses also saw nurse-doctor substitution and
collaboration as a way of increasing people's access to care, and
improving the quality and continuity of care. Nurses thought that close
doctor-nurse relationships and doctor's trust in and acceptance of
nurses was important for shaping their roles. But nurses working alone
sometimes found it difficult to communicate with doctors. Nurses felt
they had gained new skills when taking on new tasks. But nurses wanted
more and better training. They thought this would increase their skills,
job satisfaction and motivation, and would make them more independent.
Nurses taking on doctors' tasks saw this as an opportunity to develop
personally, to gain more respect and to improve the quality of care they
could offer to patients. Better working conditions and financial
incentives also motivated nurses to take on new tasks. Doctors valued
collaborating with nurses when this reduced their own workload. Doctors
and nurses pointed to the importance of having access to resources, such
as enough staff, equipment and supplies; good referral systems;
experienced leaders; clear roles; and adequate training and supervision.
But they often had problems with these issues. They also pointed to the
huge number of documents they needed to complete when tasks were moved
from doctors to nurses.
Authors' conclusions
Patients, doctors and nurses may accept the use of nurses to deliver
services that are usually delivered by doctors. But this is likely to
depend on the type of services. Nurses taking on extra tasks want
respect and collaboration from doctors; as well as proper resources;
good referral systems; experienced leaders; clear roles; and adequate
incentives, training and supervision. However, these needs are not
always met.},
Type = {Review},
Language = {English},
Affiliation = {Shakibazadeh, E (Corresponding Author), Univ Tehran Med Sci, Dept Hlth Educ \& Hlth Promot, Tehran, Iran.
Karimi-Shahanjarini, Akram, Hamadan Univ Med Sci, Dept Publ Hlth, Hamadan, Iran.
Karimi-Shahanjarini, Akram, Hamadan Univ Med Sci, Social Determinants Hlth Res Ctr, Hamadan, Iran.
Shakibazadeh, Elham, Univ Tehran Med Sci, Dept Hlth Educ \& Hlth Promot, Tehran, Iran.
Rashidian, Arash, Univ Tehran Med Sci, Sch Publ Hlth, Dept Hlth Management \& Econ, Tehran, Iran.
Hajimiri, Khadijeh, Zanjan Univ Med Sci, Sch Publ Hlth, Dept Hlth Educ \& Hlth Promot, Zanjan, Iran.
Glenton, Claire; Lewin, Simon, Norwegian Inst Publ Hlth, Oslo, Norway.
Noyes, Jane, Bangor Univ, Ctr Hlth Related Res, Bangor, Gwynedd, Wales.
Lewin, Simon, South African Med Res Council, Hlth Syst Res Unit, Tygerberg, South Africa.
Laurant, Miranda, Radboud Univ Nijmegen, Med Ctr, IQ Healthcare, Radboud Inst Hlth Sci, Nijmegen, Netherlands.
Laurant, Miranda, HAN Univ Appl Sci, Inst Nursing Studies, Nijmegen, Netherlands.
Colvin, Christopher J., Univ Cape Town, Sch Publ Hlth \& Family Med, Div Social \& Behav Sci, Cape Town, South Africa.},
DOI = {10.1002/14651858.CD010412.pub2},
Article-Number = {CD010412},
ISSN = {1469-493X},
EISSN = {1361-6137},
Keywords-Plus = {PRIMARY-HEALTH-CARE; RANDOMIZED CONTROLLED-TRIAL; ADVANCED PRACTICE
NURSES; MENTAL-HEALTH; GENERAL-PRACTICE; PATIENTS EXPERIENCES;
SELF-MANAGEMENT; DIABETES CARE; NURSING ROLES; TELEPHONE CONSULTATION},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {shakibazadeh@tums.ac.ir},
ResearcherID-Numbers = {Colvin, Christopher/AAB-8276-2019
Colvin, Christopher/AAQ-1607-2021
Glenton, Claire/GSE-3606-2022
Karimi, Akram/AAA-5080-2021
Shakibazadeh, Elham/X-6430-2018
Rashidian, Arash/E-5061-2011
Laurant, Miranda/H-6488-2015},
ORCID-Numbers = {Colvin, Christopher/0000-0002-8930-7863
Glenton, Claire/0000-0002-7558-7737
Karimi, Akram/0000-0002-2453-1389
Shakibazadeh, Elham/0000-0002-1320-2133
Laurant, Miranda/0000-0002-8826-3352},
Number-of-Cited-References = {231},
Times-Cited = {54},
Usage-Count-Last-180-days = {3},
Usage-Count-Since-2013 = {35},
Unique-ID = {WOS:000466276500002},
DA = {2023-09-28},
}
@article{ WOS:000626662100001,
Author = {van Niekerk, Lindi and Manderson, Lenore and Balabanova, Dina},
Title = {The application of social innovation in healthcare: a scoping review},
Journal = {INFECTIOUS DISEASES OF POVERTY},
Year = {2021},
Volume = {10},
Number = {1},
Month = {MAR 8},
Abstract = {Background: Social innovation has been applied increasingly to achieve
social goals, including improved healthcare delivery, despite a lack of
conceptual clarity and consensus on its definition. Beyond its tangible
artefacts to address societal and structural needs, social innovation
can best be understood as innovation in social relations, in power
dynamics and in governance transformations, and may include
institutional and systems transformations.
Methods: A scoping review was conducted of empirical studies published
in the past 10 years, to identify how social innovation in healthcare
has been applied, the enablers and barriers affecting its operation, and
gaps in the current literature. A number of disciplinary databases were
searched between April and June 2020, including Academic Source
Complete, CIHAHL, Business Source Complete Psych INFO, PubMed and Global
Health. A 10-year publication time frame was selected and articles
limited to English text. Studies for final inclusion was based on a
pre-defined criteria.
Results: Of the 27 studies included in this review, the majority adopted
a case research methodology. Half of these were from authors outside the
health sector working in high-income countries (HIC). Social innovation
was seen to provide creative solutions to address barriers associated
with access and cost of care in both low- and middle-income countries
and HIC settings in a variety of disease focus areas. Compared to
studies in other disciplines, health researchers applied social
innovation mainly from an instrumental and technocratic standpoint to
foster greater patient and beneficiary participation in health
programmes. No empirical evidence was presented on whether this process
leads to empowerment, and social innovation was not presented as
transformative. The studies provided practical insights on how
implementing social innovation in health systems and practice can be
enhanced.
Conclusions: Based on theoretical literature, social innovation has the
potential to mobilise institutional and systems change, yet research in
health has not yet fully explored this dimension. Thus far, social
innovation has been applied to extend population and financial coverage,
principles inherent in universal health coverage and central to SDG 3.8.
However, limitations exist in conceptualising social innovation and
applying its theoretical and multidisciplinary underpinnings in health
research.},
Type = {Review},
Language = {English},
Affiliation = {van Niekerk, L (Corresponding Author), London Sch Hyg \& Trop Med, London, England.
van Niekerk, Lindi; Balabanova, Dina, London Sch Hyg \& Trop Med, London, England.
Manderson, Lenore, Univ Witwatersrand, Sch Publ Hlth, Johannesburg, South Africa.
Manderson, Lenore, Monash Univ, Sch Social Sci, Clayton, Vic, Australia.},
DOI = {10.1186/s40249-021-00794-8},
Article-Number = {26},
ISSN = {2095-5162},
EISSN = {2049-9957},
Keywords = {Barriers to care; Healthcare; Social innovation; Systems change},
Keywords-Plus = {PUBLIC-HEALTH; ENTREPRENEURSHIP; INSTITUTIONS; CHALLENGES},
Web-of-Science-Categories = {Infectious Diseases; Parasitology; Tropical Medicine},
Author-Email = {lindivn@gmail.com},
ORCID-Numbers = {Balabanova, Dina/0000-0001-7163-3428},
Number-of-Cited-References = {89},
Times-Cited = {18},
Usage-Count-Last-180-days = {5},
Usage-Count-Since-2013 = {34},
Unique-ID = {WOS:000626662100001},
DA = {2023-09-28},
}
@article{ WOS:001021685600002,
Author = {Kim, Sunny Wonsun and Chen, Angela Chia -Chen and Ou, Lihong and Larkey,
Linda and Todd, Michael and Han, Yooro},
Title = {Developing a Culturally and Linguistically Congruent Digital
Storytelling Intervention in Vietnamese and Korean American Mothers of
Human Papillomavirus-Vaccinated Children: Feasibility and Acceptability
Study},
Journal = {JMIR FORMATIVE RESEARCH},
Year = {2023},
Volume = {7},
Abstract = {Background: The high morbidity, mortality, and economic burden
attributed to cancer-causing human papillomavirus (HPV) call for
researchers to address this public health concern through HPV
vaccination. Disparities of HPV-associated cancers in Vietnamese and
Korean Americans exist, yet their vaccination rates remain low. Evidence
points to the importance of developing culturally and linguistically
congruent interventions to improve their HPV vaccination rates. We
adopted digital storytelling (DST) that combines oral storytelling with
computer-based technology (digital images, audio recording, and music)
as a promising approach for facilitating the communication of culturally
relevant health messages.Objective: This study aimed to (1) assess the
feasibility and acceptability of intervention development through DST
workshops, (2) conduct an in-depth analysis of the cultural experience
that shapes HPV attitudes, and (3) explore aspects of the DST workshop
experience that could inform future formative and intervention work.
Methods: Through community partners, social media, and snowball
sampling, we recruited 2 Vietnamese American and 6 Korean American
mothers (mean age 41.4, SD 5.8 years) who had children vaccinated
against HPV. Three virtual DST workshops were conducted between July
2021 and January 2022. Our team supported mothers to develop their own
stories. Mothers completed web-based surveys before and after the
workshop and provided feedback on each other's story ideas and the
workshop experience. We used descriptive statistics to summarize
quantitative data and constant comparative analysis to analyze
qualitative data collected in the workshop and field notes.Results:
Eight digital stories were developed in the DST workshops. They were
well accepted, and the mothers showed overall satisfaction and relevant
indicators (eg, would recommend it to others, would attend a similar
workshop, it was worth their time; mean 4.2-5, range 1-5). Mothers found
the process rewarding and appreciated the opportunity to share their
stories in group settings and learn from each other. The 6 major themes
that emerged from the data reflect the mothers' rich personal
experiences, attitudes, and perceptions about their child's HPV
vaccination, which included (1) showing parents' love and
responsibility; (2) HPV and related knowledge, awareness, and attitudes;
(3) factors influencing vaccine decision-making; (4) source of
information and information sharing; (5) response to children's being
vaccinated; and (6) cultural perspectives on health care and HPV
vaccination.Conclusions: Our findings suggest that a virtual DST
workshop is a highly feasible and acceptable approach to engaging
Vietnamese American and Korean American immigrant mothers in developing
culturally and linguistically congruent DST interventions. Further
research is needed to test the efficacy and effectiveness of digital
stories as an intervention for Vietnamese American and Korean American
mothers of unvaccinated children. This process of developing an
easy-to-deliver, culturally and linguistically aligned, and holistic
web-based DST intervention can be implemented with other populations in
other languages.},
Type = {Article},
Language = {English},
Affiliation = {Kim, SW (Corresponding Author), Arizona State Univ, Edson Coll Nursing \& Hlth Innovat, 500 N 3rd St MC 3020, Phoenix, AZ 85004 USA.
Kim, Sunny Wonsun; Chen, Angela Chia -Chen; Ou, Lihong; Larkey, Linda; Todd, Michael; Han, Yooro, Arizona State Univ, Edson Coll Nursing \& Hlth Innovat, 500 N 3rd St MC 3020, Phoenix, AZ 85004 USA.
Kim, Sunny Wonsun, Arizona State Univ, Edson Coll Nursing \& Hlth Innovat, 500 N 3rd St MC 3020, Phoenix, AZ 85004 USA.},
DOI = {10.2196/45696},
Article-Number = {e45696},
EISSN = {2561-326X},
Keywords = {Vietnamese; Korean; Asia; cultural; digital storytelling; storytelling;
story; stories; HPV; vaccine; vaccination; feasibility; digital
intervention; mortality rate; ratio; odd; rate; deep analysis; social
media; child; immigrant; mother; immunization; inoculation; inoculate;
communication; culture; language; human papillomavirus; photo; video;
digital; microphone; conversation; dialogue; Research Electronic Data
Capture; voiceover; soundtrack; writing; write; script; health status;
health insurance; survey; questionnaire; qualitative; constructivist;
constructivism},
Keywords-Plus = {HPV VACCINE; KNOWLEDGE; BEHAVIOR; ONLINE; WOMEN},
Web-of-Science-Categories = {Health Care Sciences \& Services; Medical Informatics},
Author-Email = {Sunny.Kim@asu.edu},
ResearcherID-Numbers = {Ou, Lihong/GPW-9210-2022},
ORCID-Numbers = {Kim, Sunny Wonsun/0000-0002-2926-2712
Todd, Michael/0000-0002-1981-4245
CHEN, ANGELA CHIA-CHEN/0000-0001-9153-7054
Ou, Lihong/0000-0002-4104-7935},
Number-of-Cited-References = {43},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:001021685600002},
DA = {2023-09-28},
}
@article{ WOS:000450332600005,
Author = {Derpmann, Simon},
Title = {Union's inspiration: Universal health care and the essential partiality
of solidarity},
Journal = {BIOETHICS},
Year = {2018},
Volume = {32},
Number = {9, SI},
Pages = {569-576},
Month = {NOV},
Abstract = {Political struggles not only change social institutions and conventions,
they also often shape normative language. Moral notions of lasting
significance are like geological formations insofar as they are usually
not formed in a void but under considerable pressure. While some notions
are fundamentally linked to legal documents or academic treatises,
others are mainly advanced in songs, pamphlets, or manifestos.
Philosophical attempts to define these evolved notions are often
sensitive to their particular histories in order to avoid detachment
from common pre-theoretical usage. After all, moral theory would be
ill-advised to rid itself of considered conceptual intuitions unless
there are strong grounds for revision. Even though theoretical
reflection may produce reasons to deviate from prevailing understandings
of core moral notions, it must eventually rely on some form of a
semantic orientation. The line between reconstructing and redefining
moral notions is particularly hard to draw when it comes to
comparatively young and polymorphic notions, such as solidarity. It is
difficult to provide a finite definition of `solidarity', as the term
has been appropriated in the pursuit of a variety of causes. Different
theoretical reconstructions explicate solidarity as a form of unity,
fraternity, civic friendship, charity, humanity, or camaraderie. Instead
of reflecting on this variety of meanings, the present contribution
examines the reference to solidarity within a specific context of moral
debate. There are recurring calls for solidarity in contemporary
oppositions to the erosion of the protective reliabilities of society,
as it becomes manifest in the reduction, privatization, or
stratification of both social security in general and health care in
particular. In this context, solidarity is invoked as a relation that
connects all members of society, providing a reason to accept or support
the introduction or continuation of universal health care. In the
following, I am concerned with the adequacy of the moral terminology
implied in this line of reasoning. My claim is that - at least relative
to the purpose of moral philosophy to provide a systematic,
comprehensive, and fine-grained account of moral obligation - a specific
partisan notion of solidarity is of greater systematic value to moral
terminology than the alternative universal notion. At least one central
strain of moral references to `solidarity' does not conceive it as a
notion of universal moral inclusion, but of communal relatedness. This
conception of solidarity imprints the term with a specific
community-related perspective, i.e. the distinctive normative and
motivational force of solidarity relations is taken to reside in a
specific form of partiality toward significant groups like unions,
cooperatives, parties, committees, etc. Ralph Chaplin's Solidarity
Forever, for instance, memorably assigns the distinctive strength of
references to solidarity to union's inspiration. In this understanding,
the reference to solidarity bears a specific moral and political
relevance because it conveys a normative insight to members of specific
communities, explicating why they may be obliged to take a stand for a
common cause, even if this involves going well beyond what can be
expected of them merely qua moral subjects. I aim to show that a
conception of `solidarity' that confines it to this decidedly partisan
moral relation provides a significant contribution to moral philosophy
because it grasps a specific and important facet of moral obligation.
In the following, this structural feature of solidarity is discussed
with regard to the moral foundation of health care policies. I argue
that the demand to universal access to health care should be conceived
as a matter of justice, decency, or humanity, rather than of solidarity,
because the failure or refusal to provide adequate health coverage does
not disregard individuals as members of specific communities, but as
moral subjects. My argument for this terminological suggestion comes in
three sections. The first section establishes a normative notion of
solidarity as a source of - essentially partisan - communal obligations
reflecting on shared identificatory attributes like convictions, social
positions, or significant histories. Under this description, solidarity
is understood to pose a particular type of special obligations, creating
moral requirements that obtain apart from and beyond the demands of
universal morality. The reference to solidarity unfolds a particular
theoretical potential when it captures a distinct form of communality.
The second section locates the normative foundation of calls for
universal health care in the domain of justice by understanding the
provision of basic health care as a right of every moral subject that is
independent of normatively significant commonalities. The third section
concludes that solidarity is a notion that does have a place in
health-related norms, but that does not provide the best moral
foundation of demands for universal health care. Rather, relations of
solidarity establish forms of moral obligations that are indispensable
when social systems fail to provide justice or reach their legitimate
limits. The first step of the argument brings `solidarity' into view as
a systematic term of moral philosophy as opposed to its role in
sociology or political theory. This perspective focuses on solidarity as
a relation that provides specific moral reasons, such as the reason to
accept and obey practices of mutual assistance, to put oneself at risk
or at a disadvantage for the benefit of others, to endure hardships for
the common good, etc. Thus, the reference to solidarity within moral
justification bears a discursive force in its own right. The main
difficulty in the appropriation of solidarity to moral philosophy is to
individuate and explicate a defining set of features of recognized uses
of the term. Due to the variety of relations, attitudes, and
dispositions that are commonly referred to as solidarity, no coherent
notion can be expected to be able to simultaneously capture obligations
toward humankind, or the exploited and the poor, among comrades and
sisters in arms, and between the members of parties, teams, clubs,
gangs, unions, collectives, and social movements. One reaction to this
diagnosis is to accept that solidarity is a pluralistic notion that
cannot be reduced to either of these meanings. However, this approach
would possibly have to allow a very broad understanding of `solidarity'
that could render the notion empty or incoherent. Such a conception of
solidarity may pose no difficulties within everyday language, but it can
be argued to be unsuitable for the kind of justification sought in moral
philosophy. There are legitimate doubts about the confinement of moral
notions like solidarity to the narrow boundaries of philosophical
concepts for systematic purposes. However, if the language of moral
philosophy is not to become artificial, it has to adopt notions of our
common language and alter them to avoid incoherences.
A moral account of solidarity is only of systematic value if the
reference to `solidarity' captures a specific type of obligation that
can be distinguished from other moral obligations. Without an
explanation in what regards obligations of solidarity are different
from, go beyond, or are more specific than obligations of justice,
humanity, charity, fidelity, or loyalty, there is arguably no need for a
distinct theory of solidarity within moral philosophy. Thus, a
convincing exposition of solidarity should fulfill a condition of
conceptual discriminability, and of irreducibility. If it is to play any
significant role in moral philosophy, `solidarity' has to refer to a
moral relation sui generis. Once some defining features of solidarity
are established, the meaning of references to solidarity in debates
about public health care can be addressed. In approaching a sound notion
of solidarity, different accounts can be distinguished with regard to
their position on its normative scope, i.e. with regard to the extension
of the groups within which subjects are considered to have mutual
obligations and corresponding claims of solidarity. The main dividing
line that is relevant to the present context - to the analysis of the
systematic function of references to solidarity within moral philosophy
- must be drawn between universalist and partisan accounts of
solidarity. Some prominent accounts of moral solidarity conceive it as a
universal relation that extends to all humanity, or to all members of
society, making solidarity the basis of a universal form of moral
obligation. David Wiggins and Jurgen Habermas, for instance, invoke
different notions of universal solidarity for different conceptual
reasons. While Wiggins refers to solidarity in order to designate a
fundamental form of a pre-reflective universal recognition implying
negative duties, Habermas describes solidarity as a non-formal positive
attitude of care complementing formal requirements of justice. Both
accounts provide valuable insights into the nature of political and
moral obligation. Yet, the competing understanding of solidarity as
specific by virtue of its partiality comes with considerable systematic
advantages. Wiggins understands solidarity as a fundamental moral
relation that is characterized, among other things, by its universality.
In this understanding, solidarity is a particular form of recognition
that forms the basis of morality altogether. This form of recognition
entails deontological constraints, but these constraints are not solely
based on demands of reason. Thus, solidarity resembles Kantian respect
in terms of the demands it poses, but with regard to the underlying
attitude, solidarity resembles Humean sympathy. In the course of
outlining obligations of solidarity, Wiggins identifies solidarity as
`the {[} horizontal ellipsis ] thing that any human being owes to any or
all other human beings, namely the solidum that is presupposed to the
ordinary morality of all interaction between human beings'. As the very
bedrock of moral relatedness, solidarity must extend to every moral
subject alike. Solidarity is the basic form of recognition that
interconnects moral subjects through their mutual consideration as
bearers of a point of view that commands respect. Habermas brings forth
a different account of solidarity, but he also uses the term to denote a
relation with a universal extension.
In this account: Solidarity {[} horizontal ellipsis ] is rooted in the
realization that each person must take responsibility for the other
because as consociates all must have an interest in the integrity of
their shared life context in the same way. Justice conceived
deontologically requires solidarity as its reverse side. Habermas
distinguishes the fundamental moral demands of justice that are directly
based on the principles of discourse from complementary demands of
sympathy or care that are based on solidarity. While justice
substantiates negative obligations, solidarity requires moral subjects
to strive at promoting the welfare of others. Thus, Habermas supplements
the discourse theory of morals with the relation of solidarity in order
to be able to account for materially rich notions of social relatedness.
However, in this description the `shared life-context' relevant to
solidarity is not economic class, social position, or political stance
but society as a whole. For Habermas, justice and solidarity differ with
regard to the content of their obligation, yet they are similar in their
universal scope, as solidarity is conceived of as extending toward all
members of society. While both accounts capture an important aspect of
moral and political obligation, their recourse to `solidarity' is not
without problems. There is no incontestable argument that would be
sufficient to reject these two notions of universal solidarity. While
there is no `separate essence' of solidarity that could be referred to
in order to argue for the conceptual necessity of solidarity's
partiality, some features may reasonably be stipulated as being
essential to solidarity with a view to its systematic function within
moral philosophy. Thus, I aim to uncover some systematic disadvantages
of assigning `solidarity' in the description of a universal relation
within moral philosophy. The universal notion of solidarity misses - or
deliberately excludes - something that is at the core of a competing
account of solidarity. What is this feature of solidarity that is lost
in its universalization? As indicated before, influential references to
solidarity identify unity, cohesion, or community as essential elements
of solidarity. The idea that is at the core of this understanding of
solidarity can be illustrated with reference to a terminological
precursor of `solidarity'. A legal construction of Roman civil law, the
obligatio in solidum, describes a joint liability, or a liability for
the whole, that is incurred when individual debtors assume
responsibility for a collective loan. Accordingly, one can argue that
obligations of solidarity require a solidum, i.e. some form of an
entirety or a whole that serves as a point of reference in the content
of solidary obligations. Wiggins understands the solidum to refer to the
firmness of solidarity by making the relation of solidarity `the root of
the ethical', or the hard core of morality. For Habermas, the solidum
may be society as a whole comprising moral subjects viewed as
consociates. These references to a solidum, however, have to be
distinguished from those that base solidarity in communal relations
entailing significant forms of relatedness that go beyond the
obligations of moral subjects qua moral subjects. Solidarity qua
partisan relation refers to a morally significant solidum in terms of a
wholeness or unity of distinct communities.
The question with regard to universal solidarity is what the reference
to a solidum contributes normatively beyond the consideration of others
as mere moral subjects. In the case of partial solidarity, significant
commonalities determine the range and the dimension of specific
obligations of solidarity. If a solidary community is of moral
significance, then it must entail a relevant distinction between
subjects as members of the community and others as - mere - moral
subjects, just like friends, comrades, or family members have to make
this distinction in order to satisfy the normative implications entailed
in friendship, camaraderie, or family. The moral significance that is
missing in accounts of universal solidarity concerns the role of
expressions like `my' or `our' as irreducible constituents of moral
reasons that are indicative of communal obligation. In this manner, the
reference to others as `my friend', `my sister', or `my ally' expresses
a structural characteristic of morally significant relations within a
community. Thus, the obligation toward one's own community is not merely
an obligation toward some community based on a neutral moral property
but on a reason that necessarily entails a reference to the bearer of
the obligation. This demonstrates that the universal relation that
Wiggins and Habermas have in mind cannot be regarded as one specific
form of - a human or a moral - solidarity that may coexist with narrower
forms of national, ethnic, cultural, or political solidarities. The
problem is that human solidarity lacks the significant reference to a
solidum. While there is a difference between characterizing someone as a
friend or a comrade and referring to her as one's own friend or as my
comrade, it is plainly difficult to comprehend what would distinguish
someone as `my fellow human' from someone as merely `a human'. The
solidarity within civil rights movements or political unions requires a
reference to others in relation to the subject of solidarity exposing
their significant commonality as feminists, homosexuals, workers,
anarchists, etc. Thus understood, relations of solidarity, and the
entitlements and obligations associated with them, only extend to those
who are related via significant commonalities, and the content of
solidary obligations is explained and limited by these commonalities as
well. This structural difference between agent-relative and neutral
moral reasons suggests that the notions of universal and partisan
solidarity are incompatible; but this does not imply that the universal
notion has to give way to the partisan notion of solidarity. My argument
rests on the assumption that, while the notion of partisan solidarity
captures a specific moral phenomenon for which there is no comparable
alternative, the partisan conception does not take anything away from
those accounts that refer to universal solidarity, because other
established moral notions like humanity, charity, or beneficence suffice
to capture what appears to be invoked in references to universal
solidarity. While it is impossible to pre-decide this issue for all
potential conceptions of universal solidarity, the relation that Wiggins
has in mind may be re-described as humanity, compassion, or
fellow-feeling, or maybe as a basic form of moral recognition.
At any rate, other terms than `solidarity', which is commonly associated
with a much more specific meaning, may be conceived as fitting to
describe such a fundamental form of moral relatedness. Similarly, one
may concede that Habermas makes a valid material point to emphasize
positive obligations between all members of society. Yet, there may be
alternative notions, like care, mutual concern, or civility, that
capture what Habermas has in mind. If using the term solidarity to
describe universal moral relations leaves a specific form of moral
obligation without a label, more needs to be said about the
distinctiveness of the communality that is supposed to be entailed in
this form of moral obligation. Solidarity is often regarded as an
inherently inclusive ideal to counter the narrowness of commitments to
blood, soil, and nation. This appears to be incompatible with the
defense of an essentially partial, and thus exclusive, notion of
solidarity. However, solidarity cannot only be distinguished from
universally inclusive obligations, but also from immediate and exclusive
forms of moral relatedness like patriotism, friendship, or loyalty. Thus
conceived, solidarity comprises a very specific strain of a wider set of
what may be considered associative obligations. These obligations, in
turn, belong to a wider class of special obligations comprising
contractual duties, reparative duties, and duties of gratitude.
Solidarity's normative force depends on meaningful commonalities like a
joint struggle, a common ideal of a good life, or a social utopia, in
relation to which a solidary subject positions herself, while being
aware that others do the same. Solidarity is special insofar as it
contains a shared partisan involvement with a group that is not
strategic, but that is nonetheless `mediated by thought and belief'. Due
to its normative foundation in reflected commitments, solidarity tends
to be more inclusive than immediate ties of kith and kin. Even though
solidarity is - inevitably - more exclusive than humanity, it allows for
inclusion of those who are willing to join with an identificatory
commitment. If solidarity relations pertain to a specific form of
communal obligation which holds some significance in moral life, and for
the description of which moral philosophy possesses no viable
alternative, then abandoning this notion noticeably impoverishes moral
language. This pragmatic argument about philosophical terminology does
not question the existence of universal obligations, but it suggests
that the term solidarity is misplaced in the denotation of universal
obligations or affiliations; or at least that the decision to understand
solidarity as universal is accompanied by a systematic disadvantage to
moral philosophy. In the remainder, I am interested in the possible
normative role of this account of solidarity within bioethics and health
justice. The previous argument does not, by itself, show that the term
solidarity is misplaced in the formulation of moral demands for
universal health care. In order to substantiate this thesis, more needs
to be said about the vindication of health-related claims and
obligations. My terminological suggestion presupposes that public health
care is not - or at least not primarily - a matter of communal or
partisan obligation, even though the prevalent vocabulary of health care
entails some conceptual vicinity to notions like solidarity.
The extent to which the moral demand to universal health care can be
argued to be based on solidarity depends on the general nature of the
normative foundation of the provision of public health care. According
to the broad WHO definition, universal health care or coverage exists
when `all individuals and communities receive the health services they
need without suffering financial hardship'. Beyond safeguarding access
to health services, which can be realized through different types of
government interventions from providing health services to structuring
public and private insurance schemes, universal health coverage also
extends to public health measures addressing disease prevention or
health equality. In the first instance, universality is defined in
relation to existing societies, requiring all members, citizens, or
residents to be adequately protected against the contingency of disease
and infirmity. Solidarity is often invoked in this context because it is
considered to be closely connected to core mechanisms of health
protection, such as the mutual assistance and the socialization of the
costs of health protection and health services. Depending on the extent
of commodification, i.e. on the absence of government intervention
regarding premiums, redistribution, coverage, compulsory membership,
etc., some health care regimes rely on conventional insurance models,
while others operate through different forms of government intervention.
The fundamental distinction to be made concerns different ideas of the
socialization of health-related burdens and risks. Many forms of
protection against disability, fire, theft, debt default, etc. are
covered through insurance policies that are privately offered on
markets. In these schemes, individuals pay risk-equivalent premiums to a
common fund in order to pool resources that are distributed to
individuals suffering the harm covered by the respective scheme of
collective protection. The principle underlying these forms of insurance
- an idea that increasingly governs systems of private health insurance
as well - does not rest on a moral notion of solidarity at all, as the
rationale for participation is fully reducible to a non-moral motivation
of self-interest. In fact, one of the major criticisms of the
privatization of health insurance is directed at the loss of solidarity
involved in individualization and the crowding out of poor-risk
patients. In contrast to the market model of health insurance, most
forms of state-regulated or state-run health care are not organized in
the form of a collection of risk-equivalent premiums but entail some
redistributive measures, such as the provision or support of social
health insurance or tax-based financing of health services. Public
health systems deliberately ignore factors like age, gender, social
status, or pre-existing health conditions that have an impact on the
estimated costs of health services to be covered in the case of
maternity, illness, or injury. This renunciation to select, isolate, and
exclude poor risks may be considered an institutionalization of a
genuinely moral form of solidarity. This moral notion of solidarity as a
measure to socialize risk and burdens is ubiquitous in the development
of the welfare state. Thus, references to solidarity in the context of
health provision may be considered rudiments of the normative frameworks
of initial efforts to establish social health care that were conceived
to replace vanishing traditional forms of social protection.
Toward the establishment of universal public health care, local
protective institutions like the family, tribe, or village are gradually
supplemented or replaced by initially delineated communities of a
company's workforce, the members of a cooperative, a union, craft, or
class. The history of the development of public health care is permeated
with references to solidarity as an ideal of moral inclusion. Thus, the
historic achievement of the modern welfare state could be seen in its
incorporation of numerous local solidarities into a single
all-encompassing system of solidarity as it may be found in programs of
social health insurance and tax-based health systems. If original forms
of social protection are describable as forms of solidarity, then the
public provision in systems of universal health care may be argued to be
an extension of the initially limited forms of group solidarity toward a
universal solidarity within society as a whole. One could argue that the
development of a separation of privately organized insurance schemes
from a universal system of health care runs contrary to the modern
process of expanding health insurance and solidarity instead of
fragmenting or restricting it. Thus conceived, solidarity would be an
adequate normative reference condemning trends toward atomization and
self-reliance, and away from the collectivization of health risks.
Despite the initial plausibility of this description, the previous
distinctions suggest that the relations of solidarity within initially
separate schemes of insurance and social protection undergo a
substantial transformation by being universalized, thus possibly calling
for a description in a different moral vocabulary. The normative
innovation that is entailed in the shift from communal toward universal
inclusion in health care provision is decisive to the present argument
regarding moral terminology. It suggests that universal health care is
better justified in a different vocabulary than that of solidarity.
There is a fundamental argument that casts conceptual doubt on the idea
of understanding solidarity as a foundation of universal health
coverage. Even though many factual instances of health care provision
may be described as based on solidarity, there is a decisive difference
to the moral foundation of universal health care. In order to conform
with the previous understanding, the reference to solidarity in
arguments supporting universal health care would require a commonality
that serves as the solidum substantiating health-related obligations of
solidarity. However, the principle of universal inclusion appears to
contradict the supposition of a solidum that would substantiate a
distinction between members and non-members. One evident candidate for
such a commonality would be the human vulnerability to disease,
infirmity, or injury. In this line of argument, health claims could be
considered to be based on a shared vulnerability that transcends
individual claims of justice stemming from general attributes. However,
the attempt to base health-related moral claims on a commonality of
human vulnerability that unites all human individuals is not convincing.
Rather than some form of a commonality, the universal presence of a
morally relevant feature appears to do the normative work here. It is
hard to comprehend how the universal vulnerability to disease and
infirmity would serve as an identificatory point of reference to
substantiate moral obligations toward others beyond their significance
as moral subjects.
In contrast to the universal fragility, the commonality of the specific
situation of persons with AIDS or cancer can be conceived as such a
point of reference, which is reflected in the membership of patient
associations. Another problem of accounts of health-related universal
solidarity is that they seem unable to show what this basal
identification would add to our idea of moral obligation. If all humans
share this vulnerability to disease and infirmity, then all that they
could be said to owe to one another as vulnerable subjects is already
encompassed in their obligations toward one another as human beings. The
alternative to understanding moral demands on health care as stemming
from some morally significant commonality is to devise them as
universally dispersed entitlements of justice. In this understanding,
claims to health do not go beyond the basic forms of moral obligation,
and thus require no special obligation. They are neither supererogatory
nor are they based in some special form of communality. This idea is
reflected as a right to health, which - even though more has to be said
about its peculiar object - is widely regarded as a fundamental human
right. While the borders of nation-states inevitably set a frame for the
political implementation of moral demands to health, the justification
of these demands does not depend on the reference to this contingent
frame. The reference to a `human right' to health suggests that moral
claims to health are not morally based in membership, or citizenship,
but in the status of moral persons. There are two conceptual advantages
to conceiving of claims to health in terms of justice, rather than
solidarity. First, based on the distinction between communal and
universal forms of obligation, solidarity remains available as a
powerful reference to a specific form of communal obligation that
obliges members of specific groups like unions, civil rights movements,
political associations, cultural collectives, etc. toward each other
beyond neutral morality. Second, the moral significance of
health-related claims is reflected in the fact that they are not
inferred from a commonality complementing the fundamental demands of
morality, but they are situated at the center of social morality.
Condemning the absence of sufficient health services by bemoaning a lack
of solidarity may not be misconceived entirely, but it does not address
the gravity of the moral offense entailed in violating or neglecting
demands of justice. The rights-based argument for universal health care
can be approached in different ways. It can be interpreted as stemming
from a right to a specific health status, as a right to a range of
health care services, or as the right to the opportunity to participate
in an adequate system of health protection. While these distinctions are
of importance when it comes to evaluating health systems, the point in
the context of the present analysis is that there is a vindication of
moral claims to the provision of health care that is independent of
considerations of solidarity, because these claims are independent of a
normatively relevant solidum. In theories of justice, health is widely
understood as a universally valued good that is worthy of protection,
and whose importance generates strong obligations for society,
obligations to corresponding rights. However, the reference to a right
to health, if understood as a right to be healthy, arguably contains a
mistake about the possible objects of moral entitlements.
The crucial issue is that the adequate object corresponding to a right
cannot be a status, but it must be an action, or a set of rules or an
institution. While societies do have an impact on population health
through measures of environmental awareness, workplace safety,
education, etc., health is something that cannot be unconditionally owed
to a person. The right to a certain health status at any rate poses an
unreasonable, or even an unrealizable demand. This problem leads to the
assumption that there is no right to health, but only to health-related
resources and services like vaccines and vaccinations, X-rays,
counseling, appendectomies, etc. Accordingly, legal interpretations of
the right to health acknowledge that it `must be understood as a right
to the enjoyment of a variety of facilities, goods, services, and
conditions necessary for the realization of the highest attainable
standard of health'. This further criterion regarding the range of
health services by reference to their adequacy to achieve the `highest
attainable standard' of health is particularly instructive, because it
shows that the mere reference to a right to health care is incomplete.
The modified reference to a health status that is not absolute but
relative to specific personal and social conditions serves the purpose
of delineating a reasonable, but possibly comprehensive, standard of
what can be reasonably required in the promotion of health. The reason
not to understand the right to health by reference to a fixed catalogue
of health services is that the legitimate requirements on health systems
depend on the available resources. The right to health as a right to the
highest attainable standard of health can thus be understood as a right
to the opportunity to achieve a standard of health that is realizable
under the prevailing social circumstances. The point that is crucial to
the present inquiry is that these justifications of the provision of
public health care may - or even should - forgo references to a form of
solidarity that is based on significant commonalities. Basic health care
can be argued to be a demand of justice, and should not be translated to
a demand of solidarity, as this shift of terminology has moral
implications. There is a justified demand for universal health care that
does not appeal to our specific commonality as beings that are
vulnerable to disease and injury or to our membership in specific
communities, but that is simply based on the fundamental intrinsic and
instrumental importance of health. As the main topic of the present
inquiry is moral terminology, my primary aim is not to substantiate the
material commitments regarding health-related moral claims that have
been incurred along the way but to specify the role of solidarity in the
justification of public health care. An admittedly surprising result is
that the foundation of moral claims to health via health rights may be
subsumed under the Habermasian conception of solidarity. However, my
disagreement with Habermas does not concern his substantiation of
universal claims to positive measures of assistance but the choice of
terminology relative to the functions of moral theory. Thus, my concern
regarding the universalization of the term solidarity, and its
subsequent suitability to communal obligations, remains.
The problem of the universal notion of solidarity in this context
consists of the dilemma of either providing an insufficient
substantiation of fundamental health-related moral claims or of diluting
a notion of communal relatedness that is relevant in other situations.
Two more points should be made in order to better grasp the potential
role of references to a moral notion of solidarity. The previous
characterization of solidarity indicates that philosophical conceptions
of solidarity remain relative in at least three regards. First, the
field of obligations associated with solidarity depends on normative
background assumptions incurred in philosophical accounts of morality.
Relations of partial solidarity do not necessarily replace or outweigh
universal forms of moral obligation. They constitute merely one
dimension in a complex fabric of interpersonal moral relations. If
solidarity is conceived of as a type of a special duty, i.e. as a form
of obligation that exceeds the demands of neutral morality, then the
potential range of obligations of solidarity depends upon what is
included in the sphere of general moral obligation, and what is not.
This points to a second relativity of solidarity as a moral notion. As
indicated before, the moral force of obligations of solidarity depends
on the moral legitimacy of the commonalities generating solidarity
relations. On the one hand, moral obligations stemming from solidarity
can be overridden by demands of justice, but, on the other hand, they
also have to meet an internal criterion of moral adequacy. The partisan
conception of solidarity does not imply that any form of commonality can
be invoked to establish a special obligation toward the members of a
group. From a sociological perspective, the cohesion within the mafia or
among White supremacists may be described as solidarity, but in virtue
of the repulsiveness of their ideological foundation, these relations do
not have to be accounted for as morally binding because the immoral
content of a common conviction can operate as a defeating reason to the
moral validity of its role as an identificatory commonality. In this
sense, solidarity is normatively dependent without being reducible to
neutral morality. Finally, the importance of relations of solidarity is
dependent on the social environment in which they arise. This may, in
part, explain the current social reversion to the vocabulary of
solidarity. Within just societies, solidarity provides a reference point
in the self-location of individuals within identificatory communities.
This function is important to the generation and embedding of individual
personalities. However, under non-ideal circumstances, solidarity may
assume a core function in the enforcement of basic moral claims, and in
the compensation of the shortfalls of social institutions. Two reasons
appear to be pressing for conceptual clarity when making reference to
solidarity. First, there is a danger of underrating the moral weight of
claims to health care. In the understanding defended above, solidarity
is imprinted with the idea that its obligations are special insofar as
they go beyond what persons owe one another as moral subjects.
Overstretching this notion opens the possibility of understanding the
inadequate provision of health care as something that is regrettable,
but that is outside the domain of justice. Solidarity marks those
obligations that stem from their relatedness as members of morally
significant communities.
The obligation to provide a social system of protection against the
harms caused by disease and injury extends to persons irrespective of
their class, heritage, or belonging. Meeting this basic demand does not
mark the solidarity of a society, but its decency. It is not something
that must be justified by reference to an additional condition like a
morally significant commonality. Second, relations of solidarity provide
extremely important normative and motivational resources of social
engagement. The preceding argument does not imply that solidarity is
dispensable when it comes to analyzing and posing moral demands and
corresponding obligations that are related to health. Beyond this,
solidarity as a social relation and the obligations that it generates
can be argued to be particularly relevant in times of crisis. Solidarity
is less likely to be invoked in societies that manage to avoid the
emergence of grave inequalities, discrimination, or injustice, than in
societies that are unwilling or unable to provide adequate frameworks
for just cooperation. The normative and motivational force of the ties
invoked by solidarity is particularly relevant when basic moral demands
are not met, and all non-ideal societies are in need of these kinds of
solidarities. When Greece was hit by economic crisis and austerity, food
solidarity centers, social kitchens, and solidarity clinics emerged
throughout the country to countervail the gaps left after the retreat of
government from the provision of welfare. In this manner, local
solidarities may prove crucial in mitigation the effects of social
regression. Similarly, the civil society in the United States may be
forced revert to these mechanisms of social protection when those with
no or low income and those vulnerable to disease and infirmity - i.e.
the poor and the poor-risks - are effectively deprived of access to
health care through market expansion and government retreat. The call
for the emergence of solidarity in these contexts, however, should be
strictly distinguished from the indignation about the absence of
justice. It is in these contexts that a precise notion of solidarity is
required so that it can unfold its full normative potential and the
motivational force of union's inspiration. The main concern of the
previous argument is that a notion of universal solidarity is employed
at the cost of the ability to give expression to a different moral idea
of a wide but nonetheless thick communality. Ralph Chaplin considered
solidarity to be able to summon a power greater than hoarded gold and
greater than the might of armies, and it seems like the power of
establishing this form of communality is one of the reasons for the
ubiquity of references to solidarity. The actual relations of solidarity
may not vanish due to a lack of vocabulary to refer to them, but their
potential to generate moral action may decrease as a result of our
inability to discern them. The author declares no conflict of interest.
See e.g. Stjerno, S. (2005). Solidarity in Europe. The history of an
idea. Cambridge, UK: Cambridge University Press. A topography of the
term is offered in Bayertz, K. (1999). Four uses of ``solidarity{''}. In
K. Bayertz (Ed.), Solidarity (pp. 3-28). Dordrecht, The Netherlands:
Kluwer Academic.See e.g. ter Meulen, R., Arts, W., \& Muffels, R.
(Eds.). (2001). Solidarity in health and social care in Europe.
Dordrecht, The Netherlands: Kluwer Academic.
The famous first lines run as follows: `When the union's inspiration
through the workers' blood shall run, there can be no power greater
anywhere beneath the sun. Yet what force on earth is weaker than the
feeble strength of one, for the union makes us strong'. Chaplin, of
course, does not just refer to a principle of unity or union, but to the
union as a form of political organization. However, union - qua relation
of unity - is a defining principle of the type of organizations - like
trade unions or cooperatives - that Chaplin praises.A similar argument
can be found in Butler, S. (2012). A dialectic of cooperation and
competition: Solidarity and universal health care provision. Bioethics,
26, 351-360. Butler understands solidarity as one of the four tiers of
social competition and cooperation. His conclusion is that `whatever
justifications might exist for universal health care provision, none of
them are properly referred to as being based in solidarity' (ibid: p.
351). Another defense of a partisan conception of solidarity is advanced
in Heyd, D. (2015). Solidarity:A local, partial and reflective emotion.
Diametros, 43, 55-64.For the distinction between prescriptive and
descriptive notions of solidarity in bioethics, see Prainsack, B., \&
Buyx, A. (2012). Solidarity in contemporary bioethics - Towards a new
approach. Bioethics, 26, 343-350. See also Kolers, A. (2016). A moral
theory of solidarity. Oxford, UK: Oxford University Press, p. 28.This
implies that solidarity's role in moral philosophy amounts to more than
that of a `shaping sensibility'. See Jennings, B., \& Dawson, A. (2015).
Solidarity in the moral imagination of bioethics. Hastings Center
Report, 45, 31-38.On this dilemma, see Prainsack \& Buyx, op. cit. note
5, p. 344.This does not only mean that solidarity must be
distinguishable from other norms, but it also excludes accounts of
solidarity that consider it a mere instrument in the pursuit of
superordinate objects like justice or non-discrimination. While some
forms of solidarity may be embedded in struggles for justice, this does
not warrant the strong claim that `justice implicates solidarity', as
suggested in Jennings \& Dawson, op. cit. note 6, p. 38. If solidarity
was merely instrumental to justice, there would be nothing wrong with
breaches of solidarity, as long as they promote - or are intended to
promote - overall justice.For a discussion of Wiggins, see Nagel, T.
(2010). Wiggins on human solidarity. In T. Nagel (Ed.), Secular
philosophy and the religious temperament: Essays 2002-2008 (pp.
147-152). New York, NY: Oxford University Press. See also Derpmann, S.
(2014). Solidarity, moral recognition, and communality. In A. Laitinen
\& A. Pessi (Eds.), Solidarity: Theory and practice (pp. 105-125).
Lanham, MD: Lexington Books.Wiggins, D. (2009). Solidarity and the root
of the ethical. Tijdschrift voor Filosofie, 71, 239-269.Habermas, J.
(1990). Justice and solidarity: On the discussion concerning stage 6. In
T. E. Wren (Ed.), The moral domain (pp. 224-251). Cambridge, MA: MIT
Press, p. 244. A critical reflection of the universality entailed in
Habermas' account can be found in Wildt, A. (1999). Solidarity: Its
history and contemporary definition. In K. Bayertz (Ed.), Solidarity
(pp. 209-220). Dordrecht, The Netherlands: Kluwer Academic, p.
216.Regarding the extension of solidarity in Habermas' conception, see
Rehg, W. (1994). Insight and solidarity.
A study in the discourse ethics of Jurgen Habermas. Berkeley, CA:
University of California Press, pp. 107-111. Rehg does not reject this
account, but he criticizes that Habermas does not sufficiently
distinguish moral solidarity from more concrete lifeworld solidarities.
Beyond this, I argue that the admission of a notion of moral, i.e.
universal solidarity undermines the crucial structure of `lifeworld
solidarities' as essentially partial.Wildt, op. cit. note 11, p.
218.Both Axel Honneth and Rainer Forst observe that the point of
solidarity is lost in Habermas's conception due to the absence of an
element of `particularism'. See Honneth, A. (2007). Disrespect. The
normative foundations of critical theory (pp. 99-128). Cambridge, UK:
Polity Press and Forst, R. (2002). Contexts of justice. Political
philosophy beyond liberalism and communitarianism (p. 304, note 21).
Berkeley, CA: University of California Press.Richard Rorty places this
morally significant `we' at the heart of his conception of solidarity:
`The force of ``us{''} is typically contrastive in the sense that it
contrasts with a ``they{''}, which is also made up of human beings'. See
Rorty, R. (1989). Contingency, irony, and solidarity. New York, NY:
Cambridge University Press. A distinction of different meanings of this
`we' can be found in Dean, J. (1995). Reflective solidarity.
Constellations, 2, 114-140, 124 ff.This is why Heyd rejects ter Meulen's
notion of a `humanitarian solidarity' based `on identification with the
values of humanity and responsibility for the other'. See Heyd, op. cit.
note 4, p. 57.For the limits to universal solidarity and the relation
between local, national, and cosmopolitan solidarities, see Derpmann, S.
(2009). Solidarity and cosmopolitanism. Ethical Theory and Moral
Practice, 12, 303-315.Ronald Dworkin defines these obligations as `{[}
horizontal ellipsis ] the special responsibilities social practice
attaches to membership in some biological or social group, like the
responsibilities of family or friends or neighbors'. See Dworkin, R.
(1986). Law's empire. Cambridge, MA: Harvard University Press, p. 196. A
similar terminology is given by Scheffler, S. (2001). Boundaries and
allegiances: Problems of justice and responsibility in liberal thought.
New York, NY: Oxford University Press, pp. 48-49.See Heyd, op. cit. note
4, p. 59. In a similar manner, Jodi Dean defends a `reflective'
understanding of solidarity. See Dean, op. cit. note 15. Avery Kolers
highlights this aspect as well, as he understands solidarity - as
distinguished from loyalty - to be primarily based on a reason, not on a
prior connection to a group. See Kolers, op. cit. note 5, p. 44
ff.Problematic examples may be those where the common commitment itself
is exclusionary. While anyone may join the cause of suffragettes and
suffragists, tax resisters, guerrilla gardeners, or dadaists, specific
groups are excluded in the very content of the ideologies that unite
White supremacists, sexists, etc.WHO. (2016). Fact sheet: Universal
health coverage (UHC). Retrieved from
http://www.who.int/mediacentre/factsheets/fs395/en/. Accessed on March
6, 2018.See e.g. Borner, S. (2013). Belonging, solidarity and expansion
in social policy. Basingstoke, Hampshire, UK: Palgrave Macmillan, p. 35
ff. and Weale, A. (1990). Equality, social solidarity, and the welfare
state. Ethics, 100, 473-488.
In many cases, this form of insurance solidarity, however, is far from
being universal. If individuals are granted the opportunity to opt out
of insurance schemes that host high-cost risks, thereby reducing their
own fees as well as the socially available funds for redistribution,
there is no solidarity in a comprehensive sense but rather solidarity
within coexisting social groups.For a systematic account of solidarity
with regard to its relation to health care, see Jaeggi, R. (2011).
Solidarity and indifference. In R. ter Meulen, W. Arts, \& R. Muffels
(Eds.), Solidarity in health and social care in Europe (pp. 287-308).
Dordrecht, The Netherlands: Kluwer Academic.There is a general problem
concerning the term `universal' in this context, as the universalism of
moral theory is contradicted by the localism of its implementation in
national health systems. Even though quite a number of moral demands are
spelled out in universal terms, the moral claim to health is primarily
implemented through the rights of citizens or residents of nation
states. Thus, one could object that all existing health systems are
partial toward the members of specific societies, and that they may be
regarded to be morally based in national solidarity. The recognition of
a universal demand to health is not exhausted in the protection and
promotion of health of citizens of a particular state but would require
the consideration of any moral subject. I will widely bypass this
fundamental complexity that affects all theories of political justice
and focus on universal health-related moral claims within given
societies. The following section reconstructs the normative foundation
of health systems by reference to a universal right to health as it is
formulated in UN conventions, while its implementation is de facto
translated to the fragmented responsibilities of nation states.This
argument is also made by Heyd, op. cit. note 4, pp. 62-63.For
institutional formulations - and interpretations of this right, see
Committee on Economic, Social and Cultural Rights. (2000). Substantive
issues arising in the implementation of the international covenant on
economic, social and cultural rights. General comment No. 14. ``The
right to the highest attainable standard of health.{''} Retrieved from
http://www.refworld.org/docid/4538838d0.html. Accessed on March 6,
2018.On this argument, see Hessler, K., \& Buchanan, A. (2002).
Specifying the content of the human right to health care. In R. Rhodes,
M. Battin, \& A. Silvers (Eds.), Medicine and social justice: Essays on
the distribution of health (pp. 84-101). New York, NY: Oxford University
Press.See CESCR, op. cit. note 27, art. 12, sec 9.Daniels recognizes the
need for this extension of his initial account. See Daniels, N. (2008).
Just health. New York, NY: Cambridge University Press, pp. 2-3. On this
topic, see also Wolff, J. (2012). The human right to health. New York,
NY: W. W. Norton \& Company, pp. 13-34. INTRODUCTION: FORGING
`SOLIDARITY' SOLIDARITY AS A MORAL IDEA Solidarity as a relation sui
generis Solidarity as a form of communal obligation THE MORALS OF HEALTH
CARE Solidarity and universal health care Health and human rights
SOLIDARITY AND HEALTH POLICY The relationality of solidarity The
importance of telling solidarity and justice apart CONFLICT OF INTEREST
Footnotes Solidarity is commonly invoked in the justification of public
health care.
This is understandable, as calls for and appeals to solidarity are
effective in the mobilization of unison action and the willingness to
incur sacrifices for others. However, the reference to solidarity as a
moral notion requires caution, as there is no agreement on the meaning
of solidarity. The article argues that the reference to solidarity as a
normative notion is relevant to health-related moral claims, but that it
does not provide a convincing foundation of claims to universal health
care. References to universal solidarity obliterate an important
distinction between those moral demands that are founded on principles
like justice, recognition, or humanity, and those demands that stem from
partisan relations in communities. While there is no `separate essence'
of solidarity that could be referred to in order to argue for the
conceptual necessity of solidarity's partiality, some features may
reasonably be stipulated as being essential to solidarity with a view to
its systematic function within moral philosophy. The normative and
motivational force of the ties invoked by solidarity is particularly
relevant when basic moral demands are not met, and societies are in need
of significant forms of communal relatedness.},
Type = {Article},
Language = {English},
Affiliation = {Derpmann, S (Corresponding Author), Westfalische Wilhelms Univ, Philosoph Seminar, Dompl 23, D-48143 Munster, Germany.
Derpmann, Simon, Univ Munster, Dept Philosophy, Munster, Germany.},
DOI = {10.1111/bioe.12444},
ISSN = {0269-9702},
EISSN = {1467-8519},
Keywords = {health care; justice; partiality; solidarity; universality; welfare
state},
Web-of-Science-Categories = {Ethics; Medical Ethics; Social Issues; Social Sciences, Biomedical},
Author-Email = {simon.derpmann@wwu.de},
ResearcherID-Numbers = {Baldissera, Annalisa/AHD-6334-2022
Fazli, Ghazal/AAE-8320-2022
},
ORCID-Numbers = {Derpmann, Simon/0000-0002-5851-1298},
Number-of-Cited-References = {29},
Times-Cited = {3},
Usage-Count-Last-180-days = {28},
Usage-Count-Since-2013 = {333},
Unique-ID = {WOS:000450332600005},
DA = {2023-09-28},
}
@article{ WOS:000742647300002,
Author = {Lagunes-Cordoba, Emmeline and Alcala-Lozano, Ruth and Lagunes-Cordoba,
Roberto and Fresan-Orellana, Ana and Jarrett, Manuela and
Gonzalez-Olvera, Jorge and Thornicroft, Graham and Henderson, Claire},
Title = {Evaluation of an anti-stigma intervention for Mexican psychiatric
trainees},
Journal = {PILOT AND FEASIBILITY STUDIES},
Year = {2022},
Volume = {8},
Number = {1},
Month = {JAN 14},
Abstract = {Background There is research evidence regarding the presence of
stigmatising attitudes in psychiatrists towards people with mental
illness, but a lack of studies and interventions focused on this issue
in low and middle-income countries. Aims To assess the feasibility of
implementing an anti-stigma intervention for Mexican psychiatric
trainees, and its potential effects. Methods This study comprised a
pre-post design with outcome measures compared between baseline and
3-month follow-up. Quantitative outcome measures were used to evaluate
the potential effects of the intervention, whilst the process evaluation
required the collection and analysis of both quantitative and
qualitative data. Results Twenty-nine trainees (25\% of those invited)
participated in the intervention, of whom 18 also participated in the
follow-up assessment. Outcome measures showed the intervention had
moderately large effects on reducing stereotypes and the influence of
other co-workers on trainees' own attitudes. The main mechanisms of
impact identified were recognition of negative attitudes in oneself and
colleagues, self-reflection about the impact of stigma, one's own
negative attitudes and recognition of one's ability to make change.
Participants accepted and were satisfied with the intervention, which
many considered should be part of their routine training. However,
trainees' work overload and lack of support from the host organisation
were identified as barriers to implement the intervention. Conclusions A
brief anti-stigma intervention for Mexican psychiatric trainees is
feasible, potentially effective, well accepted and was considered
necessary by participants. This study also suggests mechanisms of impact
and mediators should be considered for developing further interventions,
contributing to reducing the damaging effects that mental health-related
stigma has on people's lives.},
Type = {Article},
Language = {English},
Affiliation = {Lagunes-Cordoba, E (Corresponding Author), Kings Coll London, Inst Psychiat Psychol \& Neurosci, Hlth Serv \& Populat Res Dept, De Crespigny Pk, London SE5 8AF, England.
Lagunes-Cordoba, Emmeline, Kings Coll London, Inst Psychiat Psychol \& Neurosci, Hlth Serv \& Populat Res Dept, De Crespigny Pk, London SE5 8AF, England.
Alcala-Lozano, Ruth; Fresan-Orellana, Ana, Inst Nacl Psiquiatria Ramon de la Fuente Muniz, Lab Neuromodulac, Subdirecc Invest Clin, Mexico City, DF, Mexico.
Lagunes-Cordoba, Roberto, Univ Veracruzana, Inst Invest Psicol, Xalapa, Veracruz, Mexico.
Jarrett, Manuela, Univ London, Sch Hlth Sci City, London, England.
Gonzalez-Olvera, Jorge, Comis Nacl Prevenc Adicc, Mexico City, DF, Mexico.
Thornicroft, Graham, Kings Coll London, Ctr Global Mental Hlth, Inst Psychiat Psychol \& Neurosci, London, England.
Thornicroft, Graham; Henderson, Claire, Kings Coll London, Ctr Implementat Sci, Inst Psychiat Psychol \& Neurosci, London, England.},
DOI = {10.1186/s40814-021-00958-1},
Article-Number = {5},
EISSN = {2055-5784},
Keywords = {Stigma; Intervention; Psychiatrists; Implementation; Evaluation;
Discrimination},
Keywords-Plus = {MENTAL-HEALTH PROFESSIONALS; BORDERLINE PERSONALITY-DISORDER; INTERGROUP
CONTACT; PEOPLE; ATTITUDES; DISCRIMINATION; CARE; SCHIZOPHRENIA;
ILLNESS; STIGMATIZATION},
Web-of-Science-Categories = {Medicine, Research \& Experimental},
Author-Email = {emmeline.lagunes\_cordoba@kcl.ac.uk},
ResearcherID-Numbers = {LAGUNES-CORDOBA, EMMELINE/ABE-8969-2021
Thornicroft, Graham/B-4027-2010
LAGUNES-CORDOBA, EMMELINE/HKO-6091-2023},
ORCID-Numbers = {LAGUNES-CORDOBA, EMMELINE/0000-0002-1001-4786
Thornicroft, Graham/0000-0003-0662-0879
LAGUNES-CORDOBA, EMMELINE/0000-0002-1001-4786},
Number-of-Cited-References = {44},
Times-Cited = {2},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000742647300002},
DA = {2023-09-28},
}
@article{ WOS:000399693400011,
Author = {Silverstein, Allison and Costas-Chavarri, Ainhoa and Gakwaya, Mussa R.
and Lule, Joseph and Mukhopadhyay, Swagoto and Meara, John G. and
Shrime, Mark G.},
Title = {Laparoscopic Versus Open Cholecystectomy: A Cost-Effectiveness Analysis
at Rwanda Military Hospital},
Journal = {WORLD JOURNAL OF SURGERY},
Year = {2017},
Volume = {41},
Number = {5},
Pages = {1225-1233},
Month = {MAY},
Abstract = {Background Laparoscopic cholecystectomy is first-line treatment for
uncomplicated gallstone disease in high-income countries due to benefits
such as shorter hospital stays, reduced morbidity, more rapid return to
work, and lower mortality as well-being considered cost-effective.
However, there persists a lack of uptake in low- and middle-income
countries. Thus, there is a need to evaluate laparoscopic
cholecystectomy in comparison with an open approach in these settings.
Methods A cost-effectiveness analysis was performed to evaluate
laparoscopic and open cholecystectomies at Rwanda Military Hospital
(RMH), a tertiary care referral hospital in Rwanda. Sensitivity and
threshold analyses were performed to determine the robustness of the
results.
Results The laparoscopic and open cholecystectomy costs and
effectiveness values were \$2664.47 with 0.87 quality-adjusted life
years (QALYs) and \$2058.72 with 0.75 QALYs, respectively. The
incremental cost-effectiveness ratio for laparoscopic over open
cholecystectomy was \$4946.18. Results are sensitive to the initial
laparoscopic equipment investment and number of cases performed annually
but robust to other parameters. The laparoscopic intervention is more
cost-effective with investment costs less than \$91,979, greater than 65
cases annually, or at willingness-to-pay (WTP) thresholds greater than
\$3975/QALY.
Conclusions At RMH, while laparoscopic cholecystectomy may be a more
effective approach, it is also more expensive given the low caseload and
high investment costs. At commonly accepted WTP thresholds, it is not
cost-effective. However, as investment costs decrease and/or case volume
increases, the laparoscopic approach may become favorable. Countries and
hospitals should aspire to develop innovative, low-cost options in high
volume to combat these barriers and provide laparoscopic surgery.},
Type = {Article},
Language = {English},
Affiliation = {Shrime, MG (Corresponding Author), Harvard Med Sch, Program Global Surg \& Social Change, 641 Huntington Ave 411, Boston, MA 02115 USA.
Silverstein, Allison; Costas-Chavarri, Ainhoa; Mukhopadhyay, Swagoto; Meara, John G.; Shrime, Mark G., Harvard Med Sch, Program Global Surg \& Social Change, 641 Huntington Ave 411, Boston, MA 02115 USA.
Silverstein, Allison, Univ Miami, Miller Sch Med, Miami, FL 33136 USA.
Costas-Chavarri, Ainhoa; Gakwaya, Mussa R.; Lule, Joseph, Rwanda Mil Hosp, Kigali, Rwanda.
Mukhopadhyay, Swagoto, Univ Connecticut, Dept Surg, Farmington, CT USA.
Meara, John G., Boston Childrens Hosp, Dept Plast \& Oral Surg, Boston, MA USA.
Shrime, Mark G., Massachusetts Eye \& Ear Infirm, Dept Otolaryngol, Boston, MA 02114 USA.
Shrime, Mark G., Massachusetts Eye \& Ear Infirm, Off Global Surg, Boston, MA 02114 USA.},
DOI = {10.1007/s00268-016-3851-0},
ISSN = {0364-2313},
EISSN = {1432-2323},
Keywords-Plus = {BILE-DUCT; HEALTH; SURGERY; RECOMMENDATIONS; BENEFITS; MEDICINE},
Web-of-Science-Categories = {Surgery},
Author-Email = {shrime@mail.harvard.edu},
ORCID-Numbers = {Meara, John G./0000-0003-4369-3209},
Number-of-Cited-References = {34},
Times-Cited = {14},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000399693400011},
DA = {2023-09-28},
}
@article{ WOS:000243112500006,
Author = {Bryant, Allison S. and Haas, Jennifer S. and McElrath, Thomas F. and
McCormick, Marie C.},
Title = {Predictors of compliance with the postpartum visit among women living in
healthy start project areas},
Journal = {MATERNAL AND CHILD HEALTH JOURNAL},
Year = {2006},
Volume = {10},
Number = {6},
Pages = {511-516},
Month = {NOV},
Abstract = {Objectives: Few studies have examined factors associated with compliance
with a postpartum visit (PPV). The identification of such factors is of
particular importance in populations with high rates of unintended
pregnancies and medical complications of pregnancy. This study seeks to
determine factors associated with compliance with a PPV among low-income
women in the population served by fourteen Healthy Start sites.
Methods: Data from the Healthy Start Survey of Postpartum Women were
reviewed to identify variables associated with compliance with a PPV at
or beyond 6 weeks. Multiple logistic regression models were created,
based on a sociobehavioral model of health services use, to examine
which types of factors (demographic, social, enabling or need) are most
strongly associated with the use of a PPV.
Results: The study population consisted of survey respondents
interviewed six weeks or more following delivery. Eighty-five percent of
respondents had had a PPV at time of interview. In a multiple regression
analysis, enabling factors such as multiple moves (OR (95\% CI) = 0.34
(0.18, 0.67)), trouble understanding the provider (OR (95 \% CI) = 0.65
(0.43, 0.99)) and appointment reminders (OR (95\% CI) = 2.37 (1.40,
4.02)) were most strongly associated with a PPV.
Conclusions: This work finds that women with unstable housing,
transportation barriers, and difficulties communicating with providers
are at risk for not receiving a PPV. This suggests that access to
postpartum health services in the Healthy Start communities studied may
not be entirely equitable. Policies aimed at improving interconception
care will need to address these barriers to accessing health services.},
Type = {Article},
Language = {English},
Affiliation = {Bryant, AS (Corresponding Author), Univ Calif San Francisco, Dept Obstet Gynecol \& Reprod Sci, 505 Parnassus Ave,Box 0132, San Francisco, CA 94143 USA.
Univ Calif San Francisco, Dept Obstet Gynecol \& Reprod Sci, San Francisco, CA 94143 USA.
Brigham \& Womens Hosp, Div Gen Med \& Primary Care, Boston, MA 02120 USA.
Brigham \& Womens Hosp, Div Maternal Fetal Med, Boston, MA 02115 USA.
Harvard Univ, Sch Publ Hlth, Dept Soc Human Behav \& Hlth, Boston, MA 02115 USA.},
DOI = {10.1007/s10995-006-0128-5},
ISSN = {1092-7875},
EISSN = {1573-6628},
Keywords = {postpartum visit; compliance; health services},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {bryanta@obgyn.ucsf.edu
jhaas@partners.org
tmcelrath@partners.org
mmcormi@hsph.harvard.edu},
ORCID-Numbers = {HAAS, JENNIFER/0000-0001-7227-851X
McCormmick, Marie/0000-0002-3938-1707},
Number-of-Cited-References = {9},
Times-Cited = {90},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000243112500006},
DA = {2023-09-28},
}
@article{ WOS:001026444500003,
Author = {Zambrano, Karla},
Title = {Climate crisis, women and children: between vulnerability and the urgent
protection of their rights. Glimpses from the European continent},
Journal = {RELACIONES INTERNACIONALES-MADRID},
Year = {2023},
Number = {53},
Pages = {31-48},
Month = {JUN-SEP},
Abstract = {Since the end of the 18th century, the burning and use of hydrocarbons
has been the main source of energy used by mankind to achieve more
developed societies, ignoring -at first - the high cost of natural
resources involved. The use of this type of non-renewable energy has
caused serious imbalances in the atmosphere and, in turn, a great impact
on all the Earth's ecosystems, since any type of alteration in the
atmosphere causes, as a consequence, further transformations in the rest
of The conclusions reached by the Intergovernmental Panel on Climate
Change (IPCC) are the results of more than 30 years of research
dedicated to the study of the climate system and its alterations. It is
not, therefore, a diffuse and banal reflection to be downplayed, quite
the contrary, as it recreates the present and future scenario to which
legal science must respond. Science, as usual, often leads the way in
international rule-making and standard-setting processes, and has been
decisive on climate change: there is an urgent need for a drastic
reduction in the levels of greenhouse gas (GHG) emissions that human
activities release into the atmosphere. Indeed, even if the Paris
Agreement targets are met, resilience or adaptation and climate
stability will be some of the greatest challenges facing humanity. There
is now a clear scientific consensus on the unequivocal attribution of
climate change to human activities. However, the impacts of climate
variability are biased and the crosscutting issues that surround them,
such as inequity and the vulnerability of multiple groups, such as women
and children, are often displaced in the face of the severe damage
already being done to the Earth's oceans, atmosphere, ice and biosphere,
rapidly and pervasively. The greenhouse effect is an inherently
discriminatory phenomenon because it affects systemically, unequally and
disproportionately not only people belonging to a certain group, but
also constitutes an emerging, progressive and increasingly frequent and
intense damage to societies and nations that have not reached their
maximum levels of development, or that lack the measures or the
technology to adapt to climate variability. The purpose of this article
is twofold. On the one hand, it aims to identify the direct consequences
of anthropogenic global warming on women and children, interweaving the
scientific basis with legal science, which will allow us to
contextualize the current state of the situation in an objective manner;
on the other hand, it aims to define the position of the international
community on both issues, from a critical point of view, a human
rights-based approach, and with a special reference to the European
jurisdictional progress, which could contribute to enhance the
international climate cooperation. This also includes legal proposals
based on the principles of equal treatment and opportunities between
women and men, and intergenerational equity, the empowerment of citizens
to receive quality environmental education, the participation and
integration of both women and new generations in political decisions on
issues that affect them, and their inclusion in the discussion and
analysis of the impact of the climate emergency based on scientific
knowledge. This research is based on the axis of different theoretical
frameworks, and seeks both to establish connections between different
areas of knowledge and to provide an international legal response to the
problem of global warming for women and children through the analysis of
international law and its implementation.
In addition, this study is based on the principle of scientific evidence
that underpins the work of the IPCC and, more specifically, will build
on the efforts of Working Group II (WGII) of the Sixth Assessment Report
(AR6) on impacts, vulnerability, and adaptation. In the international
legal sphere, this paper aims to link two areas of international law as
major references: international human rights law and the legal framework
regulating climate change in the international forum. With regard to the
structure of this article, we will find an introduction to the state of
the question, followed by the theoretical-methodological aspects that
are intertwined in this research: the interweaving of postcolonial
feminist theory, scientific knowledge and legal argumentation. The
second section of this study aims to contextualize the impacts of
climate change on ecosystems and the most vulnerable groups, with
references to the contributions of Working Groups I and II of the IPCC
Sixth Assessment Report and other scientific studies that support the
position of the vulnerability of women and children to the adverse
effects of climate change. Within the second section, the IPCC has
concluded that countries are already experiencing increasing impacts
such as biodiversity loss, extreme weather events, land degradation,
desertification and deforestation, sand and dust storms, persistent
drought, sea level rise, coastal erosion, ocean acidification and
mountain glacier retreat, causing severe disruption to societies,
economies, employment, agricultural, industrial and commercial systems,
global trade, supply chains and travel. It has also reported thata there
has been a devastating impact on sustainable development, including
poverty eradication and livelihoods, threatening food security and
nutrition and water accessibility. Furthermore, a sub-section has been
created that will detail some of the impacts of climate change
specifically on women and children. In this sense, it is evident that
women's reproductive rights are affected, there is an increase in
vector-borne diseases with discriminatory tendencies based on gender,
the manifestation of socio-economic inequalities linked to climate
change, marginalisation, and the lack of capacity of children to adapt
to climate change. The third section is devoted to providing a legal
overview of the doctrine's position on the matter and the cases
currently being heard in some courts where the plaintiffs are women and
minors. This section highlights the impossibility of ignoring both the
feminist approach and the intergenerational equity approach. It is also
pointed out that in the elaboration of climate policies, it is not
enough to draw up a list of insufficient and empty climate policies to
comply with international commitments, since when it comes to demanding
the jurisdictional protection of human rights in the context of the
climate crisis, there are a series of complications rooted in the
evidentiary capacity that governs any judicial procedure. The
conclusions section contains both a synthesis of the different sections
of this article, as well as a series of legally and socially viable
proposals that contribute to the knowledge of climate change, its
different impacts, policies for prevention and adaptation to the risks
of extreme meteorological phenomena and, if necessary, keys that
reinforce the path towards climate litigation.},
Type = {Article},
Language = {English},
Affiliation = {Zambrano, K (Corresponding Author), Univ Valencia, Valencia, Spain.
Zambrano, Karla, Univ Valencia, Valencia, Spain.},
DOI = {10.15366/relacionesinternacionales2023.53.002},
ISSN = {1699-3950},
Keywords = {Human rights; women's rights; climate change; feminism; children's
rights},
Web-of-Science-Categories = {International Relations},
Author-Email = {karla.zambrano@uv.es},
Number-of-Cited-References = {38},
Times-Cited = {0},
Usage-Count-Last-180-days = {3},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:001026444500003},
DA = {2023-09-28},
}
@article{ WOS:000655909900015,
Author = {El-Bassel, Nabila and McCrimmon, Tara and Mergenova, Gaukhar and Chang,
Mingway and Terlikbayeva, Assel and Primbetova, Sholpan and Kuskulov,
Azamat and Baiserkin, Bauyrzhan and Denebayeva, Alfiya and Kurmetova,
Kulpan and Witte, Susan S.},
Title = {A cluster-randomized controlled trial of a combination HIV risk
reduction and microfinance intervention for female sex workers who use
drugs in Kazakhstan},
Journal = {JOURNAL OF THE INTERNATIONAL AIDS SOCIETY},
Year = {2021},
Volume = {24},
Number = {5},
Month = {MAY},
Abstract = {Introduction Female sex workers (FSW) who use drugs are a key population
at risk of HIV in Kazakhstan, and face multiple structural barriers to
HIV prevention. More research is needed on the role of structural
interventions such as microfinance (MF) in reducing HIV risk. This paper
describes the results of a cluster-randomized controlled trial to test
the efficacy of a combination HIVRR + MF intervention in reducing
biologically confirmed STIs and HIV risk behaviours.
Methods This study took place from May 2015 to October 2018 in two
cities in Kazakhstan. We screened 763 participants for eligibility and
enrolled 354 FSW who use drugs. Participants were randomized in cohorts
to receive either a four-session HIVRR intervention, or that same
intervention plus 30 additional sessions of financial literacy training,
vocational training and asset-building through a matched-savings
programme. Repeated behavioural and biological assessments were
conducted at baseline, 3-, 6- and 12-months post-intervention.
Biological and behavioural primary outcomes included HIV/STI incidence,
sexual risk behaviours and drug use risk behaviours, evaluated over the
12-month period.
Results Over the 12-month follow-up period, few differences in study
outcomes were noted between arms. There was only one newly-detected HIV
case, and study arms did not significantly differ on any STI incidence.
At post-intervention assessments compared to baseline, both HIVRR and
HIVRR + MF participants significantly reduced sexual and drug use risk
behaviours, and showed improvements in financial outcomes, condom use
attitudes and self-efficacy, social support, and access to medical care.
In addition, HIVRR + MF participants showed a 72\% greater reduction in
the number of unprotected sex acts with paying partners at the six-month
assessment (IRR = IRR = 0.28, 95\% CI = 0.08, 0.92), and a 10\% greater
reduction in the proportion of income from sex work at the three-month
assessment (b = -0.10, 95\% CI = -0.17, -0.02) than HIVRR participants
did. HIVRR + MF participants also showed significantly improved
performance on financial self-efficacy compared to HIVRR over the
12-month follow-up period.
Conclusions Compared to a combination HIVRR + MF intervention, a robust
HIVRR intervention alone may be sufficient to reduce sexual and drug
risk behaviours among FSW who use drugs. There may be structural
limitations to the promise of microfinance for HIV risk reduction among
this population.},
Type = {Article},
Language = {English},
Affiliation = {El-Bassel, N (Corresponding Author), Columbia Univ, Sch Social Work, Global Hlth Res Ctr Cent Asia, 1255 Amsterdam Ave, New York, NY 10027 USA.
El-Bassel, Nabila; McCrimmon, Tara; Chang, Mingway; Witte, Susan S., Columbia Univ, Sch Social Work, Global Hlth Res Ctr Cent Asia, 1255 Amsterdam Ave, New York, NY 10027 USA.
Mergenova, Gaukhar; Terlikbayeva, Assel; Primbetova, Sholpan; Kuskulov, Azamat, Global Hlth Res Cent Asia, Alma Ata, Kazakhstan.
Baiserkin, Bauyrzhan, Kazakh Sci Ctr Dermatol \& Infect Dis, Alma Ata, Kazakhstan.
Denebayeva, Alfiya, Almaty City Ctr Prevent \& Control AIDS, Alma Ata, Kazakhstan.
Kurmetova, Kulpan, Karaganda Oblast Ctr Prevent \& Control AIDS, Temirtau Branch, Temirtau, Kazakhstan.},
DOI = {10.1002/jia2.25682},
Article-Number = {e25682},
EISSN = {1758-2652},
Keywords = {structural interventions; sex workers; drug use; HIV prevention;
clinical trials},
Keywords-Plus = {SUBSTANCE USE; INJECT DRUGS; WOMEN; PREVENTION; VIOLENCE; INCOME; SCALE},
Web-of-Science-Categories = {Immunology; Infectious Diseases},
Author-Email = {ne5@columbia.edu},
ResearcherID-Numbers = {McCrimmon, Tara/GRR-3918-2022},
Number-of-Cited-References = {29},
Times-Cited = {4},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000655909900015},
DA = {2023-09-28},
}
@article{ WOS:000530055200001,
Author = {Akobeng, Eric},
Title = {Harnessing foreign aid for the poor: role of institutional democracy},
Journal = {JOURNAL OF ECONOMIC STUDIES},
Year = {2020},
Volume = {47},
Number = {7},
Pages = {1689-1710},
Month = {OCT 26},
Abstract = {Purpose This paper examines the relationship between foreign aid,
institutional democracy and poverty. The paper explores the direct
effect of foreign aid on poverty and quantifies the facilitating role of
democracy in harnessing foreign aid for poverty reduction in Sub-Saharan
Africa (SSA). Design/methodology/approach The paper attempts to address
the endogenous relationship between foreign aid and poverty by employing
the two-stage least squares instrumental variable (2SLS-IV) estimator by
using GDP per capita of the top five Organization for Economic
Co-operation and Development (OECD) countries sending foreign aid to SSA
countries scaled by the inverse of the land area of the SSA countries to
stimulate an exogenous variation in foreign aid and its components. The
initial level of democracy is interacted with the senders' GDP per
capita to also instrument for the interaction terms of democracy,
foreign aid and its components. Findings The results suggest that
foreign aid reduces poverty and different components of foreign aid have
different effects on poverty. In particular, multilateral source and
grant type seem to be more significant in reducing poverty than
bilateral source and loan type. The study further reveals that
democratic attributes of free expression, institutional constraints on
the executive, guarantee of civil liberties to citizens and political
participation reinforce the poverty-reducing effects of aggregate
foreign aid and its components after controlling for mean household
income, GDP per capita and inequality. Research limitations/implications
The methodological concern related to modeling the effects of foreign
aid on poverty is endogeneity bias. To estimate the relationship between
foreign aid, democracy and poverty in SSA, this paper relies on a
2SLS-IV estimator with GDP per capita of the top five aid-sending OECD
countries scaled by the inverse of land area of the SSA countries as an
external instrument for foreign aid. The use of the five top OECD's
Development Assistance Committee (OECD-DAC) countries is due to the
availability of foreign aid data for these countries. However,
non-OECD-DAC countries such as China and South Africa may be important
source of foreign aid to some SSA countries. Practical implications The
findings further suggest that the marginal effect of foreign aid in
reducing poverty is increasing with the level of institutional
democracy. In other words, foreign aid contributes more to poverty
reduction in countries with democratic dispensation. This investigation
has vital implications for future foreign aid policy, because it alerts
policymakers that the effectiveness of foreign aid can be strengthened
by considering the type and source of aid. Foreign aid and quality
political institution may serve as an important mix toward the
achievement of the Sustainable Development Goals 2030 and the Africa
Union Agenda 2063. Social implications As the global economy faces
economic and social challenges, SSA may not be able to depend heavily on
foreign partners to finance the region's budget. There is the need for
African governments to also come out with innovative ways to mobilize
own resources to develop and confront some of the economic challenges to
achieve the required reduction in poverty. This is a vision that every
country in Africa must work toward. Africa must think of new ways of
generating wealth internally for development so as to complement foreign
aid flows and also build strong foundation for welfare improvement,
self-reliance and sustainable development.
Originality/value This existing literature does not consider how
democracy enhances the foreign aid and poverty relationship. The
existing literature does not explore how democracy enhances grants,
loans, multilateral and bilateral aid effectiveness in reducing poverty.
This paper provides the first-hand evidence of how institutional
democracy enhances the poverty-reducing effects of foreign aid and its
components. The paper uses exogenous variation in foreign aid to
quantify the direct effect of foreign aid and its components on poverty.},
Type = {Article},
Language = {English},
Affiliation = {Akobeng, E (Corresponding Author), Lancaster Univ Ghana, Dept Business Studies, Accra, Ghana.
Akobeng, Eric, Lancaster Univ Ghana, Dept Business Studies, Accra, Ghana.},
DOI = {10.1108/JES-05-2019-0225},
EarlyAccessDate = {APR 2020},
ISSN = {0144-3585},
Keywords = {Democracy; Poverty; Foreign aid},
Keywords-Plus = {POVERTY REDUCTION; DOMESTIC SAVINGS; GROWTH; REMITTANCES; POLICIES;
INEQUALITY; ASSISTANCE; IMPACT},
Web-of-Science-Categories = {Economics},
Author-Email = {e.akobeng@lancaster.edu.gh},
Number-of-Cited-References = {67},
Times-Cited = {3},
Usage-Count-Last-180-days = {5},
Usage-Count-Since-2013 = {19},
Unique-ID = {WOS:000530055200001},
DA = {2023-09-28},
}
@article{ WOS:000393277500002,
Author = {Yan, Lily D. and Chirwa, Cindy and Chi, Benjamin H. and Bosomprah,
Samuel and Sindano, Ntazana and Mwanza, Moses and Musatwe, Dennis and
Mulenga, Mary and Chilengi, Roma},
Title = {Hypertension management in rural primary care facilities in Zambia: a
mixed methods study},
Journal = {BMC HEALTH SERVICES RESEARCH},
Year = {2017},
Volume = {17},
Month = {FEB 3},
Abstract = {Background: Improved primary health care is needed in developing
countries to effectively manage the growing burden of hypertension. Our
objective was to evaluate hypertension management in Zambian rural
primary care clinics using process and outcome indicators to assess the
screening, monitoring, treatment and control of high blood pressure.
Methods: Better Health Outcomes through Mentoring and Assessment (BHOMA)
is a 5-year, randomized steppedwedge trial of improved clinical service
delivery underway in 46 rural Zambian clinics. Clinical data were
collected as part of routine patient care from an electronic medical
record system, and reviewed for site performance over time according to
hypertension related indicators: screening (blood pressure measurement),
management (recorded diagnosis, physical exam or urinalysis), treatment
(on medication), and control. Quantitative data was used to develop
guides for qualitative in-depth interviews, conducted with health care
providers at a proportional sample of half (20) of clinics. Qualitative
data was iteratively analyzed for thematic content.
Results: From January 2011 to December 2014, 318,380 visits to 46
primary care clinics by adults aged >= 25 years with blood pressure
measurements were included. Blood pressure measurement at vital sign
screening was initially high at 89. 1\% overall (range: 70.1-100\%), but
decreased to 62.1\% (range: 0-100\%) by 48 months after intervention
start. The majority of hypertensive patients made only one visit to the
clinics (57.8\%). Out of 9022 patients with at least two visits with an
elevated blood pressure, only 49.3\% had a chart recorded hypertension
diagnosis. Process indicators for monitoring hypertension were < 10\%
and did not improve with time. In in-depth interviews, antihypertensive
medication shortages were common, with 15/20 clinics reporting
hydrochlorothiazide-amiloride stockouts. Principal challenges in
hypertension management included 1) equipment and personnel shortages,
2) provider belief that multiple visits were needed before official
management, 3) medication stock-outs, leading to improper prescriptions
and 4) poor patient visit attendance.
Conclusions: Our findings suggest that numerous barriers stand in the
way of hypertension diagnosis and management in Zambian primary health
facilities. Future work should focus on performance indicator
development and validation in low resource contexts, to facilitate
regular and systematic data review to improve patient outcomes.},
Type = {Article},
Language = {English},
Affiliation = {Yan, LD (Corresponding Author), Ctr Infect Dis Res Zambia, Primary Care \& Hlth Syst Dept, Lusaka, Zambia.
Yan, LD (Corresponding Author), Stanford Univ, Sch Med, Stanford, CA 94305 USA.
Yan, Lily D.; Chirwa, Cindy; Chi, Benjamin H.; Bosomprah, Samuel; Sindano, Ntazana; Mwanza, Moses; Musatwe, Dennis; Mulenga, Mary; Chilengi, Roma, Ctr Infect Dis Res Zambia, Primary Care \& Hlth Syst Dept, Lusaka, Zambia.
Yan, Lily D., Stanford Univ, Sch Med, Stanford, CA 94305 USA.
Chi, Benjamin H.; Chilengi, Roma, Univ N Carolina, Dept Obstet \& Gynecol, Sch Med, Chapel Hill, NC USA.
Bosomprah, Samuel, Univ Ghana, Sch Publ Hlth, Dept Biostat, Accra, Ghana.},
DOI = {10.1186/s12913-017-2063-0},
Article-Number = {111},
ISSN = {1472-6963},
Keywords = {Hypertension; Zambia; Mixed methods; Antihypertensive medication;
Performance indicators; Quality improvement},
Keywords-Plus = {MIDDLE-INCOME COUNTRIES; PRIMARY-HEALTH-CARE; QUALITY INDICATORS;
ALMA-ATA; PERFORMANCE; PREVENTION; DISEASE; REBIRTH; AFRICA; NEEDS},
Web-of-Science-Categories = {Health Care Sciences \& Services},
Author-Email = {lilyyan@alumni.stanford.edu},
ResearcherID-Numbers = {Yan, Lily/AAR-6163-2021
},
ORCID-Numbers = {Yan, Lily/0000-0001-6363-7920
Bosomprah, PhD, Prof. Samuel/0000-0002-2826-3887},
Number-of-Cited-References = {30},
Times-Cited = {14},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {11},
Unique-ID = {WOS:000393277500002},
DA = {2023-09-28},
}
@article{ WOS:000578753700001,
Author = {Guilding, Clare and Hardisty, Jessica and Randles, Elsa and Statham,
Louise and Green, Alan and Bhudia, Roshni and Thandi, Charan Singh and
Teodorczuk, Andrew and Scott, Lesley and Matthan, Joanna},
Title = {Designing and evaluating an interprofessional education conference
approach to antimicrobial education},
Journal = {BMC MEDICAL EDUCATION},
Year = {2020},
Volume = {20},
Number = {1},
Month = {OCT 13},
Abstract = {Background Arguably, Medical School curricula are deficient in learning
opportunities related to the safe and effective use of medicines, in
particular antimicrobials. Infection management is complex and
multidisciplinary, and learning opportunities should reflect these
principles. Aligned to the complexity of the subject matter, simulation
and interprofessional based teaching are methods that can foster the
collaborative skills required of future healthcare professionals. There
have been calls to develop these methods in the teaching of safe
prescribing and the management of infections; however, reports of such
studies are limited. Methods We developed an interprofessional education
(IPE) conference for second year undergraduate medical and pharmacy
students based in the North East of England. We considered contact
theory in the design of three small group interprofessional workshops,
on the broad themes of antimicrobial stewardship, infection management
and patient safety. A mixed methods approach assessed students'
attitudes towards IPE, barriers and facilitators of learning, and
perceived learning gains. Qualitative data from workshop evaluation
forms were analysed thematically, while quantitative data were analysed
descriptively and differences between medical and pharmacy cohorts
analysed using unpaired two-tailed t-tests. Results 226/352 students
returned the workshop evaluation forms (66\% of pharmacy students, 62\%
of medical students). 281/352 students responded to a series of Likert
scale questions on the value of interprofessional education (88\% of
pharmacy students, 70\% of medical students). Students reported
acquisition of knowledge and skills, including concepts and procedures
related to infection management and antimicrobial prescribing, and the
development of problem-solving and critical evaluation skills. Students
reflected on their attitude towards interprofessional collaboration.
They reported a greater understanding of the roles of other healthcare
professionals, reflected on the importance of effective communication in
ensuring patient safety, and were more confident to work in
interprofessional teams after the conference. Conclusions A robust IPE
event, theoretically underpinned by contact theory and developed
collaboratively, achieved interprofessional learning at scale and helped
develop healthcare professionals willing to collaborate across
disciplines. The resources, and evaluation insights based on the 3P
(presage, process, and product) model of learning and teaching, will be
of value to other educators who seek to develop theoretically-sound IPE
interventions.},
Type = {Article},
Language = {English},
Affiliation = {Guilding, C (Corresponding Author), Newcastle Univ, Fac Med Sci, Sch Med Educ, Framlington Pl, Newcastle Upon Tyne NE2 4HH, Tyne \& Wear, England.
Guilding, Clare; Randles, Elsa; Bhudia, Roshni; Thandi, Charan Singh, Newcastle Univ, Fac Med Sci, Sch Med Educ, Framlington Pl, Newcastle Upon Tyne NE2 4HH, Tyne \& Wear, England.
Hardisty, Jessica; Statham, Louise; Green, Alan, Univ Sunderland, Sunderland Pharm Sch, Sunderland, England.
Teodorczuk, Andrew, Griffith Univ, Sch Med, Gold Coast, Qld, Australia.
Teodorczuk, Andrew, Prince Charles Hosp, Metro North Mental Hlth, Brisbane, Qld, Australia.
Scott, Lesley, Univ Sunderland, Sch Nursing \& Hlth Sci, Sunderland, England.
Matthan, Joanna, Newcastle Univ, Sch Dent Sci, Fac Med Sci, Newcastle Upon Tyne, Tyne \& Wear, England.},
DOI = {10.1186/s12909-020-02252-9},
Article-Number = {360},
EISSN = {1472-6920},
Keywords = {Interprofessional education; IPE; Interprofessional learning;
Simulation; Prescribing; Antibiotics; Antimicrobial stewardship; Human
errors; Pharmacy; Medicine},
Keywords-Plus = {HEALTH-CARE STUDENTS; MEDICAL-EDUCATION; CLINICAL-PHARMACOLOGY; JUNIOR
DOCTORS; PERCEPTIONS; SIMULATION; KNOWLEDGE; ATTITUDES; THERAPEUTICS;
RESISTANCE},
Web-of-Science-Categories = {Education \& Educational Research; Education, Scientific Disciplines},
Author-Email = {clare.guilding@newcastle.ac.uk},
ResearcherID-Numbers = {Thandi, Charan/HKN-0395-2023
},
ORCID-Numbers = {Thandi, Charan/0000-0002-7622-0427
Bhudia, Roshni/0000-0001-7877-1129
Guilding, Clare/0000-0003-2823-1575},
Number-of-Cited-References = {55},
Times-Cited = {6},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {13},
Unique-ID = {WOS:000578753700001},
DA = {2023-09-28},
}
@article{ WOS:000700995200001,
Author = {Khan, Muhammad Kamran and Hai Hong Trinh and Khan, Ikram Ullah and
Ullah, Subhan},
Title = {Sustainable economic activities, climate change, and carbon risk: an
international evidence},
Journal = {ENVIRONMENT DEVELOPMENT AND SUSTAINABILITY},
Year = {2022},
Volume = {24},
Number = {7},
Pages = {9642-9664},
Month = {JUL},
Abstract = {The employment of renewable resources and their association with the
real economy's growth in mitigating the problem of carbon emission risk
has been debated in the literature in a specific group of countries and
regions. However, their relations and effects for a better sustainable
energy transmission would need further research works in an
international context. Motivated by that reason, this study contributes
to the ongoing literature by revisiting the effects of renewable energy
consumption, electricity output, and economic activities on carbon risk
using a global sample of 219 countries over the period of 1990-2020.
Using GMM estimation, simultaneous quantile, and panel quantile
estimations; the study finds supportive findings showing that the higher
the countries with renewable energy consumption and electricity output
the better the capacity those countries can mitigate the environmental
degradation by reducing the amount of total carbon emission over time.
However, those relations are changed when using system GMM approaches,
implying the role of FDI inflows and the difference in income groups in
the selected sample countries. This can be intuitively explained that
emerging countries might give more priority to the economic growth
receiving FDI inflows from more advanced economies and balancing the
trade-off between economic growth and environmental protection, while
the developed economies with their advantages in green technologies and
financial flexibility might have higher advantages in acquiring a
sustainable transition and maintaining the real economy's growth without
significant trade-off concerns. Finally, the study provides important
policy implications and avenues for further research.},
Type = {Article},
Language = {English},
Affiliation = {Khan, MK (Corresponding Author), Bahria Univ, Bahria Business Sch, Management Studies Dept, Islamabad, Pakistan.
Khan, Muhammad Kamran, Bahria Univ, Bahria Business Sch, Management Studies Dept, Islamabad, Pakistan.
Hai Hong Trinh, Massey Univ, Sch Econ \& Finance, Massey Business Sch, Palmerston North 4442, New Zealand.
Khan, Ikram Ullah, Univ Sci \& Technol Bannu, Inst Management Sci, Bannu, KP, Pakistan.
Ullah, Subhan, Univ Nottingham, Nottingham Univ Business Sch, Dept Accounting, Nottingham, England.},
DOI = {10.1007/s10668-021-01842-x},
EarlyAccessDate = {SEP 2021},
ISSN = {1387-585X},
EISSN = {1573-2975},
Keywords = {Renewable energy; Economic activities; Carbon dioxide emissions; Climate
change},
Keywords-Plus = {RENEWABLE ENERGY-CONSUMPTION; RESEARCH-AND-DEVELOPMENT; NONRENEWABLE
ENERGY; ENVIRONMENTAL DEGRADATION; FINANCIAL DEVELOPMENT; CO2 EMISSIONS;
AIR-QUALITY; INNOVATION; IMPACT; POLLUTION},
Web-of-Science-Categories = {Green \& Sustainable Science \& Technology; Environmental Sciences},
Author-Email = {mkkhan.buic@bahria.edu.pk
H.H.Trinh@massey.ac.nz
ikram@ustb.edu.pk
subhan.ullah@nottingham.ac.uk},
ResearcherID-Numbers = {Khan, Muhammad Kamran/AAF-5443-2019
Khan, Ikram Ullah/C-6130-2018
Trinh, Hai Hong/AAW-7316-2021
},
ORCID-Numbers = {Khan, Muhammad Kamran/0000-0002-7687-0382
Khan, Ikram Ullah/0000-0002-1024-0185
Trinh, Hai Hong/0000-0003-0209-7259
Ullah, Dr Subhan/0000-0002-9657-8274},
Number-of-Cited-References = {83},
Times-Cited = {31},
Usage-Count-Last-180-days = {4},
Usage-Count-Since-2013 = {24},
Unique-ID = {WOS:000700995200001},
DA = {2023-09-28},
}
@article{ WOS:000503428500003,
Author = {Sawe, Hendry R. and Mfinanga, Juma A. and Kisakeni, Samwel and Shao,
Patrick and Nkondora, Paulina and White, Libby and Bollinger, Christina
and Kulola, Irene B. and George, Upendo N. and Runyon, Michael S. and
Noste, Erin},
Title = {Development and Implementation of Short Courses to Support the
Establishment of a Prehospital System in Sub-Saharan Africa: Lessons
Learned from Tanzania},
Journal = {EMERGENCY MEDICINE INTERNATIONAL},
Year = {2019},
Volume = {2019},
Month = {DEC 1},
Abstract = {Background. Tanzania has no formal prehospital system. The Tanzania
Ministry of Health launched a formal prehospital system to address this
gap. The Muhimbili University of Health and Allied Sciences (MUHAS) was
tasked by the Ministry of Health to develop and implement a
multicadre/provider prehospital curriculum so as to produce necessary
healthcare providers to support the prehospital system. We aim to
describe the process of designing and implementing the
multicadre/provider prehospital short courses. The lessons learned can
help inform similar initiatives in low- and middle-income countries.
Methods. MUHAS collaborated with local and international Emergency
Medicine and Emergency Medical Services (EMS) specialists to form the
Emergency Medical Systems Team (EMST) that developed and implemented
four short courses on prehospital care. The EMST used a six-step
approach to develop and implement the curriculum: problem
identification, general needs assessment, targeted needs assessment,
goals and objectives, educational strategies, and implementation. The
EMST modified current best EMS practices, protocols, and curricula to be
context and resource appropriate in Tanzania. Results. We developed four
prehospital short courses: Basic Ambulance Provider (BAP), Basic
Ambulance Attendant (BAAT), Community First Aid (CFA), and EMS
Dispatcher courses. The curriculum was vetted and approved by MUHAS, and
courses were launched in November 2018. By the end of July 2019, a total
of 63 BAPs, 104 BAATs, 25 EMS Dispatchers, and 287 CFAs had graduated
from the programs. The main lessons learned are the importance of a
practical approach to EMS development and working with the existing
government cadre/provider scheme to ensure sustainability of the
project; clearly defining scope of practice of EMS providers before
curriculum development; and concurrent development of a
multicadre/provider curriculum to better address the logistical barriers
of implementation. Conclusion. We have provided an overview of the
process of designing and implementing four short courses to train
multiple cadres/providers of prehospital system providers in Tanzania.
We believe this model of curricula development and implementation can be
replicated in other countries across Africa.},
Type = {Article},
Language = {English},
Affiliation = {Sawe, HR (Corresponding Author), Muhimbili Univ Hlth \& Allied Sci, Emergency Med Dept, Dar Es Salaam, Tanzania.
Sawe, HR (Corresponding Author), Muhimbili Natl Hosp, Emergency Med Dept, Dar Es Salaam, Tanzania.
Sawe, Hendry R.; Mfinanga, Juma A.; Shao, Patrick; Kulola, Irene B.; George, Upendo N.; Runyon, Michael S.; Noste, Erin, Muhimbili Univ Hlth \& Allied Sci, Emergency Med Dept, Dar Es Salaam, Tanzania.
Sawe, Hendry R.; Mfinanga, Juma A.; Kisakeni, Samwel; Shao, Patrick; Kulola, Irene B.; George, Upendo N., Muhimbili Natl Hosp, Emergency Med Dept, Dar Es Salaam, Tanzania.
Nkondora, Paulina; White, Libby; Bollinger, Christina, Emergency Med Assoc Tanzania, Dar Es Salaam, Tanzania.
White, Libby, Alfred Hlth, Melbourne, Vic, Australia.
Runyon, Michael S., Atrium Hlth, Dept Emergency Med, Charlotte, NC USA.
Noste, Erin, Univ Calif San Diego, Dept Emergency Med, San Diego, CA 92103 USA.},
DOI = {10.1155/2019/3160562},
Article-Number = {3160562},
ISSN = {2090-2840},
EISSN = {2090-2859},
Keywords-Plus = {EMERGENCY CARE; TRAUMA},
Web-of-Science-Categories = {Emergency Medicine},
Author-Email = {hendry\_sawe@yahoo.com},
ResearcherID-Numbers = {Runyon, Michael/GNP-7320-2022
Runyon, Michael/AAR-8899-2021
},
ORCID-Numbers = {Runyon, Michael/0000-0002-1703-4317
Kulola, Irene Bahoya/0000-0002-4024-5550
sawe, hendry/0000-0002-0395-5385},
Number-of-Cited-References = {18},
Times-Cited = {4},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000503428500003},
DA = {2023-09-28},
}
@article{ WOS:000453148200069,
Author = {Belrhiti, Zakaria and Booth, Andrew and Marchal, Bruno and Verstraeten,
Roosmarijn},
Title = {To what extent do site-based training, mentoring, and operational
research improve district health system management and leadership in
low- and middle-income countries: a systematic review protocol},
Journal = {SYSTEMATIC REVIEWS},
Year = {2016},
Volume = {5},
Abstract = {Background: District health managers play a key role in the
effectiveness of decentralized health systems in low- and middle-income
countries. Inadequate management and leadership skills often hamper
their ability to improve quality of care and effectiveness of health
service delivery. Nevertheless, significant investments have been made
in capacity-building programmes based on site-based training, mentoring,
and operational research. This systematic review aims to review the
effectiveness of site-based training, mentoring, and operational
research (or action research) on the improvement of district health
system management and leadership. Our secondary objectives are to assess
whether variations in composition or intensity of the intervention
influence its effectiveness and to identify enabling and constraining
contexts and underlying mechanisms.
Methods: We will search the following databases: MEDLINE, PsycInfo,
Cochrane Library, CRD database (DARE), Cochrane Effective Practice and
Organisation of Care (EPOC) group, ISI Web of Science, Health Evidence.
org, PDQ-Evidence, ERIC, EMBASE, and TRIP. Complementary search will be
performed (hand-searching journals and citation and reference tracking).
Studies that meet the following PICO (Population, Intervention,
Comparison, Outcome) criteria will be included: P: professionals working
at district health management level; I: site-based training with or
without mentoring, or operational research; C: normal institutional
arrangements; and O: district health management functions. We will
include cluster randomized controlled trials, controlled
before-and-after studies, interrupted time series analysis,
quasi-experimental designs, and cohort and longitudinal studies.
Qualitative research will be included to contextualize findings and
identify barriers and facilitators.
Primary outcomes that will be reported are district health management
and leadership functions. We will assess risk of bias with the Cochrane
Collaboration's tools for randomized controlled trials (RCT) and non RCT
studies and Critical Appraisal Skills Programme checklists for
qualitative studies. We will assess strength of recommendations with the
GRADE tool for quantitative studies, and the CERQual approach for
qualitative studies. Synthesis of quantitative studies will be performed
through meta-analysis when appropriate. Best fit framework synthesis
will be used to synthesize qualitative studies.
Discussion: This protocol paper describes a systematic review assessing
the effectiveness of site-based training (with or without mentoring
programmes or operational research) on the improvement of district
health system management and leadership.},
Type = {Review},
Language = {English},
Affiliation = {Belrhiti, Z (Corresponding Author), Natl Sch Publ Hlth, Dept Management \& Econ, Rabat, Morocco.
Belrhiti, Zakaria, Natl Sch Publ Hlth, Dept Management \& Econ, Rabat, Morocco.
Booth, Andrew, Univ Sheffield, Sch Hlth \& Related Res ScHARR, Sheffield, S Yorkshire, England.
Marchal, Bruno, Inst Trop Med, Hlth Serv Org Unit, Antwerp, Belgium.
Verstraeten, Roosmarijn, Inst Trop Med, Nutr \& Child Hlth Unit, Antwerp, Belgium.},
DOI = {10.1186/s13643-016-0239-z},
Article-Number = {70},
EISSN = {2046-4053},
Keywords = {Site-based training; Mentoring; Operational research; Best fit framework
synthesis; District health; Management; Leadership; Low- and
middle-income countries},
Keywords-Plus = {QUALITY; DECENTRALIZATION; CAPACITY},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {drbelrhiti@gmail.com},
ResearcherID-Numbers = {Booth, Andrew/A-7872-2008
Belrhiti, Zakaria/G-4532-2016
Marchal, Bruno/ACO-6522-2022},
ORCID-Numbers = {Booth, Andrew/0000-0003-4808-3880
Belrhiti, Zakaria/0000-0002-0115-682X
},
Number-of-Cited-References = {38},
Times-Cited = {10},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {4},
Unique-ID = {WOS:000453148200069},
DA = {2023-09-28},
}
@article{ WOS:000481779500010,
Author = {{[}Anonymous]},
Title = {Research on multimorbidity in primary care. Selected abstracts from the
EGPRN meeting in Tampere, Finland, 9-12 May 2019 All abstracts of the
conference can be found at the EGPRN website:
www.egprn.org/page/conference-abstracts},
Journal = {EUROPEAN JOURNAL OF GENERAL PRACTICE},
Year = {2019},
Volume = {25},
Number = {3},
Pages = {164-175},
Month = {JUL 3},
Abstract = {Current primary care in Finland is based on the Primary Health Care Act
(1972), which addressed numerous new tasks to all municipalities. All of
them had to find a new health centre organization, which provides a wide
range of health services, including prevention and public health
promotion. Multiple tasks require multiprofessional staff, and thus, the
Finnish health centre personnel consisted not only of GPs but of public
health nurses, midwives, physiotherapists, psychologists, social
workers, dentists, etc. During the next decade, there have been some
changes but the idea of multiprofessional structure has remained.
According to the QUALICOPC study (2012) Finnish GPs are still co-located
with several other healthcare professionals compared to most of the
European countries; even compared to other Nordic countries which
otherwise have many similarities in their primary healthcare. During the
last 10 or 15 years, healthcare providers and researchers have
recognized a new challenge: our current systems do not meet the needs of
patients with multiple health and social problems-and the proportion of
these patients is increasing all the time as the population is getting
older. One could suppose that preconditions of handling multimorbidity
would be excellent in multiprofessional surroundings like ours, but
actually, a person with multiple problems is a challenge there, too.
Multiprofessional organization in primary care does not guarantee proper
care of patients with multiple diseases, if we do not acknowledge the
challenge and revise our systems. We have to develop new ways of
collaboration and new models of integrated care. The problematic part is
secondary care, which is organized with logic of one medical speciality
per visit. In Tampere University Hospital district, we have created a
care pathway model, which defines the roles of primary healthcare and
secondary care. Nationwide, we have recently started to prepare national
guidelines for the care of patients with multimorbidity. What we need
more in the future is more research on new practices and models.
Background: Most patients with antihypertensive medication do not
achieve their blood pressure (BP) target. Several barriers to successful
hypertension treatment are well identified but we need novel ways of
addressing them. Research question: Can using a checklist improve the
quality of care in the initiation of new antihypertensive medication?
Methods: This non-blinded, cluster-randomized, controlled study was
conducted in eight primary care study centres in central Finland,
randomized to function as either intervention (n = 4) or control sites
(n = 4). We included patients aged 30-75 years who were prescribed
antihypertensive medication for the first time. Initiation of medication
in the intervention group was carried out with a nine-item checklist,
filled in together by the treating physician and the patient. The
treating physician managed hypertension treatment in the control group
without a study-specific protocol. Results: In total, 119 patients were
included in the study, of which 118 were included in the analysis (n =
59 in the control group, n = 59 in the intervention group). When
initiating medication, an adequate BP target was set for 19\% of the
patients in the control group and for 68\% in the intervention group.
Shortly after the appointment, only 14\% of the patients in the control
group were able to remember the adequate BP target, compared with 32\%
in the intervention group. The use of the checklist was also related to
more regular agreement on the next follow-up appointment (64\% in the
control group vs 95\% in the intervention group). Conclusion: Even
highly motivated new hypertensive patients in Finnish primary care have
significant gaps in their treatment-related skills. The use of a
checklist for initiation of antihypertensive medication was related to
substantial improvement in these skills. Based on our findings, the use
of a checklist might be a practical tool for clinicians initiating new
antihypertensive medications.
Background: Immediate feedback is underused in the French medical
education curriculum, specifically with video-recorded consultation.
Research question: The objective of this study was to evaluate the
feasibility and the interest in this teaching method as a training and
assessment tool in the learning process of general practitioner (GP)
trainees. Methods: During the period November 2017 to October 2018,
trainees in ambulatory training courses collected quantitative data
about recording consultations with a video camera: numbers of
recordings, feedback, patients' participation refusals, and information
about the learning process and competencies. The trainees' level of
satisfaction was measured by means of a questionnaire at the end of
their traineeship. Results: Sixty-seven trainees were recruited and 44
of them 65.7\% actively participated in the study; 607 video recordings
and 243 feedback with trainers were performed. Few patients (18.5\%)
refused the video-recording. Most trainees considered video recording
with immediate feedback to be a relevant learning tool. It made it
possible for the participants to observe their difficulties and their
achievements. `Relation, communication, patient-centred care' was the
most built competency, non-verbal communication, in particular. Time was
the main limiting factor of this teaching method. Most trainees were in
favour of its generalization in their university course. Conclusion:
Video recording with immediate feedback in real-time consultation needs
to be adapted to training areas and depends on time and logistics. This
teaching method seems to be useful in the development of communication
skills. It could lift the barriers of the trainer's physical presence
near GP trainees during immediate feedback in real-time consultation. It
could help trainees to build their competencies while enhancing the
place of immediate feedback in the general practice curriculum. It could
also constitute an additional tool for the certification of GP trainees.
Background: Perinatal depression has been associated with psychiatric
morbidity in mothers and their offspring. This study assessed the
prevalence of perinatal depressive symptoms in a large population of
women and investigated associations of these symptoms with demographic
and clinical factors. Research question: Which factors (including
sociodemographic, medical, lifestyle, and laboratory test) are
associated with perinatal depression? Methods: All members of Maccabi
Health Services who completed the Edinburgh Postnatal Depression Scale
(EPDS) during 2015-2016 were included in the study. Odds ratios (ORs)
were calculated for associations of sociodemographic, medical,
lifestyle, and laboratory test factors with perinatal depressive
symptoms, according to a score >10 on the EPDS. Results: Of 27 912 women
who filled the EPDS, 2029 (7.3\%) were classified as having peripartum
depression. In a logistic regression analysis, the use of antidepressant
medications, particularly for a period greater than three months, Arab
background, current or past smoking, a diagnosis of chronic diabetes and
age under 25 years were all associated with increased ORs for perinatal
depression; while Orthodox Jewish affiliation, residence in the
periphery and higher haemoglobin level were associated with lower ORs.
Incidences of depression were 17.4\% in women with a history of
antidepressant medication, 16\% among women with diabetes, and 11.8\%
among current smokers. Conclusion: Several demographic, medical, and
lifetime factors were found to be substantially more prevalent among
women with symptoms of perinatal depression than those without.
Encouraging women to complete the EPDS during and following pregnancy
may help identify women in need of support.
Background: Regulating the quality and effectiveness of the work of
general practitioners is essential for a sound healthcare system. In the
Republic of Macedonia this is regulated by the Health Insurance Fund
through a system of penalties/sanctions. Research question: The goal of
this study is to evaluate the types and effectiveness of the sanctions
used on primary care practitioners. Methods: This is a quantitative
research study for which we used an anonymous survey with 18 questions.
This survey was distributed to 443 randomly selected general
practitioners from different parts of Macedonia and 438 of them
responded. For the quantitative data, we used the Pearson's chi-squared
test, correlation and descriptive statistics. Part of the survey is
qualitative, consisting of comments and opinions of the general
practitioners. Results: From the participants, 336 were female and 102
were male. The doctors' gender was not associated with sanctioning. Most
general practitioners were in the age categories of 30-39 and 40-49
years. The participants' age had a significant influence on
sanctioning-older doctors were sanctioned more frequently. Out of 438
participants, 33.3\% were specialists in family medicine and 66.7\%
general practitioners. Specialists in family medicine were sanctioned
significantly more frequently than general practitioners. Doctors that
worked in the hospital or 19 km from the nearest hospital were
significantly more frequently sanctioned. The three most common reasons
for sanctions were financial consumption of prescriptions and referrals
above the agreed amount, higher rate of sick leaves and/or justification
of sick leaves and unrealized preventative goals or education.
`Financial sanction by scale' was the most common type of sanction:
49.8\% of participants. Doctors who followed the guidelines, but who
were exposed to violence were sanctioned significantly more frequently.
Conclusion: We can observe that age, speciality, the distance of the
workplace from the nearest hospital and violence influence sanctioning.
Background: Biases are major barriers to external validity of studies,
reducing evidence. Among these biases, the definition and the reality of
the Hawthorne effect (HE) (or observation bias) remains controversial.
According to McCambridge in a review from 2013, the Hawthorne effect is
a behaviour change occurring when the subject is being observed during a
scientific study. This effect would be multifactorial, and he suggests
the term `effects of research participation.' However, the reviewed
studies were conflicting and evidence is sparse. Research question: We
updated McCambridge's review to actualize the definition of the HE.
Methods: McCambridge's most recent article dated back to January 3,
2012. We focused on the articles published between January 1, 2012 and
August 10, 2018 searching Medline. We used the sole keyword `Hawthorne
Effect.' The search was filtered based on the dates, the availability of
an abstract and the languages English and French. We included articles
defining or evaluating the HE. Articles citing the effect without
defining it or irrelevant to the topic were excluded. Two independent
readers searched and analysed the articles. Discrepancies were solved by
consensus. Results: Out of 106 articles, 42 articles were included. All
the articles acknowledged an observation bias, considered as significant
or not, depending on the population (education, literacy), the methods
and the variable of interest. It was a psychological change, limited in
time. The HE was defined as a change of behaviour related to direct or
indirect observation of the subjects or the investigators, to their
previous selection and commitment in the study (written agreement) and
to social desirability. Despite observations, articles were conflicting.
Some do confirm the existence of the HE, others deny it. Meta-analysis
is ongoing. Conclusion: No formal consensus regarding the definition of
the effect has been reached so far. However, the authors agree on its
implication as an experimental artefact.
Background: Polypharmacy and multimorbidity are on the rise.
Consequently, general practitioners (GPs) treat an increasing number of
multimorbid patients with polypharmacy. To limit negative health
outcomes, GPs should search for inappropriate medication intake in such
patients. However, systematic medication reviews are time-consuming.
Recent eHealth tools, such as the `systematic tool to reduce
inappropriate prescribing' (STRIP) assistant, provide an opportunity for
GPs to get support when conducting such medication reviews. Research
question: Can the STRIP assistant as electronic decision support help
GPs to optimize medication appropriateness in older, multimorbid
patients with polypharmacy? Methods: This cluster randomized controlled
trial is conducted in 40 Swiss GP practices, each recruiting 8-10
patients aged >= 65 years, with >= 3 chronic conditions and >= 5 chronic
medications (320 patients in total). We compare the effectiveness of
using the STRIP assistant for optimizing medication appropriateness to
usual care. The STRIP assistant is based on the STOPP/START criteria
(version 2) and, for this trial, it is implemented in the Swiss eHealth
setting where some GPs already share routine medical data from their
electronic medical records in a research database (FIRE). Patients are
followed-up for 12 months and the change in medication appropriateness
is the primary outcome. Secondary outcomes are the numbers of falls and
fractures, quality of life, health economic parameters, patients'
willingness to deprescribe as well as implementation barriers and
enablers for GPs when using the STRIP assistant. Results: Patient
recruitment started in December 2018. This presentation focuses on the
study protocol and the challenges faced when testing this new software
in Swiss primary care. Conclusion: Finding out whether the STRIP
assistant is an effective tool and beneficial for older and multimorbid
patients, who are usually excluded from trials, will have an impact on
the coordination of chronic care for multimorbid patients in Swiss
primary care in this new eHealth environment.
Background: Workplace violence (WPV) towards healthcare staff is
becoming a common problem in different healthcare settings worldwide.
Moreover, the prevalence is 16 times higher than in other professions.
How often it happened towards young doctors working as general
practitioners (GPs) at the beginning of their careers has been rarely
studied. Research question: To investigate the frequency and forms of
WPV, experienced by the young Croatian GPs from their patients, and
violence reporting pattern to the competent institutions. Methods: The
cross-sectional study was carried out on 74 GP residents, during their
postgraduate study in family medicine in May 2018. A specially designed
anonymous questionnaire, developed by Association of Family Physicians
of South Eastern Europe, was used to investigate the prevalence and
forms of WPV, the narrative description of the traumatic event itself
and the process of reporting it. Results: The response rate was 91.9\%,
female 87\%, the median of years working as a GP was 3.5 years. Most of
the residents were working in an urban practice (63\%), others in the
rural and the suburban once (27\%, 10\%). All GP residents experienced
patients' and caregivers' violent behaviour directed towards them.
High-intensity violence (e.g. physical violence, sexual harassment) was
experienced by 44\%, middle intensity (e.g. intimidation, visual sexual
harassment) by 84\% while all residents experienced verbal violence.
Only 13.2\% residents reported WPV to the competent institutions. Most
of GP residents reported the appearance of the new form of violence: the
one over the internet. Conclusion: The high prevalence of all types of
violence towards young Croatian doctors is worrisome, as is the fact
that violent acts are seldom reported to the competent institutions.
Those alarming facts could become a threat to GPs career choosing.
Background: About 50\% of patients adhere to chronic therapy in France.
Improving adherence should improve their care. Identifying the patient's
difficulties in taking medication is complex for the physician, because
there is no gold standard for measuring adherence to medications. How
can the general practitioner in his/her practice identify patient
compliance? Research question: Analyse studies that develop or validate
scales used to estimate adherence in primary care. Methods: A systematic
review of the literature from PubMed, the Cochrane Library and PsycINFO
databases. The search terms used were the MeSH terms (or adapted to the
database's vocabulary): questionnaire, compliance and primary care. All
articles were retained whatever the language of writing. Selection
criteria were: assessment of the development, validation or reliability
of one or more compliance scales; taking place in primary care. One
reviewer screened titles, which included the term adherence then
abstracts and full text. Only articles evaluating the development,
validity or reliability of a primary care adherence rating scale were
included in analysis. Results: In total 1022 articles were selected and
18 articles were included. Seventeen adherence scales were identified in
primary care, most of which targeted a single pathology, especially
hypertension. The most cited scale is the MMAS Morisky medication
adherence scale. Three scales were developed for patients with multiple
chronic diseases. One scale was developed for patients older than 65
years-the Strathclyde compliance risk assessment tool (SCRAT)-and two
scales were developed for adult patients whatever their age-the
instrument developed by Sidorkiewicz et al., and the DAMS, diagnostic
adherence to medication scale. Conclusion: Two scales have been
developed and validated in primary care to assess patient adherence with
multiple chronic diseases: the DAMS and the instrument developed by
Sidorkiewicz et al. A simple, reliable, reproducible primary care scale
would assess the impact of actions developed to improve adherence:
motivational interviewing, patient therapeutic education, and the ASALeE
protocol.
Background: Multimorbidity prevalence increases with age while declining
quality of life (QoL) is one of its major consequences. Research
question: The study aims to: (1) Assess the relationship between
increasing number of diseases and QoL. (2) Identify the most frequently
occurring patterns of diseases and how they relate to QoL. (3) Observe
how these associations differ across different European countries and
regions. Methods: Cross-sectional data analysis performed on wave six of
the population-based survey of health, ageing and retirement in Europe
(SHARE) (n = 68 231). Data were collected in 2015 among population 50+
years old in 17 European countries and Israel. Multimorbidity is defined
as the co-occurrence of two or more chronic conditions. Conditions were
self-declared and identified through an open-end questionnaire
containing 17 prelisted conditions plus conditions added by
participants. Control, autonomy, self-realization and pleasure
questionnaire (CASP-12v) was used to evaluate QoL. Association between
increasing number of diseases and QoL was assessed with linear
regression. Factor analysis is being conducted to identify patterns of
diseases to evaluate their impact on QoL further. Multilevel analysis
will take into account differences between countries and regions.
Confounding was searched with directed acyclic graph (DAG) method and
included age, sex, education, socio-economic status, behavioural habits,
social support and healthcare parameters. Results: Participants
(49.09\%) had two or more diseases. Maximum number of diseases per
person was 13, mean number was 1.9. Unadjusted preliminary analysis
showed that on average QoL decreases by -1.27 (95\%CI: -1.29, -1.24)
with each added new condition across Europe. The decline appears to be
the steepest in Spain, -1.61 (95\%CI: -1.71, -1.51), and the least so in
Israel, -0.67 (95\%CI: -0.82, -0.52). Conclusion: Ongoing analysis will
identify disease patterns, which may have the highest impact on QoL, as
well as to elucidate the role of confounders in the relationship between
increasing number of diseases and disease patterns with QoL.
Background: The burden and preventive potential of disease is typically
estimated for each non-communicable disease (NCD) separately but NCDs
often co-occur, which hampers reliable quantification of their overall
burden and joint preventive potential in the population. Research
questions: What is the lifetime risk of developing any NCD? Which
multimorbidity clusters of NCDs cause the greatest burden? To what
extent do three key shared risk factors, namely smoking, hypertension
and being overweight, influence this risk, life-expectancy and
NCD-multimorbidity? Methods: Between 1990 and 2012 we followed NCD-free
participants aged >= 45 years at baseline from the Dutch prospective
Rotterdam study for incidents of stroke, heart disease, diabetes,
chronic respiratory disease, cancer, and neurodegenerative disease. We
quantified (co-)occurrence and remaining lifetime risk of NCDs in a
competing risk framework, and studied the effects of smoking,
hypertension, and being overweight on lifetime risk and life expectancy.
Results: During follow-up of 9061 participants, 814 participants were
diagnosed with stroke, 1571 with heart disease, 625 with diabetes, 1004
with chronic respiratory disease, 1538 with cancer, and 1065 with
neurodegenerative disease. Among those, 1563 participants (33.7\%) were
diagnosed with multiple diseases. The lifetime risk of any NCD from the
age of 45 onwards was 94.0\% (95\%CI: 92.9-95.1) for men and 92.8\%
(95\%CI: 91.8-93.8) for women. Absence of shared risk factors was
associated with a 9.0-year delay (95\%CI: 6.3-11.6) in the age at onset
of any NCD. Furthermore, overall life expectancy for participants
without risk factors was 6.0 years (95\%CI: 5.7-7.9) longer than those
with these risk factors. Participants without these risk factors spent
21.6\% of their remaining lifetime with NCDs, compared to 31.8\% for
those with risk factors. Conclusion: Nine out of 10 individuals aged 45
years and older will develop at least one NCD during their remaining
lifetime. A third was diagnosed with multiple NCDs during follow-up.
Absence of three common shared risk factors related to compression of
morbidity of NCDs.
Background: This study examined if using electronic reminders increases
the rate of diagnosis recordings in the patient chart system following
visits to a general practitioner (GP). The impact of electronic
reminders was studied in the primary care of a Finnish city. Research
question: How effective is the reminder of the information system in
improving the diagnostic level of primary care? Which is better and how:
financial incentives or reminders? Methods: This was an observational
retrospective study based on a before-and-after design and was carried
out by installing an electronic reminder in the computerized patient
chart system to improve the recording of diagnoses during GP visits. The
quality of the recorded diagnoses was observed before and after the
intervention. The effect of this intervention on the recording of
diagnoses was also studied. Results: Before intervention, the level of
recording diagnoses was about 40\% in the primary care units. After four
years, the recording rate had risen to 90\% (p < 0.001). The rate of
change in the recording of diagnoses was highest during the first year
of intervention. In the present study, most of the visits concerned mild
respiratory infections, elevated blood pressure, low back pain and type
II diabetes. Conclusion: An electronic reminder improved the recording
of diagnoses during the visits to GPs. The present intervention produced
data, which reflects the distribution of diagnoses in real clinical life
in primary care and thus provides valid data about the public.
Background: Child abuse is widespread, occurs in all cultures and
communities and remains undiscovered in 90\% of the cases. In total,
80\% of reported child abuse concerns emotional ill-treatment. In the
Netherlands, at least 3\% (118 000) of children are victims of child
abuse resulting in 50 deaths each year. Only 1-3\% of abuse cases are
reported by general practitioners (GPs) to the Child Protective Services
agency (CPS). To explain this low reporting rate, we examined GPs'
experiences with child abuse. Research question: How does the suspicion
of child abuse arise in GPs' diagnostic reasoning? How do they act upon
their suspicion and what kind of barriers do they experience in their
management? Methods: In total 26 GPs (16 female) participated in four
focus groups. We used purposive sampling to include GPs with different
levels of experience in rural and urban areas spread over the
Netherlands. We used NVivo for thematic content analysis. Results:
Suspected child abuse arose based on common triggers and a gut feeling
that `something is wrong here'. GPs acted upon their suspicion by
gathering more data by history taking and physical examination. They
often found it challenging to decide whether a child was abused because
parents, despite their good intentions, may lack parenting skills and
differ in their norms and values. GPs reported clear signs of sexual
abuse and physical violence to CPS. However, in less clear-cut cases
they followed-up and built a supporting network around the family. Most
GPs highly valued the patient-doctor relationship while recognizing the
risk of pushing boundaries. Conclusion: A low child abuse reporting rate
by GPs to CPS does not mean a low detection rate. GPs use patients'
trust in their doctor to improve a child's situation by involving other
professionals.
Background: The number of people suffering from multiple chronic
conditions, multimorbidity, is rising. For society, multimorbidity is
known to increase healthcare expenses through more frequent contacts,
especially with the primary sector. For the individual, an increasing
number of medical conditions are associated with lower quality of life
(QoL). However, there is no statistically validated condition-specific
patient-reported outcome measure (PROM) for the assessment of QoL among
patients with multimorbidity. A validated PROM is essential in order to
measure effect in intervention studies for this patient group. Research
question: (1) To identify items covering QoL among patients with
multimorbidity in a Danish context. (2) To develop and validate a PROM
for assessment of QoL among patients with multimorbidity. (3) To utilize
the final PROM in a large group of patients with multimorbidity to
measure their QoL when living with different combinations and severity
of multimorbidity. Methods: Phase 1: qualitative individual and focus
group interviews with patients with multimorbidity to identify relevant
QoL items. Phase 2: validation of the items through a draft
questionnaire sent by email to around 200-400 patients with
multimorbidity. Phase 3: psychometric validation of the draft
questionnaire securing items with the highest possible measurement
quality. Phase 4: assessment of QoL among approximately 2000 patients
with multimorbidity from the Danish Lolland-Falster study. Results:
There are no results yet. Currently, the interview guide is under
development. Conclusion: Despite the rising number of patients with
multimorbidity and the known inverse relationship between a patient's
number of medical conditions and their quality of life, there is no
statistically validated condition-specific PROM for assessment of QoL
among this group. Our aim is that this project's developed and validated
PROM will be used in future intervention studies as a valid measure of
QoL among patients with multimorbidity.
Background: Through a systematic review of the literature and
qualitative research across Europe, the European General Practitioners
Research Network (EGPRN) has designed and validated a comprehensive
definition of multimorbidity. It is a concept considering all the
biopsychosocial conditions of a patient. This concept encompasses more
than 50 variables and is consequently difficult to use in primary care.
Consideration of adverse outcomes (such as death or acute
hospitalization) could help to distinguish which variables could be risk
factors of decompensation within the definition of multimorbidity.
Research question: Which criteria in the EGPRN concept of multimorbidity
could detect outpatients at risk of death or acute hospitalization (i.e.
decompensation) in a primary care cohort at 24-months of follow-up?
Methods: Primary care outpatients (131) answering to EGPRN's
multimorbidity definition were included by GPs, during two periods of
inclusion in 2014 and 2015. At 24 months follow-up, the status
`decompensation' or `nothing to report' was collected. A logistic
regression following a Cox model was performed to achieve the survival
analysis and to identify potential risk factors. Results: At 24 months
follow-up, 120 patients were analysed. Three different clusters were
identified. Forty-four patients, representing 36.6\% of the population,
had either died or been hospitalized more than seven consecutive days.
Two variables were significantly associated with decompensation: Number
of GPs encounters per year (HR: 1.06; 95\%CI: 1.03-1.10, p <0.001), and
total number of diseases (HR: 1.12; 95\%CI: 1.03-1.33; P = 0.039).
Conclusion: To prevent death or acute hospitalization in multimorbid
outpatients, GPs may be alert to those with high rates of GP encounters
or a high number of illnesses. These results are consistent with others
in medical literature.
Background: A study of casual versus causal comorbidity in family
medicine in three practice populations from the Netherlands, Malta and
Serbia. Research question: (1) What is the observed comorbidity of the
20 most common episodes of care in three countries? (2) How much of the
observed comorbidity is likely to be casual versus causal? Methods:
Participating family doctors (FDs) in the Netherlands, Malta and Serbia
recorded details of all patient contacts in an episode of care structure
using electronic medical records based on the International
Classification of Primary Care, collecting data on all elements of the
doctor-patient encounter, including the diagnostic labels (episode of
care labels, EoCs). Comorbidity was measured using the odds ratio of
both conditions being incident or rest-prevalent in the same patient in
one-year data frames, as against not. Results: Comorbidity in family
practice expressed as odds ratios between the 41 most prevalent (joint
top 20) episode titles in the three populations. Specific associations
were explored in different age groups to observe the changes in odds
ratios with increasing age as a surrogate for a temporal or biological
gradient. Conclusion: After applying accepted criteria for testing the
causality of associations, it is reasonable to conclude that most of the
observed primary care comorbidity is casual. It would be incorrect to
assume causal relationships between co-occurring diseases in family
medicine, even if such a relationship might be plausible or consistent
with current conceptualizations of the causation of disease. Most
observed comorbidity in primary care is the result of increasing illness
diversity.
Background: The concept of therapeutic alliance emerged in the beginning
of the twentieth century and came from psychoanalysis. This notion was
then extended to the somatic field and aims to replace the paternalistic
model in the doctor-patient relationship. The EGPRN TATA group selected
the WAI SR as the most reliable and reproducible scale to assess
therapeutic alliance. To use it within Europe, it was necessary to
translate it into most European languages. The following study aimed to
assess the linguistic homogeneity of five of these translations.
Research question: Are the translations of the WAI SR homogeneous
between Spain, Poland, Slovenia, France and Italy? Methods:
Forward-backward translations were achieved in five participating
countries (Spain, Poland, France, Slovenia and Italy). Using a Delphi
procedure, a global homogeneity check was then performed by comparing
the five backward translations during a physical meeting involving GP
teachers/researchers from many European countries; the heterogeneity of
the participants' origins was a token of reliability. Results: In the
assessment of the five translations, 107 experts participated. A
consensus was obtained in one to two Delphi rounds for each. During the
`homogeneity check,' some discrepancies were noted with the original
version and were discussed with the local teams. This last stage
permitted to highlight cultural discrepancies and real translation
issues and to correct if needed. Conclusion: Five homogeneous versions
of the WAI SR are now available in five European languages. They will be
helpful to evaluate therapeutic alliance at different levels: for GPs in
daily practice, for students during the initial and continuous training,
and for further research in these five countries.
Background: The patient enablement instrument (PEI) is an established
patient-reported outcome measure (PROM) that reflects the quality of a
GP appointment. It is a six-item questionnaire, addressed to the patient
immediately after a consultation. Research question: The study aimed to
evaluate whether a single-item measure (the Q1), based on the PEI, or a
single question extracted from the PEI itself (the Q2) could replace the
PEI when measuring patient enablement among Finnish healthcare centre
patients. Methods: The study design included (1) a pilot study with
brief interviews with the respondents, (2) a questionnaire study before
and after a single appointment with a GP, and (3) a telephone interview
two weeks after the appointment. The correlations between the measures
were examined. The sensitivity, specificity and both positive and
negative predictive values for the Q1 and the Q2 were calculated, with
different PEI score cut-off points. Results: Altogether 483 patients
with completed PEIs were included in the analyses. The correlations
between the PEI and the Q1 or the Q2 were 0.48 and 0.84, respectively.
Both the Q1 and the Q2 had high sensitivity and negative predictive
value in relation to patients with lower enablement scores. The
reliability coefficients were 0.24 for the Q1 and 0.76 for the Q2.
Conclusion: The Q2 seems to be a valid and reliable way to measure
patient enablement. The Q1 seems to be less correlated with the PEI, but
it also has high negative predictive value in relation to low enablement
scores.
Multimorbidity challenges existing healthcare organization and research,
which remains disease and single-condition focused. Basic science
approaches to multimorbidity have the potential to identify important
shared mechanisms by which diseases we currently think of as distinct
might arise, but there is a pressing need for more applied and health
services research to understand better and manage multimorbidity now.
There are several recent clinical guidelines, which make recommendations
for managing multimorbidity or related issues for patients such as
polypharmacy and frailty. However, the evidence base underpinning these
recommendations is often weak, and these guidelines, therefore, also
help define a research agenda. A key problem for researchers and health
services is that multimorbidity is very heterogeneous, in that
`intermittent low back pain plus mild eczema' presents very different
challenges to researchers and health services compared to `active
psychosis plus severe heart failure'. Identifying important but
tractable research questions is therefore not always straightforward.
This presentation will identify important gaps in the evidence, and
illustrate how they might be filled. The focus will be on two areas
where there is consensus that better evidence is needed to inform care
design and delivery: (1) organizational interventions to implement more
coordinated and holistic care; and (2) interventions to improve
medicines management in people with multimorbidity and polypharmacy.
These illustrate both the potential for imaginative research, but also
the scale.
Background: The accumulation of multiple chronic diseases
(multimorbidity) and multiple prescribed medications (polypharmacy) over
time may influence the extent to which an individual maintains health
and well-being in later life. Research question: This research aims to
describe the patterns (sequence and timing) of multimorbidity and
polypharmacy that accumulate over time among primary healthcare patients
in Canada. Methods: Data are derived from the Canadian primary care
sentinel surveillance network (CPCSSN) electronic medical record (EMR)
database that holds >= 1 million longitudinal, de-identified records.
Multimorbidity will be identified with 20 categories, cut-off points of
>= 2 and >= 3 chronic conditions and the International Classification of
Disease (ICD) classification system. Polypharmacy will be identified
using the cut-off points of >= 5 and >= 10 medication classes and the
Anatomical Therapeutic Chemical (ATC) classification system. Analyses
will be conducted using Java and Stata 14.2 software. Results: The
prevalence of chronic diseases and prescribed medications will be
presented, as well as the patterns that are observed among adults and
older adults in Canada. The most frequent patterns (combinations and
permutations) of multimorbidity and polypharmacy will be presented,
stratified by sex and age category. The relationships with other
factors, such as the presence of frailty, disability or increased health
service use, will be examined. As well, the methodological challenges to
identifying the presence and sequence of multimorbidity and polypharmacy
in national, longitudinal data will be discussed. Conclusion: This
research will explore the profiles of multimorbidity and polypharmacy in
mid- and late-life using a national, longitudinal database. These
findings can be used strategically to inform healthcare delivery and to
contribute to the understanding of multimorbidity and polypharmacy in
the international literature. Reducing the burden of prescribed
medications and the harms of polypharmacy are key tasks within the
context of multimorbidity.
Background: Multimorbidity and polypharmacy have become the norm for
general practitioners (GPs). Ideally, GPs search for inappropriate
medication and, if necessary, deprescribe. However, it remains
challenging to deprescribe given time constraints and little backup from
guidelines. Furthermore, barriers and enablers to deprescribing among
patients have to be accounted for. Research question: To identify
barriers and enablers to deprescribing in older patients with
polypharmacy. Methods: We surveyed among patients >70 years with
multimorbidity (>2 chronic conditions) and polypharmacy (>4 regular
medicines). We invited Swiss GPs to recruit eligible patients, each of
whom completed a paper-based survey on demography, medications and
chronic conditions. We applied the revised patients' attitudes towards
deprescribing (rPATD) questionnaire and added 12 additional questions
and two open questions to assess barriers and enablers towards
deprescribing. Results: We analysed the first 221 responses received so
far and full results will be presented at the conference. Participants
were 79.3 years in mean (SD 5.8) and 48\% female. Thirty-one percent
lived alone, and 85\% prepared their medication themselves, all others
required help. Seventy-six percent of participants took 5-9 regular
medicines and 24\% took >= 10 up to 22 medicines. Participants (76\%)
were willing to deprescribe one or more of their medicines and 78\% did
not have any negative experience with deprescribing. Age and gender were
not associated with their willingness to deprescribe. Important barriers
to deprescribing were satisfaction with drugs (96\%), long-term drugs
(56\%) and noticing positive effects when taking them (92\%). When it
comes to deprescribing, 89\% of participants wanted as much information
as possible on their medicines. Having a good relationship with their GP
was a further key factor to them (85\%). Conclusion: Most older adults
are willing to deprescribe. They would like to be informed about their
medicines and want to discuss deprescribing to achieve shared
decision-making with the GP they trust.
Background: With growing populations of patients with multimorbidity,
general practitioners need insight into which patients in their practice
are most in need for person-centred integrated care ('high-need'
patients). Using data from electronic primary care medical records to
automatically create a list of possible `high need' patients could be a
quick and easy first step to assist GPs in identifying these patients.
Research question: Can `high need' patients with multimorbidity be
identified automatically from their primary care medical records?
Methods: Pseudonymized medical records of patients with multimorbidity
(>= 2 chronic diseases) were analysed. Data was derived from the Nivel
primary care database, a large registry containing data routinely
recorded in electronic health records. This includes data on healthcare
use, health problems and treatment. Logistic regression analysis was
conducted to predict outcomes (frequent contact with the general
practice, ER visits and unplanned hospital admissions). Predictors were
age, sex, healthcare use in the previous year, morbidity and medication
use. Results: In total, 245 065 patients with multimorbidity were
identified, of which 48\% were above the age of 65 and 57\% female. More
than 42\% had five GP contacts in the previous year and 62\% used five
or more different medications. Frequent contact with the general
practice could be reliably predicted using only the number of contacts
in the previous year (AUC: 0.82). Adding all other predictors (including
specific chronic conditions) only improved the predictive value of the
model marginally (AUC: 0.84). Identifying patients with a high risk for
ER visits and unplanned hospital admissions proved more difficult (AUC:
0.67 and 0.70, respectively). Conclusion: `High need' patients with
multimorbidity can be automatically selected from primary care medical
records using only the number of contacts with the general practice in
the previous year. Composing a list of these patients can help GPs to
identify those eligible for person-centred integrated care.
Background: Chronic diseases usually have a long duration and slow
progression and, as a result, they tend to aggregate in multimorbidity
patterns (MPs) during the life course and/or due to shared underlying
pathophysiological pathways. Knowledge of how MPs progress over time is
necessary to develop effective prevention management strategies.
Research question: What are the most likely MPs over time? Which
longitudinal shifts from one pattern to another occur during follow-up?
Methods: A prospective longitudinal study based on electronic health
records was conducted during 2012-2016 in Catalonia, Spain. For people
aged >= 65 years, we extracted data on demographics and diagnostic codes
for chronic diseases (ICD-10). Machine-learning techniques were applied
for the identification of disease clusters using fuzzy c-means analysis
to obtain initial clusters. To estimate longitudinal MPs and their
progression for each individual a hidden Markov model was fitted,
estimating: (1) the transition probability matrix between clusters; (2)
the initial cluster probability; (3) the most likely trajectory for each
individual. The prevalence of disease in each cluster, observed/expected
ratios (O/E ratios) and disease exclusivity was determined for each MP.
Criteria used to designate cluster: O/E ratio >= 2. Results: In total,
916 619 individuals were included. Ten MPs were identified. The cluster
including the most prevalent diseases was designated non-specific
(42.0\% of individuals). The remaining nine clusters included the
following anatomical systems: ophthalmologic and mental diseases
(19.3\%), osteometabolic (7.9\%), cardio-circulatory (6.6\%), and
others. Most patients, minimum 59.2\%, remained in the same cluster
during the study period. The highest transitions to the mortality state
were observed in the cardio-circulatory (37.1\%) and nervous (31.8\%)
MPs. Conclusion: Ten significant longitudinal MPs were found. The
application of sophisticated statistical techniques ideally suited the
study of the MPs and allowed for characterization over time. This method
is useful to establish a probabilistic evolution of MPs.
Background: Quality of life is an essential theme for quantitative
surveys in primary care. Treatments and procedures need to be assessed
on whether they change patients' quality of life. This has led to the
creation of evaluation scales. The purpose of this study was to
determine reproducibility and efficiency of 11 previously selected
quality of life scales (selected with a systematic review) for the
general population. Research question: What is the best possible
reproducible and efficient quality of life scale for the general
population? Methods: The search was conducted from November 2017 to
April 2018 in PubMed and Cochrane databases, according to the PRISMA
(preferred reporting items for systematic reviews and meta-analyses)
protocol. The inclusion criteria were the psychometric qualities for
each of the 11 scales studied. Articles dealing with subpopulations or
those not written in IMRAD format were excluded. The collected values
were reproducibility and efficiency. Results: Out of 206, 46 selected
articles were included. Cronbach's alpha by domain and Pearson's
coefficient were the most analysed psychometrics. No valid efficiency
data was obtained. The internal consistency was over 0.7 for the SF-36,
SF12v2 and EQ-5D scales. The Pearson coefficient was over 0.4 for the
SF36v2, SF-12 and SF-12v2 scales. The Cohen's kappa ranged from 0.4 to
0.80 for the EQ-5D questionnaire. Conclusion: No scale is fully
validated. Reproducibility values were incomplete (Cronbach's alpha and
Pearson's most expressed). No efficiency data was found. The most
validated scales are the SF family and the EQ-5D. Researchers and
clinicians should be aware of these limitations when choosing a quality
of life scale. They should return to the scales' designs to choose the
one that underlines the type of quality of life they want to assess as
no external validity is available.
Background: Previous studies have shown an increased rate of infection
among patients with diabetes; however, it is unclear from these studies
if the level of HbA1c is correlated with infection. Research question:
This study aimed to examine the association between glycaemic control of
type 2 diabetes patients and the incidence of infections. Methods: An
HMO database was used to identify all DM patients. The first HbA1c test
during the period of the study was selected for each patient; then an
infection diagnosis was searched in the 60 days that followed the test.
We compared the HbA1c test results that were followed by an infection to
those that were not. After applying exclusion criteria: having cancer,
receiving immunosuppressive medication, undergoing dialysis treatment,
anaemia less than 9 mg\%, and G6PD deficiency, there remained 33 637
patients in the cohort. The study period was October 2014 to September
2017. The following information was collected: age, gender,
socio-economic index, BMI, use of hypoglycaemic and steroid medication
in the 90 days before infection, and comorbid conditions (IHD, PVD, CVA,
CCF, asthma, COPD, Parkinson's disease, dementia, CRF). Results: In
total, 804 patients had an infection within 60 days following an HbA1c
test. For cellulitis, cholecystitis, herpes zoster, pneumonia and
sinusitis the HbA1c was higher than those patients that had no infection
(for cellulitis 7.603 vs 7.243). When factored into logistic regression
analysis, we found that other chronic diseases increased the risk of
infection between 29 and 60\%. Each increase of a gram of HbA1c
increased the risk by 8.5\%. Use of steroids in the 90 days before the
infection increases the chance of infection by 734\%. Conclusion:
Increasing HbA1c and comorbidity both increase the risk of infection
among type 2 diabetics but use of oral or injectable steroids is a much
more significant risk factor.},
Type = {Meeting},
Language = {English},
DOI = {10.1080/13814788.2019.1643166},
ISSN = {1381-4788},
EISSN = {1751-1402},
Web-of-Science-Categories = {Primary Health Care; Medicine, General \& Internal},
ResearcherID-Numbers = {Blondeel, Sofie/AAE-5307-2022
Fazli, Ghazal/AAE-8320-2022
DSILVA, BROOKE/HCI-4879-2022
Baldissera, Annalisa/AHD-6334-2022
},
ORCID-Numbers = {hong, zhao/0000-0003-3528-6320},
Number-of-Cited-References = {0},
Times-Cited = {1},
Usage-Count-Last-180-days = {83},
Usage-Count-Since-2013 = {878},
Unique-ID = {WOS:000481779500010},
DA = {2023-09-28},
}
@article{ WOS:000713662400001,
Author = {Naeemah, Ali Jaber and Wong, Kuan Yew},
Title = {Selection methods of lean management tools: a review},
Journal = {INTERNATIONAL JOURNAL OF PRODUCTIVITY AND PERFORMANCE MANAGEMENT},
Year = {2023},
Volume = {72},
Number = {4},
Pages = {1077-1110},
Month = {MAR 24},
Abstract = {Purpose The purpose of this paper is (1) to review, analyze and assess
the existing literature on lean tools selection studies published from
2005 to 2021; (2) to identify the limitations faced by previous studies;
and (3) to suggest future works that are necessary to facilitate the
selection of lean tools. Design/methodology/approach A systematic
approach was used in order to identify, collect and select the articles.
Several keywords related to the selection of lean tools were used to
collect articles from different Scopus indexed journals. Next, the study
systematically reviewed and analyzed the selected papers to identify the
lean tools' selection method and discussed its features and limitations.
Findings An analysis of the results showed that previous studies have
adopted two types of methods for selecting lean tools. First, there are
various traditional methods being used. Second, multi-criteria
decision-making (MCDM) methods were commonly used in previous studies,
such as the multi-objective decision-making method (MODM), single
multi-attribute decision-making (MADM) methods and hybrid (MCDM).
Moreover, the study revealed that the lean tools' selection methods in
previous studies were based on evaluating the relationship between
either lean tools and performance metrics or lean tools and waste, or
both. Research limitations/implications In terms of its theoretical
value, the study is considered as an extension of the previous
researches performed on this topic by determining and analyzing the
features of the most selection methods of lean tools. Unlike previous
review papers, this review had considered discussing and analyzing the
characteristics and limitations of these methods. Section 2.2 of this
paper reviewed some of the categories of MCDM methods as well as some of
the traditional methods used in the selected previous studies. Section
2.1 of this paper explained the concept of lean management and its
application benefits. Further, only three sectors were covered by the
previous studies in this review paper. This study also provided
recommendations for future research. Therefore, it provided researchers
with a good conception of how to conduct the studies on lean tools
selection. Besides, knowing the methods used in previous studies can
help researchers develop new methods to select the best set of lean
tools. That is, this study provided and advanced the existing knowledge
base for researchers concerning lean tools selection, especially there
is limited availability of review papers on this topic. Moreover, the
study showed researchers the importance of the relationship between lean
tools and indicators or/and performance indicators to determine the
appropriate set of lean tools so that the results of future studies will
be more realistic and acceptable. Practical implications Practically,
manufacturers face a significant challenge when selecting proper lean
tools. This study may enhance managers, manufacturers and company's
knowledge to identify most of the methods used to choose the best set of
lean tools and what are the advantages, disadvantages and limitations of
these methods as well as the latest studies that have been adopted in
this topic. That means this study can direct companies to prioritize the
application of lean tools depending on either the manufacturing
performance metrics or/and manufacturing wastes so that they avoid
incorrect application of lean tools, which will add more non-value added
activities to operations.
Therefore companies can decrease the time and cost losses and enhancing
the quality and efficiency of the performance.
Correctly implementing the best set of lean tools in companies will lead
in general to correctly applying lean management in corporations.
Therefore, these lean tools can boost the economic aspect of companies
and society through reducing waste, improving performance indicators,
preserving time and cost, achieving quality, efficiency,
competitiveness, boosting employee income and improving the gross
domestic product. The correct lean tool selection reduces customer
complaints and employee stress and improves work conditions, health,
safety and labor wellbeing. Besides, the correct lean tools selection
improves materials usage, energy usage, water usage and decreases liquid
wastes, solid wastes and air emissions. As a result, the right selection
of lean tools will have positive effects on both the environment and
society. The study may also encourage manufacturers and researchers to
adopt studies on lean tools selection in small- and medium-sized
companies because the study referred to the importance and participation
of these kinds of companies in a large proportion of the economy of
developing countries. Further, the study may encourage some countries
that have not previously adopted this type of study, academically and
industrially to conduct lean tools selection studies. Social
implications As mentioned previously, the correct lean tool selection
reduces customer complaints and employee stress and improves work
conditions, health, safety and labor wellbeing. The proper lean tools
selection improves materials usage, energy usage, water usage and
decreases liquid wastes, solid wastes and air emissions. As a result,
the right choice of lean tools will positively affect both the
environment and society. Originality/value The study expanded the
efforts of previous studies concerning lean management features. It
provided an accurate review of most lean tools selection studies
published from 2005 to 2021 and was not limited to the manufacturing
sector. It further identified and briefly described the selection
methods concerning lean tools adopted in each paper.},
Type = {Review},
Language = {English},
Affiliation = {Wong, KY (Corresponding Author), Univ Teknol Malaysia, Sch Mech Engn, Dept Mfg \& Ind Engn, Skudai, Malaysia.
Naeemah, Ali Jaber; Wong, Kuan Yew, Univ Teknol Malaysia, Sch Mech Engn, Dept Mfg \& Ind Engn, Skudai, Malaysia.},
DOI = {10.1108/IJPPM-04-2021-0198},
EarlyAccessDate = {OCT 2021},
ISSN = {1741-0401},
EISSN = {1758-6658},
Keywords = {Selection method; Tools selection; Lean management; Lean management
tools; Lean manufacturing},
Keywords-Plus = {TOYOTA PRODUCTION SYSTEM; DECISION-MAKING METHOD; HIERARCHY PROCESS AHP;
6 SIGMA; SUSTAINABILITY; PERFORMANCE; IMPACT; MODEL; SMES;
IMPLEMENTATION},
Web-of-Science-Categories = {Management},
Author-Email = {j.naeemah@graduate.utm.my
m-wongky@utm.my},
ResearcherID-Numbers = {Wong, Kuan Yew/D-1577-2010},
Number-of-Cited-References = {109},
Times-Cited = {1},
Usage-Count-Last-180-days = {22},
Usage-Count-Since-2013 = {102},
Unique-ID = {WOS:000713662400001},
DA = {2023-09-28},
}
@article{ WOS:000452324900001,
Author = {Suchman, Lauren},
Title = {Accrediting private providers with National Health Insurance to better
serve low-income populations in Kenya and Ghana: a qualitative study},
Journal = {INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH},
Year = {2018},
Volume = {17},
Month = {DEC 5},
Abstract = {Background: Small private providers in low- and middle-income countries
(LMICs) are well positioned to fill gaps in services to low-income
populations using Social Health Insurance (SHI) schemes. However, we
know little about the practical challenges both private providers and
patients face in the context of SHI that may ultimately limit access to
quality services for low-income populations. In this paper, we pull
together data collected from private providers, patients, and SHI
officials in Kenya and Ghana to answer the question: does participation
in an SHI scheme affect private providers' ability to serve poorer
patient populations with quality health services?
Methods: In-depth interviews were held with 204 providers over three
rounds of data collection (2013, 2015, 2017) in Kenya and Ghana. We also
conducted client exit interviews in 2013 and 2017 for a total of 106
patient interviews. Ten focus group discussions (FGDs) were conducted in
Kenya and Ghana respectively in 2013 for a total of 171 FGD
participants. A total of 13 in-depth interviews also were conducted with
officials from the Ghana National Health Insurance Agency (NHIA) and the
Kenya National Hospital Insurance Fund (NHIF) across four rounds of data
collection (2013, 2014, 2016, 2017). Provider interviews covered reasons
for (non) enrollment in the health insurance system, experiences with
the accreditation process, and benefits and challenges with the system.
Client exit interviews covered provider choice, clinic experience, and
SHI experience. FGDs covered the local healthcare landscape. Interviews
with SHI officials covered officials' experiences working with private
providers, and the opportunities and challenges they faced both
accrediting providers and enrolling members. Transcripts were coded in
Atlas.ti using an open coding approach and analyzed thematically.
Results: Private providers and patients agreed that SHI schemes are
beneficial for reducing out-of-pocket costs to patients and many
providers felt they had to become SHI-accredited in order to keep their
facilities open. The SHI officials in both countries corroborated these
sentiments. However, due to misunderstanding of the system providers
tended to charge clients for services they felt were above and beyond
reimbursable expenses. Services were sometimes limited as well.
Significant delays in SHI reimbursement in Ghana exacerbated these
problems and compromised providers' abilities to cover basic expenses
without charging patients. While patients recognized the potential
benefits of SHI coverage and many sought it out, a number of patients
reported allowing their enrollment to lapse for cost reasons or because
they felt the coverage was useless when they were still asked to pay for
services out-of-pocket at the health facility.
Conclusions: Our data point to several major barriers to SHI access and
effectiveness for low-income populations in Ghana and in Kenya, in
addition to opportunities to better engage private providers to serve
these populations. We recommend using fee-for-service payments based on
Diagnosis Related Group rather than a capitation payment system, as well
as building more monitoring and accountability mechanisms into the SHI
systems in order to reduce requests for informal out-of-pocket payments
from patients while also ensuring quality of care. However, particularly
in Ghana, these reforms should be accompanied by financial reform within
the SHI system so that small private providers can be adequately funded
through government financing.},
Type = {Article},
Language = {English},
Affiliation = {Suchman, L (Corresponding Author), Univ Calif San Francisco, Inst Global Hlth Sci, San Francisco, CA 94143 USA.
Suchman, Lauren, Univ Calif San Francisco, Inst Global Hlth Sci, San Francisco, CA 94143 USA.},
DOI = {10.1186/s12939-018-0893-y},
Article-Number = {179},
EISSN = {1475-9276},
Keywords = {Social health insurance; Healthcare access; Private providers;
Low-income; Kenya; Ghana},
Keywords-Plus = {DEVELOPING-COUNTRIES; COVERAGE; SECTOR; SCHEME; CARE; SERVICES;
ACCOUNTABILITY; ENROLLMENT; AFRICA; ACCESS},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {Lauren.Suchman@ucsf.edu},
ORCID-Numbers = {Suchman, Lauren/0000-0002-3684-0314},
Number-of-Cited-References = {72},
Times-Cited = {9},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {4},
Unique-ID = {WOS:000452324900001},
DA = {2023-09-28},
}
@article{ WOS:000905614700001,
Author = {Miiro, Chraish and Ndawula, Josephine Caren and Musudo, Enoch and
Nabuuma, Olivia Peace and Mpaata, Charles Norman and Nabukenya, Shamim
and Akaka, Alex and Bebembeire, Olivia and Sanya, Douglas},
Title = {Achieving optimal heath data impact in rural African healthcare
settings: measures to barriers in Bukomansimbi District, Central Uganda},
Journal = {INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH},
Year = {2022},
Volume = {21},
Number = {1},
Month = {DEC 28},
Abstract = {Background Health data is one of the most valuable assets in health
service delivery yet one of the most underutilized in especially
low-income countries. Health data is postulated to improve health
service delivery through availing avenues for optimal patient
management, facility management, and public health surveillance and
management. Advancements in information technology (IT) will further
increase the value of data, but will also call for capacity readiness
especially in rural health facilities. We aimed to understand the
current knowledge, attitudes and practices of health workers towards
health data management and utilization. Methods We conducted key
informant interviews (KII) for health workers and data staff, and focus
group discussions (FGD) for the village health teams (VHTs). We used
both purposive and convenience sampling to recruit key informants, and
convenience sampling to recruit village health teams. Interviews and
discussions were audiotaped and transcribed verbatim. We manually
generated the codes and we used thematic analysis to identify the
themes. We also developed a reflexivity journal. Results We conducted a
total of 6 key informant interviews and 3 focus group discussions of 29
participants. Our analysis identified 7 themes: One theme underscored
the health workers' enthusiasm towards an optimal health data management
setting. The rest of the six themes resonated around working remedies to
the systemic challenges that grapple health data management and
utilization at facilities in rural areas. These include: Building human
resource capacity; Equipping the facilities; Improved coordination with
partners; Improved data quality assurance; Promotion of a pull supply
system and Reducing information relay time. Conclusion Our findings
reveal a plethora of systematic challenges that have persistently
undercut optimal routine health data management and utilization in rural
areas and suggest possible working remedies. Health care workers express
enthusiasm towards an optimal health management system but this isn't
matched by their technical capacity, facility readiness, systems and
policy willingness. There is an urgent need to build rural lower
facilities' capacity in health data management and utilization which
will also lay a foundation for exploitation of information technology in
health.},
Type = {Article},
Language = {English},
Affiliation = {Miiro, C (Corresponding Author), Makerere Univ, Dept Pharm, 7072, Kampala, Uganda.
Miiro, Chraish; Musudo, Enoch, Makerere Univ, Dept Pharm, 7072, Kampala, Uganda.
Ndawula, Josephine Caren; Bebembeire, Olivia; Sanya, Douglas, Makerere Univ, Sch Med, 7072, Kampala, Uganda.
Nabuuma, Olivia Peace; Mpaata, Charles Norman; Nabukenya, Shamim; Akaka, Alex, Makerere Univ, Sch Hlth Sci, 7072, Kampala, Uganda.},
DOI = {10.1186/s12939-022-01814-1},
Article-Number = {187},
EISSN = {1475-9276},
Keywords = {Health data; Healthcare professionals; Qualitative research},
Keywords-Plus = {INFORMATION; TECHNOLOGY; EFFICIENCY; RECORDS},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {miirochraish21@gmail.com},
Number-of-Cited-References = {46},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000905614700001},
DA = {2023-09-28},
}
@article{ WOS:000448945200005,
Author = {Duffett, Mark and Swinton, Marilyn and Brouwers, Melissa and Meade,
Maureen and Cook, Deborah J.},
Title = {Advancing Randomized Controlled Trials in Pediatric Critical Care: The
Perspectives of Trialists},
Journal = {PEDIATRIC CRITICAL CARE MEDICINE},
Year = {2018},
Volume = {19},
Number = {11},
Pages = {E595-E602},
Month = {NOV},
Abstract = {Objectives: Clinical research is a complex scientific and social
enterprise. Our objective was to identify strategies that pediatric
critical care trialists consider acceptable, feasible, and effective to
improve the design and conduct randomized controlled trials in pediatric
critical care.
Design: Qualitative descriptive study using semistructured individual
interviews.
Subjects: We interviewed 26 pediatric critical care researchers from
seven countries who have published a randomized controlled trial
(2005-2015). We used purposive sampling to achieve diversity regarding
researcher characteristics and randomized controlled trial
characteristics.
Interventions: None.
Measurements and Main Results: Most participants (24 {[}92\%]) were from
high-income countries, eight (31\%) had published more than one
randomized controlled trial, 17 (65\%) had published a multicenter
randomized controlled trial, and eight (31\%) had published a
multinational randomized controlled trial. An important theme was
building communitiesgroups of individuals with similar interests, shared
experiences, and common values, bound by professional and personal
relationships. Participants described a sense of community as a source
of motivation and encouragement and as a means to larger, more rigorous
trials, increasing researcher and clinician engagement and maintaining
enthusiasm. Strategies to build communities stressed in-person
interactions (both professional and social), capable leadership, and
trust. Another important theme was getting started. Participants
highlighted the importance of formal research training and high-quality
experiential learning through collaboration on other's projects, guided
by effective mentorship. Also important was working within the
systemensuring academic credit for a range of contributions, not only
for the principal investigator role. The longitudinal notion of building
on success was also underscored as a cross-cutting theme.
Conclusions: Coordinated, deliberate actions to build community and
ensure key training and practical experiences for new investigators may
strengthen the research enterprise in pediatric critical care. These
strategies, potentially in combination with other novel approaches, may
vitalize clinical research in this field.},
Type = {Article},
Language = {English},
Affiliation = {Duffett, M (Corresponding Author), McMaster Univ, Dept Pediat, Hamilton, ON, Canada.
Duffett, Mark, McMaster Univ, Dept Pediat, Hamilton, ON, Canada.
Swinton, Marilyn; Brouwers, Melissa; Meade, Maureen; Cook, Deborah J., McMaster Univ, Dept Hlth Res Methods Evidence \& Impact, Hamilton, ON, Canada.
Brouwers, Melissa, McMaster Univ, Dept Oncol, Hamilton, ON, Canada.
Meade, Maureen; Cook, Deborah J., McMaster Univ, Dept Med, Hamilton, ON, Canada.
McMaster Univ, Hamilton, ON, Canada.},
DOI = {10.1097/PCC.0000000000001696},
ISSN = {1529-7535},
EISSN = {1947-3893},
Keywords = {pediatric critical care; qualitative methods; randomized controlled
trials; research methods},
Keywords-Plus = {CLINICAL-TRIALS; PUBLICATION; BARRIERS; QUALITY},
Web-of-Science-Categories = {Critical Care Medicine; Pediatrics},
Author-Email = {duffetmc@mcmaster.ca},
ResearcherID-Numbers = {Duffett, Mark/B-7524-2019
},
ORCID-Numbers = {Duffett, Mark/0000-0003-1705-5422
Brouwers, Melissa/0000-0002-9699-0269},
Number-of-Cited-References = {19},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000448945200005},
DA = {2023-09-28},
}
@article{ WOS:000229478900017,
Author = {Lasker, JP and LaPointe, LL and Kodras, JE},
Title = {Helping a professor with aphasia resume teaching through multimodal
approaches},
Journal = {APHASIOLOGY},
Year = {2005},
Volume = {19},
Number = {3-5},
Pages = {399-410},
Month = {MAR-MAY},
Note = {34th Annual Clinical Aphasiology Conference, Park City, UT, 2004},
Abstract = {Background: Research and clinical evidence suggest that employment after
stroke may be an important aspect of-preserving personal and social
identity; however, few people with significant aphasia manage to return
to work, particularly if their jobs are communicatively and cognitively
demanding.
Aims: This study presents the case of a professor with aphasia, JK, who
resumed teaching through a combination of voice-output technology and
the Key Word Teaching technique. Researchers investigated student
attitudes towards two teaching approaches-one utilising voice-output
technology alone and the other combining voice-output with the Key Word
Teaching technique.
Methods \& Procedures: Ten student participants attended two simulated
class sessions-one utilising voice-output technology alone and the other
combining voice-output with the Key Word Teaching technique.
Investigators analysed attitudinal survey results using nonparametric
analyses. Qualitative approaches were employed to analyse transcripts of
focus group discussions and written teaching evaluations. The
investigators also compared university-based teaching evaluations from
before JK's stroke to results obtained after the training protocol was
completed. In addition, investigators videotaped and reviewed in-class
teaching examples.
Outcomes \& Results: In the Combined condition, students rated the
professor and the presentation more positively on dependent measures
related to rate, comfort, understandability, and their willingness to
participate. In a ranking task, all students preferred the Combined
teaching approach. The scores on JK's university-based teaching
evaluations provided by her students the semester after Key Word
Teaching training were similar to evaluations from before her stroke. In
addition, excerpts from JK's classroom discourse revealed that she was
now combining natural speech and synthesised speech output to enhance
her teaching.
Conclusions: Results suggest that students preferred the Combined
teaching approach utilising both the synthesised speech from the
computer and the Key Word Teaching technique. Also, the training
protocol enabled JK to combine natural speech and synthesised computer
output within the classroom setting in ways that she had been unable to
prior to training. The results demonstrate how a thorough analysis of
JK's communication needs, accompanied by explicit training in techniques
to overcome barriers to participation, resulted in a successful
vocational outcome that enabled JK to retain an important aspect of her
identity.},
Type = {Article; Proceedings Paper},
Language = {English},
Affiliation = {Lasker, JP (Corresponding Author), Florida State Univ, Dept Commun Disorders, Reg Rehabil Ctr 305, Tallahassee, FL 32306 USA.
Florida State Univ, Dept Commun Disorders, Reg Rehabil Ctr 305, Tallahassee, FL 32306 USA.},
DOI = {10.1080/02687030444000840},
ISSN = {0268-7038},
EISSN = {1464-5041},
Web-of-Science-Categories = {Audiology \& Speech-Language Pathology; Linguistics; Clinical Neurology;
Rehabilitation},
Author-Email = {joanne.lasker@comm.fsu.edu},
Number-of-Cited-References = {12},
Times-Cited = {17},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {7},
Unique-ID = {WOS:000229478900017},
DA = {2023-09-28},
}
@article{ WOS:000409383600003,
Author = {Jarero, Ignacio and Rake, Gregory and Givaudan, Martha},
Title = {EMDR Therapy Program for Advanced Psychosocial Interventions Provided by
Paraprofessionals},
Journal = {JOURNAL OF EMDR PRACTICE AND RESEARCH},
Year = {2017},
Volume = {11},
Number = {3},
Pages = {122-128},
Abstract = {The aim of this preliminary study was to evaluate the effectiveness of
specially trained and supervised paraprofessionals in administering the
eye movement desensitization and reprocessing Integrative Group
Treatment Protocol (EMDR-IGTP) to reduce work-related posttraumatic
stress disorder (PTSD) symptoms. The 2 paraprofessionals in this study
were specially selected and trained in the application of the EMDR-IGTP
and then provided treatment in an uncontrolled clinical trial to 37
clients from 3 non-governmental organizations in Bolivia. The
participants were adult staff members (protective services workers,
caregivers, psychologist, lawyers, and social workers) who provided care
to children and adolescents with severe interpersonal trauma. Four
EMDR-IGTP sessions within a parallel 2-week period were administered for
each randomly assigned group. The Posttraumatic Stress Disorder
Checklist for DSM-5 (PCL-5) was administered at pretreatment and 30 and
90 days' posttreatment. A repeated measures analysis of variance (ANOVA)
determined that PCL-5 score means differed statistically significantly
between time points F (2, 72) = 574.53, p<.001, eta(2)(P) = .94. The
study presents preliminary evidence scaling up EMDR therapy in a low-and
middle-income country, making it possible to reach larger numbers of
people in a shorter time, thereby offering an operational advantage. The
study has limitations specially related to the size of the sample, the
use of only one measure, and the lack of comparison with a control group
or treatment. Further studies are required to present large samples with
more measures and comparison of results with another therapy or control
group.},
Type = {Article},
Language = {English},
Affiliation = {Jarero, I (Corresponding Author), Blvd Luz 771, Mexico City 01900, DF, Mexico.
Jarero, Ignacio; Rake, Gregory; Givaudan, Martha, Latin Amer \& Caribbean Fdn Psychol Trauma, Mexico City, DF, Mexico.},
DOI = {10.1891/1933-3196.11.3.122},
ISSN = {1933-3196},
EISSN = {1933-320X},
Keywords = {eye movement desensitization and reprocessing (EMDR) therapy; advanced
psychosocial interventions; paraprofessionals; Integrative Group
Treatment Protocol (IGTP); posttraumatic stress disorder (PTSD) symptoms},
Keywords-Plus = {ANXIETY},
Web-of-Science-Categories = {Psychology, Clinical; Psychology},
Author-Email = {nacho@amamecrisis.com.mx},
Number-of-Cited-References = {23},
Times-Cited = {6},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {8},
Unique-ID = {WOS:000409383600003},
DA = {2023-09-28},
}
@article{ WOS:000709011500002,
Author = {Hicks, Joseph Paul and Allsop, Matthew John and Akaba, Godwin O. and
Yalma, Ramsey M. and Dirisu, Osasuyi and Okusanya, Babasola and Tukur,
Jamilu and Okunade, Kehinde and Akeju, David and Ajepe, Adegbenga and
Okuzu, Okey and Mirzoev, Tolib and Ebenso, Bassey},
Title = {Acceptability and Potential Effectiveness of eHealth Tools for Training
Primary Health Workers From Nigeria at Scale: Mixed Methods,
Uncontrolled Before-and-After Study},
Journal = {JMIR MHEALTH AND UHEALTH},
Year = {2021},
Volume = {9},
Number = {9},
Month = {SEP},
Abstract = {Background: The in-service training of frontline health workers (FHWs)
in primary health care facilities plays an important role in improving
the standard of health care delivery. However, it is often expensive and
requires FHWs to leave their posts in rural areas to attend courses in
urban centers. This study reports the implementation of a digital health
tool for providing video training (VTR) on maternal, newborn, and child
health (MNCH) care to provide in-service training at scale without
interrupting health services. The VTR intervention was supported by
satellite communications technology and existing 3G mobile networks.
Objective: This study aims to determine the feasibility and
acceptability of these digital health tools and their potential
effectiveness in improving clinical knowledge, attitudes, and practices
related to MNCH care.
Methods: A mixed methods design, including an uncontrolled pre- and
postquantitative evaluation, was adopted. From October 2017 to May 2018,
a VTR mobile intervention was delivered to FHWs in 3 states of Nigeria.
We examined changes in workers' knowledge and confidence in delivering
MNCH services through a pre- and posttest survey. Stakeholders'
experiences with the intervention were explored through semistructured
interviews that drew on the technology acceptance model to frame
contextual factors that shaped the intervention's acceptability and
usability in the work environment.
Results: In total, 328 FHWs completed both pre- and posttests. FHWs
achieved a mean pretest score of 51\% (95\% CI 48\%-54\%) and mean
posttest score of 69\% (95\% CI 66\%-72\%), reflecting, after adjusting
for key covariates, a mean increase between the pre- and posttest of 17
percentage points (95\% CI 15-19; P<.001). Variation was identified in
pre- and posttest scores by the sex and location of participants
alongside topic-specific areas where scores were lowest. Stakeholder
interviews suggested a wide acceptance of VTR Mobile (delivered via
digital technology) as an important tool for enhancing the quality of
training, reinforcing knowledge, and improving health outcomes.
Conclusions: This study found that VTR supported through a digital
technology approach is a feasible and acceptable approach for supporting
improvements in clinical knowledge, attitudes, and reported practices in
MNCH. The determinants of technology acceptance included ease of use,
perceived usefulness, access to technology and training contents, and
the cost-effectiveness of VTR, whereas barriers to the adoption of VTR
were poor electricity supply, poor internet connection, and
FHWs'workload. The evaluation also identified the mechanisms of the
impact of delivering VTR Mobile at scale on the micro (individual), meso
(organizational), and macro (policy) levels of the health system. Future
research is required to explore the translation of this digital health
approach for the VTR of FHWs and its impact across low-resource settings
to ameliorate the financial and time costs of training and support
high-quality MNCH care delivery.},
Type = {Article},
Language = {English},
Affiliation = {Allsop, MJ (Corresponding Author), Univ Leeds, Acad Unit Palliat Care, Leeds Inst Hlth Sci, Worsley Bldg,Clarendon Way, Leeds LS2 9LU, W Yorkshire, England.
Hicks, Joseph Paul; Ebenso, Bassey, Univ Leeds, Nuffield Ctr Int Hlth \& Dev, Leeds, W Yorkshire, England.
Allsop, Matthew John, Univ Leeds, Acad Unit Palliat Care, Leeds Inst Hlth Sci, Worsley Bldg,Clarendon Way, Leeds LS2 9LU, W Yorkshire, England.
Akaba, Godwin O., Univ Abuja, Dept Obstet \& Gynaecol, Abuja, Nigeria.
Yalma, Ramsey M., Univ Abuja, Dept Community Med, Abuja, Nigeria.
Dirisu, Osasuyi, Populat Council, Abuja, Nigeria.
Okusanya, Babasola; Okunade, Kehinde; Ajepe, Adegbenga, Univ Lagos, Coll Med, Dept Obstet \& Gynaecol, Lagos, Nigeria.
Tukur, Jamilu, Aminu Kano Teaching Hosp, Kano, Nigeria.
Akeju, David, Univ Lagos, Coll Med, Dept Sociol, Lagos, Nigeria.
Okuzu, Okey, Instrat Global Hlth Solut, Abuja, Nigeria.
Mirzoev, Tolib, London Sch Hyg \& Trop Med, Dept Global Hlth \& Dev, London, England.},
DOI = {10.2196/24182},
Article-Number = {e24182},
ISSN = {2291-5222},
Keywords = {primary health worker training; digital health technology; eHealth;
video-based training; maternal and child health; Nigeria; mobile phone},
Keywords-Plus = {MIDDLE-INCOME COUNTRIES; MOBILE HEALTH},
Web-of-Science-Categories = {Health Care Sciences \& Services; Medical Informatics},
Author-Email = {m.j.allsop@leeds.ac.uk},
ResearcherID-Numbers = {Yalma, Ramsey Msheliza/AGZ-4237-2022
AKABA, GODWIN/GLV-1941-2022
AKABA, GODWIN/S-7756-2019
Ebenso, Dr. Bassey E./H-5536-2017
OKUNADE, KEHINDE/A-8201-2017
},
ORCID-Numbers = {AKABA, GODWIN/0000-0002-8149-5492
AKABA, GODWIN/0000-0002-8149-5492
Ebenso, Dr. Bassey E./0000-0003-4147-0968
Mirzoev, Tolib/0000-0003-2959-9187
Allsop, Matthew/0000-0002-7399-0194
Hicks, Joseph/0000-0002-0303-6207
Tukur, Jamilu/0000-0002-1529-0448
OKUNADE, KEHINDE/0000-0002-0957-7389
Ajepe, Adegbenga/0000-0002-4967-4597},
Number-of-Cited-References = {39},
Times-Cited = {4},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000709011500002},
DA = {2023-09-28},
}
@article{ WOS:000725623600001,
Author = {Graham, Emily B. and Smith, A. Peyton},
Title = {Crowdsourcing Global Perspectives in Ecology Using Social Media},
Journal = {FRONTIERS IN ECOLOGY AND EVOLUTION},
Year = {2021},
Volume = {9},
Month = {NOV 11},
Abstract = {Transparent, open, and reproducible research is still far from routine,
and the full potential of open science has not yet been realized.
Crowdsourcing-defined as the usage of a flexible open call to a
heterogeneous group of individuals to recruit volunteers for a task -is
an emerging scientific model that encourages larger and more outwardly
transparent collaborations. While crowdsourcing, particularly through
citizen- or community-based science, has been increasing over the last
decade in ecological research, it remains infrequently used as a means
of generating scientific knowledge in comparison to more traditional
approaches. We explored a new implementation of crowdsourcing by using
an open call on social media to assess its utility to address
fundamental ecological questions. We specifically focused on pervasive
challenges in predicting, mitigating, and understanding the consequences
of disturbances. In this paper, we briefly review open science concepts
and their benefits, and then focus on the new methods we used to
generate a scientific publication. We share our approach, lessons
learned, and potential pathways forward for expanding open science. Our
model is based on the beliefs that social media can be a powerful tool
for idea generation and that open collaborative writing processes can
enhance scientific outcomes. We structured the project in five phases:
(1) draft idea generation, (2) leadership team recruitment and project
development, (3) open collaborator recruitment via social media, (4)
iterative paper development, and (5) final editing, authorship
assignment, and submission by the leadership team. We observed benefits
including: facilitating connections between unusual networks of
scientists, providing opportunities for early career and
underrepresented groups of scientists, and rapid knowledge exchange that
generated multidisciplinary ideas. We also identified areas for
improvement, highlighting biases in the individuals that self-selected
participation and acknowledging remaining barriers to contributing new
or incompletely formed ideas into a public document. While shifting
scientific paradigms to completely open science is a long-term process,
our hope in publishing this work is to encourage others to build upon
and improve our efforts in new and creative ways.},
Type = {Article},
Language = {English},
Affiliation = {Graham, EB (Corresponding Author), Pacific Northwest Natl Lab, Richland, WA 99352 USA.
Graham, EB (Corresponding Author), Washington State Univ, Sch Biol Sci, Pullman, WA 99164 USA.
Graham, Emily B., Pacific Northwest Natl Lab, Richland, WA 99352 USA.
Graham, Emily B., Washington State Univ, Sch Biol Sci, Pullman, WA 99164 USA.
Smith, A. Peyton, Texas A\&M Univ, Dept Soil \& Crop Sci, College Stn, TX 77843 USA.},
DOI = {10.3389/fevo.2021.588894},
Article-Number = {588894},
ISSN = {2296-701X},
Keywords = {FAIR; ICON; disturbance; open science; Twitter; open innovation (OI)},
Keywords-Plus = {CITIZEN-SCIENCE; PSYCHOLOGY; REPLICATION; FUTURE; TOOL},
Web-of-Science-Categories = {Ecology},
Author-Email = {emily.graham@pnnl.gov},
Number-of-Cited-References = {85},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {8},
Unique-ID = {WOS:000725623600001},
DA = {2023-09-28},
}
@article{ WOS:000670889700022,
Author = {Scantling, Dane and Orji, Whitney and Hatchimonji, Justin and Kaufman,
Elinore and Holena, Daniel},
Title = {Firearm Violence, Access to Care, and Gentrification A Moving Target for
American Trauma Systems},
Journal = {ANNALS OF SURGERY},
Year = {2021},
Volume = {274},
Number = {2},
Pages = {209-217},
Month = {AUG},
Abstract = {Objective: We aimed to determine whether gentrification predicts the
movement of shooting victims over time and if this process has decreased
access to care. Background: Trauma centers remain fixed in space, but
the populations they serve do not. Nationally, gentrification has
displaced disadvantaged communities most at risk for violent injury,
potentially decreasing access to care. This process has not been
studied, but an increase of only 1 mile from a trauma center increases
shooting mortality up to 22\%. Methods: We performed a cross-sectional
study utilizing Philadelphia Police Department (PPD) and Pennsylvania
trauma systems outcome (PTOS) data 2006-2018. Shootings were mapped and
grouped into census tracts. They were then cross-mapped with
gentrification data and hospital location. PPD and PTOS shooting data
were compared to ensure patients requiring trauma care were captured.
Census tracts with >= 500 residents with income and median home values
in the bottom 40th percentile of the metropolitan area were eligible to
gentrify. Tracts were gentrified if residents >= 25 with a bachelor's
degree increased and home price increased to the top third in the
metropolitan area. Change in distribution of shootings and its relation
to gentrification was our primary outcome while proximity of shootings
to a trauma center was our secondary outcome. Results: Thirty-two
percent (123/379) of eligible tracts gentrified and 31,165 shootings
were captured in the PPD database. 9090 (29.2\%) patients meeting trauma
criteria were captured in PTOS with an increasing proportion over time.
The proportion of shootings within gentrifying tracts significantly
dropped 2006-2018 (40\%-35\%, P < 0.001) and increased in
non-gentrifying tracts (52\%-57\%, P < 0.001). In evaluation of shooting
densities, a predictable redistribution occurred 2006-2018 with incident
density decreasing in gentrified areas and increasing in non-gentrified
areas. Shootings within 1 mile of a trauma center increased overall, but
proportional access decreased in gentrified areas. Conclusions:
Shootings in Philadelphia predictably moved out of gentrified areas and
concentrated in non-gentrified ones. In this case study of a national
crisis, the pattern of change paradoxically resulted in an increased
clustering of shootings around trauma centers in non-gentrified areas.
Repetition of this work in other cities can guide future resource
allocation and be used to improve access to trauma care.},
Type = {Article},
Language = {English},
Affiliation = {Scantling, D (Corresponding Author), Univ Penn, Dept Surg, Div Traumatol Surg Crit Care \& Emergency Surg, Philadelphia, PA 19104 USA.
Scantling, Dane; Hatchimonji, Justin; Kaufman, Elinore; Holena, Daniel, Univ Penn, Dept Surg, Div Traumatol Surg Crit Care \& Emergency Surg, Philadelphia, PA 19104 USA.
Orji, Whitney, Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA.},
DOI = {10.1097/SLA.0000000000004771},
ISSN = {0003-4932},
EISSN = {1528-1140},
Keywords = {access to care; firearm violence; gentrification; trauma centers},
Keywords-Plus = {EMERGENCY MEDICAL-SERVICES; SELF-RATED HEALTH; RESIDENTIAL-MOBILITY;
INJURED PATIENTS; TRANSPORT TIMES; UNITED-STATES; NEIGHBORHOOD;
ASSOCIATION; MORTALITY; OUTCOMES},
Web-of-Science-Categories = {Surgery},
Author-Email = {Dane.Scantling@PennMedicine.UPenn.edu},
ORCID-Numbers = {Scantling, Dane/0000-0002-0744-9930},
Number-of-Cited-References = {45},
Times-Cited = {4},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {6},
Unique-ID = {WOS:000670889700022},
DA = {2023-09-28},
}
@article{ WOS:000882261500001,
Author = {Neuner, Joan M. and Fergestrom, Nicole and Pezzin, Liliana E. and Laud,
Purushottam W. and Ruddy, Kathryn J. and Winn, Aaron N.},
Title = {Medication delivery factors and adjuvant endocrine therapy adherence in
breast cancer},
Journal = {BREAST CANCER RESEARCH AND TREATMENT},
Year = {2023},
Volume = {197},
Number = {1},
Pages = {223-233},
Month = {JAN},
Abstract = {Purpose Over 50\% of breast cancer patients prescribed a 5-year course
of daily oral adjuvant endocrine therapy (ET) are nonadherent. We
investigated the role of costs and cancer medication delivery mode and
other medication delivery factors on adherence. Methods We conducted a
retrospective cohort study of commercially insured and Medicare
advantage patients with newly diagnosed breast cancer in 2007-2015 who
initiated ET. We examined the association between 12-month ET adherence
(proportion of days covered by fills >= 0.80) and ET copayments, 90-day
prescription refill use, mail order pharmacy use, number of pharmacies,
and synchronization of medications. We used regression models to
estimate nonadherence risk ratios adjusted for demographics (age,
income, race, urbanicity), comorbidities, total medications, primary
cancer treatments, and generic AI availability. Sensitivity analyses
were conducted using alternative specifications for independent
variables. Results Mail order users had higher adherence in both
commercial and Medicare-insured cohorts. Commercially insured patients
who used mail order were more likely to be adherent if they had low
copayments (< \$5) and 90-day prescription refills. For commercially
insured patients who used local pharmacies, use of one pharmacy and
better synchronized refills were also associated with adherence. Among
Medicare patients who used mail order pharmacies, only low copayments
were associated with adherence, while among Medicare patients using
local pharmacies both low copayments and 90-day prescriptions were
associated with ET adherence. Conclusion Out-of-pocket costs, medication
delivery mode, and other pharmacy-related medication delivery factors
are associated with adherence to breast cancer ET. Future work should
investigate whether interventions aimed at streamlining medication
delivery could improve adherence for breast cancer patients.},
Type = {Article},
Language = {English},
Affiliation = {Neuner, JM (Corresponding Author), Med Coll Wisconsin, Div Gen Internal Med, Milwaukee, WI USA.
Neuner, Joan M., Med Coll Wisconsin, Div Gen Internal Med, Milwaukee, WI USA.
Neuner, Joan M.; Fergestrom, Nicole; Laud, Purushottam W., Med Coll Wisconsin, Ctr Adv Populat Sci, Milwaukee, WI USA.
Pezzin, Liliana E., Med Coll Wisconsin, Inst Hlth \& Equity, Milwaukee, WI USA.
Laud, Purushottam W., Med Coll Wisconsin, Div Biostatist, Milwaukee, WI USA.
Ruddy, Kathryn J., Mayo Clin Rochester, Div Med Oncol, Rochester, MN USA.
Winn, Aaron N., Med Coll Wisconsin, Sch Pharm, Milwaukee, WI USA.},
DOI = {10.1007/s10549-022-06704-2},
EarlyAccessDate = {NOV 2022},
ISSN = {0167-6806},
EISSN = {1573-7217},
Keywords = {Breast cancer; Medication adherence; Cost-related nonadherence},
Keywords-Plus = {HORMONAL-THERAPY; WOMEN; SYMPTOMS; SUPPORT; DISCONTINUATION;
NONADHERENCE; TAMOXIFEN; SURVIVORS; CARE},
Web-of-Science-Categories = {Oncology},
Author-Email = {jneuner@mcw.edu},
ORCID-Numbers = {Neuner, Joan/0000-0003-0031-5988},
Number-of-Cited-References = {42},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000882261500001},
DA = {2023-09-28},
}
@article{ WOS:000275773800004,
Author = {Wessels, Buks},
Title = {Dollarisation as Economic Solution for the Zimbabwean Demise},
Journal = {TYDSKRIF VIR GEESTESWETENSKAPPE},
Year = {2010},
Volume = {50},
Number = {1},
Pages = {50-65},
Month = {MAR 10},
Abstract = {Dollarisation as Economic Solution for the Zimbabwean Demise The
Zimbabwean economic and political malaise has been going on for longer
than a decade and has deteriorated unabated Runaway hyperinflation
reaching unthinkable proportions, an almost hundred percent unemployment
rate and a shattered currency with literally no external value or esteem
characterise this demise. Fiscal profligacy funded by an ever increasing
fiscal deficit has played its part in this socio-economic tragedy. This
state of affairs would not have been possible if the Reserve Bank of
Zimbabwe had fulfilled its role as protector of the nation currency.
Sadly the Bank slavishly accommodated the government request for
printing more money and did not render any sign of independence from
government as a respected central bank should have done. As in many
other cases of hyperinflation, this weakness provided the basis from
which the evolving tragedy gained momentum. The gigantic proportions of
the continuous socio-economic and political tragedy predict an even
bleaker future for the country if not attended to in a decisive way.
No instant political or economic solution exists for this appalling
situation, but economic restoration has to start with certain basic
steps of economic reform. This paper suggests official dollarisation as
an alternative exchange rate regime with which to clear up the economic
disorder that currently characterises the economic scene. The paper
explains the term ``dollarisation{''}, its features and the underlying
rationale of the regime as a super-fixed exchange rate system for
Zimbabwe. Thereafter the possible advantages and disadvantages that
Zimbabwe can obtain from the system are highlighted, accompanied by a
brief discussion on randisation as a possible alternative solution.
Especially important among the advantages is the fact that dollarisation
will help to restore the lost credibility of the Zimbabwean
policy-makers since it will now be imported externally from an anchor
country and its currency. This will not only substantially decrease the
inflation and interest rates, but it will also contribute to promoting
saving, investment, economic growth and employment. It will,
furthermore, stabilise the dysfunctional Zimbabwean credit system,
enhance long term lending contracts and correct the misallocation of
resources caused by, hyperinflation.
These benefits must be balanced by certain costs of dollarisation,
especially the loss of seigniorage income, the loss of monetary autonomy
and national pride, as well as the loss of the
lender-of-last-resort-function of the central bank. However, in the case
of Zimbabwe these costs are found to be thoroughly overshadowed by the
benefits derived from dollarisation. In addition, the Zimbabwean
situation and the current stance of its economy actually fit the
prerequisites for a country that should seriously contemplate
dollarisation.
Although dollarisation is supported as a possible solution for Zimbabwe,
randisation may also work but will have to be considered with care.
South Africa is indeed the biggest trading partner of Zimbabwe and also
has deep financial ties with the latter Nevertheless, the volatility in
the exchange rate of the rand and the possibility of loan default on
South African loans to Zimbabwe are risks in need of contemplation.
Another but less credible policy alternative for Zimbabwe, is to adopt a
currency board arrangement where the exchange rate of the Zimdollar is
not only firmly fixed to the South African rand, but also fully (100 per
cent) covered by rand reserves cis a back-up measure of credibility.
Yet, under the current circumstances dollarisation presents itself as a
more likely system with which to obtain rapid and trustworthy results.
Although dollarisation on its own will certainly help, it will not pose
a ``quick-fix{''} for the Zimbabwean demise. Dollarisation can not
compensate for corruption, disruptions in the social structure and a
lack of transparency in the political and economic system. Furthermore,
it can not compensate for a lack of human prudence in decision-making, a
lack of protection of property rights and the absence of a rule of law.
The latter aspects require fundamental and credible reforms on the
political and juridical front, without which no economic rescue package
will have any success whatsoever},
Type = {Article},
Language = {Afrikaans},
Affiliation = {Wessels, B (Corresponding Author), Univ Oranje Vrystaat, Dept Ekon, Bloemfontein, South Africa.
Univ Oranje Vrystaat, Dept Ekon, Bloemfontein, South Africa.},
ISSN = {0041-4751},
Keywords = {Zimbabwe; economic reconstruction; dollarisation; hyperinflation;
central banking; monetary policy},
Keywords-Plus = {DOLLARIZATION},
Web-of-Science-Categories = {Social Issues},
Author-Email = {wesselgm@ufs.ac.za},
Number-of-Cited-References = {41},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {17},
Unique-ID = {WOS:000275773800004},
DA = {2023-09-28},
}
@article{ WOS:000314315200029,
Author = {Turley, Ruth and Saith, Ruhi and Bhan, Nandita and Rehfuess, Eva and
Carter, Ben},
Title = {Slum upgrading strategies involving physical environment and
infrastructure interventions and their effects on health and
socio-economic outcomes (Review)},
Journal = {COCHRANE DATABASE OF SYSTEMATIC REVIEWS},
Year = {2013},
Number = {1},
Abstract = {Background
Slums are densely populated, neglected parts of cities where housing and
living conditions are exceptionally poor. In situ slum upgrading, at its
basic level, involves improving the physical environment of the existing
area, such as improving and installing basic infrastructure like water,
sanitation, solid waste collection, electricity, storm water drainage,
access roads and footpaths, and street lighting, as well as home
improvements and securing land tenure.
Objectives
To explore the effects of slum upgrading strategies involving physical
environment and infrastructure interventions on the health, quality of
life and socio-economic wellbeing of urban slum dwellers in low and
middle income countries (LMIC). Where reported, data were collected on
the perspectives of slum dwellers regarding their needs, preferences for
and satisfaction with interventions received.
Search methods
We searched for published and unpublished studies in 28 bibliographic
databases including multidisciplinary (for example Scopus) and
specialist databases covering health, social science, urban planning,
environment and LMIC topics. Snowballing techniques included searching
websites, journal handsearching, contacting authors and reference list
checking. Searches were not restricted by language or publication date.
Selection criteria
We included studies examining the impact of slum upgrading strategies
involving physical environment or infrastructure improvements (with or
without additional co-interventions) on the health, quality of life and
socio-economic wellbeing of LMIC urban slum dwellers. Randomised
controlled trials (RCTs), controlled before and after studies (CBAs) and
interrupted time series (ITS) were eligible for the main analysis.
Controlled studies with only post-intervention data (CPI) and
uncontrolled before and after (UBA) studies were included in a separate
narrative to examine consistency of results and to supplement evidence
gaps in the main analysis.
Data collection and analysis
Two authors independently extracted data and assessed risk of bias for
each study. Differences between the included study interventions and
outcomes precluded meta-analysis so the results were presented in a
narrative summary with illustrative harvest plots. The body of evidence
for outcomes within the main analysis was assessed according to GRADE as
very low, low, moderate or high quality.
Main results
We identified 10,488 unique records, with 323 screened as full text.
Five studies were included for the main analysis: one RCT with a low
risk, two CBAs with a moderate risk and two CBAs with a high risk of
bias. Three CBAs evaluated multicomponent slum upgrading strategies.
Road paving only was evaluated in one RCT and water supply in one CBA. A
total of 3453 households or observations were included within the four
studies reporting sample sizes.
Most health outcomes in the main studies related to communicable
diseases, for which the body of evidence was judged to be low quality.
One CBA with a moderate risk of bias found that diarrhoeal incidence was
reduced in households which received water connections from a private
water company (risk ratio (RR) 0.53; 95\% confidence interval (CI) 0.27
to 1.04) and the severity of diarrhoeal episodes (RR 0.48; 95\% CI 0.19
to 1.22). There was no effect for duration of diarrhoea. Road paving did
not result in changes in parasitic infections or sickness in one RCT.
After multicomponent slum upgrading, claims for a waterborne disease as
opposed to a non-waterborne disease reduced (RR 0.64; 95\% CI 0.27 to
0.98) in one CBA with a high risk of bias but there was no change in
sanitation-related mortality in a CBA with a moderate risk of bias.
The majority of socio-economic outcomes reported within the main studies
related to financial poverty, for which the body of evidence was of very
low quality. Results were mixed amongst the main studies; one RCT and
two CBAs reported no effect on the income of slum dwellers following
slum upgrading. One further CBA found significant reduction in monthly
water expenditure (mean difference (MD) -17.11 pesos; 95\% CI -32.6 to
-1.62). One RCT also showed mixed results for employment variables,
finding no effect on unemployment levels but increased weekly worked
hours (MD 4.68; 95\% CI -0.46 to 9.82) and lower risk of residents
intending to migrate for work (RR 0.78; 95\% CI 0.60 to 1.01).
There was no evidence available to assess the impact of slum upgrading
on non-communicable diseases or social capital. Maternal and perinatal
conditions, infant mortality, nutritional deficiencies, injuries,
self-reported quality of life, education and crime were evaluated in one
study each.
Nine supporting studies were included that measured varying outcomes
(6794 households or observations within eight studies reporting sample
sizes). One CPI evaluated cement flooring only while three UBAs and five
CPIs evaluated multicomponent slum upgrading strategies. All studies but
one had a high risk of bias.
The studies reinforced main study findings for diarrhoea incidence and
water-related expenditure. Findings for parasitic infections and
financial poverty were inconsistent with the main studies. In addition,
supporting studies reported a number of disparate outcomes that were not
evaluated in the main studies.
Five supporting studies included some limited information on slum
dweller perspectives. They indicated the importance of appropriate
siting of facilities, preference for private facilities, delivering
synergistic interventions together, and ensuring that infrastructure was
fit for purpose and systems were provided for cleaning, maintenance and
repair.
Authors' conclusions
A high risk of bias within the included studies, heterogeneity and
evidence gaps prevent firm conclusions on the effect of slum upgrading
strategies on health and socio-economic wellbeing. The most common
health and socio-economic outcomes reported were communicable diseases
and indicators of financial poverty. There was a limited but consistent
body of evidence to suggest that slum upgrading may reduce the incidence
of diarrhoeal diseases and water-related expenditure. The information
available on slum dwellers' perspectives provided some insight to
barriers and facilitators for successful implementation and maintenance
of interventions.
The availability and use of reliable, comparable outcome measures to
determine the effect of slum upgrading on health, quality of life and
socio-economic wellbeing would make a useful contribution to new
research in this important area. Given the complexity in delivering slum
upgrading, evaluations should look to incorporate process and
qualitative information alongside quantitative effectiveness data to
determine which particular interventions work (or don't work) and for
whom.},
Type = {Review},
Language = {English},
Affiliation = {Turley, R (Corresponding Author), Cardiff Univ, Informat Serv, SURE, 1st Floor,Heath Pk, Cardiff CF14 4YS, S Glam, Wales.
Turley, Ruth, Cardiff Univ, Informat Serv, SURE, Cardiff CF14 4YS, S Glam, Wales.
Saith, Ruhi, Oxford Policy Management, New Delhi, India.
Bhan, Nandita, Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev \& Hlth, Boston, MA 02115 USA.
Rehfuess, Eva, Univ Munich, Inst Med Informat Biometry \& Epidemiol, Munich, Germany.
Carter, Ben, Univ Birmingham, Sch Canc Sci, Canc Res UK Clin Trials Unit, Birmingham, W Midlands, England.},
DOI = {10.1002/14651858.CD010067.pub2},
Article-Number = {CD010067},
ISSN = {1469-493X},
EISSN = {1361-6137},
Keywords-Plus = {IMPROVEMENT PROGRAMS; PROPERTY-RIGHTS; IMPACT; WATER; SANITATION;
DIARRHEA; SALVADOR; CHILDREN; HYGIENE; AREAS},
Web-of-Science-Categories = {Medicine, General \& Internal},
Author-Email = {ruthturley@rocketmail.com},
ResearcherID-Numbers = {Rehfuess, Eva Annette/ABD-8167-2021
},
ORCID-Numbers = {Carter, Ben/0000-0003-0318-8865},
Number-of-Cited-References = {82},
Times-Cited = {95},
Usage-Count-Last-180-days = {3},
Usage-Count-Since-2013 = {135},
Unique-ID = {WOS:000314315200029},
DA = {2023-09-28},
}
@article{ WOS:000588368900012,
Author = {Yee, Win Lei and Than, Kyu Kyu and Mohamed, Yasmin and Htay, Hla and
Tin, Htay Htay and Thein, Win and Kyaw, Latt Latt and Yee, Win Win and
Aye, Moe Myat and Badman, Steven G. and Vallely, Andrew J. and Luchters,
Stanley and Kelly-Hanku, Angela and AAMI Study Grp},
Title = {Caregiver experience and perceived acceptability of a novel near
point-of-care early infant HIV diagnostic test among caregivers enrolled
in the PMTCT program, Myanmar: A qualitative study},
Journal = {PLOS ONE},
Year = {2020},
Volume = {15},
Number = {10},
Month = {OCT 30},
Abstract = {Background
The majority of HIV infection among children occurs through
mother-to-child transmission. HIV exposed infants are recommended to
have virological testing at birth or 4-6 weeks of age but challenges
with centralized laboratory-based testing in Myanmar result in low
testing rates and delays in result communication and treatment
initiation. Decentralized point-of-care (POC) testing when integrated in
prevention of mother-to-child transmission of HIV (PMTCT) services, can
be an alternative to increase coverage of early infant diagnosis (EID)
and timely engagement in HIV treatment and care.
Aim
This paper aims to explore experiences of caregivers of HIV-exposed
infants enrolled in the PMTCT program in Myanmar and the perceived
acceptability of point-of-care EID testing compared to conventional
centralised laboratory-based testing.
Methods
This is a sub-study of the cluster randomised controlled stepped-wedge
trial (Trial registration number: ACTRN12616000734460) that assessed the
impact of near POC EID testing using Xpert HIV-1 Qual assay in four
public hospitals in Myanmar. Caregivers of infants who were enrolled in
the intervention phase of the main study, had been tested with both
Xpert and standard of care tests and had received the results were
eligible for this qualitative study. Semi-structured interviews were
conducted with 23 caregivers. Interviews were audio recorded,
transcribed verbatim and translated into English. Thematic data analysis
was undertaken using NVivo 12 Software (QSR International).
Results
The majority of caregivers were satisfied with the quality of care
provided by PMTCT services. However, they encountered social and
financial access barriers to attend the PMTCT clinic regularly. Mothers
had concerns about community stigma from the disclosure of their HIV
status and the potential consequences for their infants. While medical
care at the PMTCT clinics was free, caregivers sometimes experienced
financial difficulties associated with out-of-pocket expenses for
childbirth and transportation. Some caregivers had to choose not to
attend work (impacting their income) or the adult antiretroviral clinic
in order to attend the paediatric PMTCT clinic appointment. The
acceptability of the Xpert testing process was high among the caregiver
participants and more than half received the Xpert result on the same
day as testing. Short turnaround time of the near POC EID testing
enabled the caregivers to find out their infants' HIV status quicker,
thereby shortening the stressful waiting time for results.
Conclusion
Our study identified important access challenges facing caregivers of
HIV exposed infants and high acceptability of near POC EID testing.
Improving the retention rate in the PMTCT and EID programs necessitates
careful attention of program managers and policy makers to these
challenges, and POC EID represents a potential solution.},
Type = {Article},
Language = {English},
Affiliation = {Luchters, S (Corresponding Author), Burnet Inst, Melbourne, Vic, Australia.
Luchters, S (Corresponding Author), Monash Univ, Sch Publ Hlth \& Prevent Med, Melbourne, Vic, Australia.
Luchters, S (Corresponding Author), Aga Khan Univ, Dept Populat Hlth, Nairobi, Kenya.
Luchters, S (Corresponding Author), Univ Ghent, Int Ctr Reprod Hlth ICRH, Dept Publ Hlth \& Primary Care, Ghent, Belgium.
Yee, Win Lei; Than, Kyu Kyu; Htay, Hla, Burnet Inst, Yangon, Myanmar.
Mohamed, Yasmin; Luchters, Stanley, Burnet Inst, Melbourne, Vic, Australia.
Mohamed, Yasmin; Luchters, Stanley, Monash Univ, Sch Publ Hlth \& Prevent Med, Melbourne, Vic, Australia.
Tin, Htay Htay; Thein, Win; Kyaw, Latt Latt; Yee, Win Win; Aye, Moe Myat, Minist Hlth \& Sports, Natl Hlth Lab, Yangon, Myanmar.
Badman, Steven G.; Vallely, Andrew J.; Kelly-Hanku, Angela, UNSW Sydney, Kirby Inst Infect \& Immun Soc, Sydney, NSW, Australia.
Vallely, Andrew J.; Kelly-Hanku, Angela, Papua New Guinea Inst Med Res, Sexual \& Reprod Hlth Unit, Goroka, Papua N Guinea.
Luchters, Stanley, Aga Khan Univ, Dept Populat Hlth, Nairobi, Kenya.
Luchters, Stanley, Univ Ghent, Int Ctr Reprod Hlth ICRH, Dept Publ Hlth \& Primary Care, Ghent, Belgium.},
DOI = {10.1371/journal.pone.0241245},
Article-Number = {e0241245},
ISSN = {1932-6203},
Keywords-Plus = {CONCEPTUAL-FRAMEWORK; PREVENTION; STIGMA; DISCRIMINATION; TRANSMISSION},
Web-of-Science-Categories = {Multidisciplinary Sciences},
Author-Email = {stanley.luchters@aku.edu},
ORCID-Numbers = {Vallely, Andrew/0000-0003-1558-4822
Htay, Hla/0000-0003-1274-961X
Anderson, David/0000-0002-9969-3905
Luchters, Stanley/0000-0001-5235-5629
Kelly-Hanku, Angela/0000-0003-0152-2954
Yee, Win Lei/0000-0002-6387-9396},
Number-of-Cited-References = {35},
Times-Cited = {2},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000588368900012},
DA = {2023-09-28},
}
@article{ WOS:000916743300001,
Author = {Chumo, Ivy and Kabaria, Caroline and Oduor, Clement and Amondi,
Christine and Njeri, Ann and Mberu, Blessing},
Title = {Community advisory committee as a facilitator of health and wellbeing: A
qualitative study in informal settlements in Nairobi, Kenya},
Journal = {FRONTIERS IN PUBLIC HEALTH},
Year = {2023},
Volume = {10},
Month = {JAN 9},
Abstract = {IntroductionA range of community engagement initiatives to advance
health and wellbeing are currently taking place in informal settlements
in low and middle income countries (LMICs), including community and
stakeholder meetings, use of radio, film, TV programs and other
information, education and communication materials (IECs) organized by
different stakeholders. While these initiatives tend to focus on
unidirectional flow of information to communities, the need to
incorporate initiatives focusing on bi or multi-directional flow of
information have been identified. Despite the extensive body of
literature on community engagement, the role of Community Advisory
Committees (CACs) in advancing health and wellbeing in informal
settlements is still a puzzle, occasioned by considerable ambiguity. A
community advisory committee is a dedicated group of volunteers to
support health and wellbeing needs of their community using a community
approach. Researchers and project implementers work in partnership with
CACs to successfully implement their activities within the target
community. MethodsIn this paper, using in-depth interviews, we document
the roles of CACs in advancing health and wellbeing in Korogocho and
Viwandani informal settlements in Nairobi, Kenya. ResultsStudy
participants described the role of CAC in advancing health and wellbeing
through education and awareness creation, advisory roles in research and
implementation goals, protecting community interests and acting as
gatekeepers and collaborators to community partners. Identified barriers
to achieving CAC roles include lack of finance and other field
resources, being labeled as organization staff and low involvement by
some upcoming and emerging local leaders on issues which involve the CAC
constituents. Enablers of CACs in their roles include possession of
appropriate skills and values by members; involvement of the community
in the selection of members, regular consultative and advisory meetings,
representativeness in the composition of CAC membership and knowledge
about the community. ConclusionWe conclude that CACs play key roles in
advancing health and wellbeing in informal settlements and that existing
CACs mechanisms and operations need to be given due consideration by
researchers, project implementers and local authorities right from
project conceptualization. CACs need recognition beyond consultations
and placations during research and project implementation to a veritable
social structure for community's social viability and survival as well
as partners in development for inclusive urbanization process. While
CACs have contributed in advancing health and wellbeing in informal
settlements, there is need for a long-term strategy to optimize their
impact and reduce puzzles around their roles.},
Type = {Article},
Language = {English},
Affiliation = {Chumo, I (Corresponding Author), African Populat \& Hlth Res Ctr APHRC, Nairobi, Kenya.
Chumo, Ivy; Kabaria, Caroline; Oduor, Clement; Amondi, Christine; Njeri, Ann; Mberu, Blessing, African Populat \& Hlth Res Ctr APHRC, Nairobi, Kenya.},
DOI = {10.3389/fpubh.2022.1047133},
Article-Number = {1047133},
EISSN = {2296-2565},
Keywords = {community advisory committee; health and wellbeing; community advisory
board (CAB); informal settlements; qualitative study; community based
participatory research},
Keywords-Plus = {BOARDS; EQUITY},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {ivychumo@gmail.com},
ResearcherID-Numbers = {Chumo, Ivy/AAG-3238-2021
},
ORCID-Numbers = {Chumo, Ivy/0000-0003-1235-719X},
Number-of-Cited-References = {38},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000916743300001},
DA = {2023-09-28},
}
@article{ WOS:000540248500001,
Author = {Afulani, Patience A. and Buback, Laura and Kelly, Ann Marie and Kirumbi,
Leah and Cohen, Craig R. and Lyndon, Audrey},
Title = {Providers' perceptions of communication and women's autonomy during
childbirth: a mixed methods study in Kenya},
Journal = {REPRODUCTIVE HEALTH},
Year = {2020},
Volume = {17},
Number = {1},
Month = {JUN 3},
Abstract = {Background Effective communication and respect for women's autonomy are
critical components of person-centered care. Yet, there is limited
evidence in low-resource settings on providers' perceptions of the
importance and extent of communication and women's autonomy during
childbirth. Similarly, few studies have assessed the potential barriers
to effective communication and maintenance of women's autonomy during
childbirth. We sought to bridge these gaps. Methods Data are from a
mixed-methods study in Migori County in Western Kenya with 49 maternity
providers (32 clinical and 17 non-clinical). Providers were asked
structured questions on various aspects of communication and autonomy
followed by open ended questions on why certain practices were performed
or not. We conducted descriptive analysis of the quantitative data and
thematic analysis of the qualitative data. Results Despite acknowledging
the importance of various aspects of communication and women's autonomy,
providers reported incidences of poor communication and lack of respect
for women's autonomy: 57\% of respondents reported that providers never
introduce themselves to women and 38\% reported that women are never
able to be in the birthing position of their choice. Also, 33\% of
providers reported that they did not always explain why they are doing
exams or procedures and 73\% reported that women were not always asked
for permission before exams or procedures. The reasons for lack of
communication and autonomy fall under three themes with several
sub-themes: (1) work environment-perceived lack of time, language
barriers, stress and burnout, and facility culture; (2) provider
knowledge, intentions, and assumptions-inadequate provider knowledge and
skill, forgetfulness and unconscious behaviors, self-protection and
comfort, and assumptions about women's knowledge and expectations; and
(3) women's ability to demand or command effective communication and
respect for their autonomy-women's lack of participation, women's
empowerment and provider bias. Conclusions Most providers recognize the
importance of various aspects of communication and women's autonomy, but
they fail to provide it for various reasons. To improve communication
and autonomy, we need to address the different factors that negatively
affect providers' interactions with women.},
Type = {Review},
Language = {English},
Affiliation = {Afulani, PA (Corresponding Author), Univ Calif San Francisco UCSF, Sch Med, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
Afulani, PA (Corresponding Author), UCSF Inst Global Hlth Sci, San Francisco, CA USA.
Afulani, Patience A.; Cohen, Craig R., Univ Calif San Francisco UCSF, Sch Med, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
Afulani, Patience A.; Buback, Laura; Cohen, Craig R., UCSF Inst Global Hlth Sci, San Francisco, CA USA.
Kelly, Ann Marie, Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA.
Kirumbi, Leah, Kenya Govt Med Res Ctr, Nairobi, Kenya.
Lyndon, Audrey, NYU, Rory Meyers Coll Nursing, New York, NY USA.},
DOI = {10.1186/s12978-020-0909-0},
Article-Number = {85},
EISSN = {1742-4755},
Keywords = {Communication; Autonomy; Person-centered maternity care; Respectful
maternity; Quality of care; Person-centered care; Patient-provider
interactions},
Keywords-Plus = {KNOW-DO GAP; MATERNITY CARE; LOW-INCOME; QUALITY},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {Patience.Afulani@ucsf.edu},
ResearcherID-Numbers = {Lyndon, Audrey/ABD-7493-2021
Lyndon, Audrey/GLS-0866-2022},
ORCID-Numbers = {Lyndon, Audrey/0000-0003-2215-4273},
Number-of-Cited-References = {47},
Times-Cited = {15},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {3},
Unique-ID = {WOS:000540248500001},
DA = {2023-09-28},
}
@article{ WOS:000282643000025,
Author = {Pollini, Robin A. and Gallardo, Manuel and Hasan, Samreen and Minuto,
Joshua and Lozada, Remedios and Vera, Alicia and Zuniga, Maria Luisa and
Strathdee, Steffanie A.},
Title = {High prevalence of abscesses and self-treatment among injection drug
users in Tijuana, Mexico},
Journal = {INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES},
Year = {2010},
Volume = {14},
Number = {3},
Pages = {E117-E122},
Month = {SEP},
Abstract = {Background: Soft tissue infections are common among injection drug users
(IDUs), but information on correlates and treatment in this highly
marginalized population is lacking.
Methods: Six hundred twenty-three community-recruited IDUs in Tijuana,
Mexico, completed a detailed interview on abscess history and treatment.
Univariate and multiple logistic regressions were used to identify
factors independently associated with having an abscess in the prior 6
months.
Results: Overall, 46\% had ever had an abscess and 20\% had had an
abscess in the past 6 months. Only 12\% had sought medical care for
their most recent abscess; 60\% treated the abscess themselves. The most
common self-treatment method was to apply heated (24\%) or unheated
(23\%) Aloe vera leaf. Other methods included draining the wound with a
syringe (19\%) or knife (11\%). Factors independently associated with
recent abscess were having income from sex work (adjusted odds ratio
(aOR) 4.56, 95\% confidence interval (CI) 2.08-10.00), smoking
methamphetamine (aOR 1.65, 95\% CI 1.05-2.62), seeking someone to help
with injection (aOR 2.06, 95\% CI 1.18-3.61), and reporting that police
affected where they used drugs (aOR 2.14, 95\% CI 1.15-3.96).
Conclusions: Abscesses are common among IDUs in this setting, but
appropriate treatment is rare. Interventions to reduce barriers to
medical care in this population are needed. Research on the
effectiveness of Aloe vera application in this setting is also needed,
as are interventions to provide IDU sex workers, methamphetamine
smokers, and those who assist with injection with the information and
equipment necessary to reduce abscess risk. (C) 2010 International
Society for Infectious Diseases. Published by Elsevier Ltd. All rights
reserved.},
Type = {Article},
Language = {English},
Affiliation = {Pollini, RA (Corresponding Author), Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA.
Pollini, Robin A.; Hasan, Samreen; Minuto, Joshua; Vera, Alicia; Zuniga, Maria Luisa; Strathdee, Steffanie A., Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA.
Gallardo, Manuel, PrevenCasa AC, Tijuana, Mexico.
Lozada, Remedios, Pro COMUSIDA, Tijuana, Mexico.},
DOI = {10.1016/j.ijid.2010.02.2238},
ISSN = {1201-9712},
Keywords = {Abscess; Injection drug use; Soft tissue infection; Treatment seeking},
Keywords-Plus = {RESISTANT STAPHYLOCOCCUS-AUREUS; ALOE-BARBADENSIS MILLER; SOFT-TISSUE
INFECTIONS; RISK-FACTORS; SAN-FRANCISCO; VIRUS-INFECTION; HARM
REDUCTION; COMMUNITY; SKIN; CRACK},
Web-of-Science-Categories = {Infectious Diseases},
Author-Email = {rpollini@ucsd.edu},
ResearcherID-Numbers = {Strathdee, Steffanie A/B-9042-2009
},
ORCID-Numbers = {Strathdee, Steffanie/0000-0002-7724-691X
HARVEY-VERA, ALICIA/0000-0002-8708-8169},
Number-of-Cited-References = {38},
Times-Cited = {32},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000282643000025},
DA = {2023-09-28},
}
@article{ WOS:000880516100001,
Author = {Vandana, M. and John, Shiekha E. and Sunny, Syam and Maya, K. and
Padmalal, D.},
Title = {Environmental impact assessment of laterite quarrying from
Netravati-Gurpur river basin, South West Coast of India},
Journal = {ENVIRONMENT DEVELOPMENT AND SUSTAINABILITY},
Year = {2022},
Month = {2022 NOV 9},
Abstract = {Mining and quarrying provide the basic raw materials for sustaining
human well-being and are critical for achieving economic developments.
At the same time, environmental degradation and its associated social
impacts and inequalities have become a grave reality of mining sector
that affects all nations, individually and/or collectively. Assessment
of the environmental impacts arising from mining and quarrying is
critical to limit the environmental problems within the barest minimum
levels. Although many impact assessment studies are available on
mining/quarrying of different major and minor minerals, not many studies
exist on quarrying for laterite blocks which is being widespread in many
of the fast developing tropical and sub-tropical regions of the world
like India. Therefore, this paper evaluates the impact of laterite
quarrying for construction blocks, in one of the twin river basins in SW
India, the Netravati-Gurpur river basin, where the activity is
widespread. The Rapid Impact Assessment Matrix (RIAM) method was used to
evaluate the impacts of laterite quarrying as it allows a comprehensive
analysis of the results based on the individual environmental score
obtained for each component. RIAM is a valuable assessment tool, owing
to its capability in quick, collective and reliable evaluation of the
impacts that can aid decision making and minimization of environmental
impacts, especially at early planning stages. Data pertaining to
resource extraction, identification of impacting actions, mapping of
mining hotspots, etc., were collected from primary and secondary sources
through systematic field work and sample collection, questionnaire
surveys within the local community and other stakeholders such as mine
operators, labourers, officials of Government departments, etc. A total
of 21 laterite quarries are located in the basin with a total production
of 5.7 million laterite bricks/year (0.115 x 10(6) ty(-1)). The impact
assessment study revealed that the activity not only disturbs the
natural environment especially, hydrology, air quality and noise levels,
ecology, land use and soil stability but has profound influence on the
socio-economic factors of human health and immunity, displacement, etc.,
of the quarrying-hit areas. The activity also recorded both long-term
and short-term positive impacts as a source of employment and income
generation. Additionally, the activity favours groundwater replenishment
and agriculture productivity of the area where appropriate mine closure
measures were taken up. However, the positive impacts of the activity
are far outweighed by the fact that most impacts of laterite quarrying
are of class - C (moderate negative impact) and - D (significant
negative impact) owing to the long-term socio-environmental and
bio-ecological implications of the activity. Thus, it is imperative that
there is significant improvement in policy and regulatory framework and
its implementation for mining and quarrying of building materials which
is vital for meeting future development requirements.},
Type = {Article; Early Access},
Language = {English},
Affiliation = {Vandana, M (Corresponding Author), Natl Ctr Earth Sci Studies, Thiruvananthapuram, Kerala, India.
Vandana, M.; Sunny, Syam; Maya, K.; Padmalal, D., Natl Ctr Earth Sci Studies, Thiruvananthapuram, Kerala, India.
John, Shiekha E., Minist Earth Sci, Lodi Rd, New Delhi, India.},
DOI = {10.1007/s10668-022-02741-5},
EarlyAccessDate = {NOV 2022},
ISSN = {1387-585X},
EISSN = {1573-2975},
Keywords = {Laterite quarrying; Land degradation; Netravati-Gurpur river basin;
Environmental impact assessment (EIA); Sustainability},
Keywords-Plus = {PROFILE},
Web-of-Science-Categories = {Green \& Sustainable Science \& Technology; Environmental Sciences},
Author-Email = {vandanaeldo@gmail.com},
Number-of-Cited-References = {62},
Times-Cited = {1},
Usage-Count-Last-180-days = {4},
Usage-Count-Since-2013 = {10},
Unique-ID = {WOS:000880516100001},
DA = {2023-09-28},
}
@article{ WOS:000472679500001,
Author = {Brandt, Lena R. and Hidalgo, Liliana and Diez-Canseco, Francisco and
Araya, Ricardo and Mohr, David C. and Menezes, Paulo R. and Jaime
Miranda, J.},
Title = {Addressing Depression Comorbid With Diabetes or Hypertension in
Resource-Poor Settings: A Qualitative Study About User Perception of a
Nurse-Supported Smartphone App in Peru},
Journal = {JMIR MENTAL HEALTH},
Year = {2019},
Volume = {6},
Number = {6},
Month = {JUN 18},
Abstract = {Background: Smartphone apps could constitute a cost-effective strategy
to overcome health care system access barriers to mental health services
for people in low- and middle-income countries.
Objective: The aim of this paper was to explore the patients'
perspectives of CONEMO (Emotional Control, in Spanish: Control
Emocional), a technology-driven, psychoeducational, and nurse-supported
intervention delivered via a smartphone app aimed at reducing depressive
symptoms in people with diabetes, hypertension or both who attend public
health care centers, as well as the nurses' feedback about their role
and its feasibility to be scaled up.
Methods: This study combines data from 2 pilot studies performed in
Lima, Peru, between 2015 and 2016, to test the feasibility of CONEMO.
Interviews were conducted with 29 patients with diabetes, hypertension
or both with comorbid depressive symptoms who used CONEMO and 6 staff
nurses who accompanied the intervention. Using a content analysis
approach, interview notes from patient interviews were transferred to a
digital format, coded, and categorized into 6 main domains: the
perceived health benefit, usability, adherence, user satisfaction with
the app, nurse's support, and suggestions to improve the intervention.
Interviews with nurses were analyzed by the same approach and
categorized into 4 domains: general feedback, evaluation of training,
evaluation of study activities, and feasibility of implementing this
intervention within the existing structures of health system.
Results: Patients perceived improvement in their emotional health
because of CONEMO, whereas some also reported better physical health.
Many encountered some difficulties with using CONEMO, but resolved them
with time and practice. However, the interactive elements of the app,
such as short message service, android notifications, and pop-up
messages were mostly perceived as challenging. Satisfaction with CONEMO
was high, as was the self-reported adherence. Overall, patients
evaluated the nurse accompaniment positively, but they suggested
improvements in the technological training and an increase in the amount
of contact. Nurses reported some difficulties in completing their tasks
and explained that the CONEMO intervention activities competed with
their everyday work routine.
Conclusions: Using a nurse-supported smartphone app to reduce depressive
symptoms among people with chronic diseases is possible and mostly
perceived beneficial by the patients, but it requires context-specific
adaptations regarding the implementation of a task shifting approach
within the public health care system. These results provide valuable
information about user feedback for those building mobile health
interventions for depression.},
Type = {Article},
Language = {English},
Affiliation = {Diez-Canseco, F (Corresponding Author), Univ Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Ave Armendariz 497, Lima, Peru.
Brandt, Lena R.; Hidalgo, Liliana; Diez-Canseco, Francisco; Jaime Miranda, J., Univ Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Ave Armendariz 497, Lima, Peru.
Araya, Ricardo, Kings Coll London, Inst Psychiat Psychol \& Neurosci, Hlth Serv \& Populat Res, Ctr Global Mental Hlth \& Primary Care Res, London, England.
Mohr, David C., Northwestern Univ, Ctr Behav Intervent Technol, Chicago, IL 60611 USA.
Menezes, Paulo R., Univ Sao Paulo, Fac Med, Sao Paulo, Brazil.
Menezes, Paulo R., Univ Sao Paulo, Populat Mental Hlth Res Ctr, Sao Paulo, Brazil.
Jaime Miranda, J., Univ Peruana Cayetano Heredia, Sch Med, Dept Med, Lima, Peru.},
DOI = {10.2196/11701},
Article-Number = {e11701},
ISSN = {2368-7959},
Keywords = {mental health; depression; noncommunicable diseases; mHealth;
smartphone; developing countries},
Keywords-Plus = {BEHAVIORAL ACTIVATION TREATMENT; MENTAL-HEALTH; SELF-HELP; DISORDERS;
INTERNET; EFFICACY; THERAPY; CARE; INTERVENTIONS; ASSOCIATION},
Web-of-Science-Categories = {Psychiatry},
Author-Email = {fdiezcanseco@gmail.com},
ResearcherID-Numbers = {Menezes, Paulo/AAM-3529-2021
Miranda, J. Jaime/A-8482-2008
Araya, Ricardo/S-3144-2019
Menezes, Paulo R/C-9985-2010
},
ORCID-Numbers = {Menezes, Paulo/0000-0001-6330-3314
Miranda, J. Jaime/0000-0002-4738-5468
Araya, Ricardo/0000-0002-0420-5148
Menezes, Paulo R/0000-0001-6330-3314
Hidalgo-Padilla, Liliana/0000-0001-8451-7215
Mohr, David/0000-0002-5443-7596
Diez-Canseco, Francisco/0000-0002-7611-8190
Brandt, Lena R/0000-0001-7800-8473},
Number-of-Cited-References = {90},
Times-Cited = {15},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {14},
Unique-ID = {WOS:000472679500001},
DA = {2023-09-28},
}
@article{ WOS:000433913500002,
Author = {Singh, Naveen P. and Anand, Bhawna and Khan, Mohd Arshad},
Title = {Micro-level perception to climate change and adaptation issues: A
prelude to mainstreaming climate adaptation into developmental landscape
in India},
Journal = {NATURAL HAZARDS},
Year = {2018},
Volume = {92},
Number = {3},
Pages = {1287-1304},
Month = {JUL},
Abstract = {Climate change adds another dimension of challenges to the growth and
sustainability of Indian agriculture. The growing exposure to livelihood
shocks from climate variability/change and limited resource base of the
rural community to adapt has reinforced the need to mainstream climate
adaptation planning into developmental landscape. However, a better
understanding of micro-level perceptions is imperative for effective and
informed planning at the macro-level. In this paper, the grass-root
level perspectives on climate change impacts and adaptation decisions
were elicited at farm level in the Moga district of Punjab and
Mahbubnagar district of Telangana, India. The farmers opined that the
climatic variability impacts more than the long-term climate change.
They observed change in the quantum, onset and distribution of rainfall,
rise in minimum as well as maximum temperature levels, decline in crop
yield and ground water depletion. The key socio-economic effects of
climate change included decline in farm income, farm unemployment, rural
migration and increased indebtedness among farmers. In order to cope
with climate variability and change thereon, farmers resorted to
adaptation strategies such as use of crop varieties of suitable
duration, water conservation techniques, crop insurance and
participation in non-farm activities and employment guarantee schemes.
Farmers' adaptation to changing climate was constrained by several
technological, socio-economic and institutional barriers. These include
limited knowledge on the costs-benefits of adaptation, lack of access to
and knowledge of adaptation technologies, lack of financial resources
and limited information on weather. Besides, lack of access to input
markets, inadequate farm labour and smaller farm size were the other
constraints. Further, on the basis of the grass-root elicitation a
`Need-Based Adaptation' planning incorporating farmers' perceptions on
climate change impacts, constraints in the adoption of adaptation
strategies and plausible adaptation options were linked with the most
suitable ongoing programmatic interventions of the Government of India.
The study concluded that micro-level needs and constraints for various
adaptation strategies and interventions should be an integral part of
the programme development, implementation and evaluation in the entire
developmental paradigm.},
Type = {Article},
Language = {English},
Affiliation = {Singh, NP (Corresponding Author), Natl Inst Agr Econ \& Policy Res, ICAR, New Delhi 110012, India.
Singh, Naveen P.; Anand, Bhawna; Khan, Mohd Arshad, Natl Inst Agr Econ \& Policy Res, ICAR, New Delhi 110012, India.},
DOI = {10.1007/s11069-018-3250-y},
ISSN = {0921-030X},
EISSN = {1573-0840},
Keywords = {Climate change; Agriculture; Adaptation; Micro-level perception;
Mainstreaming},
Keywords-Plus = {AGRICULTURE; VULNERABILITY; VARIABILITY; SENSITIVITY; MITIGATION;
STRATEGIES; FARMERS; IMPACTS; DROUGHT; TRENDS},
Web-of-Science-Categories = {Geosciences, Multidisciplinary; Meteorology \& Atmospheric Sciences;
Water Resources},
Author-Email = {naveenpsingh@gmail.com},
ResearcherID-Numbers = {NIAP, LIBRARY ICAR/ABB-6258-2020
Khan, Mohd Arshad/AAO-5674-2021
},
ORCID-Numbers = {Khan, Mohd Arshad/0000-0002-7952-4565
, Bhawna/0000-0001-9615-1433},
Number-of-Cited-References = {39},
Times-Cited = {30},
Usage-Count-Last-180-days = {5},
Usage-Count-Since-2013 = {56},
Unique-ID = {WOS:000433913500002},
DA = {2023-09-28},
}
@inproceedings{ WOS:000326239303071,
Author = {Mayoral, P. and Flores, E. and Gonzalez, J. and Sebire, R.},
Editor = {Chova, LG and Torres, IC and Martinez, AL},
Title = {BABIES USING IPAD APPS IN A FOREIGN LANGUAGE-LEARNING ENVIRONMENT},
Booktitle = {EDULEARN12: 4TH INTERNATIONAL CONFERENCE ON EDUCATION AND NEW LEARNING
TECHNOLOGIES},
Series = {EDULEARN Proceedings},
Year = {2012},
Pages = {3450-3459},
Note = {4th International Conference on Education and New Learning Technologies
(EDULEARN), Barcelona, SPAIN, JUL 02-04, 2012},
Abstract = {The term App is a short way to name the ``application{''} in singular
and plural. The following paper based upon a teachers log, summarizes
some of the most important experiences a group of teachers faced
previous, during and while using iPad applications to stimulate kids,
from 45 days to 4 years old. Based on a timeline we introduce both the
enthusiastic experience and the scientific perspective, only with the
objectivity and the theoretical frame to support the paper, but in a
storytelling way, to take the readers with us in a journey that helps
them visualize the experience, closer to the feelings but not so far
from the objectivity of the science. From Apps designed to provide
infants with essential stimulation during early stages of development to
Apps that help teachers to facilitate the reading and writing process at
the time they enjoy and explore the technology in a friendly and natural
way. As a result of our research project, we found that some apps are
based on decades of research and beautifully designed, they were planned
to provide as much stimulation as possible, some of them use bold,
high-contrast symbols, shapes, patterns, and captivating sounds, proven
to be preferred by infants. We decided to use apps as teaching aids and
we chose those with a higher level of stimulation in the areas of
cognitive and motor development, but with impressive potential to
provide with significant visual tracking, scanning, and object
permanence, the aim was considered in two main ways, using English as a
communication channel and technology that speeds myelination of brain
cells. On the other hand, the term `early intervention' designates
educational and neuro-protection strategies aimed at enhancing brain
development. Using technology as one of these strategies increases both
the teaching experience for the teachers in charge of the early
stimulation, as well as the learning experience for babies. Early
educational strategies seek to take advantage of cerebral plasticity,
according to the experts, from the born day to the age of seven,
represent the most adequate and important period to generate as much
neuro-connections as possible. In our experience we have observed that
kids respond naturally and friendly to the chosen apps as teaching aids
to present vocabulary, to practice hand writing, to read stories and to
have fun at the time they practice math, sciences and other skills.
Early stimulation programs were first devised in the United States for
vulnerable children in low-income families; positive effects were
recorded regarding school failure rates and social problems. In the
language learning area, we decided to put in practice a stimulation
program in the University of Colima's Baby Day Care Department BDCD
(Estancias Infantiles in Spanish). The institution attends the kids of
every woman that works for the University. It is organized in rooms that
keep the kids in periods of 6 months, the first three years and twelve
months for the last year they spend at the BDCD. The class took place
two days a week for each room in sessions of 30 minutes a day. The
results so far shows positive results, from the day we began to now we
had a great amount of significant experiences we would like to share in
a full paper, as well as in the presentation.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Mayoral, P.; Flores, E.; Gonzalez, J.; Sebire, R., Univ Colima, Mexico City, DF, Mexico.},
ISSN = {2340-1117},
ISBN = {978-84-695-3491-5},
Keywords = {Early stimulation; foreign languages; iPad applications},
Web-of-Science-Categories = {Education \& Educational Research},
Author-Email = {pett30@gmail.com
florese@ucol.mx
jmgfreire@ucol.mx
raphael\_elie@hotmail.com},
ResearcherID-Numbers = {González Freire, José Manuel/H-7477-2017
sebire, raphael/GLV-1466-2022
Valdivia, Pedro José Mayoral/B-5194-2018},
ORCID-Numbers = {González Freire, José Manuel/0000-0003-0823-9676
sebire, raphael/0000-0003-2803-7203
Valdivia, Pedro José Mayoral/0000-0001-7145-354X},
Number-of-Cited-References = {6},
Times-Cited = {1},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {11},
Unique-ID = {WOS:000326239303071},
DA = {2023-09-28},
}
@article{ WOS:000368765600004,
Author = {Friedman, Steven Marc and Adamson, Matthew and Cleiman, Paula and
Arenovich, Tamara and Oleksak, Karolina and Mohabir, Ishmael Michael and
Ta, Robert and Reiter, Kimberley},
Title = {Helmet-Wearing Practices and Barriers in Toronto Bike-Share Users: a
Case-Control Study},
Journal = {CANADIAN JOURNAL OF EMERGENCY MEDICINE},
Year = {2016},
Volume = {18},
Number = {1},
Pages = {28-36},
Month = {JAN},
Abstract = {Background Helmet use among bike-share users is low. We sought to
characterize helmet-use patterns, barriers to helmet use, and cycling
safety practices among bike-share users in Toronto.
Methods A standardized survey of public bike-share program (PBSP) users
at semi-random distribution of PBSP stations was undertaken. By
maintaining a ratio of one helmet-wearer (HW): two non-helmet-wearers
(NHW) per survey period, we controlled for location, day, time, and
weather.
Results Surveys were completed on 545 (180 HW, 365 NHW) unique users at
48/80 PBSP locations, from November 2012 to August 2013. More females
wore helmets (F: 41.1\%, M: 30.9\%, p=0.0423). NHWs were slightly
younger than HWs (NHW mean age 34.4 years vs HW 37.3, p=0.0018). The
groups did not differ by employment status, education, or income. Helmet
ownership was lower among NHWs (NHW: 62.4\% vs HW: 99.4\%, p<0.0001), as
was personal bike ownership (NHW: 65.8\%, vs HW: 78.3\%, p=0.0026). NHWs
were less likely to always wear a helmet on personal bikes (NHW: 22.2\%
vs HW: 66.7\%, p<0.0001), and less likely to wear a helmet always or
most of the time on PBSP (NHW: 5.8\% vs HW: 92.3\%, p<0.0001). Both
groups, but more HWs, had planned to use PBSP when leaving their houses
(HW: 97.2\% vs NHW: 85.2\%, p<0.0001), primarily to get to work (HW:
88.3\% vs NHW: 84.1\%, p=0.19). NHWs were more likely to report that
they would wear a helmet more (NHW: 61.4\% vs HW: 13.9\%, p<0.0001),
and/or cycle less (NHW: 22.5\% vs HW: 4.4\%) if helmet use was
mandatory.
Conclusions PBSP users surveyed appear to make deliberate decisions
regarding helmet use. NHWs tended to be male, slightly younger, and less
likely to use helmets on their personal bikes. As Toronto cyclists who
do not wear helmets on PBSP generally do not wear helmets on their
personal bikes, interventions to increase helmet use should target both
personal and bike-share users. Legislating helmet use and provision of
rental helmets could improve helmet use among bike-share users, but our
results suggest some risk of reduced cycling with legislation.
Resume
Contexte Peu d'usagers des services de partage de velos portent le
casque. Aussi les auteurs ont-ils cherche a caracteriser les habitudes
du port du casque, les obstacles a son utilisation et les pratiques en
matiere de securite parmi les usagers du service de partage de velos a
Toronto.
Methode Une enquete normalisee a ete menee parmi les usagers du
programme public de partage de velos (PPPV), a differentes stations,
choisies selon une repartition semi-aleatoire. Les auteurs, en
maintenant constant le rapport de un porteur de casque (PC)/deux
non-porteurs de casques (NPC) par periode d'enquete, ont neutralise les
variables relatives au lieu, au jour, a l'heure et au temps (conditions
meteorologiques).
Resultats L'enquete a porte sur 545 (180 PC; 365 NPC) usagers
differents, a 48/80 stations, de novembre 2012 a aout 2013. Les femmes
(F) etaient plus nombreuses que les hommes (H) a porter le casque (F:
41,1 \%; H: 30,9 \%; p=0,0423). Les NPC etaient un peu plus jeunes que
les PC (NPC: 34,4 ans en moyenne contre {[}c.] PC: 37,3 ans en moyenne;
p=0,0018). Par contre, il n'y avait pas de difference entre les groupes
quant a la situation de l'emploi, aux etudes ou au revenu. Le fait de
posseder son propre casque etait plus faible parmi les NPC (NPC: 62,4 \%
c. PC: 99,4 \%; p<0,0001) que parmi les PC, tout comme le fait de
posseder sa propre bicyclette (NPC: 65,8 \% c. PC: 78,3 \%; p=0,0026).
Les NPC avaient moins tendance a toujours porter un casque sur leur
bicyclette personnelle (NPC: 22,2 \% c. PC: 66,7 \%; p<0,0001) et a
toujours ou presque toujours porter un casque sur les bicyclettes du
PPPV (NPC: 5,8 \% c. PC: 92,3 \%; p<0,0001). Dans les deux groupes, mais
davantage dans celui des PC, les cyclistes avaient prevu recourir au
PPPV au depart de la maison (PC: 97,2 \% c. NPC: 85,2 \%; p<0,0001),
surtout pour se rendre au travail (PC: 88,3 \% c. NPC: 84,1 \%; p=0,19).
Les NPC etaient plus nombreux que les PC a indiquer qu'ils porteraient
le casque plus souvent (NPC: 61,4 \% c. PC: 13,9 \%, p<0,0001) et/ou
qu'ils feraient moins de bicyclette (NPC: 22,5 \% c. PC: 4,4 \%) si le
port du casque devenait obligatoire.
Conclusions Les usagers du PPPV ayant participe a l'enquete semblent
avoir fait un choix delibere quant au port du casque. Les NPC etaient en
general des hommes, un peu plus jeunes que les PC et les premiers
avaient moins tendance que les seconds a porter un casque sur leur
bicyclette personnelle. Comme les cyclistes qui ne portent pas de casque
sur les bicyclettes du PPPV n'en portent generalement pas sur leur
bicyclette personnelle a Toronto, les interventions visant a accroitre
le port du casque devraient viser autant les proprietaires de bicyclette
personnelle que les usagers du service de partage de velos. Toutefois,
le fait d'imposer le port du casque et la fourniture de casques de
location par voie legislative pourrait certes ameliorer le port du
casque parmi les usagers du service de partage de velos, mais, d'apres
les resultats de l'enquete, cela pourrait aussi avoir pour consequence
de diminuer l'usage de la bicyclette.},
Type = {Article},
Language = {English},
Affiliation = {Friedman, SM (Corresponding Author), Univ Hlth Network, Dept Emergency Med, RFE G S434,200 Elizabeth St, Toronto, ON M5G 2C4, Canada.
Friedman, Steven Marc; Cleiman, Paula, Univ Hlth Network, Dept Emergency Med, RFE G S434,200 Elizabeth St, Toronto, ON M5G 2C4, Canada.
Friedman, Steven Marc; Adamson, Matthew; Arenovich, Tamara, Univ Toronto, Fac Med, Toronto, ON, Canada.
Oleksak, Karolina; Mohabir, Ishmael Michael, Univ Toronto, Fac Sci, Toronto, ON, Canada.
Ta, Robert, Univ Dublin Trinity Coll, Sch Med, Dublin, Ireland.
Reiter, Kimberley, Univ Ottawa, Fac Med, Ottawa, ON K1N 6N5, Canada.},
DOI = {10.1017/cem.2015.22},
ISSN = {1481-8035},
EISSN = {1481-8043},
Keywords = {bicycle helmets; bicycling Injuries; bike lanes; bike share},
Keywords-Plus = {BICYCLE SAFETY; LEGISLATION; PREVALENCE; VICTORIA; MONTREAL},
Web-of-Science-Categories = {Emergency Medicine},
Author-Email = {steven.friedman@uhn.ca},
ORCID-Numbers = {Ta, Robert/0000-0002-2204-1810},
Number-of-Cited-References = {42},
Times-Cited = {12},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {28},
Unique-ID = {WOS:000368765600004},
DA = {2023-09-28},
}
@article{ WOS:000717282900002,
Author = {Guglielmo, Dana and Theis, Kristina A. and Murphy, Louise B. and Boring,
Michael A. and Helmick, Charles G. and Omura, John D. and Odom, Erica L.
and Duca, Lindsey M. and Croft, Janet B.},
Title = {Physical Activity Types and Programs Recommended by Primary Care
Providers Treating Adults With Arthritis, DocStyles 2018},
Journal = {PREVENTING CHRONIC DISEASE},
Year = {2021},
Volume = {18},
Month = {OCT},
Abstract = {Primary care providers (PCPs) can offer counseling to adults with
arthritis on physical activity, which can reduce pain and improve
physical function, mental health, and numerous other health outcomes. We
analyzed cross-sectional 2018 DocStyles data for 1,366 PCPs who reported
they always or sometimes recommend physical activity to adults with
arthritis. Most PCPs sampled (88.2\%) recommended walking, swimming, or
cycling; 65.5\% did not recommend any evidence-based,
arthritis-appropriate physical activity programs recognized by the
Centers for Disease Control and Prevention. Opportunities exist for
public health awareness campaigns to educate PCPs about evidence-based
physical activity programs proven to optimize health for adults with
arthritis when more than counseling is needed. Objective Physical
activity is recommended for adults with all types of arthritis because
it can reduce pain and improve physical functioning, mood, and quality
of life (1,2). Professional organizations encourage health care
professionals to counsel adults with arthritis on physical activity and
recommend supervised programs when needed (3,4). Primary care providers
(PCPs) frequently treat arthritis (5) and are instrumental in promoting
physical activity. Although we previously found that 98.4\% of PCPs
always or sometimes recommend physical activity to adults with arthritis
(6), the content of physical activity counseling may affect its
effectiveness (3). Addressing patient concerns (eg, arthritis-specific
physical activity barriers such as pain) warrants specific guidance and
referrals to safe, supervised programs (3). To build on a previous
study, we examined physical activity types and programs recommended
among PCPs recommending physical activity to adults with any type of
arthritis and compared distributions of characteristics of PCPs
recommending programs versus PCPs unaware of them. Methods We analyzed
cross-sectional data from 2018 Porter Novelli Doc Styles
(https://styles.porternovelli.com/docstyles), an online national market
research survey assessing PCP attitudes, patient en counters, and use of
medical information resources. Eligible Doc-Styles participants were
family practitioners, internists, obstetri-cian/gynecologists, and nurse
practitioners aged 21 or older, liv-ing and practicing in the US,
practicing for at least 3 years, treat-ing at least 10 patients weekly,
and working at an individual, group, or inpatient practice. From June
through August 2018, Porter Novelli invited participants by email to
complete the sur-vey from the Sermo Global Medical Panel
(www.sermo.com), SurveyHealthcareGlobus
(www.surveyhealthcareglobus.com), and WebMD (www.webmd.com). Target
quotas (1,000 PCPs, 250 ob-stetricians/gynecologists, and 250 nurse
practitioners) were met by inviting highly responsive participants
(defined as completing >75\% of any kind of survey {[}not only
DocStyles] in which they had been invited to participate) first from
among those not parti-cipating in DocStyles 2017. Of 2,582 invited
persons, 1,505 com-pleted the survey (response rate, 58.3\%) and were
compensated \$55 to \$77 based on number of questions asked. We excluded
116 PCPs not treating adults with arthritis and 23 never recommend-ing
physical activity, which resulted in an analytic sample of 1,366.
Additional survey details are available elsewhere (6). Al-though
analyses were not subject to Centers for Disease Control and
Prevention's (CDC's) institutional review board, we followed all Council
of American Survey Research Organizations guidelines, and the data set
was deidentified.
The 2018 DocStyles Survey included a module with questions about
recommendations for CDC-recognized arthritis-appropriate physical
activity programs (hereafter ``programs{''}) (7), which have an evidence
base for addressing physical activity barriers (8). PCPs treating an
average of at least 1 adult with arthritis weekly completed multiple
choice questions about physical activity coun-seling for adults with
arthritis, including physical activity types, programs recommended, and
reasons for not recommending pro-grams. We calculated percentages for
physical activity type and program variables overall (N = 1,366) and
reasons for not recommending programs among PCPs not recommending
programs (n = 895). To identify opportunities for promoting program
awareness, we gen-erated distributions of PCP characteristics overall (N
= 1,366) and for those recommending programs (n = 471) and unaware of
pro-grams (n = 710). We generated percentages using SAS version 9.4 (SAS
Institute Inc); we performed chi 2 tests in Excel version 2008
(Microsoft Corp) to assess differences (significant at alpha = .05)
between PCP groups. Results PCPs were commonly aged 50 or older (46.2\%;
95\% CI, 43.5\%-48.8\%), men (57.5\%; 95\% CI, 54.8\%-60.1\%),
non-Hispanic White (67.1\%; 95\% CI, 64.6\%-69.6\%), and working in a
group outpatient practice (67.5\%; 95\% CI, 65.0\%-70.0\%) (Ta-ble).
Most PCPs recommended walking, swimming, or cycling (88.2\%; 95\% CI,
86.5\%-89.9\%), stretching (63.8\%; 95\% CI, 61.3\%-66.4\%), and
physical therapy (60.8\%; 95\% CI, 58.2\%-63.4\%) (Figure). Programs
were recommended less fre-quently than physical activity: 34.5\% (n =
471) of PCPs recom-mended 1 or more programs. The most commonly
recommended programs were the Arthritis Foundation's Aquatic Program
(18.0\%; 95\% CI, 16.0\%-20.0\%), the Arthritis Foundation's Exer-cise
Program (14.4\%; 95\% CI, 12.6\%-16.3\%), and Walk With Ease (13.8\%;
95\% CI, 12.0\%-15.7\%) (Figure). Most PCPs did not recommend any
programs (65.5\%; 95\% CI, 63.0\%-68.0\%); among this group (n = 895),
the most commonly reported reasons were being unaware of them (n = 710;
79.3\%; 95\% CI, 76.7\%-82.0\%); programs were unavailable in their area
(22.5\%; 95\% CI, 19.7\%-25.2\%), unaffordable for patients (12.5\%;
95\% CI, 10.3\%-14.7\%), or inaccessible to patients (12.2\%; 95\% CI,
10.0\%-14.3\%); and believing patients would not attend (10.5\%; 95\%
CI, 8.5\%-12.5\%).},
Type = {Article},
Language = {English},
Affiliation = {Guglielmo, D (Corresponding Author), Natl Ctr Chron Dis Prevent \& Hlth Promot, Div Populat Hlth, Ctr Dis Control \& Prevent, 4770 Buford Hwy NE,MS S107-6, Atlanta, GA 30341 USA.
Guglielmo, Dana; Theis, Kristina A.; Helmick, Charles G.; Odom, Erica L.; Duca, Lindsey M.; Croft, Janet B., Natl Ctr Chron Dis Prevent \& Hlth Promot, Div Populat Hlth, Ctr Dis Control \& Prevent, 4770 Buford Hwy NE,MS S107-6, Atlanta, GA 30341 USA.
Guglielmo, Dana, Oak Ridge Inst Sci \& Educ, Oak Ridge, TN USA.
Murphy, Louise B., Optum Life Sci Inc, Eden Prairie, MN USA.
Boring, Michael A., ASRT Inc, Smyrna, GA USA.
Omura, John D., Natl Ctr Chron Dis Prevent \& Hlth Promot, Div Nutr Phys Act \& Obes, Ctr Dis Control \& Prevent, Atlanta, GA USA.
Duca, Lindsey M., Natl Ctr Chron Dis Prevent \& Hlth Promot, Epidem Intelligence Serv, Ctr Dis Control \& Prevent, Atlanta, GA USA.},
DOI = {10.5888/pcd18.210194},
Article-Number = {e92},
ISSN = {1545-1151},
Keywords-Plus = {EXERCISE; BENEFITS},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {danagugliel@gmail.com},
ORCID-Numbers = {Odom, Erica/0000-0003-0080-8192
Guglielmo, Dana/0000-0001-5879-9474},
Number-of-Cited-References = {12},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {2},
Unique-ID = {WOS:000717282900002},
DA = {2023-09-28},
}
@article{ WOS:001023619300001,
Author = {Rocha, Oscar Moreno Y. and Pinto, Paula and Consuegra, Maria C. and
Cifuentes, Sebastian and Ulloa, Jorge H.},
Title = {Mobile ultrasound vascular assessment (MUVA) for remote and conflict
areas},
Journal = {JOURNAL OF HUMANITARIAN LOGISTICS AND SUPPLY CHAIN MANAGEMENT},
Year = {2023},
Month = {2023 JUL 11},
Abstract = {PurposeThis study aims to facilitate access to vascular disease
screening for low-income individuals living in remote and conflict areas
based on the results of a pilot trial in Colombia. Also, to increase the
amount of diagnosis training of vascular surgery (VS) in civilians.
Design/methodology/approachThe operation method includes five stages:
strategy development and adjustment; translation of the strategy into a
real-world setting; operation logistics planning; strategy analysis and
adoption. The operation plan worked efficiently in this study's sample.
It demonstrated high sensibility, efficiency and safety in a real-world
setting. FindingsThe authors developed and implemented a flow model
operating plan for screening vascular pathologies in low-income patients
pro bono without proper access to vascular health care. A total of 140
patients from rural areas in Colombia were recruited to a controlled
screening session where they underwent serial noninvasive ultrasound
assessments conducted by health professionals of different training
stages in VS. Research limitations/implicationsThe plan was designed to
be implemented in remote, conflict areas with limited access to VS care.
Vascular injuries are critically important and common among civilians
and military forces in regions with active armed conflicts. As this
strategy can be modified and adapted to different medical specialties
and geographic areas, the authors recommend checking the related
legislation and legal aspects of the intended areas where we will
implement this tool. Practical implicationsDifferent sub-specialties can
implement the described method to be translated into significant areas
of medicine, as the authors can adjust the deployment and execution for
the assessment in peripheral areas, conflict zones and other public
health crises that require a faster response. This is necessary, as the
amount of training to which VS trainees are exposed is low. A simulated
exercise offers a novel opportunity to enhance their current diagnostic
skills using ultrasound in a controlled environment. Social
implicationsEvaluating and assessing patients with limited access to
vascular medicine and other specialties can decrease the burden of
vascular disease and related complications and increase the number of
treatments available for remote communities. Originality/valueIt is
essential to assess the most significant number of patients and treat
them according to their triage designation. This management is similar
to assessment in remote areas without access to a proper VS consult. The
authors were able to determine, classify and redirect to therapeutic
interventions the patients with positive findings in remote areas with a
fast deployment methodology in VS. Plain language summaryAccess to
health care is limited due to multiple barriers and the assessment and
response, especially in peripheral areas that require a highly skilled
team of medical professionals and related equipment. The authors tested
a novel mobile assessment tool for remote and conflict areas in a rural
zone of Colombia.},
Type = {Article; Early Access},
Language = {English},
Affiliation = {Rocha, O (Corresponding Author), Univ Los Andes, Med Sch, Bogota, Colombia.
Rocha, O (Corresponding Author), Fdn Santa Fe Bogota Univ Hosp, Div Vasc \& Endovasc Surg, Bogota, Colombia.
Rocha, O (Corresponding Author), Univ Michigan, Dept Vasc Surg, Ann Arbor, MI 48109 USA.
Rocha, Oscar Moreno Y.; Pinto, Paula; Cifuentes, Sebastian; Ulloa, Jorge H., Univ Los Andes, Med Sch, Bogota, Colombia.
Rocha, Oscar Moreno Y.; Pinto, Paula; Cifuentes, Sebastian; Ulloa, Jorge H., Fdn Santa Fe Bogota Univ Hosp, Div Vasc \& Endovasc Surg, Bogota, Colombia.
Rocha, Oscar Moreno Y., Univ Michigan, Dept Vasc Surg, Ann Arbor, MI 48109 USA.
Consuegra, Maria C., Univ Norte, Med Sch, Barranquilla, Colombia.},
DOI = {10.1108/JHLSCM-04-2022-0047},
EarlyAccessDate = {JUL 2023},
ISSN = {2042-6747},
EISSN = {2042-6755},
Keywords = {Flow assessment; Assembly line; Aortic aneurysm; Chronic venous disease;
Ultrasound; Combat casualty care},
Keywords-Plus = {ABDOMINAL AORTIC-ANEURYSMS; CARE; IMPLEMENTATION; POPULATION; MORTALITY;
SURGERY; LESSONS; SYSTEM; WAR},
Web-of-Science-Categories = {Management},
Author-Email = {oscar.md@icloud.com
p.pinto@uniandes.edu.co
cconsuegram@uninorte.edu.co
js.cifuentes12@uniandes.edu.co
vascuandes@icloud.com},
Number-of-Cited-References = {59},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:001023619300001},
DA = {2023-09-28},
}
@inproceedings{ WOS:000255185400085,
Author = {Fuller-Love, Nerys},
Editor = {RenYong, C and Hosseini, J},
Title = {Female entrepreneurship in a rural area: Motivations and attitudes
towards growth},
Booktitle = {PROCEEDINGS OF THE NINTH WEST LAKE INTERNATIONAL CONFERENCE ON SMALL AND
MEDIUM BUSINESS (WLICSMB)},
Year = {2008},
Pages = {519-526},
Note = {9th West Lake International Conference on Small and Medium Business,
Hangzhou, PEOPLES R CHINA, OCT 21-23, 2007},
Abstract = {There has been a growing level of interest in female entrepreneurship in
recent years. Initially, there was an awareness of the lower
participation of women than men in the creation and growth of new
enterprises. More recently, there is recognition that female
entrepreneurship can have a positive impact on economic prosperity. This
paper looks at female entrepreneurship in a rural area, as well as their
motivation for starting a business and their attitude towards growth.
Entrepreneurs start a business for a variety of reasons, such as making
money, flexible working hours, others may want to employ family members
or feel they have no other option. It can be difficult to start a
business in any circumstance yet there is evidence that some groups may
find it more difficult. Women in particular, may face additional
problems starting a business. Access to resources, including finance,
skills and access to markets, may be more difficult for some females.
One of the reasons given by the EU (2002:3) for promoting female
entrepreneurship is that they are a source of `economic growth and new
jobs' and that the barriers they face in setting up and running a
business must be tackled. There is an understanding that entrepreneurs
in general make a contribution towards economic growth, mainly in terms
of job creation but also in terms of innovation. Therefore, if the
numbers of entrepreneurs can be increased by bringing the levels of
female entrepreneurship to the equivalent for male business owners, then
that will help the economy. In the US, female entrepreneurs account for
38.8\% of all privately owned firms (Minniti et al, 2005) and this is
seen as one of the reasons for the higher GDP than in countries where
the participation rate for women is lower.
This paper looks at four case studies of women in a rural area. Low farm
incomes and a lack of alternative employment can act as an impetus for
female entrepreneurship in rural areas. Distance from local markets can
make it more difficult for a rural enterprise to succeed and generally,
rural businesses have a lower turnover than those in urban conurbations.
The case studies include a farmer's wife trying to generate additional
income, one running an IT business from home, another developing a
forestry business, and one running a seed business and opening a fashion
retail outlet. Two of the women are very successful and are making good
profits whereas the other two are barely making a living. What are the
differences between these women? This paper looks at the different
attitudes of these women, their reasons for starting a business and how
they are trying to grow their businesses. This study found that although
they did want to grow their business and make money, their main
motivation was the lifestyle.},
Type = {Proceedings Paper},
Language = {English},
Affiliation = {Fuller-Love, Nerys, Univ Wales, Sch Business \& Management, Aberystwyth, Dyfed, Wales.},
ISBN = {978-7-81127-091-4},
Keywords = {female entrepreneurship; motivations; attitudes},
Web-of-Science-Categories = {Business; Business, Finance; Economics},
Number-of-Cited-References = {21},
Times-Cited = {0},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {26},
Unique-ID = {WOS:000255185400085},
DA = {2023-09-28},
}
@article{ WOS:000433882700019,
Author = {Saeed, Sana and Somani, Noureen and Sharif, Fatima and Kazi, Abdul Momin},
Title = {Evaluating the Effectiveness of Text Messaging and Phone Call Reminders
to Minimize No Show at Pediatric Outpatient Clinics in Pakistan:
Protocol for a Mixed-Methods Study},
Journal = {JMIR RESEARCH PROTOCOLS},
Year = {2018},
Volume = {7},
Number = {4},
Month = {APR},
Abstract = {Background: Missing health care appointments without canceling in
advance results in a no show, a vacant appointment slot that cannot be
offered to others. No show can be reduced by reminding patients about
their appointment in advance. In this regard, mobile health (mHealth)
strategy is to use text messaging (short message service, SMS), which is
available on all cellular phones, including cheap low-end handsets.
Nonattendance for appointments in health care results in wasted
resources and disturbs the planned work schedules.
Objectives: The purpose of this study is to evaluate the efficacy of the
current text messaging (SMS) and call-based reminder system and further
explore how to improve the attendance at the pediatric outpatient
clinics. The primary objectives are to (1) determine the efficacy of the
current clinic appointment reminder service at pediatric outpatient
clinics at Aga Khan University Hospital, (2) assess the mobile phone
access and usage among caregivers visiting pediatrics consultant
clinics, and (3) explore the perception and barriers of parents
regarding the current clinic appointment reminder service at the
pediatric outpatient clinics at Aga Khan University Hospital.
Methods: The study uses a mixed-method design that consists of 3
components: (1) retrospective study (component A) which aims to
determine the efficacy of text messaging (SMS) and phone call based
reminder service on patient's clinic attendance during January to June
2017 (N=58,517); (2) quantitative (component B) in which a baseline
survey will be conducted to assess the mobile phone access and usage
among parents/caregivers of children visiting pediatrics consultant
clinics (n=300); and (3) qualitative (component C) includes in-depth
interviews and focus group discussion with parents/caregivers of
children visiting the pediatric consultancy clinic and with health care
providers and administrative staff. Main constructs will be to explore
perceptions and barriers related to existing clinic appointment reminder
service. Ethics approval has been obtained from the Ethical Review
Committee, Aga Khan University, Pakistan (4770-Ped-ERC-17).
Results: Results will be disseminated to pediatric quality public health
and mHealth communities through scientific meetings and through
publications, nationally and internationally.
Conclusions: This study will provide insight regarding efficacy of using
mHealth-based reminder services for patient's appointments in low- and
middle-income countries setup. The finding of this study will be used to
recommend further enhanced mHealth-based solutions to improve patient
appointments and decrease no show.},
Type = {Article},
Language = {English},
Affiliation = {Kazi, AM (Corresponding Author), Aga Khan Univ, Dept Paediat \& Child Hlth, Fac Off Bldg,Stadium Rd, Karachi, Pakistan.
Saeed, Sana; Somani, Noureen; Sharif, Fatima; Kazi, Abdul Momin, Aga Khan Univ, Dept Paediat \& Child Hlth, Fac Off Bldg,Stadium Rd, Karachi, Pakistan.},
DOI = {10.2196/resprot.9294},
Article-Number = {e91},
ISSN = {1929-0748},
Keywords = {text messaging; mobile phone; mhealth; appointments and schedules;
outpatient services; pediatrics},
Keywords-Plus = {SERVICE REMINDERS; MOBILE PHONE; SMS; INTERVENTIONS; ATTENDANCE;
COVERAGE},
Web-of-Science-Categories = {Health Care Sciences \& Services; Public, Environmental \& Occupational
Health},
Author-Email = {momin.kazi@aku.edu},
ORCID-Numbers = {Saeed, Sana/0000-0001-6157-6327
Kazi, Abdul Momin/0000-0001-8253-1777},
Number-of-Cited-References = {22},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {6},
Unique-ID = {WOS:000433882700019},
DA = {2023-09-28},
}
@article{ WOS:000720372700007,
Author = {Zapata, Amadeo Navarro},
Title = {Regional analysis of Spanish high-tech manufacturing exports to East
Asian countries},
Journal = {REVISTA DE ESTUDIOS REGIONALES},
Year = {2021},
Number = {121},
Pages = {103-136},
Month = {MAY-AUG},
Abstract = {In the last decades, the East Asian region has experienced important
economic transformations that have led to important growth and economic
development. A crucial part of this growth has been due to the
contribution of the foreign sector, and more specifically the trade in
manufactures, establishing a model of economic growth based largely on
exports of this type of goods.
The Spanish foreign sector has also undergone important changes in
recent decades, although the need to expand foreign markets and the
improvement of the technological intensity of manufactured exports are
two pending tasks to be able to compete more efficiently in the
international markets. The Spanish authorities have emphasised these
needs and have been defined as objectives to be achieved in the
different internationalisation strategies for the Spanish economy
designed in recent years, and although improvements have been made,
there is still ample scope to deepen the reforms needed to achieve a
more efficient pattern of manufacturing specialisation. In most cases,
the analysis of these deficiencies has been confined to the country,
without paying special attention to the study of the regional aspect,
and to the high regional geographic concentration in the Spanish
production of manufactures with a higher technological content,
highlighting the unavoidable need to implement economic policy tools to
improve the supply of new products with high technological content.
This article analyses the technological intensity of manufactures
exported by the Spanish autonomous communities to the world and the main
territories of East Asia: China, Japan, Korea, ASEAN, Hong Kong and
Taiwan, for the period 2000 to 2016. As we mentioned before, this choice
is based on the importance that these territories have achieved in the
international markets of manufactures in general, and of manufactures
with high technological intensity in particular, and also based on the
low presence in the economic literature in Spain.
This analysis fills a crucial gap in the economic literature regarding
the technological intensity of manufactures exported by Spanish regions,
and it is for this reason that our study aims to provide scientific
evidence for the case of the technological intensity of manufactures
exported by Spanish autonomous communities to the world and to the East
Asian region. Therefore, it could serve as an important tool on the
assessment of economic policy measures implemented to increase regional
exports of manufactures with a higher technological content. This work
can also be a good tool for Spanish companies that wish to
internationalise their processes in the countries of the study,
identifying market niches and difficulties in internationalising their
processes in East Asian countries. Likewise, it can serve the Spanish
authorities at national and regional level in charge of designing
policies aimed at favouring these processes of business
internationalisation, identifying comparative advantages, and
reinforcing economic policy tools aimed at improving the financing,
training and qualification of companies exporting manufactures with a
high technological content. Thus, this article has a significant
relevance due to the need to improve the regional export propensity of
manufactures with a higher technological content, since achieving these
objectives could help to attain greater economic growth, showing that
product specialisation from the point of view of technological intensity
is not neutral on potential of wealth creation.
One of the aims of this paper is to determine the weight of the foreign
manufacturing sector in the Spanish regional economies, since the
measures and the scope of the economic policies to be implemented to
improve the technological intensity of manufacturing will depend to a
certain degree on the importance of this sector in each of the
autonomous communities, and for this it will be essential to determine
the technological breakdown of manufactures exported by the Spanish
regions to the world and to the countries of East Asia, as well as to
analyse the evolution of their technological pattern during the study
period. This article also aims to determine the main manufactures with
high technological intensity exported by the Spanish regions to the
countries of East Asia, to analyse their level of concentration, and the
degree of similarity of the distributions of exports of manufactures
with high technological intensity among each of the Spanish autonomous
communities, and that of Spain as a whole. The database used in this
study is Datacomex of the Ministry of Industry, Trade and Tourism of
Spain, which collects data on declared trade provided by the Department
of Customs and Special Taxes of the State Agency of the Tax
Administration.
In the regional study of manufactures exported according to their
technological content by Spain and by the Spanish regions to the world
and the countries of East Asia, a statistical analysis is carried out
using the technological classification established by the OECD, where
manufactures are broken down into four groups: high technology
manufactures, medium-high technology, medium-low technology, and low
technology. The disaggregation of manufactures used in this article is
at five-digit level, which provides a high level of disaggregation,
avoiding the likely drawbacks derived from a high level of aggregation.
In the analysis of the concentration of exported manufactures, we used
the Theil concentration index, while in the study of the similarity
between the distributions of exports to the world and to the East Asian
countries regarding manufactures with high technological intensity,
between the Spainsh regions and Spain as whole, we use the
Finger-Kreinin index.
From the analysis of the manufactures exports, it is observed that there
is no clear relationship between the weight of the manufacturing sector
in the regional economies and the volume of exports with high
technological intensity. Although it is difficult to establish a pattern
regarding the evolution of manufactures with high intensity exported by
the Spanish regions, some autonomous communities, such as the Community
of Madrid, have significantly increased the proportion of manufactures
exported with high technological intensity as they increased their sales
abroad in absolute terms, establishing a pattern of industrialisation
focused on those manufactures with a higher added value. Moreover, from
the analysis of manufactures exports to the countries of East Asia, we
can conclude that exports values can be improved both in quantitative
and qualitative terms, and that there is a significant concentration of
manufactures exports in a few regions. Madrid, followed by Castilla-Leon
and Andalucia are among the Spanish regions that showed a good
performance during the study period, and among those that better adapted
to the pattern of specialisation of Asian imports, on the other hand are
regions such as Galicia, Cantabria, Extremadura or Murcia. Likewise, the
evolution of the value of exports of manufactures with high
technological intensity is very heterogeneous, and there is no a defined
pattern.
From the analysis of the concentration index, it is observed that a high
concentration is associated with a low level of value exports, that is
why as value of exports increases, there is a greater product
diversification. Moreover, there is a greater concentration in
manufactures exported to the East Asian countries than those exported to
the rest of the world. Overall, from the results obtained by the
Finger-Kreinin index, we can conclude that the Spanish regions have a
distribution of exports of manufactures with a high technological
intensity quite similar to that of the nation as a whole, that these
distributions have been homogenised with that of the country as a whole
over time, with a greater homogeneity in the case of those regions with
high propensity to exports manufactures of high technological content.},
Type = {Article},
Language = {Spanish},
Affiliation = {Zapata, AN (Corresponding Author), Univ Rey Juan Carlos, Madrid, Spain.
Zapata, Amadeo Navarro, Univ Rey Juan Carlos, Madrid, Spain.},
ISSN = {0213-7585},
Keywords = {Exports; Manufacturing; Technology intensity; East Asia},
Keywords-Plus = {ECONOMIC-GROWTH; US STATES; TRADE; DIVERSIFICATION; INCOME; EMPLOYMENT},
Web-of-Science-Categories = {Environmental Studies},
ResearcherID-Numbers = {Navarro Zapata, Amadeo/ADJ-5595-2022},
ORCID-Numbers = {Navarro Zapata, Amadeo/0000-0002-7405-9035},
Number-of-Cited-References = {34},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {4},
Unique-ID = {WOS:000720372700007},
DA = {2023-09-28},
}
@article{ WOS:000385608100002,
Author = {Jegaden, D. and Peron, J. and Bianco, S. and Davion, M. and Cardonne, S.
and Ha, O. and Hekinian, A. and Nousbaum, M. and Nicolas, F.},
Title = {The advantages of treating workers suffering from chronic back pain by
combining the services offered by occupational health doctors and those
of physiotherapy and rehabilitation medicine},
Journal = {ARCHIVES DES MALADIES PROFESSIONNELLES ET DE L ENVIRONNEMENT},
Year = {2016},
Volume = {77},
Number = {4},
Pages = {623-635},
Month = {SEP},
Abstract = {Introduction. Back pain is a major problem in the workplace. Back pain
is also responsible for considerable economic costs and can have serious
social repercussions in our society. In this study we present the
results of four years of study combining the findings of two different
medical teams involved in the treatment of chronic back pain: the
occupational health department in Brest (service de sante au travail en
Iroise {[}STI], Brest and a service of physiotherapy and rehabilitation
medicine in Roscoff, France.
Methodology. Our model is based on the diagnosis of a problem of chronic
back pain in various workers. The diagnosis is proposed by doctors
associated with the occupational health department of Brest, based on a
specific protocol that covers workers who have been suffering from
chronic back pain for more than 3 months with an obvious impact on the
quality of their work. Each individual medical case was then studied by
a joint medical committee composed of doctors specialized in
occupational health concerns and doctors specialized in physical
rehabilitation. On the basis of the committee's findings, it has (or
not) been possible to offer to the back pain sufferers a series of
physical therapy and functional re-education sessions, as well as an
ergonomic study of their workstation. One year later, a new evaluation
of the situation was systematically undertaken by comparing the ODI,
HADS and Karasek tests for each individual.
Results. One hundred and eighty-three workers were presented to the
joint committee of occupational health practitioners and physical
rehabilitation specialists between 2010 and 2013. Each case was then
re-evaluated one year later. Only 90 cases were taken in charge by the
rehabilitation and functional re-education center. Seventy-one cases
were re-evaluated by the committee of doctors one year later. Among
these cases, 18 workers were declared unfit with no work resumption.
Seven of the original 90 cases were lost from sight. After one year,
78.9\% of the subjects included in the program were working, whereas
only 55.7\% of them were on their jobs at the beginning of the program.
A total of 67.9\% of the patients (or workers) declared that they felt a
physical improvement in their back pain. Seventy-five percent of the
patients were recognized as disabled workers. On average, their ODI
score was improved (by 10 points) as well as their psychological
profile, in terms of less depression and less anxiety.
Discussion. We compare our model to other types of health care offered
to patients suffering from chronic back pain, especially the Sherbrooke
model. We confirm the importance of multidisciplinary care based on the
bio-psychosocial well-being profile. The first results we are publishing
are more positive than those presented in other studies, although it is
difficult to compare this particular ``protocol{''} with others. On the
other hand, we found no clear benefit in the ergonomic adaptation of the
workstation, unlike other studies. However, the benefits of physical
rehabilitation/re-adaptatiOn, (and sports) are confirmed. A global
approach using a well-defined protocol that takes in charge patients
(workers) suffering from chronic back pain by an occupational health
service and then through a close relationship with a physical
rehabilitation center has provided encouraging results. However, it is
still possible to improve these results, especially by integrating
suggestions by specialists in ergonomics with those of the occupational
therapists in order to optimize the adaptation of certain workstations.
(C) 2015 Elsevier Masson SAS. All rights reserved.},
Type = {Article},
Language = {French},
Affiliation = {Jegaden, D (Corresponding Author), Sante Travail Iroise, 26 Rue Eau Blanche, F-29200 Brest, France.
Jegaden, D.; Peron, J.; Bianco, S.; Hekinian, A.; Nousbaum, M.; Nicolas, F., Sante Travail Iroise, 26 Rue Eau Blanche, F-29200 Brest, France.
Davion, M.; Cardonne, S.; Ha, O., Fdn Ildys, Ctr Perharidy, F-29684 Roscoff, France.},
DOI = {10.1016/j.admp.2015.08.011},
ISSN = {1775-8785},
EISSN = {1778-4190},
Keywords = {Back pain; Occupational; Rehabilitation; Fitness},
Keywords-Plus = {FUNCTIONAL RESTORATION PROGRAM; NECK PAIN; INTERVENTIONS; DEPRESSION;
SYMPTOMS; SMOKING; ANXIETY; STRAIN; MODEL},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {d.jegaden@metrabrest.com},
ResearcherID-Numbers = {JEGADEN, Dominique/ADL-3060-2022},
ORCID-Numbers = {JEGADEN, Dominique/0000-0003-4709-326X},
Number-of-Cited-References = {40},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {20},
Unique-ID = {WOS:000385608100002},
DA = {2023-09-28},
}
@article{ WOS:000397406100007,
Author = {Eyrich-Garg, Karin M. and Moss, Shadiya L.},
Title = {How Feasible is Multiple Time Point Web-Based Data Collection with
Individuals Experiencing Street Homelessness?},
Journal = {JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE},
Year = {2017},
Volume = {94},
Number = {1},
Pages = {64-74},
Month = {FEB},
Abstract = {Three barriers investigators often encounter when conducting
longitudinal work with homeless or other marginalized populations are
difficulty tracking participants, high rates of no-shows for follow-up
interviews, and high rates of loss to follow-up. Recent research has
shown that homeless populations have substantial access to information
technologies, including mobile devices and computers. These technologies
have the potential both to make longitudinal data collection with
homeless populations easier and to minimize some of these methodological
challenges. This pilot study's purpose was to test whether individuals
who were homeless and sleeping on the streets-the Bstreet homeless-would
answer questions remotely through a web-based data collection system at
regular ``followup{''} intervals. We attempted to simulate longitudinal
data collection in a condensed time period. Participants (N = 21)
completed an in-person baseline interview. Each participant was given a
remotely reloadable gift card. Subsequently, weekly for 8 weeks,
participants were sent an email with a link to a SurveyMonkey
questionnaire. Participants were given 48 h to complete each
questionnaire. Data were collected about life on the streets, service
use, community inclusion, substance use, and high-risk sexual behaviors.
Ten dollars was remotely loaded onto each participant's gift card when
they completed the questionnaire within the completion window. A
substantial number of participants (67\% of the total sample and 86\% of
the adjusted sample) completed at least seven out of the eight follow-up
questionnaires. Most questionnaires were completed at public libraries,
but several were completed at other types of locations (social service
agencies, places of employment, relative/friend/acquaintance's
domiciles, or via mobile phone). Although some of the questions were
quite sensitive, very few participants skipped any questions. The only
variables associated with questionnaire completion were frequency of
computer use and education- both positive associations. This pilot study
suggests that collecting longitudinal data online may be feasible with a
subpopulation of persons experiencing homelessness. We suspect that
participant follow-up rates using web-based data collection methods have
the potential to exceed follow-up rates using traditional in-person
interviews. If this population of persons experiencing street
homelessness can be successful with this method of data collection,
perhaps other disenfranchised, difficult-to-track, or difficult-to-reach
populations could be followed using web-based data collection methods.
Local governments are striving to decrease the ``digital divide,{''}
providing free or greatly discounted wi-fi connectivity as well as
mobile computer lab access to low-income geographic areas. These
actions, in combination with increased smart phone ownership, may permit
vulnerable populations to connect and communicate with investigators.},
Type = {Article},
Language = {English},
Affiliation = {Eyrich-Garg, KM (Corresponding Author), Temple Univ, Sch Social Work, Coll Publ Hlth, Philadelphia, PA 19122 USA.
Eyrich-Garg, Karin M., Temple Univ, Sch Social Work, Coll Publ Hlth, Philadelphia, PA 19122 USA.
Moss, Shadiya L., Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA.},
DOI = {10.1007/s11524-016-0109-y},
ISSN = {1099-3460},
EISSN = {1468-2869},
Keywords = {Homeless.; Longitudinal data collection.; Information technology.;
Technology.; Computers.; Mobile phones.; Tracking.; No-show.;
Follow-up.; Internet},
Keywords-Plus = {SELF-INTERVIEWING ACASI; SOCIAL MEDIA USE; FOLLOW-UP; DRUG-USERS;
T-ACASI; TECHNOLOGY USE; HEALTH-CARE; ALCOHOL-USE; INTERVENTION; TRIAL},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health; Medicine, General \&
Internal},
Author-Email = {kgarg@temple.edu},
Number-of-Cited-References = {54},
Times-Cited = {4},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {15},
Unique-ID = {WOS:000397406100007},
DA = {2023-09-28},
}
@article{ WOS:000462745900002,
Author = {Brooks, Mohamad I. and Johns, Nicole E. and Quinn, Anne K. and Boyce,
Sabrina C. and Fatouma, Ibrahima A. and Oumarou, Alhassane O. and Sani,
Aliou and Silverman, Jay G.},
Title = {Can community health workers increase modern contraceptive use among
young married women? A cross-sectional study in rural Niger},
Journal = {REPRODUCTIVE HEALTH},
Year = {2019},
Volume = {16},
Month = {MAR 25},
Abstract = {BackgroundThe Republic of Niger has the highest rate of early marriage
and adolescent fertility in the world. Recent global health initiatives,
such as Family Planning 2020, have reinvigorated investments in family
planning in low- and middle-income countries (LMICs). As part of this
initiative, Niger has implemented ambitious plans to increase
contraceptive prevalence through policies designed to increase coverage
and access to family planning services. One strategy involves the
deployment of volunteer community health workers (relais communautaires)
in rural settings to improve access to family planning services,
especially among adolescents and youth. The objective of this article is
to determine if visits by relais are associated with increased use of
modern contraception among young married women in rural
Niger.MethodsCross-sectional data from a household survey were collected
from young married women between the ages of 13 and 19 in three rural
districts in the region of Dosso, Niger from May to August 2016.
Multivariate logistic regression was conducted to assess the odds of
married female youth reporting current use of modern contraceptive
methods based on being visited by a relais in the past three
months.ResultsA total of 956 young married women were included in the
final analysis. Among study participants, 9.3\% reported a relais visit
to discuss health issues in the past three months and 11.4\% reported
currently using a modern method of contraception. Controlling for
socio-demographic variables, the odds of current use of modern
contraceptive methods were higher among young married women who were
visited by a relais in the last three months compared to those not
visited by a relais during this period (AOR=1.94{[}95\% CI 1.07-3.51]).
In this study setting, relais were less likely to visit nulliparous
women and women that worked in the past 12months.ConclusionYoung married
women visited by relais were more likely to use modern contraceptive
methods compared to those not visited by a relais. These results are
consistent with similar family planning studies from sub-Saharan Africa
and suggest that relais in Niger may be able to provide access to
essential family planning services in rural and hard-to-reach areas.
Additional efforts to understand the contraceptive barriers faced by
nulliparous women and working women should be a key research priority in
Niger.Trial registrationClinical trial registration number 2016-1430;
registered on October 7, 2016 (retrospectively registered).
AbstractContexteLa Republique du Niger a le taux le plus eleve de
mariages precoces et de fecondite des adolescentes du monde. Les
recentes initiatives mondiales pour la sante, telles que Planification
Familiale 2020 (FP2020), ont redynamise les investissements dans la
planification familiale dans les pays a revenu faible ou intermediaire.
Dans le cadre de cette initiative, le Niger a mis en OEuvre des plans
ambitieux pour accroitre la prevalence de la contraception par le biais
de politiques concues pour accroitre la couverture et l'acces aux
services de planification familiale. Une des strategies consiste au
deploiement d'agents de sante communautaires volontaires (relais
communautaires) en milieu rural pour ameliorer l'acces aux services de
planification familiale, en particulier chez les adolescents et les
jeunes. L'objectif de cet article est. de determiner si les visites a
domicile conduites par des relais sont associees a une utilisation
accrue de la contraception moderne chez les jeunes femmes mariees des
zones rurales du Niger.
MethodesLes donnees transversales d'une enquete-menages ont ete
collectees aupres de jeunes femmes mariees agees de 13 a 19 ans dans
trois districts ruraux de la region de Dosso, au Niger, de Mai a Aout
2016. Une regression logistique multivariee a ete menee pour evaluer la
probabilite que les jeunes femmes mariees declarant utiliser
actuellement des methodes contraceptives modernes apres avoir ete
visitees par un relai au cours des trois derniers mois.ResultatsAu
total, 956 jeunes femmes mariees ont ete incluses dans l'analyse finale.
Parmi les participants a l'etude, 9,3\% ont signale une visite de relais
pour discuter de problemes de sante au cours des trois derniers mois et
11,4\% ont declare utiliser actuellement une methode de contraception
moderne. En tenant compte des variables sociodemographiques, les
probabilites d'utilisation actuelle de methodes contraceptives modernes
etaient plus elevees chez les jeunes femmes mariees visitees par un
relai au cours des trois derniers mois par rapport a celles qui
n'avaient pas ete visitees par un relai au cours de cette periode
(AOR=1,94 {[}95\% IC 1,07-3,51]). Dans cette etude, les relais etaient
moins susceptibles de rendre visite aux femmes nullipares et aux femmes
ayant travaille au cours des 12 derniers mois.ConclusionLes jeunes
femmes mariees visitees par les relais etaient plus susceptibles
d'utiliser des methodes de contraception modernes que celles qui
n'etaient pas visitees par les relais. Ces resultats concordent avec
ceux d'etudes similaires sur la planification familiale menees en
Afrique subsaharienne et suggerent que les relais au Niger pourraient
donner acces a des services essentiels de planification familiale dans
les zones rurales et difficiles d'acces. Des efforts supplementaires
pour comprendre les barrieres contraceptives rencontrees par les femmes
nullipares et les travailleuses devraient constituer une priorite de
recherche essentielle au Niger.},
Type = {Article},
Language = {English},
Affiliation = {Brooks, MI (Corresponding Author), Pathfinder Int, Watertown, MA 02472 USA.
Brooks, Mohamad I., Pathfinder Int, Watertown, MA 02472 USA.
Johns, Nicole E.; Quinn, Anne K.; Boyce, Sabrina C.; Silverman, Jay G., Univ Calif San Diego, Ctr Gender Equ \& Hlth, La Jolla, CA 92093 USA.
Fatouma, Ibrahima A.; Oumarou, Alhassane O.; Sani, Aliou, Pathfinder Int, Niamey, Niger.},
DOI = {10.1186/s12978-019-0701-1},
Article-Number = {38},
ISSN = {1742-4755},
Keywords-Plus = {REPRODUCTIVE HEALTH; FAMILY; SERVICES},
Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
Author-Email = {bbrooks@pathfinder.org},
Number-of-Cited-References = {28},
Times-Cited = {14},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {1},
Unique-ID = {WOS:000462745900002},
DA = {2023-09-28},
}
@article{ WOS:000994189000001,
Author = {Akakpo, Patrick Kafui and Ken-Amoah, Sebastian and Enyan, Nancy
Innocentia Ebu and Agyare, Elizabeth and Salia, Emmanuel and Baidoo,
Ibrahim and Derkyi-Kwarteng, Leonard and Asare, Matthew and Adjei,
George and Addo, Stephen Ayisi and Obiri-Yeboah, Dorcas},
Title = {High-risk human papillomavirus genotype distribution among women living
with HIV; implication for cervical cancer prevention in a resource
limited setting},
Journal = {INFECTIOUS AGENTS AND CANCER},
Year = {2023},
Volume = {18},
Number = {1},
Month = {MAY 26},
Abstract = {BackgroundFor women living with HIV (WLHIV), the burden of persistent
HPV infection, cervical pre-cancerous lesions and cancer have been
demonstrated to be higher than among HIV-negative women. As Ghana and
other lower-middle-income countries (LMIC) work toward developing
national cervical cancer programmes, it is essential that local
scientific evidence be provided to guide policy decisions, especially
for such special populations. The objective of this study was to
determine the distribution of high-risk HPV genotype and related factors
among WLHIV and its implication for the prevention of cervical cancer
prevention efforts.MethodsA cross-sectional study was conducted at the
Cape Coast Teaching Hospital in Ghana. WLHIV, aged 25-65 years, who met
the eligibility criteria were recruited through a simple random sampling
method. An interviewer-administered questionnaire was used to gather
socio-demographic, behavioural, clinical and other pertinent
information. The AmpFire HPV detection system (Atila BioSystem, Mointain
View, CA was used to detect 15 high-risk HPV genotypes from
self-collected cervico-vaginal samples. The data collected were exported
to STATA 16.0 for statistical analysis.ResultsIn all, 330 study
participants, with mean age of 47.2 years (SD +/- 10.7), were involved.
Most (69.1\%, n = 188/272) had HIV viral loads < 1000 copies/ml and
41.2\% (n = 136) had ever heard of cervical screening. The overall
hr-HPV prevalence was 42.7\% (n = 141, 95\% CI 37.4-48.1) and the five
commonest hr-HPV types among screen positives were HPV59 (50.4\%), HPV18
(30.5\%), HPV35 (26.2\%), HPV58 (17\%) and HPV45 (14.9\%). Most infected
women (60.3\%, n = 85) had multiple hr-HPV infections, with about 57.4\%
(n = 81) having 2-5 h-HPV types, while 2.8\% (n = 4) had more than five
hr-HPV types. A total of 37.6\% (n = 53) had HPV16 and/or18, while
66.0\% (n = 93) had the hr-HPV genotypes covered by the nonavalent
vaccine. Women with HIV viral load >= 1000copies/ml (AOR = 5.58, 95\% CI
2.89-10.78, p < 0.001) had a higher likelihood of being
co-infected.ConclusionThis study found out that the prevalence of hr-HPV
still remains high in women with HIV, with a notable occurrence of
multiple infections and infection with genotypes 16 and/or18.
Additionally, an association was established between hr-HPV and
infection HIV viral load.. Therefore, comprehensive HIV care for these
women should include awareness of cervical cancer, consideration of
vaccination and implementation of screening and follow-up protocols.
National programmes in LMIC, such as Ghana, should consider using
HPV-based screen-triage-treat approach with partial genotyping.},
Type = {Article},
Language = {English},
Affiliation = {Obiri-Yeboah, D (Corresponding Author), Cape Coast Teaching Hosp, Publ Hlth Unit, Cape Coast, Ghana.
Obiri-Yeboah, D (Corresponding Author), Univ Cape Coast, Sch Med Sci, Dept Microbiol \& Immunol, Cape Coast, Ghana.
Akakpo, Patrick Kafui; Derkyi-Kwarteng, Leonard, Univ Cape Coast, Sch Med Sci, Dept Anat Pathol, Cape Coast, Ghana.
Ken-Amoah, Sebastian, Univ Cape Coast, Sch Med Sci, Dept Obstet \& Gynaecol, Cape Coast, Ghana.
Enyan, Nancy Innocentia Ebu, Univ Cape Coast, Sch Nursing \& Midwifery, Dept Adult Hlth, Cape Coast, Ghana.
Agyare, Elizabeth; Baidoo, Ibrahim; Obiri-Yeboah, Dorcas, Cape Coast Teaching Hosp, Publ Hlth Unit, Cape Coast, Ghana.
Agyare, Elizabeth; Salia, Emmanuel; Obiri-Yeboah, Dorcas, Univ Cape Coast, Sch Med Sci, Dept Microbiol \& Immunol, Cape Coast, Ghana.
Asare, Matthew, Baylor Univ, Robbins Coll Hlth \& Human Serv, Dept Publ Hlth, Waco, TX USA.
Adjei, George, Univ Cape Coast, Sch Med Sci, Dept Community Med, Cape Coast, Ghana.
Addo, Stephen Ayisi, Korle Bu, Natl AIDS STIs Control Programme, Accra, Ghana.},
DOI = {10.1186/s13027-023-00513-y},
Article-Number = {33},
ISSN = {1750-9378},
Keywords = {HPV; HIV; Ghana; Cervical cancer; Screening; Resource-limited settings},
Keywords-Plus = {INTRAEPITHELIAL NEOPLASIA; INFECTION; PREVALENCE; WORLDWIDE; MORTALITY;
KNOWLEDGE; BARRIERS; AFRICA},
Web-of-Science-Categories = {Oncology; Immunology},
Author-Email = {dobiri-yeboah@ucc.edu.gh},
ORCID-Numbers = {Salia, Emmanuel/0009-0009-8607-9410
Agyare, Elizabeth/0000-0002-1696-474X},
Number-of-Cited-References = {72},
Times-Cited = {0},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {0},
Unique-ID = {WOS:000994189000001},
DA = {2023-09-28},
}
@article{ WOS:000437701000019,
Author = {Dudchenko, Valentina and Vitman, Konstantin},
Title = {PUBLIC ADMINISTRATION OF ECONOMIC DEVELOPMENT IN THE CONTEXT OF THE
INSTITUTIONAL THEORY},
Journal = {BALTIC JOURNAL OF ECONOMIC STUDIES},
Year = {2018},
Volume = {4},
Number = {1},
Pages = {139-147},
Abstract = {One of the priorities of socio-economic reform in Ukraine is the
modernization of the structure of the national economy and its growth.
An effective structure of the economy, which will correspond to a
socially oriented model of economic growth and will be based on the use
of both the country's competitive advantages in the global division of
labour and the economic benefits of cooperation, will guarantee the
independence of any country and will be the key to its dynamic
development. The development of economic theory is due to the emergence
of fundamentally new ideas, sustainable accumulation of knowledge,
intellectual and meaningful updating of established concepts and
theories, the formation of new scientific schools. A new paradigm of
economic theory should explain the real processes in real economies,
which operate on the principles of complex systems of synergistic nature
and the theory of nonlinear dynamics. There is a process of theoretical
polystructuredness both of mainstream and heterodoxy. An important task
is to form an interdisciplinary dialogue between economists and
scientists, which stipulates the relevance of the research topic. The
subject of the study is the theoretical and methodological foundations
and approaches to state management of economic development in the
context of the institutional theory. The purpose of the study is to
determine the role and influence of public administration of the
development of the economy in the context of institutional theory and to
develop strategic goals of the state's innovation policy. Methodology.
Directions of correlation of the system of economic development of the
country and the potential of the state development with the historical
preconditions for the emergence and development of the institutional
doctrine of economic theory are investigated. Based on the revealed
interrelations, the necessity of using instruments of institutionalism
for studying the economic development system is substantiated. The
state, in all available ways, should encourage economic actors to
develop and implement innovations, thereby creating favourable
conditions for innovative and technological development of production,
saturation of the domestic market with highly competitive goods and
services, which, in turn, will strengthen export potential, fill the
budgets of all levels, increase incomes of business entities, reduce
unemployment and improve working conditions, increase social security of
the population, and also strengthen the positive image of public
administration and local self-government bodies. That is, the
socio-economic development of the country depends directly on the
innovation-technological potential and on the efficiency of public
administration in its development at all levels of the economy.
Conclusions.
The author generalizes the theoretical and methodological foundations of
the country's development in the context of the institutional theory:
the system of economic development of the state has a set of direct and
indirect links with the historical background of the emergence and
development of an institutional doctrine of economic theory; the
revealed directions of correlation contribute to the formation of a
scientific and methodological basis for further study of economic
development and economic potential of a country (state) in the context
of the institutional doctrine of economic theory in its relation to the
public administration theory; the economic development of a country
(state) depends on the institutional environment, in which it operates,
and is both an object of its influence and a subject that determines its
transformation. The author investigates the theoretical principles of
state regulation of innovative and technological development of the
country's economy. The existing strategies and programs of innovative
development and innovation activity in Ukraine are explored. The state
of innovation and technology of the national economy and the potential
of key sectors of the economy in terms of innovative development are
analysed.},
Type = {Article},
Language = {English},
Affiliation = {Dudchenko, V (Corresponding Author), Natl Univ Odessa Law Acad, Dept Gen Theoret Jurisprudence, Odessa, Ukraine.
Dudchenko, Valentina, Natl Univ Odessa Law Acad, Dept Gen Theoret Jurisprudence, Odessa, Ukraine.
Vitman, Konstantin, Ctr Preparat Masters Publ Serv \& Profess Judges, Odessa, Ukraine.},
DOI = {10.30525/2256-0742/2018-1-1-139-147},
ISSN = {2256-0742},
EISSN = {2256-0963},
Keywords = {institutional doctrine; public administration; stimulation mechanism;
innovative and technological development; state regulation; innovation
strategy},
Web-of-Science-Categories = {Economics},
Author-Email = {naukavvd@gmail.com
knwittman@gmail.com},
ResearcherID-Numbers = {Library, Scientific/GLU-1223-2022},
Number-of-Cited-References = {21},
Times-Cited = {3},
Usage-Count-Last-180-days = {0},
Usage-Count-Since-2013 = {15},
Unique-ID = {WOS:000437701000019},
DA = {2023-09-28},
}
@article{ WOS:A1994QG72500002,
Author = {MACHONIN, P},
Title = {TOWARDS SOCIOLOGICAL COMPARISON OF CZECH AND SLOVAK SOCIETY},
Journal = {SOCIOLOGIA},
Year = {1994},
Volume = {26},
Number = {4},
Pages = {333+},
Abstract = {Shortly after the crucial political changes connected with the events in
November 1989 in Czechoslovakia, some differences in political attitudes
and behavior of the Czech and Slovak population appeared. An increasing
tension in the Czech - Slovak relations finally led to a peaceful
dissociation of the federal Czechoslovakia and to the formation of two
sovereign states at the beginning of 1993. It is no wonder that this
important change caused a serious discussion of social scientists of the
both societies about the societal reasons and consequences of this
unexpected and sudden historical and political phenomenon. The author of
the present study in agreement with Jiri Musil prefers the comparison of
different developments of cultural and social structures in the Czech
lands and Slovakia to somewhat superficial historical and politological
analyses of the split as a unique event.
He disposes at some serious and historically relevant sociological
evidence concerning the development of Czech-Slovak relationships,
namely with the results of some representative Czech and Slovak
sociological surveys, particularly from the years 1967, 1984, 1998,
April 1993 and October 1993. Except the 1984 survey, he personally
participated in all of them.
In the second half of the 1960s, the Czech lands and Slovakia
substantially differed in cultural and social respect. Above all one
could observe big differences concerning the degree od urbanization in
favour of the Czech lands. Slovakia remained then a country with
settlement structure of rural type and with much more traditional way of
life.
A similar lag was characteristic for the structure of economically
active population in respect to industrial branches. In the 1960s, the
Czech lands belonged, according to their pre-war traditions and in the
consequence of the enforced repeated industrialization (for military
needs of the Soviet block in the period of the Cold War), to extensively
industrialized societies, whereas Slovakia was rather a rural-industrial
society where a recently started extensive industrialization went on.
Towards the end of the 1960s the educational level of the Slovak
population was already relatively close to that of the Czech one,
although some distinctions still remained.
At the same time, many important differences lasted in the material
level of household equipment which was relatively better in the Czech
lands. On the other hand, in consequence of the redistributive economic
system, the average earnings were already nearly equal.
In autumn 1967, on the very eve of the political crisis which signalized
the outburst of events known as Prague Spring 1968, a large sociological
survey of a representative sample of adult males dealing with social
stratification and mobility was carried out by the Czech and Slovak
sociologists in cooperation with the State Statistical Office. Its
results were published two years later, unfortunately already after the
Warsaw Pact Intervention which led to the defeat of the reform attempt
connected with the Prague Spring. A special chapter in this book was
written by a group of Slovak sociologists headed by R. Rosko. The
authors proved that the social status distribution in Slovakia was in
the late 1960s significantly lower in the average than the analogical
distribution in the Czech lands. It was caused by small differences in
the participation of individuals in management, in the level of work
complexity typical for the occupational structures in question, and in
the distribution of earnings; by more remarkable differences in level of
education and material equipment of households; and by large differences
concerning average income per capita, standards of consumption and
cultural level of the life-style. In general, these findings
demonstrated a still lasting deep cultural and social inequality of the
Czech and Slovak part of the country. This social unbalance was
multiplied by the consequences of the anti-Slovak political repressions
in the late 1940s and in the 1950s and of the `'constitutional reform''
from 1960 which brought suppression of the Slovak autonomy in favour of
the centralized bureaucratic Prague administration. All these
circumstances stimulated a high dissatisfaction of the relatively
younger population of Slovakia living in conditions of a rapid
demographic development, progress of urbanization and industrialization.
It was important for the specific character of the social and political
reform movement in 1968 on the Slovak territory which finally caused one
of the few real successes of the Prague Spring - the constitutional act
declaring federalization of the Czechoslovak Republic.
In the practical politics of the `'normalization'' regime installed by
the Soviet intervention in August 1968, the originally intended
federative arrangement was `'via facti'' replaced by a new version of
the totalitarian and bureaucratic centralism. However, this time the
political regime was in a sense more favourable for Slovakia. The Slovak
Communist leaders gained for more better and in some respect even
decisive positions in the Prague central administration of the country
than any time before. Some changes in this respect occurred only in the
late 1980s. In consequence of all this, the process of the secondary
redistribution of the GDP in favor of Slovakia not only continued but
even intensified in the 1970s and 1980s. Simultaneously, political
oppressions concerning hundreds of thousands of participants in the
Prague Spring events were in this period sensibly weaker in Slovakia
than in the Czech lands. Thus, paradoxically, the `'normalization
regime'' brought some advantages for Slovakia as compared with the past.
Some evidence for this can be find in the data collected by Czech
sociologists in the sociological survey on `'class and social
structure'' in 1984, i.e. shortly before the beginning of the Soviet
`'perestroika''. A recent secondary analysis of this data shows
therefore a cultural and social situation typical for the normalization
system on the top point of its development. It is not very surprising
that thanks to the permanent operation of the redistributive mechanisms
during fifteen years after the final defeat of the Prague Spring the
cultural and social characteristics of the Czech and Slovak adult
populations were mutually much closer in 1984 than in 1967. There
remained practically no differences in work complexity and in average
earnings. The quality of housing was approximately the same. The
households were telephonized in very close percentages. People were
equally active in professional studying and in political activities (in
official politics, of course). In some respects small differences in
favour of the Czech population still existed. This is true as far as the
global educational level, the percentage of managers and some items of
the households equipment are concerned. In their leisure, Czech
population was more frequently engaged in typically urban cultural
activities. The Slovak population lived in a substantially higher
percentage in their own private houses, in more rooms per family and in
better environment than the Czech did. They had in more cases gardens or
other land at their disposal and devoted themselves more frequently to
domestic agricultural work. They also were more active in social
contacts, in visiting relatives, neighbours and friends.
Still slightly better economic position of the households in the Czech
lands - caused partly by lower average number of the more aged Czech
families - expressed itself in somewhat higher evaluation of the
standard of living from the part of the Czech population.
In other words, in the midst of the 1980s, the cultural and social
characteristics of the Slovak population were already close to the Czech
standards but some lag in this respect still existed. Anyway, the Czech
lands represented the stagnating part of the federation, while Slovakia
was the progressing one.
The beginning of the Soviet perestroika signalized the Czech population
that a new historical crisis of the Soviet-type societies was coming.
Feelings of dissatisfaction with the stagnation of the Czech lands
combined with political frustration of the citizens of an occupied
country gradually grew up, particularly when some difficulties
concerning standard of living emerged in the second half of the 1980s. A
certain dissappointment caused by the unwillingness of the Gorbatchev's
leadership to revise the Soviet official attitude to the events of 1968
also played an important role. The Slovak population living still under
the protection of current redistributive processes and under a little
better political conditions did not feel these changes as intensively as
the Czech did. It is no wonder that these specificities influenced the
subjective evaluations of the economic, social, political and cultural
situation in the country. In the public opinion polls from the second
half of the 1980s, the degree of satisfaction of the Slovak population
concerning nearly all questions asked then was significantly higher than
that of the Czech citizens. Gradually, as the crisis of 1989 was coming
nearer, the evaluations were less and less favourable for the regime in
both republics. However, the Czech criticism grew more rapidly than the
criticism of the population in Slovakia.
The `'Velvet Revolution'' of 1989 was initiated mainly by the Czech
dissidents and the politically active part of the Czech people. It found
an active response also in analogical groups in Slovakia. However, in
the course of the year 1990, when the outline of the radical economic
reform was prepared by the Federal Government and the first practical
steps of it were undertaken, a new shift in the structure of value
orientations occurred. Of crucial significance was above all the
declaration of President Havel demanding the liquidation of the arms
producing industry, strongly developed particularly in Slovakia, and the
first measures to its realization.
The author of the study disposes at representative data from the survey
on social transformation (autumn 1991) confronting the objective status
positions of the adult population with their subjective attitudes. As
far as the objective characteristics are concerned, the results of the
survey on social transformation were summoned by the author in 1992 as
follows:
`'We discussed systematically all the relevant partial dimensions of the
social position (status)...In all of these dimensions we could record
only two significant signals of larger social differences. The first of
them is a better standard of housing and a bigger amount of family
fortunes in Slovakia (relativized, of course, by higher numerousness of
families...). The second is a more often declaration of the subjective
feelings of a worse market and especially financial attainability of
consumption goods and services in Slovakia as well. In behind of this
statement is hidden a more significant factor of a lower income per
capita, connected with the already mentioned higher number of family
members, and a different perception of the reality, influenced by the
difference of social dynamics in the both republics. In no case,
however, it is possible to speak about two fundamentally different
status hierarchies with an essentially distinct context corresponding to
two different phases of the civilization and cultural development.''
In other words, the cultural and social processes typical of the 1970s
and 1980s, namely the stagnation and the beginning of an absolute
decline in the Czech Republic and the continuing (although also limited
by the character of the totalitarian and anti-meritocratic social system
common for both of the two parts of the Federation) relative progress in
Slovakia led to a nearly full equalization of the social unbalance which
had been observed in 1967.
On the other hand, the data from 1991 revealed a deep discrepancy
between the balanced objective data and large differences of the
subjective perception of the social situation. In principle, the
evaluation both of the past and of the future transformation processes
was much more favourable in the Czech than in the Slovak Republic.
The most apparent differences in evaluation between the two republics
could be found in the fields of standard of living and of social
security.
It was quite clear that such deep differences in attitudes could not be
explained by those objective facts that revealed the attained social
equalization of the Czech lands and Slovakia but rather in the
specificities of the recent development of the two societies after the
`'Velvet Revolution''. Anyway, the contradictory shape of the popular
attitudes became one of the stimuli that helped the victory of more
liberal and pro-federalist rifht-wing political parties in the Czech
Republic and rather anti-federalist political parties and movements in
Slovakia in the elections of 1992. The election victors decided after
relatively short negotiations, without asking people in a referendum, to
dissociate the common state of Czechs and Slovaks. It happened at the
beginning of 1993 in peaceful way and is acknowledged at present as a
matter of fact by majorities of populations in both new states.
It is highly interesting by now to find out what have been the further
destinies of people in both countries as far as the objective positions
and the subjective attitudes are concerned. A substantial contribution
to this kind of knowledge could bring large representative sociological
surveys of about 5000 adult respondents in the Czech and Slovak Republic
that took place in April 1993 as a part of broader comparative survey on
social stratification and mobility in Eastern Europe. The second
important contribution could be drawn from paralel surveys of somewhat
smaller representative samples devoted to the study of beliefs and
behaviour of Czech and Slovak people carried out in autumn 1993.
As far as the objective aspect of the problem is concerned, one can
state that the economically active population of the Czech and Slovak
Republics do not differ in none of the basic social status dimensions
characterizing the individuals. Even the indicators of the so called
status consistency/inconsistency, namely the rank correlations of
education, work complexity and earnings are equal in both republics.
Small differences have been revealed only in two newly studied status
characteristics. The so-called social capital (the degree of development
of purposeful informal social contacts) seems to be somewhat more
developed in Slovakia than in the Czech Republic. On the other hand, the
Czech lands are a little bit more progressing in the development of the
private enterpreneurship. However, the differences are not so deep as to
make the social stratification shape of the two societies fundamentally
dissimilar. Thus the data concerning the social positions of
economically active individuals prove clearly that Slovakia reached
approximately the same level od social and cultural development as the
Czech Republic.
There exist, of course, some not negligible differences concerning
social and cultural characteristics of the families, including their
economically non-active members.
In Slovakia, significantly more respondents declared that they were
living in family houses. The technical equipment of the housing is
somewhat better in the Czech lands, the size of the family flats or
houses and the number of rooms is larger in Slovakia. The material
equipment of the households differs somewhat in some items in favour of
the Czech families, in some others in favour of the Slovak. The average
amount of their family fortunes expressed in financial values seems to
be a little higher in Slovakia. The Czech families are not so numerous
as the relatively younger Slovak families and therefore their average
income per capita is higher. Among the population that has been
questioned in the stratification survey there was substantially less
retired persons in the Slovak Republic. The percentage of unemployed
among the respondents has been, on the contrary, some times higher in
Slovakia. However, the final percentage of economically active was
higher in Slovakia.
All these characteristics are connected with well known differences of
the two countries in the settlement structure and in the structure of
industries and branches in national economy. In the Slovak Republic,
significantly more people are working in agriculture, metallurgy, heavy
industry and energetics, yet also in education, culture ans science; in
the Czech Republic the same goes for other industry, other services,
finance and banking. Also the already mentioned differences in the
demographic structures play their role as well as the differences in the
ethnical structures (large Hungarian and Gipsy minority in Slovakia) and
in confessional structures (substantially more believers, particularly
Roman Catholics but also Evangelics in Slovakia).
If we take into account all the mentioned social and cultural
differences, some of them favourable for the Czech, some for the Slovak
Republic, we cannot notice, of course, that they are in a part derived
from the more rural and traditional past of Slovakia as we analyzed it
in on the basis of 1967 data. However, in the whole the weight of this
kind of differences is not as high that it could change our basic
statement about achieved fundamental cultural and social equality of the
societies in question, which both now belong to the industrial type and
started together a very similar trajectory of the post-communist
transformation.
However, there is one important field where the recently emerged
differences seem to be grave. It is the standard of living of the
households.
In every case, we can present interesting data comparing the evaluation
of family standards of living in the Czech lands and Slovakia in 1988
and in 1993. In spite of the fact that they are somewhat subjectively
coloured, especially as far as the retrospective evaluation is
concerned, they clearly show that the obvious decline of the standard of
living in both republics must have been much steeper in Slovakia. At the
same time, we have here the first evidence proving the big shift of
satisfaction/dissatisfaction attitudes in favour of the Czech lands.
This opens the discussion of the important topic of subjective
perception of the post-communist transformation. The evaluation, based
on new experience, is in both republics somewhat more sceptical than in
1991. At the same time, a remarkable change in the relation of positive
evaluations occurred in favour of the Czech Republic. In this case also
the experience of nine months of Slovak sovereignty evidently plays a
certain role. In most of similar questions one can identify a constant
phenomenon: 20-25\% less of positive and more of negative evaluations in
Slovakia than in the Czech lands.
The discrepancy between the relative equality of general cultural and
social structures in the analyzed countries, on the one hand, and big
differences in the subjective evaluations, on the other, for the first
time revealed in the data from 1991, emerged from the data of 1993 with
an even greater intensity. There are, in principle, three ways how to
interpret this phenomenon.
The first would be to query the first of the premises of our
considerations by arguing that the residues of the traditional rural
cultural and social relations in Slovakia are still alive, particularly
in times of new crucial changes, and hamper the operating of relatively
young and therefore unstable cultural and social relationships. However,
the facts witnessing for basic equality of the present cultural and
social structures are substantial and concern nearly all aspects of the
daily life in both societies, so that it is not so easy to doubt them.
There is a case for another explanation as well, namely for the
assumption that in the stormy atmosphere of radical social changes some
deep cultural and socio-psychological specificities of the nations
concerned emerge, which are responsible for the different reactions to
relatively equal situations. Neither these phenomena and mechanisms,
taken alone, can explain the abruptness and intensity of the change in
attitudes in the Czech lands and in Slovakia. In addition, the cultural
and psychological phenomena are in principle very vague and their
empirical fixation is unusually difficult. One could not notice that
therefore this kind of argumentation has been recently many times abused
by nationalist politicians both in Slovakia and in the Czech lands on
the basis of arbitrary assumptions and statements.
That is why we offer a third hypothesis, interpreting the stated
discrepancy from the angle of the specificities of social and historical
dynamics. It tries to explain the differences in attitudes as rationally
arguable reactions of two neighbouring nations to historically different
combinations of long-term and short-term dynamics.
It is undisputable, that from the fall of the 1930s, Slovakia, a former
agrarian and economically underdeveloped region, moved - with short
breaks only - steadily in the direction to an industrial and relatively
modern society with growing political authority. Although the Slovaks
did not like communism (as the results of the elections in 1946 clearly
showed) and had to be forced to adapt themselves to the state-socialist
system (as the events in 1947 and 1948 prove), paradoxically the peak of
the modernization of their society, bringing hitherto the best living
conditions for the population, has been achieved during the period of
`'normalization'', i.e. on the top of the development of the
totalitarian and anti-meritocratic (egalitarian) social system in
Czechoslovakia. It is quite clear from this that typical ideologies of
the state socialist era: egalitarianism, state paternalism and
authoritarianism have far deeper roots in Slovakia than in the Czech
Republic.
The social experience of a long-term trajectory of a gradual rise and
emancipation of the Slovak nation clashed at once after 1989 with a
contradictory experience of a rapid decline and deteriorization of the
economic and social conditions, much more intensive than in the Czech
lands. It is no wonder that the Slovak population reacted to the new
situation in a greater extent than the Czech with feelings of
frustration, resignation or even refusal.
The social experience of the Czech nation since the end of the 1930s has
been substatially different. In the rude trajectory of development until
the end of the 1980s, degradation and stagnation of a formerly well
developed Central European land prevailed in general. A short
contradictory wave of a renewed progress in the 1960s finished by a
grave frustration from the defeat of the Prague spring. The Soviet
occupation meant a real lost of national sovereignty for the Czech
nation that never accepted it. After the lost of illusions about the
possibilities of the Soviet `'perestroika'' and after a certain
deteriorization of the standard of living in the second half of the
1980s, the Czech nation was mentally prepared for a `'return to
Europe''. The subsequent decline in the first phase of the
post-communist transformation was the slightest one among the Central
and East European countries and the signs of some improvement showed
very early. It is no wonder, again, that most people are relatively more
satisfied with the development until now and more optimistic about the
future than the Slovak population is. It does not mean, of course that
there does not exist a danger of a later desillusion of a part of
society and of some rise of feelings of frustration and resignation in
the future.
It is easy to see that this kind of interpretation of our data is
rational and corresponds the historical facts found out or corroborated
in our surveys. It can explain without distortion of the evident
historical reality most of the seeming paradoxes of the Czech and Slovak
reality and mutual relationships. In a way it gives also some keys to
the explanation of the split of Czechoslovakia and of its unexpected
abruptness and peaceful forms.},
Type = {Article},
Language = {Slovak},
Affiliation = {MACHONIN, P (Corresponding Author), CZECHOSLOVAK ACAD SCI, INST SOCIOL, VILSKA 1, CS-11000 PRAGUE, CZECH REPUBLIC.},
ISSN = {0049-1225},
EISSN = {1336-8613},
Keywords = {VELVET REVOLUTION; PEACEFUL DISSOCIATION OF THE FEDERAL CZECHOSLOVAKIA;
TRANSFORMATION PROCESSES},
Keywords-Plus = {CZECHOSLOVAKIA},
Web-of-Science-Categories = {Sociology},
Number-of-Cited-References = {15},
Times-Cited = {7},
Usage-Count-Last-180-days = {1},
Usage-Count-Since-2013 = {54},
Unique-ID = {WOS:A1994QG72500002},
DA = {2023-09-28},
}