24 results on '"United Kingdom"'
Search Results
2. A Dynamic Disadvantage? Social Perceptions of Dynamic Morphed Emotions Differ from Videos and Photos.
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Becker, Casey, Conduit, Russell, Chouinard, Philippe A., and Laycock, Robin
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FACE , *STATISTICAL power analysis , *RESEARCH funding , *EMOTIONS , *SOCIAL perception , *PHOTOGRAPHY , *COMPARATIVE studies , *FACIAL expression , *FACE perception , *VIDEO recording - Abstract
Dynamic face stimuli are increasingly used in face perception research, as increasing evidence shows they are perceived differently from static photographs. One popular method for creating dynamic faces is the dynamic morph, which can animate the transition between expressions by blending two photographs together. Although morphs offer increased experimental control, their unnatural motion differs from the biological facial motion captured in video recordings. This study aimed to compare ratings of emotion intensity and genuineness in video recordings, dynamic morphs, and static photographs of happy, sad, fearful, and angry expressions. We found that video recordings were perceived to have greater emotional intensity than dynamic morphs, and video recordings of happy expressions were perceived as more genuine compared to happy dynamic morphs. Unexpectedly, static photographs and video recordings had similar ratings for genuineness and intensity. Overall, these results suggest that dynamic morphs may be an inappropriate substitute for video recordings, as they may elicit misleading dynamic effects. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Eplontersen: First Approval.
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Nie, Tina
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LIGANDS (Chemistry) , *CARBOHYDRATES , *HEALTH status indicators , *CARDIAC amyloidosis , *AMYLOIDOSIS , *MEDICATION error prevention , *PATIENT care , *NUCLEOTIDES , *DRUG approval , *MESSENGER RNA , *POLYNEUROPATHIES , *AMYLOID plaque , *QUALITY of life , *DRUG development , *LIVER , *SERUM albumin , *SUBCUTANEOUS injections , *DISEASE progression - Abstract
Eplontersen (Wainua™) is a ligand-conjugated antisense oligonucleotide directed to TTR, which is being developed by Ionis Pharmaceuticals and AstraZeneca for the treatment of TTR-mediated amyloidosis (ATTR). Eplontersen, which is targeted to the liver by a ligand containing three N-acetyl galactosamine residues, binds to wild-type and variant TTR mRNA, thus reducing the levels of circulating TTR protein and amyloid deposition. Subcutaneous eplontersen reduced serum TTR levels, inhibited neuropathy progression and improved health-related quality of life in patients with polyneuropathy of hereditary ATTR (ATTRv-PN; v for variant) in a phase III trial. Based on these results, eplontersen was approved in the USA for the treatment of ATTRv-PN on 21 December 2023 and is currently undergoing regulatory review for a similar indication in the EU, the UK, Switzerland and Canada. Eplontersen is also undergoing phase III development for ATTR cardiomyopathy. This article summarizes the milestones in the development of eplontersen leading to this first approval for ATTRv-PN. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Diverse pharmacovigilance jurisdiction—The right way for global drug safety?
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Zatovkaňuková, Petra and Slíva, Jiří
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DRUG side effects laws , *PUBLIC health laws , *ONLINE information services , *MEDICAL information storage & retrieval systems , *PHARMACOLOGY , *RISK assessment , *DRUG side effects , *MEDLINE - Abstract
Purpose: The purpose of this narrative review is to provide a comparison of several countries with different legislation and approaches to pharmacovigilance and to point out how these impact the number of adverse drug reactions (ADRs) that are reported to national competent authorities. Methods: Legislative and statistical data regarding ADR reporting from various national competent authorities' websites, databases, and pharmacovigilance centers were used. In combination with the WHO pharmacovigilance quantitative indicator that was applied to evaluate the effectiveness of particular national pharmacovigilance systems in our scope. Results: The study compared pharmacovigilance systems in six countries, focusing on ADR reporting from 2010 onwards. All countries required MAHs to report ADRs, while healthcare professionals' obligations varied. Per-capita ADR reports increased in all countries with available data, with the United States having a significantly higher reporting rate, possibly due to FDA campaigns. Despite starting later, China's per-capita reporting rate surpassed that of the Czech Republic and Japan. The study highlighted various measures taken by countries to enhance ADR reporting systems since the inception of their programs, contributing to the overall increase in reporting rates. Conclusions: ADR reporting is a global priority, with efforts made by different countries to strengthen their pharmacovigilance systems. Some success can be seen in gradually improving per-capita ADR reporting rates. The varying reporting rates and measures taken by each country may serve as a basis for further research and exchange of best practices to improve drug safety monitoring worldwide. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Pre- and post-headache phases of migraine: multi-country results from the CaMEO – International Study.
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Lipton, Richard B., Lanteri-Minet, Michel, Leroux, Elizabeth, Manack Adams, Aubrey, Contreras-De Lama, Janette, Reed, Michael L., Fanning, Kristina M., and Buse, Dawn C.
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SCIENTIFIC observation , *NECK pain , *MIGRAINE , *CROSS-sectional method , *HEALTH outcome assessment , *DESCRIPTIVE statistics , *RESEARCH funding , *MENTAL depression , *DISABILITIES , *ANXIETY , *VISION disorders , *SECONDARY analysis , *ALLODYNIA , *SYMPTOMS - Abstract
Background: Individuals with migraine frequently experience pre- and post-headache symptoms. This analysis aimed to characterize the relative frequency and burden of pre- and post-headache symptoms in people with migraine using data collected through the Chronic Migraine Epidemiology and Outcomes – International Study. Methods: This cross-sectional, observational, web-based survey was conducted in 2021–2022 in Canada, France, Germany, Japan, the United Kingdom, and the United States. Respondents who met modified International Classification of Headache Disorders, 3rd edition, criteria were offered the opportunity to participate. Information collected included migraine-related disability, depression/anxiety symptoms, cutaneous allodynia, activity limitations, and acute treatment optimization. Respondents indicated how often they had pre- or post-headache symptoms using a 5-point scale, ranging from 0 to 4, with a rating of 2 or higher classified as a pre- or post-headache symptom case. Modeling was used to examine relationships with monthly headache days (MHDs) and activity limitations during pre-headache and post-headache phases. Results: Among a total of 14,492 respondents, pre-headache symptoms were reported by 66.9%, while post-headache symptoms were reported by 60.2%. Both pre-headache and post-headache symptoms were reported by 49.5% of respondents, only pre-headache by 17.4%, only post-headache by 10.7%, and neither pre- nor post-headache symptoms by 22.4%. Compared with respondents who experienced only pre- or post-headache symptoms, respondents who experienced both pre- and post-headache symptoms had the highest rates of 4–7, 8–14, and ≥ 15 monthly headache days (23.1%, 14.1%, and 10.9%, respectively). Of respondents with both pre- and post-headache symptoms, 58.5% reported moderate-to-severe disability, 47.7% reported clinically significant symptoms of depression, 49.0% reported clinically significant symptoms of anxiety, and 63.8% reported cutaneous allodynia with headache (ASC-12). Moderate-to-severe activity limitations were reported during the pre-headache (29.5%) and post-headache phases (27.2%). For all outcomes modeled, after controlling for covariates, having pre-headache symptoms, post-headache symptoms, or both were associated with worse outcomes than having neither. Conclusions: Pre- and post-headache phases of migraine are common, carry unrecognized burden, and may be a target for treatment. [ABSTRACT FROM AUTHOR]
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- 2023
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6. A Scoping Review of the Relationship Between Physical Activity and Mental Health Among Immigrants in Western Countries: An Integrated Bio-Psycho-Socio-Cultural Lens.
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Elshahat, Sarah, Moffat, Tina, Morshed, Mahira, Alkhawaldeh, Haneen, Madani, Keon, Mohamed, Aya, Nadeem, Naya, Emira, Sara, Newbold, K. Bruce, and Donnelly, Michael
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IMMIGRANTS , *ONLINE information services , *PSYCHOLOGY information storage & retrieval systems , *LEISURE , *RISK-taking behavior , *SPORTS participation , *WELL-being , *COGNITION disorders , *BIOPSYCHOSOCIAL model , *MEDICAL information storage & retrieval systems , *ACCULTURATION , *SYSTEMATIC reviews , *TRAVEL , *SELF-perception , *MENTAL health , *ACTIVITIES of daily living , *PSYCHOSOCIAL functioning , *POST-traumatic stress disorder , *PHYSICAL activity , *CONCEPTUAL structures , *SLEEP , *EXERCISE , *EMPLOYMENT , *MENTAL depression , *AFFECTIVE disorders , *LITERATURE reviews , *MEDLINE , *ANXIETY , *SOMATOFORM disorders , *EAST Asians , *PSYCHOLOGICAL resilience , *PSYCHOLOGICAL distress , *PSYCHOLOGICAL stress - Abstract
Epidemiological evidence suggests that regular physical activity (PA) positively impacts individuals' mental health (MH). The PA-MH relationship may be critical among immigrants owing to psycho-social-cultural influences. This scoping review of 61 studies employed a holistic bio-psycho-socio-cultural framework to thoroughly investigate the complex relationship between PA (across life domains) and immigrants' MH in Western countries. A systematic search of five electronic databases (Medline, PubMed, Embase, PsycINFO and Anthropology Plus) was conducted to locate relevant articles. No limitations were applied to study design, age, gender, home country, MH condition or PA type. A bio-psycho-socio-cultural-informed conceptual model guided the analysis of the multi-domain PA-MH relationship. Immigrant PA-MH studies were conducted and reported most commonly in the USA (38%), Australia (18%), and Canada (11%). Overall, PA was positively related to MH. Each domain-specific PA appeared to be associated with unique MH-promoting pathways/mechanisms. Leisure-related PA may support MH by enhancing self-agency and minimizing risky behaviors, whilst travel- and domestic-related PA may promote self-accomplishment and physical engagement. Ethnic sports appeared to enhance resilience. Occupational-related PA was associated with either positive or negative MH, depending on the type of occupation. A bio-psycho-socio-cultural-informed model is required to gain an encompassing and integrated understanding of immigrants' health. The first iteration of such a model is presented here, along with an illustration of how the model may be used to deepen analysis and understanding of the multi-domain PA-MH relationship among immigrants and inform public health planners and practitioners. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Analysis and Mapping of Scientific Literature on Detention and Deportation of International Migrants (1990–2022).
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Sweileh, Waleed M.
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NOMADS , *INTERNATIONAL relations , *AUTHORS , *LABOR productivity , *SERIAL publications , *BIBLIOMETRICS , *SOCIAL sciences , *CITATION analysis , *DEPORTATION , *UNIVERSITIES & colleges , *INTELLECT , *DESCRIPTIVE statistics , *INTERPROFESSIONAL relations , *HUMANITIES , *DATA analysis software , *PERIODICAL articles , *MEDICAL literature , *MEDICAL research , *IMPACT factor (Citation analysis) - Abstract
Millions of people cross political borders yearly without having the proper documents. This has led to increased detention and deportation practices in destination countries for reasons related to security and sovereignty. The objective of the current study was to analyze and visualize research publications on the detention and deportation of migrants to identify current research hotspots, research gaps, and potential future research in the field. Relevant research articles were obtained from the Scopus database for the study period from 1900 to December 31, 2022. The analysis included presentations of key contributors to the field and visualization of topics, themes, and international collaboration. In total, 906 articles were found. The earliest was in 1982. The majority of articles were published in journals within the subject areas of social sciences and humanities. The number of publications showed a steep rise from 2011 to 2022. The Journal of Ethnic and Migration Studies was the most prolific, but publications in the Citizenship Studies journal received the highest number of citations per article. Researchers from the United States contributed the most. Mexico ranked fifth in the number of publications. Oxford University was the most prolific institution, followed by three universities in Australia. The majority of articles were single-authored, indicative of limited author-author collaboration. Research hotspots in the field were "human rights" and "mental health". The detention and deportation of Mexican and other Latino migrants in the United States constituted a distinct research theme in the field. International research collaboration was limited by geographical proximity (e.g., the United States and Mexico) or common language (e.g., the United Kingdom and Australia). Future research topics should focus on alternatives to detention, family separation, and healthcare services for detained migrants. Research activity on detention and deportation is required from all world regions, including the source countries of migrants. Future research should promote alternatives to traditional detentions. The contribution of countries in Africa, the Middle East, and South-Eastern Asian regions needs to be encouraged. Future research on the detention and deportation of non-Latino migrants is highly required. [ABSTRACT FROM AUTHOR]
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- 2023
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8. Real-World experience of interictal burden and treatment in migraine: a qualitative interview study.
- Author
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Lo, Siu Hing, Gallop, Katy, Smith, Timothy, Powell, Lauren, Johnston, Karissa, Hubig, Lena T., Williams, Emma, Coric, Vladimir, Harris, Linda, L'Italien, Gilbert, and Lloyd, Andrew J.
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LIFESTYLES , *MIGRAINE , *SELF-evaluation , *RESEARCH methodology , *INTERVIEWING , *CALCITONIN , *MONOCLONAL antibodies , *EXPERIENCE , *PATIENTS' attitudes , *QUALITATIVE research , *QUALITY of life , *QUESTIONNAIRES , *THEMATIC analysis , *SENSITIVITY & specificity (Statistics) - Abstract
Background: The debilitating nature of migraine attacks is widely established; however, less is known about how the interictal burden (i.e., how patients are affected in-between migraine episodes) of migraine impacts on patients' health-related quality of life (HRQL). Acute and preventive treatments may lift the burden of the disease, but they often have unwanted side effects and limited effectiveness. The objective of this study was to understand the interictal burden of migraines, from the patient perspective, and to explore patient experience with migraine treatments. Methods: Participants (n=35) with a self-reported diagnosis of migraine were recruited in the US, UK and Canada, including a subgroup of patients who had taken calcitonin gene-related peptide monoclonal antibody (CGRP mAb) treatment for at least three months. Participants completed a background questionnaire, followed by a semi-structured interview via telephone or video call. The interviews explored patients' migraine symptoms, perception of interictal burden and treatment experience. The interview transcripts were analysed using thematic analysis. Results: The most reported migraine symptom was migraine pain, followed by aura, sensory sensitivity and nausea. Most participants reported interictal impact on HRQL, lifestyle changes they made to avoid triggers or in anticipation of an attack, impacts on work, career, daily activities and relationships. Emotional impacts were reported by all participants, including anger, depression, anxiety and hopelessness. Many participants who took preventive treatments reported improvements in HRQL and functioning but still experienced breakthrough attacks. Among patients who took CGRP mAbs, participants noted varying consistency of treatment effectiveness between treatment administrations. Conclusion: This study detailed the additional HRQL impact of migraine in-between migraine attacks and described the unmet need for effective treatment options to prevent and mitigate migraine attacks. [ABSTRACT FROM AUTHOR]
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- 2022
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9. Differences in Breast Cancer Presentation at Time of Diagnosis for Black and White Women in High Resource Settings.
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Osei-Twum, Jo-Ann, Gedleh, Sahra, Lofters, Aisha, and Nnorom, Onye
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CINAHL database , *MEDICAL information storage & retrieval systems , *BLACK people , *SYSTEMATIC reviews , *EARLY detection of cancer , *DEMOGRAPHY , *WHITE people , *MEDLINE , *BREAST tumors , *WOMEN'S health - Abstract
This paper provides a narrative review of the existing literature on differences in demographic and biological features of breast cancer at time of diagnosis between Black and White women in Canada, the United Kingdom and the United States. Electronic database searches for published peer-reviewed articles on this topic were conducted, and 78 articles were included in the final narrative review. Differences between Black and White women were compared for eight categories including age, tumour stage, size, grade, lymph node involvement, and hormone status. Black women were significantly more likely to present with less favourable tumour features at the time of diagnosis than White women. Significant differences were reported in age at diagnosis, tumour stage, size, grade and hormone status, particularly triple negative breast cancer. Limitations on the generalizability of the review findings are discussed, as well as the implications of these findings on future research, especially within the Canadian context. [ABSTRACT FROM AUTHOR]
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- 2021
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10. Casirivimab/Imdevimab: First Approval.
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Deeks, Emma D.
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THERAPEUTIC use of monoclonal antibodies , *DRUG approval , *DRUG efficacy , *COMBINATION drug therapy , *COVID-19 , *MONOCLONAL antibodies , *SEVERITY of illness index , *THERAPEUTICS - Abstract
Casirivimab/imdevimab (Ronapreve™; REGEN-COV™) is a co-packaged combination of two neutralizing immunoglobulin gamma 1 (IgG1) human monoclonal antibodies (casirivimab and imdevimab) against the spike protein of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of coronavirus disease 2019 (COVID-19). Casirivimab/imdevimab received its first emergency use authorization for the treatment of COVID-19 in November 2020 in the USA, with similar authorizations subsequently granted in various other countries, including India, Canada, and Switzerland. In February 2021, casirivimab/imdevimab was granted a positive scientific opinion in the EU for the treatment of COVID-19. In July 2021, casirivimab/imdevimab received its first approval in Japan for the treatment of mild or moderate COVID-19, followed in August 2021 by its conditional approval for the prophylaxis and treatment of acute COVID-19 infection in the UK. The combination was also granted provisional determination in Australia in August 2021, indicating its eligibility to be considered for provisional registration for COVID-19 treatment and prevention. This article summarizes the milestones in the development of casirivimab/imdevimab leading to these first approvals for COVID-19. [ABSTRACT FROM AUTHOR]
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- 2021
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11. Mental health consequences of detaining children and families who seek asylum: a scoping review.
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Mares, Sarah
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IMMIGRATION law , *MENTAL illness risk factors , *PSYCHOLOGY information storage & retrieval systems , *CINAHL database , *WELL-being , *PSYCHOLOGY of refugees , *SYSTEMATIC reviews , *PARENT-child separation , *RISK assessment , *PARENTING , *CHILD psychopathology , *LITERATURE reviews , *MEDLINE , *PARENT-child relationships - Abstract
Almost 80 million people globally are forcibly displaced. A small number reach wealthy western countries and seek asylum. Over half are children. Wealthy reception countries have increasingly adopted restrictive reception practices including immigration detention. There is an expanding literature on the mental health impacts of immigration detention for adults, but less about children. This scoping review identified 22 studies of children detained by 6 countries (Australia, Canada, Hong Kong, Netherlands, the UK and the US) through searches of Medline, PsychINFO, Emcare, CINAHL and Scopus data bases for the period January 1992–May 2019. The results are presented thematically. There is quantitative data about the mental health of children and parents who are detained and qualitative evidence includes the words and drawings of detained children. The papers are predominantly small cross-sectional studies using mixed methodologies with convenience samples. Despite weaknesses in individual studies the review provides a rich and consistent picture of the experience and impact of immigration detention on children's wellbeing, parental mental health and parenting. Displaced children are exposed to peri-migration trauma and loss compounded by further adversity while held detained. There are high rates of distress, mental disorder, physical health and developmental problems in children aged from infancy to adolescence which persist after resettlement. Restrictive detention is a particularly adverse reception experience and children and parents should not be detained or separated for immigration purposes. The findings have implications for policy and practice. Clinicians and researchers have a role in advocacy for reception polices that support the wellbeing of accompanied and unaccompanied children who seek asylum. [ABSTRACT FROM AUTHOR]
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- 2021
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12. Understanding Access to and Utilisation of Sexual Health Services by South Asian Immigrant Men in Western Countries: A Scoping Review.
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Jahangir, Yamin Tauseef and Meyer, Samantha B.
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SEXUALLY transmitted disease diagnosis , *SEXUALLY transmitted disease treatment , *ASIANS , *CULTURE , *HEALTH attitudes , *HEALTH services accessibility , *SEXUAL health , *PSYCHOLOGY of immigrants , *PSYCHOLOGY information storage & retrieval systems , *MEDICAL care , *MEDLINE , *MEN'S health , *ONLINE information services , *SOCIAL skills , *SYSTEMATIC reviews , *LITERATURE reviews , *PSYCHOSOCIAL factors - Abstract
South Asian communities comprise one of the fastest growing populations in Western countries. However, the sexual health of immigrant men in particular remains vastly understudied and little is known about how and if men access these services. Four multi-disciplinary electronic databases were searched to between 1998 and 2018. The search yielded 586 articles; 407 duplicate articles were removed, and 376 did not meet the inclusion criteria. A total of 10 articles were included in this review. Herein we report the factors shaping sexual health service access and use, namely: (1) cultural and psychological factors; (2) sexual health service accessibility; (3) personal beliefs and patterns in service use; (4) social perspectives and conflicting values on sexual health. We identify the gaps in research needed for policymakers, formal healthcare providers, and South Asian community stakeholders to develop effective and inclusive sexual health programs for South Asian men in Western countries. [ABSTRACT FROM AUTHOR]
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- 2020
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13. Utilisation of Healthcare Services and Medicines by Pakistani Migrants Residing in High Income Countries: A Systematic Review and Thematic Synthesis.
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Saleem, Ahsan, Steadman, Kathryn J., and Fejzic, Jasmina
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CINAHL database , *HEALTH attitudes , *HEALTH services accessibility , *PSYCHOLOGY of immigrants , *MEDICAL information storage & retrieval systems , *RESEARCH methodology , *MEDICAL care use , *MEDICINE , *MEDLINE , *ONLINE information services , *RELIGION , *WORK environment , *SYSTEMATIC reviews , *QUALITATIVE research , *SOCIOECONOMIC factors , *THEMATIC analysis , *CULTURAL competence ,DEVELOPED countries - Abstract
Migration, as a global phenomenon, gives rise to many challenges for healthcare professionals providing care to migrant populations. Migrants originating from diverse cultural backgrounds have unique beliefs and healthcare needs, and their utilisation of healthcare services and medicines is influenced by a number of factors. This review aims to assess the factors influencing the utilisation of healthcare services and medicines among Pakistani migrants residing in high income countries. The databases searched included PubMed/Medline, Scopus, EMBASE, Web of Science, CINAHL, and IPA. Of the 2566 publications initially obtained, 37 met the inclusion criteria. They included eight countries—the United Kingdom, United States of America, Canada, Denmark, Norway, Australia, United Arab Emirates and Cyprus. Eight descriptive themes emerged and two analytical constructs were established, as a result of thematic synthesis of included publications. The profile of utilisation of healthcare services and medicines among Pakistani migrants was multifaceted and influenced by their individual circumstances (socioeconomic characteristics; personal beliefs, preferences, and experiences; individual culture and religion; family and friends; and language and communication), and host country characteristics (work environment; healthcare organisation, access and affordability; and health professionals' education, practices, and preferences). Awareness of population-specific characteristics of migrant communities is important to promote and implement culturally appropriate healthcare practices and service provision. [ABSTRACT FROM AUTHOR]
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- 2019
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14. Exploring Pain Management Among Asian Immigrants with Chronic Pain: Self-Management and Resilience.
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Kawi, Jennifer, Reyes, Andrew Thomas, and Arenas, Rogelio A.
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CHRONIC pain treatment , *ASIANS , *DRUG therapy , *EMOTIONS , *PSYCHOLOGY of immigrants , *INFORMATION storage & retrieval systems , *MEDICAL databases , *ASIAN medicine , *MEDLINE , *ONLINE information services , *RESEARCH funding , *PSYCHOLOGICAL resilience , *SELF-management (Psychology) , *PAIN management , *SYSTEMATIC reviews , *PSYCHOSOCIAL factors - Abstract
Asians immigrants (AIs) are one of the fastest growing racial groups in many countries globally. Despite pain prevalence, studies on chronic pain management among AIs is limited in the literature. An integrative review was conducted exploring the current state of science on chronic pain management among AIs. Several databases were used to identify related articles and 15 studies met the inclusion criteria. Two major themes emerged: (a) self-management, pertaining to how AIs take responsibility for their pain, and (b) resilience, their adaptive behaviors indicating low levels of pain-related dysfunction and burden despite chronic pain severity. Resilience plays a significant role in the mechanism by which self-management works in pain among AIs. Chronic pain management is a complex process where challenges to effective treatments exist. Findings have significant implications to healthcare providers and the general pain population. Future research directions include the necessity for increased participation of AIs in studies. [ABSTRACT FROM AUTHOR]
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- 2019
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15. Income-Related Gaps in Early Child Cognitive Development: Why Are They Larger in the United States Than in the United Kingdom, Australia, and Canada?
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Bradbury, Bruce, Waldfogel, Jane, and Washbrook, Elizabeth
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COGNITIVE development , *INCOME inequality , *TEST scoring , *EARLY childhood education - Abstract
Previous research has documented significantly larger income-related gaps in children's early cognitive development in the United States than in the United Kingdom, Canada, and Australia. In this study, we investigate the extent to which this is a result of a more unequal income distribution in the United States. We show that although incomes are more unequal in the United States than elsewhere, a given difference in real income is associated with larger gaps in child test scores there than in the three other countries. In particular, high-income families in the United States appear to translate the same amount of financial resources into greater cognitive advantages relative to the middle-income group than those in the other countries studied. We compare inequalities in other kinds of family characteristics and show that higher income levels are disproportionately concentrated among families with advantageous demographic characteristics in the United States. Our results underline the fact that the same degree of income inequality can translate into different disparities in child development, depending on the distribution of other family resources. [ABSTRACT FROM AUTHOR]
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- 2019
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16. Factors that influence Canadian internal medicine residents' choice to pursue a rheumatology career.
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Matsos, Mark, Docherty-Skippen, Susan Maureen, Yelovich, Mary-Clair, and Beattie, Karen A.
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RESIDENTS (Medicine) , *QUALITY of life , *VOCATIONAL guidance , *RHEUMATOLOGY - Abstract
In Canada, little is known about residents' self-confidence to diagnose/treat musculoskeletal (MSK) disease and factors affecting pursuit of a rheumatology career. Our study explored these factors. An online survey (descriptive cross-sectional design) was distributed to Canadian postgraduate year (PGY) 1 and 2 internal medicine (IM) residents. Questions probed self-confidence in rheumatology and factors influencing subspecialty career choice. Frequencies were determined and responses compared between PGY-1 and PGY-2 using univariate statistical analyses. Fifty-four IM residents completed the survey. PGY-2 residents were statistically more certain in subspecialty decidedness and had higher levels of self-confidence to diagnose/treat MSK disease and perform a physical exam. "Quality of life" was the most encouraging factor for a rheumatology career choice followed by "job opportunities" and "previous clinical exposure." Although 50% of PGY-1 residents had completed a rheumatology clinical rotation, 76% indicated that increased knowledge would affect rheumatology career choice. Only 38% were interested in novel rheumatology education. No difference in rheumatology exposure, rheumatology clinical rotation completion year, or rheumatology career choice was observed. Our research confirms findings from similar United States (US) and United Kingdom (UK) studies that suggest that increased MSK knowledge positively influences residents' confidence to diagnose/treat MSK disease. Our study differs with Canadian PGY-1 and PGY-2 IM residents by evaluating self-confidence to diagnose/treat MSK disease separately from self-confidence to perform a physical exam. Significant differences between first and second year trainees suggest types/quality of rheumatology experiences (e.g., case complexity, diagnostic problem-solving competency) may affect self-confidence to diagnose/treat MSK disease factors and rheumatology career choice. [ABSTRACT FROM AUTHOR]
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- 2019
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17. Best Practices for the Design, Implementation and Evaluation of Prenatal Health Programs.
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Chedid, Rebecca A. and Phillips, Karen P.
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HEALTH education , *HEALTH promotion , *HEALTH services accessibility , *HEALTH status indicators , *INTERPROFESSIONAL relations , *MEDICAL care , *MEDICAL care use , *MEDICAL screening , *NATIONAL health services , *PATIENTS , *PRENATAL care , *RESEARCH funding , *HUMAN services programs , *PATIENT-centered care , *EVALUATION of human services programs , *HEALTH & social status , *STAKEHOLDER analysis - Abstract
Introduction Prenatal health programs provide health education, reproductive care and related services to women. Programs may be administered individually or collaboratively by agencies including public health units, hospitals, health clinics, community and non-governmental organizations. Prenatal health disparities among populations at-risk may be reduced through the provision of accessible health education, services and resources to help women mitigate modifiable risks to pregnancy. Although standardized guidelines inform clinical screening, testing and maternity care, gaps exist regarding the design, implementation and evaluation for comprehensive prenatal health programs. Methods Using a multijurisdictional approach, prenatal health guidance documents released by clinical associations and regional governments across Canada, Australia, the United States, the United Kingdom and Ireland were systematically evaluated to identify standards and practices regarding the design, implementation and evaluation of prenatal health programs. Results Evidence-based, surveillance/monitoring, and expert/stakeholder collaborations were principles affirmed by guidance documents across all jurisdictions. Each jurisdiction described tailored strategies to optimize prenatal health in their respective communities. Divergence between jurisdictions was noted for patient care models and promotion of providers and companions of choice. Discussion A best practices model is proposed describing recommendations as follows: prenatal health programs should be grounded in a theoretical approach, fundamentally woman-centered and designed to address interacting prenatal health determinants across the lifespan. Accessible and inclusive prenatal health care can be achieved through provider training and community stakeholder collaborations. Identification of best practices for prenatal health program design, implementation and evaluation ensures that service standards are harmonized across communities, thereby optimizing maternal and child health. [ABSTRACT FROM AUTHOR]
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- 2019
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18. Health and Religions: A Bibliometric Analysis of Health Literature Related to Abrahamic Religions Between 1975 and 2017.
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Şenel, Engin
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BIBLIOMETRICS , *CHRISTIANITY , *ISLAM , *JUDAISM , *POPULATION geography , *RELIGION , *CITATION analysis , *HEALTH literacy - Abstract
Bibliometrics is a high-demand and fast-growing statistical area for the analysis of scientific literature in a certain field. Although religion and health (R&H) field has been a developing study area in recent years, only a few bibliometric studies have been published on the literature in R&H. In this study, we aimed to perform bibliometric analysis of the health literature related to the most populous Abrahamic religions during the period of 1975-2017 by using Web of Science database including WoS Collection Core Collection, Korean Journal Database, Russian Science Citation Index and SciELO Citation Index. In overall evaluation, the USA ranked first in publication productivity with 1388 items and covered 37.21% of total literature. The Journal of Religion and Health published the highest number of documents (n = 351). We found a total of 1329 items in health and Christianity field, and the USA was the most productive country followed by the UK and Canada (n = 166 and 63 documents, respectively). Loma Linda University was found to publish the highest number of items. We detected 1965 publications in Islam and health area, and top three countries were the USA, the UK and Saudi Arabia (n = 387, 194 and 137 items, respectively). University of London was the most productive institution (n = 72, 3.67%). A total of 436 articles were detected in Judaism and health. Top three countries in productivity were the UK, Israel and the UK (211, 151 and 36 items, respectively). Hebrew University of Jerusalem produced 17.43% of total documents as the topmost institution. Although Abrahamic religions originated from Middle East, we noted that most productive authors in this field were not Middle Eastern and from developed countries. Researchers from developing or least developed countries should be encouraged to carry out more studies in R&H field. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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19. Economic impact and cost-effectiveness of fracture liaison services: a systematic review of the literature.
- Author
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Wu, C.-H., Kao, I.-J., Liu, H.-C., Hung, W.-C., Lin, S.-C., Hsieh, M.-H., Bagga, S., Achra, M., Cheng, T.-T., and Yang, R.-S.
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OSTEOPOROSIS prevention , *WRIST injuries , *PREVENTIVE health services , *HIP joint injuries , *BONE fracture prevention , *COST control , *COST effectiveness , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL information storage & retrieval systems , *INTERPROFESSIONAL relations , *MEDICAL care costs , *MEDLINE , *ONLINE information services , *POSTAL service , *TELEMEDICINE , *SYSTEMATIC reviews , *HUMAN services programs , *PREVENTION , *ECONOMICS - Abstract
Fracture liaison services (FLS), implemented in different ways and countries, are reported to be a cost-effective or even a cost-saving secondary fracture prevention strategy. This presumed favorable cost-benefit relationship is encouraging and lends support to expanded implementation of FLS per International Osteoporosis Foundation Best Practice Standards. This study summarizes the economic impact and cost-effectiveness of FLS implemented to reduce subsequent fractures in individuals with osteoporosis. This systematic review identified studies reporting economic outcomes for FLS in osteoporotic patients aged 50 and older through a comprehensive search of MEDLINE, EMBASE, Cochrane Central, and PubMed of studies published January, 2000 to December, 2016. Grey literature (e.g., Google scholar, conference abstracts/posters) were also hand searched through February 2017. Two independent reviewers screened titles and abstracts and conducted full-text review on qualified articles. All disagreements were resolved by discussion between reviewers to reach consensus or by a third reviewer. In total, 23 qualified studies that evaluated the economic aspects of FLS were included: 16 cost-effectiveness studies, 2 cost-benefit analyses, and 5 studies of cost savings. Patient populations varied (prior fragility fracture, non-vertebral fracture, hip fracture, wrist fracture), and FLS strategies ranged from mail-based interventions to comprehensive nurse/physician-coordinated programs. Cost-effectiveness studies were conducted in Canada, Australia, USA, UK, Japan, Taiwan, and Sweden. FLS was cost-effective in comparisons with usual care or no treatment, regardless of the program intensity or the country in which the FLS was implemented (cost/QALY from $3023-$28,800 US dollars (USD) in Japan to $14,513-$112,877 USD in USA. Several studies documented cost savings. FLS, implemented in different ways and countries, are reported to be cost-effective or even cost-saving. This presumed favorable cost-benefit relationship is encouraging and lends support to expanded implementation of FLS per International Osteoporosis Foundation Best Practice Standards. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
20. Comparison Among Recommendations for the Management of Arterial Hypertension Issued by Last US, Canadian, British and European Guidelines.
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Antza, Christina, Doundoulakis, Ioannis, Stabouli, Stella, and Kotsis, Vasilios
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HYPERTENSION , *CARDIOVASCULAR disease diagnosis , *THERAPEUTICS , *BLOOD pressure , *MEDICAL protocols , *DISEASE management , *COMORBIDITY - Abstract
Guidelines for the management of hypertension have been issued by different hypertension societies or organizations. Despite many similarities one can identify major differences in the diagnosis, management and treatment of the hypertensive patients among ESH/ESC, NICE, Canadian and NJC8 guidelines. Differences that can be identified are in the definition of hypertension in the elderly population, the optimal blood pressure targets in different hypertensive populations such as patients with diabetes and chronic kidney disease patients and the choose of the initial and appropriate antihypertensive agent depending on comorbidities of the treated population. Everyday clinical praxis physicians are confused by these differences and these incongruities contribute to doctor and patient inertia to reduce blood pressure levels at an optimal level. Community physicians cannot easily distinguish what recommendations are the best to be used for their patients. The critical view of these differences can also help the guidelines committees to make appropriate changes and finally to agree to a global view of recommendations for the management and treatment of hypertension. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
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21. Maternal depression research: socioeconomic analysis and density-equalizing mapping of the global research architecture.
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Brüggmann, Dörthe, Wagner, Christina, Klingelhöfer, Doris, Schöffel, Norman, Bendels, Michael, Louwen, Frank, Jaque, Jenny, and Groneberg, David
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MENTAL depression risk factors , *AUTHORS , *DATABASES , *PREGNANCY complications , *PATHOLOGICAL psychology , *RESEARCH , *SERIAL publications , *WORLD health , *SOCIOECONOMIC factors , *CITATION analysis , *PREGNANCY - Abstract
Maternal depression can be accounted for one of the most common complications during pregnancy and the postpartum period affecting women all over the world. So far, no detailed map of the worldwide maternal depression research architecture has been constructed, which encompasses aspects of research activity, quality, and also socioeconomic features. Using the NewQIS platform, density-equalizing mapping projections, scientometric techniques, and economic benchmarking procedures were applied to evaluate global maternal depression research for the period between 1900 and 2012. In total, 7330 related publications and 3335 international collaborations were identified. The USA was the most active country concerning collaborations and total research activity. In the socioeconomic analysis of research activity in high-income countries, Australia was ranked first with an average of 412.05 maternal depression-related publications per 1000 billion US$ GDP (Q), followed by the UK (Q = 373.51) and Canada (Q = 306.32). The group of upper-middle-income countries was led by South Africa (Q = 145.67), followed by Turkey (Q = 91.8). China authored 11.95 maternal depression-related publications per 1000 billion US$ GDP. The USA had the highest activity of maternal depression research per GDP in billion US$ per capita (Q = 60.86). When research activity was related to population size (Q = publications per Mio. inhabitants), Australia (Q = 26.44) was leading the field, followed by Norway (Q = 18.48). Gender analysis revealed a relatively high degree of female scientists involved in this field of research with pronounced differences between single subject areas. In summary, we here present the first picture of the global scientific development in maternal depression research over a period of more than 100 years. The research landscape is clearly dominated by North American and Western European countries, with only minor contribution of Asian or South American countries. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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22. Structured simulation improves learning of the Fundamental Use of Surgical Energy™ curriculum: a multicenter randomized controlled trial.
- Author
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Madani, Amin, Watanabe, Yusuke, Townsend, Nicole, Pucher, Philip, Robinson, Thomas, Egerszegi, Patricia, Olasky, Jaisa, Bachman, Sharon, Park, Chan, Amin, Nalin, Tang, David, Haase, Erika, Bardana, Davide, Jones, Daniel, Vassiliou, Melina, Fried, Gerald, Feldman, Liane, Pucher, Philip H, Robinson, Thomas N, and Egerszegi, Patricia E
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ELECTROSURGERY , *COMPUTER simulation , *ENDOSCOPIC surgery , *OPERATIVE surgery , *SURGERY , *CLINICAL competence , *COMPARATIVE studies , *CURRICULUM , *INTERNSHIP programs , *RESEARCH methodology , *MEDICAL cooperation , *RESEARCH , *EVALUATION research , *RANDOMIZED controlled trials , *EQUIPMENT & supplies - Abstract
Background: Energy devices can result in devastating complications to patients. Yet, they remain poorly understood by trainees and surgeons. A single-institution pilot study suggested that structured simulation improves knowledge of the safe use of electrosurgery (ES) among trainees (Madani et al. in Surg Endosc 28(10):2772-2782, 2014). The purpose of this study was to estimate the extent to which the addition of this structured bench-top simulation improves ES knowledge across multiple surgical training programs.Methods: Trainees from 11 residency programs in Canada, the USA and UK participated in a 1-h didactic ES course, based on SAGES' Fundamental Use of Surgical Energy™ (FUSE) curriculum. They were then randomized to one of two groups: an unstructured hands-on session where trainees used ES devices (control group) or a goal-directed hands-on training session (Sim group). Pre- and post-curriculum (immediately and 3 months after) knowledge of the safe use of ES was assessed using separate examinations. Data are expressed as mean (SD) and N (%), *p < 0.05.Results: A total of 289 (145 control; 144 Sim) trainees participated, with 186 (96 control; 90 Sim) completing the 3-month assessment. Baseline characteristics were similar between the two groups. Total score on the examination improved from 46% (10) to 84% (10)* for the entire cohort, with higher post-curriculum scores in the Sim group compared with controls [86% (9) vs. 83% (10)*]. All scores declined after 3 months, but remained higher in the Sim group [72% (18) vs. 64% (15)*]. Independent predictors of 3-month score included pre-curriculum score and participation in a goal-directed simulation.Conclusions: This multi-institutional study confirms that a 2-h curriculum based on the FUSE program improves surgical trainees' knowledge in the safe use of ES devices across training programs with various geographic locations and resident volumes. The addition of a structured interactive bench-top simulation component further improved learning. [ABSTRACT FROM AUTHOR]- Published
- 2016
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23. University access for disadvantaged children: a comparison across countries.
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Jerrim, John and Vignoles, Anna
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EDUCATION of poor people , *EDUCATIONAL equalization , *SOCIAL mobility , *ACADEMIC achievement , *HIGHER education , *YOUNG adults - Abstract
In this paper, we consider whether certain countries are particularly adept (or particularly poor) at getting children from disadvantaged homes to study for a bachelor's degree. A series of university access models are estimated for four English-speaking countries (England, Canada, Australia and the USA), which include controls for comparable measures of academic achievement at age 15. Our results suggest that socioeconomic differences in university access are more pronounced in England and Canada than Australia and the USA and that cross-national variation in the socioeconomic gap remains even once we take account of differences in academic achievement. We discuss the implications of our findings for the creation of more socially mobile societies. [ABSTRACT FROM AUTHOR]
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- 2015
- Full Text
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24. Non-Child-Related Family Stress, Parenting Styles, and Behavior Problems in School-Age Girls Adopted from China.
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Tan, Tony, Gelley, Cheryl, and Dedrick, Robert
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PSYCHOLOGY of adoptees , *BEHAVIOR disorders in children , *PSYCHOLOGICAL stress , *PARENTING & psychology , *OVERSEAS Chinese , *PSYCHOLOGY of girls , *STRICT parenting , *ADOPTIVE parents , *AUTHORITY , *PSYCHOLOGY of adopted children , *CONFIDENCE intervals , *MATHEMATICAL models , *PARENTING , *PARENTS , *PROBABILITY theory , *PSYCHOLOGICAL tests , *QUESTIONNAIRES , *STATISTICAL sampling , *SELF-evaluation , *SURVEYS , *T-test (Statistics) , *THEORY , *FAMILY relations , *DESCRIPTIVE statistics - Abstract
Parenting has been conceptualized to mediate or moderate children's adaptation to family stress. Our study expanded the literature to determine, within the adoptive context, how non-child-related family stress (NCR-family stress; e.g., parent's problems at work) and parenting styles were related to internalizing and externalizing problems in school-age girls adopted from China. Using data from the third wave of a longitudinal study, 651 school-age girls were identified for the current analysis. On average, the girls were 9.3 years old ( SD = 2.7) and were adopted at 15.6 months ( SD = 13.8). Data on NCR-family stress, parenting styles and child behavior problems were collected from the adoptive mothers using the social problem questionnaire, parenting styles and dimensions questions, and Child Behavior Checklist (CBCL/6-18), respectively. After controlling for age at adoption, age, the adoptive mother's education level, household income, and the girls' corresponding behavior problems from the second wave of data (2 years prior), we found that that the association between NCR-family stress and the adopted Chinese girls' internalizing problems and externalizing problems was mediated by authoritarian parenting and moderated by authoritative parenting. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
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