Search

ABSTRACT The article is based on a novel theoretical framework for studying the teaching profession and its professionalisation from a broad view of Education as a common field in which many different actors take part. The way the field of Education is (re)produced is rarely researched. Rather, its current order is assumed as valid, ignoring the infighting between different actors to control and legitimise particular areas of knowledge, know‐how and practices that comprise it as a field. The article presents a survey‐based study with the following objectives: (1) identify how the teaching faculty perceive the structural and structuring aspects of the teaching profession in the field of education and (2) analyse how those aspects affect the development of a horizontally, democratically and collaboratively articulated profession and its professionalisation with all the other fields in education. The survey was taken by 7145 preschool, primary and secondary teachers at schools in Spain. The results show the structural and structuring features of a field of education, in tatters, differentiated and hierarchical, characterised by an uneven distribution of opportunities for its actors to ‘say’, ‘do’ and ‘decide’. At the same time, the results offer a chance to explore a more horizontal articulation of the teaching profession and its professionalisation within the field of education. [ABSTRACT FROM AUTHOR]

Background and Objectives: Regular whole blood donations are associated with an increased risk of iron deficiency. Iron supplementation is an effective strategy to prevent donation‐induced iron deficiency. However, research on donor perceptions towards such a policy is limited. Therefore, we aim to evaluate donors' knowledge on donation‐induced iron depletion and their perceptions regarding iron supplementation as a blood service policy. Materials and Methods: Three thousand Dutch whole blood donors were invited to complete a survey assessing their knowledge of donation‐induced iron depletion and attitudes and perceptions towards iron supplementation as a policy. Linear regression modelling was used to evaluate associations between explanatory variables and perceptions. Results: In total, 1093 (77.1%) donors were included in the analysis. Donors had poor knowledge of current iron management policies, but a better understanding of iron metabolism and supplementation. Iron supplementation as a policy was perceived mainly positive by donors, and the majority were willing to use iron supplements if provided. Iron supplementation was not perceived as invasive or negatively affecting donors' motivation to continue donating. Additional iron monitoring, information and donor physician involvement were regarded as important conditions for implementation. Male sex, trust in the blood service, prior experience with iron supplements and openness towards dietary supplements were strongly positively associated with willingness to use iron supplementation. Conclusion: Donors' knowledge regarding donation‐induced iron depletion is limited, but not associated with their perceptions regarding iron supplementation. Donors do not consider iron supplementation as invasive, deterring or demotivating, and a majority are willing to take supplements if offered. [ABSTRACT FROM AUTHOR]

Technical debt (TD) is a metaphor used to refer to the added software system costs acquired from taking shortcuts. Unfortunately, large amounts of TD can lead to serious consequences, and, thus, the management of TD is essential. Due to TD being a relatively new subject of study, many aspects of TD remain ambiguous. Fortunately, Twitter has been proven to hold a wealth of information on many subjects. As such, this survey study aims to gain a better understanding on how interest in TD has evolved over time and how TD is addressed on Twitter. A total of 128,897 TD‐related tweets were scrapped from Twitter and analyzed using a number of proxy measures and Latent Dirichlet Allocation (LDA). The results revealed that interest in TD on Twitter has been generally increasing since the platform's early stages. Furthermore, TD‐related tweets were found to revolve around 11 distinct categories. The TD in games category was discovered to be the most popular category, followed by TD communication and TD repayment. The results highlight that TD is a diverse and overarching topic that contains many potential avenues for further exploration. Software engineering researchers, practitioners, and educators can utilize this study to help steer their TD‐related future efforts. [ABSTRACT FROM AUTHOR]

Childhood family is vital for the formation of fertility preferences and attitudes towards family life. Yet previous studies mainly focused on structural aspects of the family, whereas the role of perceptions of one's family in relation to fertility preferences remained largely understudied. This study examined how different aspects of the early family environment (i.e. relationships with parents, happiness in childhood, parental conflicts, family resources, as well as family structure) are related to the ideal number of children reported in adulthood. Using representative cross‐sectional survey data from the Finnish Family Barometer 2015, the sample comprised men and women aged 20–45 with and without children. Poisson regression models indicated that a higher number of siblings was associated with a higher ideal number of children, whereas living in a single‐parent household and overall negative perceptions of parents were related to a lower ideal number of children independent of various socio‐demographic characteristics. Further analyses showed that these family characteristics were associated with the ideal number of children mainly among childless people but not among parents. The findings suggest that the early family environment is related to the formation of the ideal number of children, especially for childless people. [ABSTRACT FROM AUTHOR]

As the pandemic began to disrupt school systems in March 2020, teachers were expected to quickly modify their instructional approaches. We recruited science, technology, engineering, and mathematics teachers who were recipients of National Science Foundation scholarships based on their high‐quality academic record and commitment to working in high‐needs school districts to participate in a longitudinal survey study. Participants (n = 153) graduated from universities or colleges in the Mountain West or western region of the Midwest. Through a series of three surveys administered throughout 2020 to all participants and follow‐up focus group interviews with a subset (n = 42) in early 2021, we examined participants' perceptions and beliefs about the educational system's response to COVID‐19. Participants perceived that the continuation of instructional delivery was the highest priority and that their professional needs were the lowest priority. Most participants believed the actions taken by school districts and schools to be negative or neutral. Participants were categorized by years of experience (preservice 0, novice 1–3, early career 4–5, and master 6+) to compare their perceptions of success and intentions to continue teaching. Participants perceived that their level of success increased with years of professional experience prior to the pandemic, but all participants reported feeling less successful during the pandemic. Despite participants' negative beliefs about the school response and perceived low levels of success, they intended to remain in the classroom short‐term but not necessarily long term. We recommend that teacher educators and administrators (1) help teachers develop their personal knowledge and skills for use in the classroom, especially considering the national shortage of science (and STEM, broadly) teachers in high‐needs districts and (2) develop proactive plans for responding to unexpected crises on large scales, as well as those limited to a particular region. [ABSTRACT FROM AUTHOR]

Background/Objectives: Healthcare transition (HCT) refers to movement from pediatric to adult healthcare models. Lack of HCT preparation contributes to poor health outcomes. This study measures readiness to transition in individuals with genetic skin conditions. Methods: Participants signed IRB‐approved consents/assents. Participants ages 14–22 years with genetic skin disorders were surveyed with measures of QoL (Children's Dermatology Life Quality Index/CDLQI or DLQI) and HCT readiness using the Transition Readiness Assessment Questionnaire (TRAQ) and adapted non‐validated measures of Skin Knowledge and Psychosocial Factors (5 = highest readiness). Mean TRAQ was compared with historical data on controls and other chronic conditions (t‐tests) and correlated (Pearson) with Skin Knowledge and Psychosocial. Multivariable regression compared demographics and QoL with transition readiness. Results: A total of 45 participants were enrolled (mean age 17.8 years, 67% female, 71% White; disorders of cornification [n = 31], ectodermal dysplasias [n = 7], epidermolysis bullosa [n = 4], tuberous sclerosis [n = 3]). Mean TRAQ (3.3 ± 0.9) was lower than controls (3.9; p <.001) and some chronic disorders (sickle cell [3.7; p <.05], type 1 diabetes [3.7; p <.01]), but higher than with spina bifida (2.8; p <.001) and congenital heart disease (2.9; p <.01). Mean Skin Knowledge was 4.2 ± 1.0, and mean Psychosocial was 3.4 ± 0.8. TRAQ correlated strongly with Skin Knowledge (r =.61; p <.05), but not Psychosocial (r =.12; p =.6). Ages 14–17 years versus 18–22 years and public versus private insurance predicted lower TRAQ scores. Poor DLQI predicted higher TRAQ and Skin Knowledge, but poor DLQI and CDLQI predicted lower Psychosocial. Conclusions: Adolescents and young adults with genetic skin disorders demonstrated low transition readiness, especially among younger‐aged and lower socioeconomic groups. We recommend a HCT intervention to improve health outcomes. [ABSTRACT FROM AUTHOR]

Purpose: Little is known about the scale of clinical implementation of automated treatment planning techniques in the United States. In this work, we examine the barriers and facilitators to adoption of commercially available automated planning tools into the clinical workflow using a survey of medical dosimetrists. Methods/materials: Survey questions were developed based on a literature review of automation research and cognitive interviews of medical dosimetrists at our institution. Treatment planning automation was defined to include auto‐contouring and automated treatment planning. Survey questions probed frequency of use, positive and negative perceptions, potential implementation changes, and demographic and institutional descriptive statistics. The survey sample was identified using both a LinkedIn search and referral requests sent to physics directors and senior physicists at 34 radiotherapy clinics in our state. The survey was active from August 2020 to April 2021. Results: Thirty‐four responses were collected out of 59 surveys sent. Three categories of barriers to use of automation were identified. The first related to perceptions of limited accuracy and usability of the algorithms. Eighty‐eight percent of respondents reported that auto‐contouring inaccuracy limited its use, and 62% thought it was difficult to modify an automated plan, thus limiting its usefulness. The second barrier relates to the perception that automation increases the probability of an error reaching the patient. Third, respondents were concerned that automation will make their jobs less satisfying and less secure. Large majorities reported that they enjoyed plan optimization, would not want to lose that part of their job, and expressed explicit job security fears. Conclusion: To our knowledge this is the first systematic investigation into the views of automation by medical dosimetrists. Potential barriers and facilitators to use were explicitly identified. This investigation highlights several concrete approaches that could potentially increase the translation of automation into the clinic, along with areas of needed research. [ABSTRACT FROM AUTHOR]

There are little published data on the transition of care in EB. We conducted a survey study recruiting EB patients from the Dystrophic EB Research Association (debra) website and centers caring for high numbers of EB patients in the United States and internationally from Sept 17, 2019 to Nov 3, 2021. The majority of participants had not discussed the transition of care with their healthcare providers, nor the healthcare needs to be required as an adult. Ongoing pediatric subspecialty care was reported by 12% of adults, most commonly in pediatric dermatology. Identified barriers to transition included the perceived lack of adult providers' knowledge about EB patient healthcare needs. The results suggest the need for transition guidelines, early discussions with families about transition, and practical information for the adult providers accepting care. [ABSTRACT FROM AUTHOR]

Objective: Patients with epilepsy who do not respond to two trials of appropriate antiepileptic drugs are considered to have drug‐resistant epilepsy (DRE). The International League Against Epilepsy recommends patients with DRE be referred for surgical evaluation; however, prior literature suggests this is an underutilized intervention, especially in the pediatric setting. This study captures practices of North American pediatric neurologists regarding the management of DRE and factors that may promote or limit referrals for epilepsy surgical evaluation. Methods: A REDCap survey was distributed via the Child Neurology Society mailing list to pediatric neurologists practicing in North America. Ethics approval from the Children's Hospital of Eastern Ontario Research Ethics Board was granted prior to the start of data collection. Results: Ninety‐eight responses were included in the analysis; 77% of participants currently practice in the United States; 73.5% of respondents reported they would refer a patient for surgical consultation after two failed medications. Of all potential predictors tested in a binary logistic regression model, only annual referral volume predicted whether participants refer patients after three or more failed medications. Centers with high referral volume were 37% more likely to adhere to the guideline of referral after two failed medications. Significance: Pediatric neurologists demonstrate fair knowledge of formal recommendations to refer patients for surgical evaluation after two failed medication trials, although referral rates remain unacceptably low. Participants continue to report that they would not refer patients with generalized electroencephalographic findings for surgical evaluation; this should continue to be addressed. Other modifiable factors reported, especially family perceptions of epilepsy surgery, should be prioritized when developing tools to enhance effective referrals and increase utilization of epilepsy surgery in the management of pediatric DRE. [ABSTRACT FROM AUTHOR]

Background: Despite consensus guidelines, many men with low‐grade prostate cancer are not managed with active surveillance. Patient perception of the nomenclature used to describe low‐grade prostate cancers may partly explain this discrepancy. Methods: A randomized online survey was administered to men without a history of prostate cancer, presenting a hypothetical clinical scenario in which they are given a new diagnosis of low‐grade prostate cancer. The authors determined whether diagnosis nomenclature was associated with management preference and diagnosis‐related anxiety using ratings given on a scale from 1 to 100, adjusting for participant characteristics through multivariable linear regression. Results: The survey was completed by 718 men. Compared with Gleason 6 out of 10 prostate cancer, the term grade group 1 out of 5 prostate cancer was associated with lower preference for immediate treatment versus active surveillance (β = −9.3; 95% CI, −14.4, −4.2; P <.001), lower diagnosis‐related anxiety (β = −8.3; 95% CI, −12.8, −3.8; P <.001), and lower perceived disease severity (β = −12.3; 95% CI, −16.5, −8.1; P <.001) at the time of initial diagnosis. Differences decreased as participants received more disease‐specific education. Indolent lesion of epithelial origin, a suggested alternative term for indolent tumors, was not associated with differences in anxiety or preference for active surveillance. Conclusions: Within a hypothetical clinical scenario, nomenclature for low‐grade prostate cancer affects initial perception of the disease and may alter subsequent decision making, including preference for active surveillance. Disease‐specific education reduces the differential impact of nomenclature use, reaffirming the importance of comprehensive counseling and clear communication between the clinician and patient. Online survey participants are randomized to 1 of 3 hypothetical prostate cancer diagnosis scenarios, in which a different term is used in each scenario to describe the disease. They associated the term grade group 1 out of 5 prostate cancer with greater preference for active surveillance, the recommended strategy for managing low‐grade prostate cancers, and less diagnosis‐related anxiety compared with Gleason 6 out of 10 prostate cancer. [ABSTRACT FROM AUTHOR]

Background: The objective of this study was to describe the perspective of patients with early breast cancer toward research biopsies. The authors hypothesized that more patients at academic sites than at community‐based sites would be willing to consider these procedures. Methods: In total, 198 patients with early stage breast cancer were recruited from 3 academic centers (n = 102) and from 1 community oncology practice (n = 96). The primary objective was to compare the proportion of patients willing to consider donating excess tissue biospecimens from surgery, from a clinically indicated breast biopsy, or from a research purposes‐only biopsy (RPOB) between practice types. Results: Most patients (93% at academic sites, 94% at the community oncology site) said they would consider donating excess tissue from surgery for research. One‐half of patients from academic or community sites would consider donating tissue from a clinically indicated breast biopsy. On univariate analysis, significantly fewer patients from academic sites would consider an RPOB (22% at academic sites, 42% at the community site; P =.003); however, this difference was no longer significant on multivariate analysis (P =.96). Longer transportation times and unfavorable prior experiences were associated with less willingness to consider an RPOB on multivariate analysis. Significantly fewer patients from academic sites (14%) than from the community site (35%) would consider a research biopsy in a clinical trial (P =.04). Contributing to scientific knowledge, return of results, and a personal request by their physician were the strongest factors influencing patients' willingness to undergo research biopsies. Conclusions: The current results rejected the hypothesis that more patients with early breast cancer at academic sites would be willing to donate tissue biospecimens for research compared with those at community oncology sites. These findings identify modifiable factors to consider in biobanking studies and clinical trials. In this study of the willingness of patients with early stage breast cancer to consider biospecimen collection procedures for the purposes of research, most patients were willing to provide blood samples for research but were less likely to consider percutaneous breast biopsies. Longer travel time to the clinic and adverse experiences with prior biopsies, but not treatment center type (academic versus community‐based center), were associated with less willingness to consider research biopsies. [ABSTRACT FROM AUTHOR]

For individuals with intellectual disabilities (ID), transition services increase access to postschool opportunities. School psychologists should contribute to transition services but have reportedly limited involvement in this area. This study distributed a national survey (N = 176) assessing school psychologists' current knowledge, attitudes, and behaviors regarding transition services for students with ID. Results indicated that attitudes toward and knowledge of the ID population were significant predictors of transition task performance, and knowledge was a significant predictor of transition‐related attitudes and behaviors. The results provided preliminary evidence that increasing school psychologists' specific knowledge of transition services and encouraging positive attitudes toward the transition needs of students with ID may increase school psychologists' performance in transition practice. Specific recommendations are provided. [ABSTRACT FROM AUTHOR]

Background Heart failure (HF) is a complex disease that contributes to a high number of hospitalizations, deaths, and economic health care costs each year. However, among patients with HF, there is a lack of awareness of their HF diagnosis that has not been fully examined. Methods and Results Residents from 3 counties of southeast Minnesota with a first-ever International Classification of Diseases, Ninth Revision ( ICD-9 ) code 428 or Tenth Revision ( ICD-10 ) code I50 between January 1, 2013 and March 31, 2016 (N=2461) were prospectively surveyed to measure HF self-awareness. A total of 1114 patients returned the survey (response rate, 45%), and 787 had validated HF upon medical record review. Among these 787 patients with HF (mean age, 76 years; 53% men), 37% (n=293) were aware of their HF diagnosis. After adjustment, being a woman (odds ratio [OR], 1.56 [95% CI, 1.10-2.22]), having HF with reduced ejection fraction (OR, 1.58 [95% CI, 1.13-2.22]), attending the HF clinic (OR, 4.07 [95% CI, 2.25-7.36]), and having coronary artery disease (OR, 1.65 [95% CI, 1.16-2.37]) were all associated with increased awareness of an HF diagnosis. Conversely, having diabetes was associated with decreased awareness of an HF diagnosis (adjusted OR, 0.69 [95% CI, 0.50-0.95]). Conclusions Awareness of an HF diagnosis is low in a community population of patients with HF. Strategies to improve patient awareness of their diagnosis should be implemented to improve self-care behaviors and outcomes in patients with HF.

Objective: The aim of this study was to investigate practice behaviours of Swedish physicians with regard to discussing the impact of cancer treatment on fertility with paediatric oncology patients and their parents, and to identify factors associated with such discussions.Methods: A cross-sectional survey study was conducted targeting all physicians in Sweden working in paediatric oncology care settings. Participants responded to a questionnaire measuring practice behaviour, attitudes, barriers, and confidence in knowledge. Multivariable logistic regression was used to determine factors associated with seldom discussing fertility.Results: More than half of the physicians routinely talked with their patients/parents about the treatment's potential impact on fertility (male patients: 62%; female patients: 57%; P = 0.570). Factors associated with less frequently discussing fertility with patients/parents were working at a non-university hospital (male patients: OR 11.49, CI 1.98-66.67; female patients: OR 33.18, CI 4.06-271.07), concerns that the topic would cause worry (male patients: OR 8.23, CI 1.48-45.89; female patients: OR 12.38, CI 1.90-80.70), and perceiving the parents as anxious (male patients: OR 7.18, CI 1.20-42.85; female patients: OR 11.65, CI 1.32-103.17).Conclusions: Based on our findings, we recommend structured training in how to communicate about fertility issues in stressful situations, which in turn might increase fertility-related discussions in paediatric oncology. [ABSTRACT FROM AUTHOR]

Sociological and socio-psychological theories maintain that values play an essential role in predicting attitudes. Most research portraying the effect of a single value on various attitudes claims that the effect of values on attitudes increases if the attitudes and the specific values are related or if the attitudes involve objects or situations that reflect specific values. This exploratory study examined the relationship between personal values, considered as components of an individual's mindset or psychological structure, and attitudes supporting social welfare policy. The participants in the study were Israeli Bachelor of Arts students from four institutions of higher learning. The students' personal values were measured, and the effect of their values (beyond the students' socio-demographic characteristics such as gender, religiosity etc.) on social support for welfare policy was tested. [ABSTRACT FROM AUTHOR]

Objectives The objective of this study was to establish the level of awareness of HAND among healthcare providers, the screening tools that are currently used in its detection and factors that limit cognitive assessments. Methods We distributed a 12-item questionnaire to doctors and nurses who work in the Department of Genitourinary Medicine and Infectious Disease ( GUIDE) service and also to doctors who work in the emergency department ( ED) at St James Hospital. Results 35 surveys were collected, 54% (n = 19) from the GUIDE service and 46% (n = 16) from the ED. 82% (n = 29) of participants were doctors from interns to consultants. There was reasonable appreciation among participants with regards the prevalence of neurocognitive impairment (estimated at 29.1% among patients on HAART, and 39.3% among patients not on HAART). Screening tools were rarely used by GUIDE and ED clinicians (25% vs. 15% of the time). The Mini Mental State Examination ( MMSE) was previously used by 37% (n = 13) of the group. Very few people had used the HIV Dementia Scale ( HIVDS) 6% (n = 2). 34% of respondents felt that 'Orientation in Person, Place and Time was a sufficient screening tool for cognitive assessment'. Lack of time, exposed environment and lack of availability of screening tool were cited as limitations to cognitive screening in the ED environment. Conclusions This study examines awareness of HAND among healthcare providers and also reasons for inadequate assessment. There is a need for consensus on screening guidelines. A quick, easy to use and readily available screening tool may have a role in the acute setting in identifying high-risk patients. [ABSTRACT FROM AUTHOR]

While democratic countries have been concerned about a 'trust crisis' since the 1960s, China surprisingly displays a very high level of public trust in institutions. Why do people trust institutions and to what extent does institutional trust in China differ from that in democracies? Using the 2004 China Values and Ethics Survey, this article explores three different dimensions of institutional trust in China: trust in administrative institutions, trust in legal institutions, and trust in societal institutions. The analysis shows that institutional trust is more than a product of traditional values in China. Rather, it is more of an individual rational choice based heavily on the evaluations of the institutional performance, and it is also a result of government-controlled politicization. Trust in administrative institutions, in particular, mainly comes from satisfactory institutional performance. Institutional trust has a great impact on the development of democracy and legal participation in China. [ABSTRACT FROM AUTHOR]

In two studies (n = 480; n = 156), the health problems (somatic, psychological, and migration-related complaints) of refugees were examined, in relation to violence, demographic, and asylum variables (ongoing sociopsychological strain). High frequencies for torture events and a substantial number of medical complaints were reported, but few cases of diagnosable Posttraumatic Stress Disorder (PTSD) were identified (Study I: 6%; Study II: 11%). Not only reported violence, but also the current social situation contributed to the experiencing of ongoing health complaints. Refugees attributed their somatic and psychological complaints to illness (48%) and to torture (29%) and psychological complaints, in particular, to worries related to the postmigration situation (40%). Paying attention only to health complaints and to past violent experiences is too limited an approach in responding to the needs of refugees. [ABSTRACT FROM AUTHOR]