15296 lines
894 KiB
BibTeX
15296 lines
894 KiB
BibTeX
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@article{ WOS:000826426000001,
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Author = {Pei, Zhi and Fang, Tao and Weng, Kebiao and Yi, Wenchao},
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Title = {Urban On-Demand Delivery via Autonomous Aerial Mobility: Formulation and
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Exact Algorithm},
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Journal = {IEEE TRANSACTIONS ON AUTOMATION SCIENCE AND ENGINEERING},
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Year = {2023},
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Volume = {20},
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Number = {3},
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Pages = {1675-1689},
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Month = {JUL},
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Abstract = {The implementation of the autonomous unmanned aerial mobility is a game
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changer for the on-demand delivery service in the crowded urban setting.
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In this study, the first of its kind commercial unmanned aerial vehicle
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(UAV) urban delivery program in China is targeted. Different from the
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traditional ground pickup and delivery services, the aerial mode
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considers not only the time window constraints, but also the spatial
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conflicts incurred during the take-off and landing operations of UAVs.
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To obtain the optimal flying routes of the focused problem, a mixed
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integer programming model is formulated. Due to its inherent complexity,
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the optimal schedule cannot be attained within acceptable time via the
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off-the-shelf solvers. To help speed up the solving process, a
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branch-and-cut based exact algorithm is proposed, together with a series
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of customized valid inequalities. To further accelerate, a greedy
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insertion heuristic is designed to secure high-quality initial
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solutions. In the numerical section, it is observed that the algorithm
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proposed in this paper can help solve the real-life on-demand UAV
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delivery problem to near optimum (within 5\% optimality gap) within
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reasonable computation time (in 5 minutes). Note to Practitioners-With
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the increase of labor cost, the distribution cost increases very
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rapidly. In the meantime, the employment of automated vehicles for
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logistics reshapes the landscape of the urban last-mile delivery. As an
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efficient courier carrier, the unmanned aerial vehicle (UAV) is trending
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the autonomous delivery endeavour. When integrating UAVs into the urban
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delivery program, practitioners need to pay special attention to the
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scheduling of UAVs at the operational level in addition to the hardware
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of the UAVs. To help solve the UAV dispatch problem, we propose an
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online scheduling scheme, considering the spatial conflict constraints
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in the actual UAV operations. And an exact algorithm is designed to
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accelerate the solving process. Numerical experiments demonstrate that
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the proposed algorithm can achieve near optimal dispatch plan with 5\%
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optimality gap in 5 minutes. Furthermore, it is discovered that the
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demand pooling is an essential decision to make for UAV-based delivery.
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Longer pooling time can increase the UAV efficiency with more realized
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demand information, but too much pooling could lead to prolonged
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customer waiting and a low service level.},
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Type = {Article},
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Language = {English},
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Affiliation = {Yi, WC (Corresponding Author), Zhejiang Univ Technol, Coll Mech Engn, Hangzhou 310023, Peoples R China.
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Pei, Zhi; Fang, Tao; Weng, Kebiao; Yi, Wenchao, Zhejiang Univ Technol, Coll Mech Engn, Hangzhou 310023, Peoples R China.},
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DOI = {10.1109/TASE.2022.3184324},
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EarlyAccessDate = {JUN 2022},
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ISSN = {1545-5955},
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EISSN = {1558-3783},
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Keywords = {Drones; Logistics; Autonomous aerial vehicles; Routing; Transportation;
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Job shop scheduling; Dynamic scheduling; UAV; urban aerial delivery;
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pickup and delivery; on-demand; branch-and-cut},
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Keywords-Plus = {DRONE; BRANCH; PICKUP; TRUCK; CUT},
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Web-of-Science-Categories = {Automation \& Control Systems},
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Author-Email = {yiwenchao@zjut.edu.cn},
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ResearcherID-Numbers = {fang, tao/IQU-3074-2023},
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Number-of-Cited-References = {25},
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Times-Cited = {3},
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Usage-Count-Last-180-days = {16},
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Usage-Count-Since-2013 = {41},
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Unique-ID = {WOS:000826426000001},
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DA = {2023-09-28},
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}
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@article{ WOS:000333867700007,
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Author = {Panou, Konstantinos and Proios, George},
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Title = {Modeling Transportation Affordability with Cumulative Density Function
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of Mathematical Beta Distribution},
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Journal = {TRANSPORTATION RESEARCH RECORD},
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Year = {2013},
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Number = {2397},
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Pages = {53-60},
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Abstract = {Transportation affordability refers to people's financial ability to
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access important goods and activities such as work, education, medical
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care, basic shopping, and socializing. Making transportation more
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affordable can produce considerable socioeconomic benefits by lowering
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the costs and boosting mobility for people who are more disadvantaged.
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More affordable transportation is equivalent to higher income. There are
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many factors to consider when evaluating transportation affordability,
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including housing affordability; land use factors that affect
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accessibility; the quantity, quality, and pricing of mobility options;
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and individuals' mobility needs and abilities. Traditional
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transportation planning takes hardly any transportation affordability
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considerations into account. Greater emphasis on this field would shed
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more light on affordability effects and help policy makers to identify
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more affordable transportation solutions. However, to take
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transportation affordability into account, there should be practical
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ways of evaluating it. This paper investigates the concept of
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transportation affordability and suggests a metric for its measurement.
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The metric calculates affordability on the basis of the trade-offs that
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households make between transportation and housing costs. The
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transportation costs considered include car ownership, car use, and
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public transport costs. The suggested approach can be applied to any
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spatial zone (e.g., neighborhood or other) to reflect the average
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expenditure that households are willing to make to satisfy their basic
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travel needs.},
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Type = {Article},
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Language = {English},
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Affiliation = {Panou, K (Corresponding Author), Univ Aegean, Dept Shipping Trade \& Transport, Korai 2A, Chios 82100, Greece.
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Panou, Konstantinos; Proios, George, Univ Aegean, Dept Shipping Trade \& Transport, Chios 82100, Greece.},
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DOI = {10.3141/2397-07},
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ISSN = {0361-1981},
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EISSN = {2169-4052},
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Keywords-Plus = {NEIGHBORHOOD},
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Web-of-Science-Categories = {Engineering, Civil; Transportation; Transportation Science \& Technology},
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Author-Email = {panou@aegean.gr},
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ORCID-Numbers = {Panou, Konstantinos/0000-0002-6552-111X},
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Number-of-Cited-References = {28},
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Times-Cited = {1},
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Usage-Count-Last-180-days = {0},
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Usage-Count-Since-2013 = {7},
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Unique-ID = {WOS:000333867700007},
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DA = {2023-09-28},
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}
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@article{ WOS:000354645600001,
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Author = {Muinga, Naomi and Sen, Barbara and Ayieko, Philip and Todd, Jim and
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English, Mike},
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Title = {Access to and value of information to support good practice for staff in
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Kenyan hospitals},
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Journal = {GLOBAL HEALTH ACTION},
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Year = {2015},
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Volume = {8},
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Abstract = {Background: Studies have sought to define information needs of health
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workers within very specific settings or projects. Lacking in the
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literature is how hospitals in low-income settings are able to meet the
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information needs of their staff and the use of information
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communication technologies (ICT) in day-to-day information searching.
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Objective: The study aimed to explore where professionals in Kenyan
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hospitals turn to for work-related information in their day-to-day work.
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Additionally, it examined what existing solutions are provided by
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hospitals with regard to provision of best practice care. Lastly, the
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study explored the use of ICT in information searching.
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Design: Data for this study were collected in July 2012.
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Self-administered questionnaires (SAQs) were distributed across 22 study
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hospitals with an aim to get a response from 34 health workers per
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hospital.
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Results: SAQs were collected from 657 health workers. The most popular
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sources of information to guide work were fellow health workers and
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printed guidelines while the least popular were scientific journals. Of
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value to health workers were: national treatment policies, new research
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findings, regular reports from surveillance data, information on costs
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of services and information on their performance of routine clinical
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tasks; however, hospitals only partially met these needs. Barriers to
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accessing information sources included: `not available/difficult to get'
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and `difficult to understand'. ICT use for information seeking was
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reported and with demographic specific differences noted from the
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multivariate logistic regression model; nurses compared to medical
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doctors and older workers were less likely to use ICT for health
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information searching. Barriers to accessing Internet were identified
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as: high costs and the lack of the service at home or at work.
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Conclusions: Hospitals need to provide appropriate information by
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improving information dissemination efforts and providing an enabling
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environment that allows health workers find the information they need
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for best practice.},
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Type = {Article},
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Language = {English},
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Affiliation = {Muinga, N (Corresponding Author), KEMRI Wellcome Trust Res Programme, Dept Publ Hlth Res, POB 43640, Nairobi 00100, Kenya.
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Muinga, Naomi; Ayieko, Philip; English, Mike, KEMRI Wellcome Trust Res Programme, Dept Publ Hlth Res, Nairobi 00100, Kenya.
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Sen, Barbara, Univ Sheffield, Informat Sch, Sheffield, S Yorkshire, England.
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Todd, Jim, Univ London London Sch Hyg \& Trop Med, Dept Populat Hlth, London WC1E 7HT, England.
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English, Mike, Univ Oxford, Dept Paediat, Oxford, England.
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English, Mike, Univ Oxford, Nuffield Dept Med, Oxford, England.},
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DOI = {10.3402/gha.v8.26559},
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Article-Number = {26559},
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ISSN = {1654-9880},
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Keywords = {health information; information needs of health workers; ICT;
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information sources; information seeking},
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Keywords-Plus = {HEALTH-CARE PROVIDERS; DEVELOPING-COUNTRIES; SEEKING BEHAVIOR;
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DEVELOPING-WORLD; NEEDS; WORKERS; PRACTITIONERS; GUIDELINES; PROGRAM;
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LIFE},
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Web-of-Science-Categories = {Public, Environmental \& Occupational Health},
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Author-Email = {nmuinga@kemri-wellcome.org},
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ResearcherID-Numbers = {Muinga, Naomi/J-1263-2019
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},
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ORCID-Numbers = {Muinga, Naomi/0000-0002-0749-0255
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Todd, Jim/0000-0001-5918-4914
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English, Michael/0000-0002-7427-0826},
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Number-of-Cited-References = {33},
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Times-Cited = {3},
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Usage-Count-Last-180-days = {0},
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Usage-Count-Since-2013 = {14},
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Unique-ID = {WOS:000354645600001},
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DA = {2023-09-28},
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}
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@article{ WOS:000653533500001,
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Author = {Ndimbii, James and Guise, Andy and Igonya, Emmy Kageha and Owiti,
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Frederick and Strathdee, Steffanie and Rhodes, Tim},
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Title = {Qualitative Analysis of Community Support to Methadone Access in Kenya},
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Journal = {SUBSTANCE USE \& MISUSE},
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Year = {2021},
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Volume = {56},
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Number = {9},
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Pages = {1312-1319},
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Month = {JUL 29},
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Abstract = {Background Methadone, as part of Medically Assisted Therapy (MAT) for
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treatment of opioid dependence and supporting HIV prevention and
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treatment, has been recently introduced in Kenya. Few low income
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settings have implemented methadone, so there is little evidence to
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guide ongoing scale-up across the region. We specifically consider the
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role of community level access barriers and support. Objectives To
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inform ongoing MAT implementation we implemented a qualitative study to
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understand access barriers and enablers at a community level. Methods We
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conducted 30 semi-structured interviews with people who use drugs
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accessing MAT, supplemented by interviews with 2 stakeholders, linked to
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participant observation in a community drop in center within one urban
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area in Kenya. We used thematic analysis. Results We developed five
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themes to express experiences of factors enabling and disabling MAT
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access and how community support can address these: 1) time, travel and
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economic hardship; 2) managing methadone and contingencies of life, 3)
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peer support among MAT clients as treatment ambassadors, 4) family
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relations, and 5)outreach project contributions. Crosscutting themes
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address managing socioeconomic constraints and gender inequities.
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Conclusions People who use drugs experience and manage socio-economic
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constraints and gender inequities in accessing MAT with the support of
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local communities. We discuss how these access barriers could be
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addressed through strengthening the participation of networks of people
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who use drugs in drug treatment and supporting community projects
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working with people who use drugs. We also explore potential for how
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socio-economic constraints could be managed within an integrated health
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and social care response.},
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Type = {Article},
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Language = {English},
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Affiliation = {Ndimbii, J (Corresponding Author), Kenya AIDS NGOs Consortium, Nairobi, Kenya.
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Ndimbii, James, Kenya AIDS NGOs Consortium, Nairobi, Kenya.
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Guise, Andy, Kings Coll London, Sch Populat Hlth \& Environm Sci, London, England.
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Igonya, Emmy Kageha; Owiti, Frederick, Univ Nairobi, Sch Med, Nairobi, Kenya.
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Igonya, Emmy Kageha; Owiti, Frederick, Kenya \& African Populat \& Hlth Res Ctr, Nairobi, Kenya.
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Igonya, Emmy Kageha, Univ Nairobi, Sch Med, Nairobi, Kenya.
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Strathdee, Steffanie, Univ Calif San Diego, Dept Med, San Diego, CA USA.
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Rhodes, Tim, London Sch Hyg \& Trop Med, Ctr Res Drugs \& Hlth Behav, London, England.
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Rhodes, Tim, Univ New S Wales, Syndey, NSW, Australia.},
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DOI = {10.1080/10826084.2021.1922450},
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EarlyAccessDate = {APR 2021},
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ISSN = {1082-6084},
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EISSN = {1532-2491},
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Keywords-Plus = {OPIOID SUBSTITUTION THERAPY; DRUG-USERS; STRUCTURAL INTERVENTIONS;
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ANTIRETROVIRAL THERAPY; HIV PREVENTION; ENVIRONMENTS; PEOPLE; HEROIN;
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IMPACT},
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Web-of-Science-Categories = {Substance Abuse; Psychiatry; Psychology},
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Author-Email = {jndmbii@gmail.com},
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ResearcherID-Numbers = {Rhodes, Tim/DNJ-9679-2022
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Kageha Igonya, Emmy/GXH-9864-2022
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},
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ORCID-Numbers = {Ndimbii, James/0000-0003-2291-0868
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Rhodes, Tim/0000-0003-2400-9838},
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Number-of-Cited-References = {44},
|
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Times-Cited = {1},
|
|
Usage-Count-Last-180-days = {1},
|
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Usage-Count-Since-2013 = {2},
|
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Unique-ID = {WOS:000653533500001},
|
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DA = {2023-09-28},
|
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}
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@article{ WOS:000639945900001,
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Author = {Gica, Oana Adriana and Coros, Monica Maria and Moisescu, Ovidiu Ioan and
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Yallop, Anca C.},
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Title = {Transformative rural tourism strategies as tools for sustainable
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development in Transylvania, Romania: a case study of Sancraiu},
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Journal = {WORLDWIDE HOSPITALITY AND TOURISM THEMES},
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Year = {2021},
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Volume = {13},
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Number = {1, SI},
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Pages = {124-138},
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Month = {JUN 15},
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Abstract = {Purpose
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According to the United Nations World Tourism Organization, sustainable
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tourism is a form of tourism that meets the needs of present tourists
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and host regions, while protecting and enhancing the opportunity for the
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future. It aims at having a low impact upon the environment and local
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culture; generating income and employment; and ensuring the conservation
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of local ecosystems. This paper aims to examine the ways in which the
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development and promotion of a new tourism product based on unique rural
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heritage and traditions contribute to the development of sustainable
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tourism by relating the practices to the sustainable development goals
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(SDGs) 1, 8, 10, 11, 12 and 17.
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Design/methodology/approach
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Drawing on a literature review on the topic of sustainable rural
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tourism, this paper uses a case-study methodological approach and
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provides an example of a sustainable rural tourism destination from the
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North Western development region of Romania (Cluj County, Transylvania)
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to depict specific sustainable tourism practices. The study uses a
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comprehensive desk-research based on secondary data from key industry
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and academic sources.
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Findings
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The research findings show that sustainable rural tourism can greatly
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support the development of rural destination and makes a significant
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contribution to the sustainable development of the Romanian tourism
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industry, in general, and rural economies in particular, as shown in the
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case examined in the paper. Sancraiu represents an example of
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sustainable tourism practices that contribute to poverty reduction (SDG1
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- Target 1.A), provide decent work and ensure economic growth (SDG8 -
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Target 8.9), help reducing inequalities (SDG10 - Target 10.3), protect
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and safeguard the world's cultural and natural heritage (SDG 11 - Target
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11.4), promote responsible consumption and production (SDG 21 - Target
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12.b) and last but not least this destination demonstrates that
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development is only possible when partnerships are forged (SDG 17).
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Social implications
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This paper illustrates that fostering unique rural heritage and
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traditions can contribute to the sustainable development of
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destinations. Sustainable tourism practices contribute not only
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financially to a destination but also to its social infrastructures,
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jobs, nature conservation, adoption of new working practices and the
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revitalisation of passive and poor rural areas.
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Originality/value
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This paper examines and depicts sustainable rural tourism development as
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a transformative strategy contributing to the long-term viability of a
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rural destination. The research findings can be viewed as an example of
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good practice, which may be applicable to other geographic regions with
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similar contexts.},
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Type = {Article},
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Language = {English},
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Affiliation = {Yallop, AC (Corresponding Author), Auckland Univ Technol, Dept Int Business Strategy \& Entrepreneurship, Auckland, New Zealand.
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Gica, Oana Adriana; Coros, Monica Maria, Babes Bolyai Univ, Fac Business, Dept Hospitality Serv, Cluj Napoca, Romania.
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Moisescu, Ovidiu Ioan, Babes Bolyai Univ, Fac Econ \& Business Adm, Cluj Napoca, Romania.
|
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Yallop, Anca C., Auckland Univ Technol, Dept Int Business Strategy \& Entrepreneurship, Auckland, New Zealand.},
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DOI = {10.1108/WHATT-08-2020-0088},
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EarlyAccessDate = {APR 2021},
|
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ISSN = {1755-4217},
|
|
EISSN = {1755-4225},
|
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Keywords = {Romania; Rural tourism; Case study; Sustainable development goals;
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Sancraiu; Transformative strategies},
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Web-of-Science-Categories = {Hospitality, Leisure, Sport \& Tourism},
|
|
Author-Email = {oana.gica@tbs.ubbcluj.ro
|
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monica.coros@tbs.ubbcluj.ro
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ovidiu.moisescu@econ.ubbcluj.ro
|
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anca.yallop@aut.ac.nz},
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ResearcherID-Numbers = {Gica, Oana Adriana/AAX-9359-2020
|
|
Moisescu, Ovidiu I./C-1175-2013
|
|
Coros, Monica Maria/M-9434-2017
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Gica, Oana/AAS-6168-2021
|
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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},
|
|
}
|
|
|
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@article{ WOS:000719990000001,
|
|
Author = {Sutherns, Tammy and Olivier, Jill},
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Title = {Mapping the Multiple Health System Responsiveness Mechanisms in One
|
|
Local Health System: A Scoping Review of the Western Cape Provincial
|
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Health System of South Africa},
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Journal = {INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT},
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Year = {2022},
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Volume = {11},
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Number = {1, SI},
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Pages = {67-79},
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Month = {JAN},
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Abstract = {Background: Despite governments striving for responsive health systems
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and the implementation of mechanisms to foster better citizen feedback
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|
and strengthen accountability and stewardship, these mechanisms do not
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always function in effective, equitable, or efficient ways. There is
|
|
also limited evidence that maps the diverse array of responsiveness
|
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mechanisms coherently across a particular health system, especially in
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low-and middle-income country (LMIC) contexts. Methods: This scoping
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|
review presents a cross-sectional `map' of types of health system
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|
responsiveness mechanisms; the regulatory environment; and evidence
|
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available about these; and assesses what is known about their
|
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functionality in a particular local South African health system; the
|
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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
|
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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,
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|
there are major barriers faced by all, such as resource and capacity
|
|
constraints, and a lack of clarity about roles and responsibilities.
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Most mechanisms exist in isolation, failing to feed into an overarching
|
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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},
|
|
}
|