RESUMO
Cohesin is a protein complex that plays a key role in regulating chromosome structure and gene expression. While next-generation sequencing technologies have provided extensive information on various aspects of cohesin, integrating and exploring the vast datasets associated with cohesin are not straightforward. CohesinDB ( https://cohesindb.iqb.u-tokyo.ac.jp ) offers a web-based interface for browsing, searching, analyzing, visualizing, and downloading comprehensive multiomics cohesin information in human cells. In this protocol, we introduce how to utilize CohesinDB to facilitate research on transcriptional regulation and chromatin organization.
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Proteínas de Ciclo Celular , Proteínas Cromossômicas não Histona , Coesinas , Navegador , Proteínas Cromossômicas não Histona/metabolismo , Proteínas Cromossômicas não Histona/genética , Proteínas de Ciclo Celular/metabolismo , Proteínas de Ciclo Celular/genética , Humanos , Software , Biologia Computacional/métodos , Genômica/métodos , Bases de Dados Genéticas , Cromatina/metabolismo , Cromatina/genética , Internet , MultiômicaRESUMO
MolPredictX is a free-access web tool in which it is possible to analyze the prediction of biological activity of chemical molecules. MolPredictX has been available online to the general public for just over a year and has now gone through its first update. We also developed its version for android, being the first free app capable of predicting biological activities. MolPredictX is available for free at https://www.molpredictX.ufpb.br/ , and its mobile application version can be obtained from Google Play.
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Aprendizado de Máquina , Aplicativos Móveis , Software , Internet , Biologia Computacional/métodos , HumanosRESUMO
Developmental toxicity is key human health endpoint, especially relevant for safeguarding maternal and child well-being. It is an object of increasing attention from international regulatory bodies such as the US EPA (US Environmental Protection Agency) and ECHA (European CHemicals Agency). In this challenging scenario, non-test methods employing explainable artificial intelligence based techniques can provide a significant help to derive transparent predictive models whose results can be easily interpreted to assess the developmental toxicity of new chemicals at very early stages. To accomplish this task, we have developed web platforms such as TIRESIA and TISBE.Based on a benchmark dataset, TIRESIA employs an explainable artificial intelligence approach combined with SHAP analysis to unveil the molecular features responsible for calculating the developmental toxicity. Descending from TIRESIA, TISBE employs a larger dataset, an explainable artificial intelligence framework based on a fragment-based fingerprint encoding, a consensus classifier, and a new double top-down applicability domain. We report here some practical examples for getting started with TIRESIA and TISBE.
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Inteligência Artificial , Humanos , Internet , Animais , Testes de Toxicidade/métodos , SoftwareRESUMO
The I-PACE model suggests that Internet-use disorders result from the interplay of individual vulnerabilities and cognitive and affective processes. As in substance use disorders, Pavlovian conditioning processes are attributed a key role. However, and despite progress in identifying individual vulnerabilities, factors influencing appetitive conditioning remain poorly understood. We therefore conducted a Pavlovian conditioning experiment in which individuals with risky as well as non-problematic use of either gaming or buying-shopping applications learned to associate different abstract stimuli with either gaming or buying-shopping. Regression analyses were used to identify individual characteristics influencing awareness of the experimental contingencies, speed of acquisition of awareness and the magnitude of the conditioned emotional responses regarding pleasantness and arousal ratings of the stimuli. Results demonstrated successful Pavlovian conditioning and an attentional bias towards reward-predicting cues. Awareness of the experimental contingencies was linked solely to cognitive abilities, while the speed of acquisition of awareness and the magnitude of conditioned responses was influenced by specific personality characteristics, experiences of compensation from using the application and severity of problematic use. Importantly, certain characteristics specifically predicted the magnitude of the conditioned response towards gaming, while others specifically predicted the response towards buying-shopping, highlighting differing vulnerabilities. These findings underscore the importance of targeted interventions and prevention strategies tailored to these specific vulnerability factors. Further implications and limitations are discussed.
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Condicionamento Clássico , Individualidade , Transtorno de Adição à Internet , Condicionamento Clássico/fisiologia , Masculino , Humanos , Feminino , Transtorno de Adição à Internet/fisiopatologia , Adulto Jovem , Adulto , Conscientização/fisiologia , Recompensa , Sinais (Psicologia) , Adolescente , InternetRESUMO
People's health is one of the important supports for China's economic development. This study uses the 2021 Chinese General Social Survey (CGSS) data to empirically test the impact of residents' Internet use frequency and economic income on residents' health level, and analyzes the differences between urban and rural areas. The empirical test results show that, firstly, the frequency of Internet use can promote the health level of residents, and the promotion effect of Internet use frequency on the health level of rural residents is higher than that of urban residents; Secondly, economic income has a positive promoting effect on the health level of the entire sample of residents, but in urban samples, the regression between economic income and residents' health level is not significant. Third, in the heterogeneity test of region, gender and age, it is found that the impact of residents' Internet use frequency and economic income on residents' health level also has urban-rural differences. Based on this, this study suggests that the government can continue to make efforts to further promote the health level of residents by improving the Internet penetration rate, strengthening the use of Internet skills, carrying out Internet professional skills training and promoting the high-quality development of Internet content.
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Renda , Uso da Internet , População Rural , População Urbana , Humanos , China , População Rural/estatística & dados numéricos , Feminino , População Urbana/estatística & dados numéricos , Masculino , Adulto , Pessoa de Meia-Idade , Renda/estatística & dados numéricos , Uso da Internet/estatística & dados numéricos , Nível de Saúde , Inquéritos e Questionários , Adolescente , Idoso , Adulto Jovem , Internet/estatística & dados numéricos , População do Leste AsiáticoRESUMO
AIM: The purpose of this study was to assess the accuracy of two web-based automated cephalometric landmark identification and analysis programs. Manual landmark identification using Dolphin Imaging software was used as reference. MATERIALS AND METHODS: 105 cephalograms were selected and divided into three groups of 35 subjects each, Class I, II and III. Radiographs were traced using Dolphin imaging software. WebCeph™ (South Korea) and Cephio™ (Poland) were used for the automated cephalometric analysis. Bland-Altman limits of agreement and the concordance correlation coefficient (CCC) were calculated. Kruskal Wallis test was used to compare the accuracy of WebCeph™ and Cephio™ measurements between the three groups. Mann-Whitney U test was used to compare the absolute difference between cephalometric measurements obtained using WebCeph™ and Cephio™. RESULTS: The mean difference (MD) between AI and manually-derived measurements was less than 1 mm/degree and ranged from 0.01 to 0.8 except for upper lip protrusion (MD 1.35°), nasolabial angle (MD 5.01°), SN-GoGn (MD 1.41°), Ramus height (MD 1.46°), and IMPA (MD 1.94°). The mean CCC was 0.91 (range 0.60 to 0.96). No statistically significant differences were found between the three malocclusion groups for most of the measurements (P > 0.05). CONCLUSIONS: For most of the measurements, automated cephalometric measurements were clinically acceptable. Few differences were found between Webceph™ and Cephio™ for most measurements. Measurements including SNA, SN-PP, IMPA as well as soft tissue measurements require extra consideration and manual adjustment of respective landmarks for higher precision and improved efficiency.
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Pontos de Referência Anatômicos , Cefalometria , Internet , Software , Cefalometria/métodos , Humanos , Masculino , Feminino , Processamento de Imagem Assistida por Computador/métodos , República da CoreiaRESUMO
BACKGROUND: Approximately 4% to 8% of pregnant individuals meet the criteria for current posttraumatic stress disorder (PTSD), a known risk factor for a multitude of adverse maternal and child health outcomes. However, PTSD is rarely detected or treated in obstetric settings. Moreover, available prenatal PTSD treatments require in-person services that are often inaccessible due to barriers to care. Thus, web-based interventions offer great potential in extending PTSD treatment to high-risk pregnant individuals by providing affordable, accessible care. However, there are currently no web-based interventions designed specifically for the treatment of PTSD symptoms during pregnancy. OBJECTIVE: This study aims to develop and pilot a 6-week, web-based, cognitive behavioral therapy intervention for PTSD, SunnysideFlex, in a sample of 10 pregnant women with current probable PTSD. Consistent with established guidelines for developing and testing novel interventions, the focus of this pilot study was to evaluate the initial feasibility and acceptability of the SunnysideFlex intervention and preintervention to postintervention changes in PTSD and depression symptoms. This approach will allow for early refinement and optimization of the SunnysideFlex intervention to increase the odds of success in a larger-scale clinical trial. METHODS: The SunnysideFlex intervention adapted an existing web-based platform for postpartum depression, Sunnyside for Moms, to include revised, trauma-focused content. A total of 10 pregnant women in weeks 16 to 28 of their pregnancy who reported lifetime interpersonal trauma exposure (ie, sexual or physical assault) and with current probable PTSD (scores ≥33 per the PTSD checklist for DSM-5) were enrolled in the SunnysideFlex intervention. Assessments took place at baseline and 6 weeks (postintervention). RESULTS: All participants were retained through the postintervention assessment period. Engagement was high; participants on average accessed 90% of their lessons, logged on to the platform at least weekly, and reported a generally positive user experience. Moreover, 80% (8/10) of participants demonstrated clinically meaningful reductions in PTSD symptoms from baseline to postintervention, and 50% (5/10) of participants no longer screened positive for probable PTSD at postintervention. Most (6/10, 60%) of the participants maintained subclinical depression symptoms from baseline to postintervention. CONCLUSIONS: Findings from this small pilot study indicate that SunnysideFlex may be a feasible and acceptable mechanism for delivering PTSD intervention to high-risk, trauma-exposed pregnant women who might otherwise not have opportunities for services. Larger-scale trials of the intervention are necessary to better understand the impact of SunnysideFlex on PTSD symptoms during pregnancy and the postpartum period.
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Terapia Cognitivo-Comportamental , Intervenção Baseada em Internet , Transtornos de Estresse Pós-Traumáticos , Humanos , Feminino , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos de Estresse Pós-Traumáticos/psicologia , Projetos Piloto , Gravidez , Adulto , Terapia Cognitivo-Comportamental/métodos , Resiliência Psicológica , Complicações na Gravidez/terapia , Complicações na Gravidez/psicologia , InternetRESUMO
INTRODUCTION: Online patient education materials (PEMs) that are difficult to read disproportionately affect patients with low health literacy and educational attainment. Patients may not be fully informed or empowered to engage meaningfully with providers and advocate for their goals. We aim to assess the readability of online PEMs regarding polydactyly and syndactyly. METHODS: Google was used to query "polydactyly" and "syndactyly" in English and Spanish. The first 50 results were categorized into institutional (government, medical school, teaching hospital), noninstitutional (private practice, blog), and academic (journal articles, book chapters). Readability scores were generated using the Simple Measure of Gobbledygook and Spanish Simple Measure of Gobbledygook scales. RESULTS: All polydactyly PEMs and >95% of syndactyly PEMs exceeded the National Institutes of Health recommended 6th-grade reading level. Altogether, English PEMs had an average reading level of a university freshman and Spanish PEMs had an average reading level of nearly a high school sophomore. For both diagnoses, English PEMs were harder to read than Spanish PEMs overall and when compared across the 3 categories between the 2 languages. Generally, noninstitutional PEMs were more difficult to read than their institutional counterparts. CONCLUSIONS: To improve patient education, health literacy, and language equity, online resources for polydactyly and syndactyly should be written at the 6th-grade level. Currently, these PEMs are too advanced, which can make accessing, understanding, and pursuing healthcare decisions more challenging. Understanding health conditions and information is crucial to empower patients, regardless of literacy.
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Compreensão , Letramento em Saúde , Internet , Idioma , Educação de Pacientes como Assunto , Polidactilia , Sindactilia , Humanos , Sindactilia/diagnóstico , Polidactilia/diagnósticoRESUMO
Genome-wide association studies have advanced our understanding of complex traits, but studying how a GWAS variant can affect a specific trait in the human population remains challenging due to environmental variability. Drosophila melanogaster is in this regard an excellent model organism for studying the relationship between genetic and phenotypic variation due to its simple handling, standardized growth conditions, low cost, and short lifespan. The Drosophila Genetic Reference Panel (DGRP) in particular has been a valuable tool for studying complex traits, but proper harmonization and indexing of DGRP phenotyping data is necessary to fully capitalize on this resource. To address this, we created a web tool called DGRPool (dgrpool.epfl.ch), which aggregates phenotyping data of 1034 phenotypes across 135 DGRP studies in a common environment. DGRPool enables users to download data and run various tools such as genome-wide (GWAS) and phenome-wide (PheWAS) association studies. As a proof-of-concept, DGRPool was used to study the longevity phenotype and uncovered both established and unexpected correlations with other phenotypes such as locomotor activity, starvation resistance, desiccation survival, and oxidative stress resistance. DGRPool has the potential to facilitate new genetic and molecular insights of complex traits in Drosophila and serve as a valuable, interactive tool for the scientific community.
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Drosophila melanogaster , Estudo de Associação Genômica Ampla , Fenótipo , Animais , Drosophila melanogaster/genética , Estudo de Associação Genômica Ampla/métodos , Internet , Longevidade/genética , SoftwareRESUMO
INTRODUCTION: As many web platforms adopt collaborative content editing models, the gender gap is addressed as one of the chief concerns in using technology to restrict content editing by one gender. OBJECTIVE: This study aims to analyze the Arabic Wikipedia, the largest collaborative content editing platform on the Arabic web, in terms of gender behavior and differences in user activities. METHODS: This study is the first to address the gender gap in Arabic Wikipedia, characterize users' gender through their behavior, and then address changes in characteristics over the past five years. This study analyzes parts of Arabic Wikipedia offline by linking article pages and page edit histories to user profiles of known genders. RESULTS: This study reported that a gender gap exists in Arabic Wikipedia. The results reported differences over the past five years between both genders in terms of tasks and user behavior. One aspect that indicated similarity is the period of active time over months/years. Differences were observed in the reported number of increasing users, activities, responsibilities, and average actions performed. CONCLUSION: The results reveal a vast gap in terms of gender behavior in Wikipedia activities. Moreover, the results reveal that some administrative activities are disclosed to men more than to women.
Assuntos
Internet , Humanos , Feminino , Masculino , Fatores SexuaisRESUMO
Background: The most common form of cancer among women is breast cancer in the Kingdom of Saudi Arabia. Thus, the purpose of this study was to evaluate women in Saudi Arabia's Asir Region, on their knowledge, attitudes, and practices (KAP) regarding breast self-examination (BSE). Methods: The research was carried out cross-sectional and conducted from October 2023 to June 2024 in Saudi Arabia's Asir province. Results: Out of 397 study participants, 89 (22.4%) had good knowledge, and 308 (77.6%) had poor knowledge; 185 (46.6%) had a positive attitude, and 212 (53.4%) had a negative attitude 24 (6%) had good practice 373 (94%) had poor practice about breast BSE. According to study participants, social media, 204 (51.4%), radio, television, and newspapers were the best places to learn about BSE. In this study, 316 (79.6%) had heard of BSE. 230 (57.9%) stated that breast cancer patient's likelihood of survival increases with early detection. Only 231 (58.2%) and 247 (62.2%) agreed that breast cancer is indicated by changes in the color and shape of the breast and retraction/discharge of the breasts, respectively. Out of 147, 24 (16.3%) self-examined just one week after each menstruation. Single (OR = 6.259; 95% CI = 1.790-21.887, p = 0.004) and married (OR = 4.923; 95% CI = 1.509-16.056, p = 0.008), Single (OR = 2.736; 95% CI = 1.248-6.000, p = 0.012) and married (OR = 3.176; 95% CI = 1.734-5.817, p = 0.00) were significantly associated with good knowledge and attitude of BSE, respectively. Illiterates (OR = 0.233; 95% CI = 0.060-0.895, p = 0.034), pre-university (OR = 0.222; 95% CI = 0.092-0.538, p = 0.001), Illiterates (OR = 0.293; 95% CI = 0.114-0.755, p = 0.011), pre-university (OR = 0.462; 95% CI = 0.271-0.788, p = 0.005) are less likely to have good knowledge and attitude compared to college and university educated. Conclusion: The study revealed that few women have good knowledge, attitudes, and practices among BSE. In this study, attitude level is high in comparison to knowledge and practice. However, 94% never practiced at all. It is strongly advised that a focus be placed on improving women's KAP regarding BSE, as well as BSE educational programs in universities and more community service activities such as health campaigns in public places.
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Neoplasias da Mama , Autoexame de Mama , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Autoexame de Mama/estatística & dados numéricos , Feminino , Estudos Transversais , Adulto , Pessoa de Meia-Idade , Neoplasias da Mama/diagnóstico , Arábia Saudita , Inquéritos e Questionários , Internet , Idoso , Adulto Jovem , Detecção Precoce de Câncer/estatística & dados numéricosRESUMO
Around the world, the adoption of digital technologies in health care has accelerated considerably in the wake of the COVID-19 pandemic. Prior to the emergence of the pandemic, China had already embarked on a private sector, technology enterprise-led creation of an innovative internet health care ecosystem, which has dramatically transformed China's health care landscape. In this article, we describe the evolution of China's internet health market, focusing on internet telemedicine. We trace its early origins with the establishment of information networks in the 1980s, to the emergence of a fast-growing internet health market in the 2010s that leveraged the capabilities of technology enterprises in e-commerce, logistics, and payment systems. Private health care platforms have played a central role throughout this transformative process. The supplyside of the market has a unique public-private mix structure, with the coexistence of public and private internet hospitals, and with the majority of telemedicine services provided by public hospital doctors working on private platforms in a dual practice capacity. We conclude with a discussion of the prospects of internet telemedicine, including how it should be optimized and harnessed to improve China's health system. Finally, we set out areas where more research is needed.
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COVID-19 , Internet , Telemedicina , Telemedicina/tendências , China , Humanos , COVID-19/epidemiologia , SARS-CoV-2 , Política de Saúde , Pandemias , Setor PrivadoRESUMO
BACKGROUND: The internet is often the first source patients turn to for medical information. YouTube is a commonly used internet-based resource for patients seeking to learn about medical procedures, including their risks, benefits, and safety profile. Abortion is a common yet polarizing medical procedure. People interested in obtaining an abortion are likely to use the internet to learn more about abortion procedures and may encounter misinformed and biased information. This is troubling as information found on the internet can significantly alter perceptions and understanding of these procedures. There is no current research that evaluates the accuracy, quality, and misinformation of instructional abortion videos available to patients. OBJECTIVE: The purpose of this study was to assess if any given video can deliver accurate and quality information about this topic in an unbiased manner and to assess the level of factually incorrect, distorted, or medically irrelevant information in any given video. METHODS: Procedural methods of abortion were queried on YouTube on August 22, 2022. The videos were screened with strict exclusion criteria. Videos were categorized into "video slants" based on the language and attitudes expressed in each video. Video accuracy was calculated using the Surgical Curriculum in Obstetrics and Gynecology (SCOG) checklist for each corresponding procedure. Video quality was calculated using the Laparoscopic Surgery Video Educational Guidelines (LAP-VEGaS) criteria. The level of misinformation was assessed with the evidence-based Anti-Choice Rubric, which scores the amount of factually incorrect, distorted, or medically irrelevant information in each video. RESULTS: A total of 32 videos were analyzed and categorized into 3 "video slant" groups: neutral (n=23, 72%), antichoice (n=4, 12%), and prochoice (n=5, 16%). Using the SCOG checklist, neutral videos had the highest median accuracy (45.9%), followed by antichoice videos (24.6%) and prochoice videos (18.5%). None of the videos met the LAP-VEGaS quality control criteria, (score>11, indicating adequate quality). Neutral videos had a median score of 8.8 out of 18, with antichoice videos scoring 10.75 and prochoice videos scoring 6.2. Using the Anti-Choice Rubric, neutral videos mentioned only 1 factually incorrect piece of information. Antichoice videos mentioned 12 factually incorrect pieces of information, 8 distortions, and 3 medically irrelevant pieces of information. Prochoice videos did not mention any of the 3 themes. CONCLUSIONS: Using the SCOG checklist, the accuracy of instructional videos were inconsistent across the 3 identified "video slants." Using LAP-VEGaS criteria, the quality of educational videos were also inconsistent across the 3 "video slants." Prochoice videos had the lowest level of misinformation, with no mentions of any of the 3 themes. Antichoice videos had the highest levels of misinformation, with mentions in all 3 themes. Health care professionals should consider this when counseling patients who may watch YouTube videos for information regarding abortion procedures.
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Aborto Induzido , Mídias Sociais , Gravação em Vídeo , Humanos , Estudos Transversais , Mídias Sociais/normas , Aborto Induzido/métodos , Aborto Induzido/educação , Feminino , Gravidez , Comunicação , Informação de Saúde ao Consumidor/normas , InternetRESUMO
People who experience a stroke are at a higher risk of recurrent stroke when compared with people who have not had a stroke. Addressing modifiable risk factors like physical inactivity and poor diet has been shown to improve blood pressure, a leading contributor to stroke. However, survivors of stroke often experience challenges with accessing risk reduction services including long wait lists, difficulty with transportation, fatigue, impaired function, and diminished exercise capacity. Providing health interventions via a website can extend the reach when compared with programs that are only offered face to face or via real-time telehealth. Given global challenges of accessing secondary prevention programs, it is important to consider alternative ways that this information can be made available to survivors of stroke worldwide. Using the "design thinking" framework and drawing on principles of the integrated knowledge translation approach, we adapted 2 co-designed telehealth programs called i-REBOUND - Let's get moving (physical activity intervention) and i-REBOUND - Eat for health (diet Intervention) to create the i-REBOUND after stroke website. The aim of this paper is to describe the systematic process undertaken to adapt resources from the telehealth delivered i-REBOUND - Let's get moving and i-REBOUND - Eat for health programs to a website prototype with a focus on navigation requirements and accessibility for survivors of stroke. We engaged a variety of key stakeholders with diverse skills and expertise in areas of stroke recovery, research, and digital health. We established a governance structure, formed a consumer advisory group, appointed a diverse project team, and agreed on scope of the project. Our process of adaptation had the following 3 phases: (1) understand, (2) explore, (3) materialize. Our approach considered the survivor of stroke at the center of all decisions, which helped establish guiding principles related to our prototype design. Careful and iterative engagement with survivors of stroke together with the application of design thinking principles allowed us to establish the functional requirements for our website prototype. Through user testing, we were able to confirm the technical requirements needed to build an accessible and easy-to-navigate website catering to the unique needs of survivors of stroke. We describe the process of adapting existing content and co-creating new digital content in partnership with, and featuring, people who have lived experience of stroke. In this paper, we provide a road map for the steps taken to adapt resources from 2 telehealth-delivered programs to a website format that meets specific navigation and accessibility needs of survivors of stroke.
Assuntos
Exercício Físico , Internet , Autogestão , Acidente Vascular Cerebral , Telemedicina , Humanos , Acidente Vascular Cerebral/terapia , Autogestão/métodos , Reabilitação do Acidente Vascular Cerebral/métodos , Dieta/métodosRESUMO
OBJECTIVE: Technology-assisted child sexual abuse (TA-CSA) is defined as any type of sexual abuse with an online element occurring under the age of 18. The literature suggests that victims often experience difficulty in finding support that adequately addresses the online elements of TA-CSA. Research also suggests that practitioners are unsure about how to best approach TA-CSA during initial assessments. DESIGN: This modified Delphi study with healthcare professionals and researchers as experts was conducted to understand best practice principles on how to approach the topic of TA-CSA when a young person presents to clinical services. METHODS: An online, two round modified Delphi study was completed. Round 1 consisited of statements generated from existing published TA-CSA literature. One hundred and twelve participants were invited to complete Round 1. Twenty-four participants responded to Round 1, and of those responders, 15 completed Round 2. All healthcare professionals (10) and eight researchers were located in the United Kingdom. The remaining researchers were based in North and South America, Australia and Europe. RESULTS: Participants agreed that there is a need to provide practitioners with guidance on how to approach TA-CSA and that asking general questions about online life can help ease into the topic of TA-CSA. Additionally, a clear multi-agency approach and adequate training can provide practitioners confidence in their ability in managing risk and disclosure of TA-CSA. CONCLUSIONS: This study provides important initial findings in approaching TA-CSA within an initial assessment. However, future research is necessary in understanding the transferability of these findings to clinical settings.
Assuntos
Abuso Sexual na Infância , Técnica Delphi , Humanos , Abuso Sexual na Infância/psicologia , Feminino , Criança , Masculino , Adolescente , Adulto , InternetRESUMO
BACKGROUND: Fertility centre websites are a key sources of information on medically assisted reproduction (MAR) for both infertile people and the general public. As part of a global fertility market, they are also a window to attract potential future patients. They give formal and practical information but in the way the information is displayed, they also convey social representations, and in particular, gender representation in its intersectional dimension. The objective is to analyse the sex, class and race representations regarding reproduction and parenthood that are embedded in the content of fertility centre websites in eight European countries. METHODS: The 5 most visible fertility centres that appeared in the first places on Internet search were selected for each country under study, except for one country which has only three fertility centres. In total, 38 fertility centre websites were considered for a thematic analysis using an iterative approach and a comprehensive perspective. RESULTS: Each centre details its services and techniques according to the legal provisions in force in its country. However, on all the websites studied, the fertility centres demonstrate a strong gendered representation. The logos generally depict women or parts of their bodies, as do the photos, which mainly show white women with light eyes. The description of the causes of infertility and the techniques offered by the centres also highlights gender differences. Sperm donation, where MAR is reserved for heterosexual couples, is included among the techniques for women with the comment that it will enable them to fulfil their dream of becoming mothers. CONCLUSIONS: MAR, and through it the project of having a child and procreative work, is presented as a matter for white, cisgender and heterosexual women, thus fueling stratified reproduction and limiting reproductive justice. The research team formulated guidelines for fertility centres to encourage them to adopt a more inclusive approach in terms of sex, social class and race, so that the diversity of infertile people feel involved and welcome in these centres, to avoid misperceptions about infertility in the general population and to reinforce autonomy and justice in reproductive matters.
Fertility centre websites are a key sources of information on medically assisted reproduction (MAR) for both people undergoing MAR and the general public. As part of a global fertility market, they may also be a window to attract potential future patients. In this context, they convey formal and practical information but also, through their content, narratives and visuals, social representations. The objective is here to analyse the gender representations of reproduction and parenthood that the 38 European fertility centres under study convey through the texts and images they display on their websites. Each centre details its services and techniques according to the social and legal provisions in force in its country. However, on all the websites studied, the fertility centres demonstrate a strong gendered representation, including in terms of social class and race. MAR, and through it the project of having a child and procreative work, is presented as a matter for white, cisgender and heterosexual women, thus fueling stratified reproduction and limiting reproductive justice.
Assuntos
Técnicas de Reprodução Assistida , Humanos , Feminino , Masculino , Europa (Continente) , Classe Social , Internet , Clínicas de Fertilização , Infertilidade/psicologia , Reprodução , Fatores SocioeconômicosRESUMO
Background: The volume of online health information available makes it difficult to navigate and check its validity and reliability. A community-based MedlinePlus training program was developed to improve participants' ability to access credible online health information. Case Presentation: The program was a public-private partnership between a managed care organization and four local public libraries. A total of eight programs were held between October and November 2017. Each program had a 30-minute cooking demonstration followed by a 30-minute training on access to and navigation of the MedlinePlus website. Program participants were Medicaid beneficiaries, dually eligible for Medicare and Medicaid beneficiaries, and community members from a Pennsylvania county (n=39). A pre-and post-training questionnaire was administered to assess participants' knowledge and practice, and their ability to access health information on the MedlinePlus website. We conducted a retrospective analysis of the data collected during the MedlinePlus trainings. Results from the Wilcoxon Signed Rank test indicated no statistically significant change in participants' ability to access information (Z= -1.41, p=0.16) after attending the program. Conclusion: Although the median pre- to post-program responses improved from 'incorrect' to 'correct,' the number of programs held, and low attendance might be the reason for non-significant results. Participants reported that the program was informative, the website was comprehensive and user-friendly, and they were impressed by the healthy and inexpensive meal preparation from discount store-bought food. Holding MedlinePlus training programs in conjunction with a cooking program and collaborating with local public libraries might be a promising format that needs additional research.
Assuntos
Internet , Humanos , Feminino , Masculino , Pennsylvania , Pessoa de Meia-Idade , Adulto , MedlinePlus , Informação de Saúde ao Consumidor/métodos , Inquéritos e Questionários , Estudos Retrospectivos , Estados Unidos , Participação da Comunidade/métodos , Avaliação de Programas e Projetos de Saúde/métodosRESUMO
This study probes the mechanism of artificial intelligence's (AI's) influence on Chinese college students' willingness to participate in online politics and constructs a theoretical model based on the theory of planned behavior. Through the analysis of questionnaire data acquired from up to 317 Chinese college students in total, it turns out that the use of AI affects Chinese college students' willingness to the participation of online political practice significantly and positively, and such online political participation cognition of Chinese college students plays a mediating role, three aspects of which included as the followings on behavioral attitudes, subjective norms, and perceived behavioral control. Additionly, media literacy level plays a moderating role in online political participation cognition and willingness to participate. All the findings highlight the importance of optimizing the online political participation environment, enhancing college students' cognition of political participation, and improving media literacy in the context of the digital era, which provides practical guidance for promoting healthy and positive online political participation among college students.
Assuntos
Inteligência Artificial , Internet , Política , Estudantes , Humanos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Feminino , Masculino , Adulto Jovem , Universidades , China , Inquéritos e Questionários , Adulto , Adolescente , AtitudeRESUMO
AIM: To investigate the effectiveness in individuals with chronic whiplash-associated disorders (WADs) of neck-specific exercise (NSE) supervised by a physiotherapist twice a week for 12 weeks versus neck-specific exercise with internet support and four physiotherapy visits (NSEIT) regarding dizziness, unsteadiness and balance, and to investigate the differences between WAD grades. METHOD: This is a secondary analysis of a prospective randomised multicentre study (RCT) with concealed allocation (ClinicalTrials.gov Protocol ID: NCT03022812). The outcomes were dizziness measured on the Dizziness Handicap Inventory (DHI); dizziness at rest and during activity and unsteadiness using visual analogue scales; and standing on one leg with eyes closed (SOLEC). Participants (n = 140) were randomised to NSE or NSEIT. Measurements were obtained at baseline, and at three- and 15-month follow-ups by assessor-blinded investigators. RESULTS: There were no significant differences between NSEIT and NSE in any of the outcomes (p>0.38). Both NSEIT and NSE improved over time (p<0.02; effect size (ES) = 0.74-1.01) in DHI score and dizziness during activity. There was a significant group-by-time interaction effect in dizziness (at rest: p = 0.035; ES: 0.66; and during activity: p = 0.016; ES: 1.24) between WAD grades. Individuals with WAD grade 3 had dizziness/unsteadiness to a greater extent and improved in all outcomes over time (p<0.04) compared to those with WAD grade 2, except for SOLEC. CONCLUSIONS: There were no significant group differences between NSEIT and NSE. Both groups decreased in terms of self-reported dizziness (DHI, dizziness during activity), with medium to large effect size. Those with WAD grade 3 have dizziness/unsteadiness to a greater extent than those with WAD grade 2. Despite improvements, many participants still reported dizziness at 15-month follow-up, and additional balance training and/or vestibular exercise may be investigated for potential additional effect.
Assuntos
Tontura , Terapia por Exercício , Internet , Traumatismos em Chicotada , Humanos , Tontura/etiologia , Tontura/terapia , Tontura/fisiopatologia , Masculino , Feminino , Traumatismos em Chicotada/terapia , Traumatismos em Chicotada/fisiopatologia , Traumatismos em Chicotada/complicações , Adulto , Terapia por Exercício/métodos , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do Tratamento , Doença Crônica , Equilíbrio Postural/fisiologiaRESUMO
BACKGROUND: Suicide is a major global health concern, particularly among young people. This study evaluates an online suicide risk calculator based on the Risk Assessment of Suicidality Scale (RASS), which is designed to enhance accessibility and early detection of suicide risk. METHODS: The study involved 444 participants who completed the RASS via an online calculator. Results were compared with data from the COMET-G study's Russian sample (n=7572). Descriptive statistics, correlation analysis, and two-way ANOVA were used to analyze the data. RESULTS: The mean age of participants was 22.71 years (SD=7.94). The mean total RASS standardized score was 837.7 (SD=297.8). There was a significant negative correlation between age and RASS scores (r=-0.463, p<0.0001). The online calculator sample showed significantly higher RASS scores compared to the COMET-G sample, with 71% of online users scoring above the 90th percentile of the COMET-G sample. CONCLUSION: Our study demonstrated the advantage of the on-line suicidality risk calculator based on the RASS scale as a sensitive tool in detecting suicidal behaviours and measuring the severity of suicidality risks, offering a capability for broad reach and immediate assessment during clinical conversation between doctor and patient. Moreover, the RASS on-line psychometric instrument, when being freely distributed among the general population over internet sources, enabled to attract vulnerable groups of respondents with significantly higher suicidality risks. Future research should focus on integrating such tools into comprehensive suicide prevention programs and developing appropriate follow-up monitoring strategies for high risk-cases.