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1.
J Med Internet Res ; 24(1): e28368, 2022 01 06.
Artigo em Inglês | MEDLINE | ID: mdl-34989691

RESUMO

BACKGROUND: The global COVID-19 pandemic has triggered a fundamental reexamination of how human psychological research can be conducted safely and robustly in a new era of digital working and physical distancing. Online web-based testing has risen to the forefront as a promising solution for the rapid mass collection of cognitive data without requiring human contact. However, a long-standing debate exists over the data quality and validity of web-based studies. This study examines the opportunities and challenges afforded by the societal shift toward web-based testing and highlights an urgent need to establish a standard data quality assurance framework for online studies. OBJECTIVE: This study aims to develop and validate a new supervised online testing methodology, remote guided testing (RGT). METHODS: A total of 85 healthy young adults were tested on 10 cognitive tasks assessing executive functioning (flexibility, memory, and inhibition) and learning. Tasks were administered either face-to-face in the laboratory (n=41) or online using remote guided testing (n=44) and delivered using identical web-based platforms (Cambridge Neuropsychological Test Automated Battery, Inquisit, and i-ABC). Data quality was assessed using detailed trial-level measures (missed trials, outlying and excluded responses, and response times) and overall task performance measures. RESULTS: The results indicated that, across all data quality and performance measures, RGT data was statistically-equivalent to in-person data collected in the lab (P>.40 for all comparisons). Moreover, RGT participants out-performed the lab group on measured verbal intelligence (P<.001), which could reflect test environment differences, including possible effects of mask-wearing on communication. CONCLUSIONS: These data suggest that the RGT methodology could help ameliorate concerns regarding online data quality-particularly for studies involving high-risk or rare cohorts-and offer an alternative for collecting high-quality human cognitive data without requiring in-person physical attendance.


Assuntos
COVID-19 , Pandemias , Humanos , Internet , Testes Neuropsicológicos , SARS-CoV-2 , Adulto Jovem
2.
Maturitas ; 156: 12-17, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35033228

RESUMO

OBJECTIVES: The impact of depression on post-menopausal women is an important public health issue but remains largely unknown. The purpose of this study was to identify the prevalence of post-menopausal depression in Greece and outline the profile of the women it affects. STUDY DESIGN: A sample of post-menopausal women completed an anonymous, self-administered, web-based survey which included the Beck Depression Inventory-ΙΙ (BDI-II) and questions regarding socio-demographic data. MAIN OUTCOME MEASURES: The dependent variable of interest was a BDI-II score ≥ 20 (the cut-off for moderate depression according to the BDI). RESULTS: Overall, 502 post-menopausal women participated in the study. The median BDI-II score was 13 (range 0-50); 136 (27.1%) of the women scored ≥ 20 and were considered screen-positive for depression. According to the multivariate logistic regression model, age< 55 years (OR: 1.621; 95% CI: 1.036-2.535), not working (OR: 1.580; 95% CI: 1.013-2.465), smoking (OR: 1.656; 95% CI: 1.081-2.536) and history of depression (OR: 1.650; 95% CI: 1.045-2.604) were independently associated with post-menopausal depression. Subgroup analyses revealed that current smokers (OR: 2.514; 95% CI: 1.485-4.256) had higher odds of moderate depression, while obesity (OR: 2.455; 95% CI: 1.206-4.996), absence of healthcare insurance (OR: 4.413; 95% CI: 1.970-9.887) and a history of depression (OR: 2.253; 95% CI: 1.212-4.190) were identified as independent risk factors for severe post-menopausal depression. CONCLUSIONS: More than one out of four post-menopausal women were screen-positive for symptoms indicative of depression, while a personal history of depression, age < 55 years, smoking and current working status were independent predictors of its emergence.


Assuntos
Depressão , Pós-Menopausa , Estudos Transversais , Depressão/epidemiologia , Feminino , Grécia/epidemiologia , Humanos , Internet , Menopausa , Prevalência
3.
Comput Intell Neurosci ; 2022: 8522751, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35035467

RESUMO

To improve the effect of urban agricultural garden landscape planning and design, this paper combines the agricultural Internet of Things technology to construct a smart garden planning and design system. Moreover, this paper selects the LEACH protocol that can support monitoring for a long time according to actual application needs, introduces the latest swarm intelligence optimization algorithm, the gray wolf algorithm, to optimize some of the problems in the LEACH protocol, and conducts simulation experiments on the improved algorithm. The simulation experiment results show that the improved algorithm has obvious advantages in cluster head selection, data transmission within the cluster, and route maintenance. After constructing a smart garden planning system based on the agricultural Internet of Things, the effect of the agricultural Internet of Things data processing in this paper is evaluated. Finally, this paper constructs a garden simulation system and analyzes the performance of the system. The results verify that the agricultural Internet of Things has a good effect in the planning and design of smart gardens.


Assuntos
Jardins , Internet das Coisas , Algoritmos , Simulação por Computador , Internet
4.
Comput Intell Neurosci ; 2022: 8804272, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35035468

RESUMO

Facing the fierce market competition, enterprises not only need a deeper understanding and concept renewal in marketing theory but also need a set of standardized, practical, and efficient technical means and methods. Therefore, it is urgent to develop advanced marketing analysis tools and marketing decision-making methods. Based on game theory and neural network model, this study simplifies the existing research methods. By introducing different models, an image analysis and decision-making model based on game theory and neural network is constructed. It mainly aims at enterprise decision-making. The method used is to simulate various decision-making processes of enterprises by establishing neural network model and game model. At the same time, the image simulation of the model is carried out. The results show that the highest market share of the selected products is 36.1%, and the highest brand awareness is 9 points. The product with the second market share has better quality, 8 brand awareness points, and the highest dealer fee (2.3 yuan). Market share is less affected by product price and dealer expenses. The accuracy of the designed market share neural network model is 93%. This shows that the increase of market share is not realized simply by reducing the price but by increasing the profits of distributors and improving the brand image. Market leaders have the greatest revenue and profits. There is a positive correlation between the efforts of managers and the results achieved. Internet employees' work effort is positively correlated with their basic salary. Different decisions have different effects on business models. The research of this paper provides a new idea for the innovation and development of Internet enterprise business model.


Assuntos
Comércio , Teoria do Jogo , Internet , Marketing
5.
BMC Med Educ ; 22(1): 11, 2022 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-34980110

RESUMO

BACKGROUND: The Internet as a communication tool is an essential component of daily life. Nowadays, problematic Internet use (PIU) has led to various psychosocial problems that can indirectly lead to oral diseases due to neglect of healthy behaviors. Also, college students are a large proportion of Internet users. The present study aimed to determine the association between problematic Internet use and oral health-related quality of life (OHRQoL) among medical and dental students. METHODS: A cross-sectional descriptive-analytical study was conducted on medical and dental students in the first and second years of education (basic sciences courses) at the Golestan University of Medical Sciences, Iran, between January and July 2020. The data collection process was carried out in the following sequence: questionnaire on demographic characteristics (age, gender, marital status, academic field, and year); Problematic Internet Use Questionnaire (PIUQ); and Oral Health Impact Profile (OHIP-14) questionnaire. RESULTS: Among 268 medical and dental students, 171 students (63.81%) [95% confidence interval: 58.02%- 69.60%] had problematic Internet use. The mean PIU score in the first-year was significantly higher than the second-year students. In addition, 65% of single students and 25% of married subjects were dealing with PIU. The statistical difference between mean OHIP scores among PIU students (12.5 ± 2.9), with average Internet usage (7.39 ± 6.6), was significant. The Spearman correlation coefficient between PIU and OHIP was 0.309 and significant (P-value < 0.000001). It indicates that students with higher PIU showed higher OHIP scores. CONCLUSION: The present study showed that problematic Internet use was significantly associated with oral health-related quality of life (OHRQoL) among first and second-year medical and dental students. Thus, the students with problematic Internet use experienced a poorer oral health-related quality of life than average Internet users. Furthermore, appropriate preventive and interventional strategies need to be developed to encourage rational use of the Internet to protect the users' oral health, especially among medical and dental students.


Assuntos
Comportamento Aditivo , Qualidade de Vida , Comportamento Aditivo/epidemiologia , Estudos Transversais , Humanos , Internet , Uso da Internet , Estudantes de Odontologia , Inquéritos e Questionários
6.
Planta ; 255(2): 35, 2022 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-35015132

RESUMO

MAIN CONCLUSION: SorghumBase provides a community portal that integrates genetic, genomic, and breeding resources for sorghum germplasm improvement. Public research and development in agriculture rely on proper data and resource sharing within stakeholder communities. For plant breeders, agronomists, molecular biologists, geneticists, and bioinformaticians, centralizing desirable data into a user-friendly hub for crop systems is essential for successful collaborations and breakthroughs in germplasm development. Here, we present the SorghumBase web portal ( https://www.sorghumbase.org ), a resource for the sorghum research community. SorghumBase hosts a wide range of sorghum genomic information in a modular framework, built with open-source software, to provide a sustainable platform. This initial release of SorghumBase includes: (1) five sorghum reference genome assemblies in a pan-genome browser; (2) genetic variant information for natural diversity panels and ethyl methanesulfonate (EMS)-induced mutant populations; (3) search interface and integrated views of various data types; (4) links supporting interconnectivity with other repositories including genebank, QTL, and gene expression databases; and (5) a content management system to support access to community news and training materials. SorghumBase offers sorghum investigators improved data collation and access that will facilitate the growth of a robust research community to support genomics-assisted breeding.


Assuntos
Sorghum , Bases de Dados Genéticas , Grão Comestível , Genoma de Planta/genética , Genômica , Internet , Melhoramento Vegetal , Sorghum/genética
7.
J Wound Ostomy Continence Nurs ; 49(1): 60-68, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35040815

RESUMO

PURPOSE: The purpose of this study was to examine ostomy complications and health-related quality of life (QOL) in individuals with an ostomy who wear an ostomy support belt/garment. DESIGN: A mixed-methods descriptive study. SUBJECTS AND SETTING: Two hundred two community-living adults with an ostomy were recruited using an industry distribution list. The target sample had no geographic restrictions. METHODS: Descriptive analysis was conducted for all outcomes. Participants were separated into groups depending on type of ostomy belt or belt/garment worn or none. All categorical data were summarized using percentages and numerical data using mean ± standard deviation. Association between categorical factors was evaluated using a χ2 test and proportions of occurrences from 2 groups were compared using a 2-proportion z-test. The mean outcomes for 2 or more groups were compared using t tests or analysis of variance (ANOVA), respectively. If ANOVA showed difference among groups, post hoc analysis of group means was conducted using Tukey's Honestly Significant Difference (HSD) test. RESULTS: Two hundred two respondents completed the survey. Of the 174 participants who responded to the survey question on leakage, 157 (90%) reported experiencing leakage and 135 (77.59%) reported rash or skin irritation. Comparison of whether participants had ever experienced a leakage event was not significantly different across groups (P = .3663). Those who wore an ostomy support belt/garment reported leakage less often (less than once a month) versus respondents who wore other types of belts or no belt (n = 49, 73.13% vs n = 53, 59.55%; P = .0388). Of the 174 participants who responded to the peristomal skin question, 135 (77.59%) participants reported peristomal skin complications. Significantly fewer participants who wore an ostomy support belt/garment reported having peristomal skin irritation compared to those who wore other types of belts or no belt (69.01% vs 84.16%; P = .0080). The mean cumulative total City of Hope Quality of Life (COH QOL) Ostomy score for all participants was 6.45 ± 1.36 out of 10, with the psychosocial domain scoring the lowest at 5.67 ± 1.30 out of 10. No significant differences were observed in mean QOL domain and total scores by those who wore an ostomy support belt/garment, other type of belt/garment, and none. When comparing COH QOL mean scores and leakage frequency of more/less once a month, those who reported leakage more often had significantly worse QOL scores in all 4 domains as well as total scores: physical (P = .0008), psychological (P = .0154), social (P = .0056), spiritual (P = .0376), and total COH QOL score (P = .0018). CONCLUSION: This study provides important information related to ostomy complications and QOL associated with wearing an ostomy belt or belt/garment. The use of an ostomy support belt/garment may offer an additional intervention to decrease frequency of leakage and peristomal skin irritation and improve QOL.


Assuntos
Estomia , Qualidade de Vida , Adulto , Vestuário , Humanos , Internet , Inquéritos e Questionários
8.
J Occup Health ; 64(1): e12312, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35026038

RESUMO

OBJECTIVES: To assess the effectiveness of a web-based brief intervention (BI) program to record daily drinking among people with problem drinking in workplace settings. METHODS: A two-armed, parallel-group, randomized controlled trial were conducted at six workplaces in Japan. After obtaining written consent to participate in the study, workers with an Alcohol Use Disorders Identification Test (AUDIT) score of 8 or higher were randomly assigned into two groups. The participants allocated to the intervention group recorded their daily alcohol consumption for 4 weeks using the program, while those allocated to the control group received no intervention. Outcome measures included the amount of alcohol consumption in past 7 days using the Timeline Follow-Back method in the program at baseline, 8th week, and 12th week and written AUDIT score at baseline and 12th week. RESULTS: Hundred participants were assigned to either the intervention group (n = 50) or control group (n = 50). The results of two-way repeated measures ANOVA showed a statistically significant interaction between the group and the week factors in the two primary outcomes (number of alcohol-free days, total drinks) and secondary outcomes (AUDIT score) (p = .04, .02, and .03, respectively). The between-group effect sizes (Hedges' g; 95% CI) of the outcomes at 12th week were 0.53; 0.13-0.93 (total drinks), 0.44; 0.04-0.84 (AUDIT score), 0.43; 0.03-0.83 (number of alcohol-free days). CONCLUSIONS: The web-based BI program for problem drinking was considered to be effective in reducing alcohol consumption and the AUDIT score in workplace settings.


Assuntos
Alcoolismo , Consumo de Bebidas Alcoólicas/prevenção & controle , Alcoolismo/prevenção & controle , Terapia Comportamental , Humanos , Internet , Local de Trabalho
9.
J Appl Gerontol ; 41(1): 167-175, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33356760

RESUMO

Evidence on the association between internet usage and incidence of depression remains mixed. We examined the associations between different categories of internet usage and developing clinical depression. We used data from the 2013 and 2016 waves of the Japan Gerontological Evaluation Study (JAGES) comprising 12,333 physically and cognitively independent adults aged ≥65 years. Participants were engaged in seven categories of internet usage: communication with friends/family, social media, information collection about health/medicine, searching for medical facilities, purchase of drugs and vitamins, shopping, and banking. We found that internet use for communication had a protective influence on the probability of developing clinical depression defined as the Geriatric Depression Scale scores ≥5 or self-reported diagnosed depression. Our findings support the role of online communication with friends/family in preventing clinical depression among older people. Online communication could be particularly useful in the COVID-19 crisis because many families are geographically dispersed and/or socially distanced.


Assuntos
COVID-19 , Depressão , Idoso , Comunicação , Depressão/epidemiologia , Depressão/prevenção & controle , Amigos , Humanos , Internet , SARS-CoV-2
10.
Artigo em Inglês | MEDLINE | ID: mdl-34753828

RESUMO

BACKGROUND AND OBJECTIVES: There are limited data on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine reactogenicity in persons with multiple sclerosis (PwMS) and how reactogenicity is affected by disease-modifying therapies (DMTs). The objective of this retrospective cross-sectional study was to generate real-world multiple sclerosis-specific vaccine safety information, particularly in the context of specific DMTs, and provide information to mitigate specific concerns in vaccine hesitant PwMS. METHODS: Between 3/2021 and 6/2021, participants in iConquerMS, an online people-powered research network, reported SARS-CoV-2 vaccines, experiences of local (itch, pain, redness, swelling, or warmth at injection site) and systemic (fever, chills, fatigue, headache, joint pain, malaise, muscle ache, nausea, allergic, and other) reactions within 24 hours (none, mild, moderate, and severe), DMT use, and other attributes. Multivariable models characterized associations between clinical factors and reactogenicity. RESULTS: In 719 PwMS, 64% reported experiencing a reaction after their first vaccination shot, and 17% reported a severe reaction. The most common reactions were pain at injection site (54%), fatigue (34%), headache (28%), and malaise (21%). Younger age, being female, prior SARS-CoV-2 infection, and receiving the ChAdOx1 nCoV-19 (Oxford-AstraZeneca) vs BNT162b2 (Pfizer-BioNTech) vaccine were associated with experiencing a reaction after the first vaccine dose. Similar relationships were observed for a severe reaction, including higher odds of reactions among PwMS with more physical impairment and lower odds of reactions for PwMS on an alpha4-integrin blocker or sphingosine-1-phosphate receptor modulator. In 442 PwMS who received their second vaccination shot, 74% reported experiencing a reaction, whereas 22% reported a severe reaction. Reaction profiles after the second shot were similar to those reported after the first shot. Younger PwMS and those who received the mRNA-1273 (Moderna) vs BNT162b2 vaccine reported higher reactogenicity after the second shot, whereas those on a sphingosine-1-phosphate receptor modulator or fumarate were significantly less likely to report a reaction. DISCUSSION: SARS-CoV-2 vaccine reactogenicity profiles and the associated factors in this convenience sample of PwMS appear similar to those reported in the general population. PwMS on specific DMTs were less likely to report vaccine reactions. Overall, the short-term vaccine reactions experienced in the study population were mostly self-limiting, including pain at the injection site, fatigue, headache, and fever.


Assuntos
Vacinas contra COVID-19/efeitos adversos , Vacinas contra COVID-19/imunologia , COVID-19/complicações , COVID-19/imunologia , Imunogenicidade da Vacina/imunologia , Esclerose Múltipla/complicações , Esclerose Múltipla/imunologia , Adulto , Idoso , COVID-19/prevenção & controle , COVID-19/virologia , Estudos Transversais , Feminino , Humanos , Imunização Secundária/efeitos adversos , Internet , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/virologia , Estudos Retrospectivos , SARS-CoV-2/imunologia , SARS-CoV-2/patogenicidade , Inquéritos e Questionários , Vacinação/efeitos adversos , Vacinação/estatística & dados numéricos
11.
Environ Res ; 203: 111899, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34416251

RESUMO

IoT is a secure communication technology used to transfer data from a physical entity to a device with intelligent analysis tools through a wireless channel. The wastewater treatment method extracts pollutants and transforms them into effluents added to the water supply with minimal environmental effects or recovered directly. The major issue is monitoring the disposal of sewage in the treatment plants. Hence, this paper, Surveillance-based Sewage Wastewater Monitoring System (SSWMS) with IoT, has been proposed for monitoring wastewater treatment and improving water quality. A smart water sensor enabled by IoT monitors water quality, water pressure, and water temperature and quantifies water dynamics to map water flow through the entire treatment facility. The proposed method calculates the wastewater treatment facility's effectiveness and ensures that chemical releases are maintained below allowable levels. Thus, the experimental results show the improved recycling water quality level is raised to 97.98%, enhancing secure communication and less moisture content when compared to other methods.


Assuntos
Internet das Coisas , Purificação da Água , Internet , Esgotos , Qualidade da Água , Abastecimento de Água
12.
Regen Med ; 17(2): 81-90, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34949108

RESUMO

Aim: To attend stem cell (SC) seminars hosted by US-based direct-to-consumer SC businesses either in person or via online 'webinars' to determine accuracy and regulatory oversight of the advertised SC therapies. Methods: The therapeutic claims, costs, risks, scientific evidence in support of a therapy and any regulatory oversight were collated using pre-established checklists. Participation consisted of one live attendance of a seminar, and following COVID-19 restrictions, review of seven recorded presentations available on the internet from SC businesses. Results & conclusion: None of the SC therapies advertised by direct-to-consumer clinics reviewed were supported by proper clinical evidence nor substantiated by peer reviewed literature.


Assuntos
COVID-19 , Publicidade , Humanos , Internet , SARS-CoV-2 , Transplante de Células-Tronco
13.
Ann Otol Rhinol Laryngol ; 131(1): 27-38, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33843290

RESUMO

PURPOSE: The varied treatment options available to patients with HPV-positive oropharyngeal squamous cell carcinoma (OPSCC) can cause significant patient confusion. In particular, transoral robotic surgery (TORS) has become widely used for treatment of HPV-positive OPSCC. As patients commonly refer to the internet for additional information, we aim to evaluate the quality of online patient educational materials for TORS in comparison to other otolaryngology surgical procedures. METHODS: The terms "transoral robotic surgery," "glossectomy," "thyroidectomy," and "neck dissection" were searched on Google. Flesch reading ease, Flesh-Kincaid Grade Level, MD review rates, and PEMAT understandability and actionability were assessed for each search term. Google trends was used to determine search interest for each term between May 2015 and May 2020. RESULTS: Of the 30 TORS websites that met inclusion criteria, the average FRE and FKGL scores were 40.74 and 11.60 (that of an average high school senior). The FRE and FKGL scores for TORS were all statistically significantly lower than those of all comparator search terms (P < .05). Only 1 out of 30 TORS sites were MD reviewed, representing the lowest MD review rate across all search terms. Understandability and actionability scores for TORS were also the lowest across all search terms at 77.71% and 2.66%, respectively. TORS had the lowest search interest. CONCLUSIONS: In comparison to other common otolaryngology procedures, TORS websites are the least patient friendly. As TORS becomes a more widely used procedure, it is critical that TORS websites become higher quality resources that patients can reliably reference.


Assuntos
Acesso à Informação , Neoplasias de Cabeça e Pescoço/cirurgia , Internet , Neoplasias Orofaríngeas/cirurgia , Procedimentos Cirúrgicos Robóticos/métodos , Carcinoma de Células Escamosas de Cabeça e Pescoço/cirurgia , Alphapapillomavirus , Neoplasias de Cabeça e Pescoço/virologia , Humanos , Boca , Neoplasias Orofaríngeas/virologia , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Infecções por Papillomavirus/complicações , Carcinoma de Células Escamosas de Cabeça e Pescoço/virologia
14.
Addict Behav ; 124: 107096, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34469784

RESUMO

Research has demonstrated that posttraumatic stress disorder (PTSD) is associated with internet-related problematic behaviors. However, studies have not explored the linkage between PTSD symptoms and internet gaming disorder (IGD) symptoms. The current study aimed to investigate the relationship between posttraumatic stress symptoms (PTSS) and IGD symptoms via network analysis. We conducted a cross-sectional study with 341 Chinese young adults directly exposed to a typhoon and examined the network structure of PTSS and IGD symptoms, along with bridge symptoms, to elucidate how they co-occur. Results indicated that 'avoiding external reminders' and 'anhedonia' were identified as the most central symptoms in the PTSD network, whereas 'preoccupation,' 'gaming despite harms', and 'loss of control' ranked highest on centrality in the IGD network. Two bridge symptoms emerged within the combined PTSD and IGD network model: 'concentration difficulties' and 'conflict due to gaming' from among the PTSS and IGD symptoms, respectively. These findings reveal novel associations between PTSS and IGD symptoms and provide an empirically-based hypothesis for how these two disorders may co-occur among individuals exposed to natural disasters.


Assuntos
Comportamento Aditivo , Desastres , Transtornos de Estresse Pós-Traumáticos , Jogos de Vídeo , Comportamento Aditivo/epidemiologia , China/epidemiologia , Estudos Transversais , Humanos , Internet , Transtorno de Adição à Internet , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adulto Jovem
15.
Methods Mol Biol ; 2398: 15-32, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34674164

RESUMO

One of the key objectives of data analysis in circadian research is to quantify the rhythmic properties of the experimental data. BioDare2 is a free, online service which provides fast timeseries analysis, attractive visualizations, and data sharing. This chapter outlines the description of an experiment for BioDare2 and how to upload and analyze the numerical timeseries data.


Assuntos
Relógios Biológicos , Ritmo Circadiano , Internet , Características de Residência
16.
Midwifery ; 104: 103166, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34717242

RESUMO

OBJECTIVE: the possibility of experiencing adverse reactions is an important aspect of contraceptive decision-making and information about this topic is highlighted as an essential aspect of contraceptive counseling. The aim of this study was to explore experiences of contraceptive counseling about potential adverse reactions of intrauterine contraception. DESIGN: exploratory qualitative study of messages in discussion boards, analyzed with inductive qualitative content analysis. SETTING: two large public Swedish web-based discussion boards about sexual and reproductive health. PARTICIPANTS: threads related to the aim were identified through searches in the discussion boards during 2019 and 2020, resulting in in 43 included posters who had written 140 messages in total. FINDINGS: the themes 'difficulties making an informed decision due to insufficient and untrustworthy information about adverse reactions' and 'feeling dismissed when communicating about experienced adverse reactions' illustrate the results. Posters emphasized the importance of sufficient information about adverse reactions. However, professionals were perceived as overly optimistic regarding intrauterine contraception and focusing on mild or common reactions. The importance of feeling that their adverse reactions were acknowledged was articulated, but posters felt that some professionals dismissed the reactions when being told about it, resulting in frustration and dissatisfaction with care. The discussion boards contained narratives describing a resistance among professionals to send in a formal report about the adverse reaction. KEY CONCLUSIONS: according to statements made by posters who have experience of adverse reactions of intrauterine contraception, contraceptive counseling have room for improvement in regard to inclusion of comprehensive information about adverse reactions. The findings illustrate the importance that clients who experience adverse reactions of intrauterine contraception feel they are acknowledged and offered adequate support. IMPLICATIONS FOR PRACTICE: echoing guidelines for high-quality contraceptive counseling, the narratives provide further weight that professionals need to have adequate training and resources to offer comprehensive information about adverse reactions of intrauterine contraception. The findings call attention to the importance of follow-up services for clients who experience adverse reactions.


Assuntos
Anticoncepção , Serviços de Planejamento Familiar , Anticoncepcionais , Aconselhamento , Humanos , Internet
17.
J Affect Disord ; 298(Pt A): 80-85, 2022 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-34728284

RESUMO

PURPOSE: The global coronavirus disease 2019 (COVID-19) epidemic has significantly impacted people's lives. This study aimed to examine the influence of the unexpected second wave of COVID-19 on sleep quality and anxiety of Chinese residents in Beijing in June 2020, compared with the initial outbreak at the beginning of 2020, and to investigate the associated factors. METHODS: Using a web-based cross-sectional survey, we collected data from 1,511 participants. assessed with demographic information, sleep quality and anxiety symptoms. The participants were asked to compare their recent sleep and sleep during the first outbreak. The Zung's Self-rating Anxiety Scale (SAS) was used to assess their current insomnia severity. Multivariable logistic regression models were used to analyze the association between COVID-19 epidemic and risk of sleep disturbance and anxiety symptom. RESULTS: The overall prevalence of sleep disturbance and anxiety symptoms were 50.8% and 15.3% respectively. People had significantly shorter sleep duration during the second wave of COVID-19(7.3 ± 1.3) h than the first outbreak (7.5 ± 1.4)h (p < 0.001). During the second outbreak, people were less concerned about infection and more concerned about financial stress and occupational inferference. Beijing residents did not have significant differences in sleep disturbance and anxiety compared with other regions, nor were occupations and nucleic acid testing associated risk factors. Home quarantine, health administrators, history of insomnia and anxiety-depression were significantly associated with sleep disturbance. Female gender, home quarantine, history of insomnia and anxiety-depression were significantly associated with anxiety. CONCLUSION: High prevalence of sleep disturbance and depression symptom was common during the second wave of COVID-19 crisis in Beijing. Home quarantine and previous history of insomnia and anxiety-depressive risk factors were associated with sleep disturbance and anxiety. Female gender was impacting predictor of anxiety. We need continuous assessment of the sleep quality and anxiety symptoms of this epidemic.


Assuntos
COVID-19 , Ansiedade/epidemiologia , Pequim , Estudos Transversais , Feminino , Humanos , Internet , SARS-CoV-2 , Sono
18.
J Nurs Adm ; 52(1): 12-18, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34897207

RESUMO

A COVID19RNStories website allowed RNs in this integrated health system to "tell their stories" during the recent pandemic. From April to August 2020, approximately 100 items were posted with 4 themes emerging. COVID19RNStories had no preconceived hypotheses or specific questions to answer: RNs shared whatever they felt was relevant to their experiences. This approach provided real-time information on issues and concerns of RNs during the 1st wave of COVID-19. This article discusses the identified themes with recommendations for nursing leaders to support staff during the pandemic and future unexpected emergency situations.


Assuntos
COVID-19/enfermagem , Internet , Papel do Profissional de Enfermagem/psicologia , Carga de Trabalho/psicologia , Humanos , Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Pesquisa Qualitativa , Qualidade da Assistência à Saúde
19.
Chemosphere ; 289: 133236, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34896421

RESUMO

Difenoconazole is a typical triazole fungicide that can inhibit demethylation during ergosterol synthesis. Due to its wide use, difenoconazole is frequently detected in surface water, paddy water, agricultural water, and other aquatic environments. Presently, an assessment of the ecological risk posed by difenoconazole in aquatic ecosystems is lacking. Here, a web-based interspecies correlation estimation (ICE)-species sensitivity distribution (SSD) model was first applied to assess the ecological risk of difenoconazole in aquatic environments. Meanwhile, maximum acceptable concentration (MAC), maximum risk-free concentration (MRFC), and risk quotient (RQ) values were used to evaluate the potential risk of difenoconazole to aquatic organisms. Our results showed that an aquatic MAC value of 0.31 µg/L was acceptable for difenoconazole in aquatic environments. Further, the detected concentration of difenoconazole was lower than the MRFC value of 0.09 µg/L indicating no risk to aquatic organisms. Assessment data suggested that difenoconazole exhibited potential risks to eight studied aquatic ecosystems (including surface water, paddy water, and agricultural water) in different countries (RQ > 1), indicating that difenoconazole overuse could cause adverse effects to aquatic organisms in these aquatic ecosystems. Thus, restricted use and rational use of difenoconazole are recommended.


Assuntos
Ecossistema , Poluentes Químicos da Água , Organismos Aquáticos , Dioxolanos , Internet , Medição de Risco , Triazóis/toxicidade , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
20.
J Prev Med Hyg ; 62(3): E586-E591, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34909483

RESUMO

Introduction: The aim of the current study was to assess if the frequency of internet searches for influenza are aligned with Italian National Institute of Health (ISS) cases and deaths. Also, we evaluate the distribution over time and the correlation between search volume of flu and flu symptoms with reported new cases of SARS-CoV-2. Materials and methods: The reported cases and deaths of flu and the reported cases of SARS-CoV-2 were selected from the reports of ISS, the data have been aggregated by week. The search volume provided by Google Trends (GT) has a relative nature and is calculated as a percentage of query related to a specific term in connection with a determined place and time-frame. Results: The strongest correlation between GT search and influenza cases was found at a lag of +1 week particularly for the period 2015-2019. A strong correlation was also found at a lag of +1 week between influenza death and GT search. About the correlation between GT search and SARS-CoV-2 new cases the strongest correlation was found at a lag of +3 weeks for the term flu. Conclusion: In the last years research in health care has used GT data to explore public interest in various fields of medicine. Caution should be used when interpreting the findings of digital surveillance.


Assuntos
COVID-19 , Influenza Humana , Humanos , Influenza Humana/epidemiologia , Internet , Itália/epidemiologia , SARS-CoV-2 , Ferramenta de Busca
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