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1.
Qual Health Res ; 23(5): 579-91, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23275460

RESUMO

In many malaria-endemic areas, including Afghanistan, overdiagnosis of malaria is common. Even when using parasite-based diagnostic tests prior to treatment, clinicians commonly prescribe antimalarial treatment following negative test results. This practice neglects alternative causes of fever, uses drugs unnecessarily, and might contribute to antimalarial drug resistance. We undertook a qualitative study among health workers using different malaria diagnostic methods in Afghanistan to explore perceptions of malaria diagnosis. Health workers valued diagnostic tests for their ability to confirm clinical suspicions of malaria via a positive result, but a negative result was commonly interpreted as an absence of diagnosis, legitimizing clinical diagnosis of malaria and prescription of antimalarial drugs. Prescribing decisions reflected uncertainty around tests and diagnosis, and were influenced by social- and health-system factors. Study findings emphasize the need for nuanced and context-specific guidance to change prescriber behavior and improve treatment of malarial and nonmalarial febrile illnesses.


Assuntos
Malária/diagnóstico , Afeganistão/epidemiologia , Antimaláricos/uso terapêutico , Reações Falso-Negativas , Feminino , Mau Uso de Serviços de Saúde , Humanos , Entrevistas como Assunto , Malária/tratamento farmacológico , Malária/epidemiologia , Masculino , Padrões de Prática Médica/estatística & dados numéricos , Pesquisa Qualitativa
2.
Sci Rep ; 10(1): 22069, 2020 12 16.
Artigo em Inglês | MEDLINE | ID: mdl-33328593

RESUMO

Primates live in complex social systems with social structures ranging from more to less despotic. In less despotic species, dominance might impose fewer constraints on social choices, tolerance is greater than in despotic species and subordinates may have little need to include novel food items in the diet (i.e. neophilia), as contest food competition is lower and resources more equally distributed across group members. Here, we used macaques as a model to assess whether different dominance styles predict differences in neophilia and social tolerance over food. We provided familiar and novel food to 4 groups of wild macaques (N = 131) with different dominance styles (Macaca fuscata, M. fascicularis, M. sylvanus, M. maura). Our study revealed inter- and intra-specific differences in individuals' access to food, which only partially reflected the dominance styles of the study subjects. Contrary to our prediction, social tolerance over food was higher in more despotic species than in less despotic species. Individuals with a higher dominance rank and being better socially integrated (i.e. higher Eigenvector centrality) were more likely to retrieve food in all species, regardless of their dominance style. Partially in line with our predictions, less integrated individuals more likely overcame neophobia (as compared to more integrated ones), but only in species with more tolerance over food. Our study suggests that individual characteristics (e.g. social integration or personality) other than dominance rank may have a stronger effect on an individual's access to resources.


Assuntos
Comportamento Alimentar , Personalidade , Predomínio Social , Animais , Feminino , Macaca , Masculino , Especificidade da Espécie
3.
Sci Rep ; 9(1): 16414, 2019 11 11.
Artigo em Inglês | MEDLINE | ID: mdl-31712680

RESUMO

Inter-specific emotion recognition is especially adaptive when species spend a long time in close association, like dogs and humans. Here, we comprehensively studied the human ability to recognize facial expressions associated with dog emotions (hereafter, emotions). Participants were presented with pictures of dogs, humans and chimpanzees, showing angry, fearful, happy, neutral and sad emotions, and had to assess which emotion was shown, and the context in which the picture had been taken. Participants were recruited among children and adults with different levels of general experience with dogs, resulting from different personal (i.e. dog ownership) and cultural experiences (i.e. growing up or being exposed to a cultural milieu in which dogs are highly valued and integrated in human lives). Our results showed that some dog emotions such as anger and happiness are recognized from early on, independently of experience. However, the ability to recognize dog emotions is mainly acquired through experience. In adults, the probability of recognizing dog emotions was higher for participants grown up in a cultural milieu with a positive attitude toward dogs, which may result in different passive exposure, interest or inclination toward this species.


Assuntos
Emoções , Expressão Facial , Vínculo Humano-Animal , Reconhecimento Psicológico , Adulto , Animais , Criança , Pré-Escolar , Cães , Feminino , Humanos , Masculino , Pan troglodytes
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