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1.
Anim Welf ; 33: e17, 2024.
Article in English | MEDLINE | ID: mdl-38510423

ABSTRACT

In the UK and Republic of Ireland, the European badger (Meles meles) is considered the most significant wildlife reservoir of the bacterium Mycobacterium bovis, the cause of bovine tuberculosis (bTB). To expand options for bTB surveillance and disease control, the Animal and Plant Health Agency developed a bespoke physical restraint cage to facilitate collection of a small blood sample from a restrained, conscious badger in the field. A key step, prior to pursuing operational deployment of the novel restraint cage, was an assessment of the relative welfare impacts of the approach. We used an established welfare assessment model to elicit expert opinion during two workshops to compare the impacts of the restraint cage approach with the only current alternative for obtaining blood samples from badgers in the field, which involves administration of a general anaesthetic. Eleven panellists participated in the workshops, comprising experts in the fields of wildlife biology, animal welfare science, badger capture and sampling, and veterinary science. Both approaches were assessed to have negative welfare impacts, although in neither case were overall welfare scores higher than intermediate, never exceeding 5-6 out of a possible 8. Based on our assessments, the restraint cage approach is no worse for welfare compared to using general anaesthesia and possibly has a lower overall negative impact on badger welfare. Our results can be used to integrate consideration of badger welfare alongside other factors, including financial cost and efficiency, when selecting a field method for blood sampling free-living badgers.

2.
Am J Med Genet A ; 191(3): 742-752, 2023 03.
Article in English | MEDLINE | ID: mdl-36493376

ABSTRACT

Scant research has explored the healthcare experiences of people with Down syndrome (DS) in the United States who are Black, African American, of African descent, or of mixed race. The purpose of this study was to identify and describe the barriers and facilitators that such patients and their caregivers face when accessing healthcare. We gathered data in three ways: focus groups with caregivers, a national survey completed by caregivers, and in-depth interviews with primary care providers. Many caregivers and primary care physicians felt that patients with DS who are Black, African American, of African descent, or of mixed race receive a lower quality of medical care than their white counterparts with DS. Caregivers mentioned feeling tired of being reminded by the medical community about their race and wanting acknowledgment that raising a child with DS can be hard at times. Many felt that the medical community's conscious and unconscious racial biases do negatively impact the care of their loved ones with DS. Caregivers desired more race concordant medical providers or, when not possible, medical providers who are willing to learn more about DS and build trusted, longitudinal relationships. Primary care providers discussed the need for funded resources and support services to effectively care for their patients with DS.


Subject(s)
Black or African American , Down Syndrome , Humans , Black People , Caregivers , Delivery of Health Care , Down Syndrome/ethnology , United States/epidemiology
3.
Am J Med Genet A ; 191(8): 2132-2141, 2023 08.
Article in English | MEDLINE | ID: mdl-37338115

ABSTRACT

We report on the health care experiences of individuals with Down syndrome (DS) from families who are primarily Spanish-speaking. Data were collected through three methods: (1) a nationally distributed, 20-item survey, (2) two focus groups with seven family caregivers of individuals with DS who self-identified as living in primarily Spanish speaking households, and (3) 20 interviews with primary care providers (PCPs) who care for patients who are underrepresented minorities. Standard summary statistics were used to analyze the quantitative survey results. Focus group and interview transcripts, as well as an open-ended response question in the survey, were analyzed using qualitative coding methods to identify key themes. Both caregivers and PCPs described how language barriers make giving and receiving quality care difficult. Caregivers additionally described condescending, discriminatory treatment within the medical system and shared feelings of caregiver stress and social isolation. Challenges to care experienced by families of individuals with DS are compounded for Spanish-speaking families, where the ability to build trust with providers and in the health care system may be compromised by cultural and language differences, systemic issues (lack of time or inability to craft more nuanced schedules so that patients with higher needs are offered more time), mistrust, and sometimes, overt racism. Building this trust is critical to improve access to information, care options, and research opportunities, especially for this community that depends on their clinicians and nonprofit groups as trusted messengers. More study is needed to understand how to better reach out to these communities through primary care clinician networks and nonprofit organizations.


Subject(s)
Down Syndrome , Hispanic or Latino , Humans , Delivery of Health Care , Language , Communication Barriers
4.
Am J Med Genet A ; 191(8): 2045-2056, 2023 08.
Article in English | MEDLINE | ID: mdl-37264986

ABSTRACT

Down syndrome (DS) has a unique medical and psychological profile. To date, few studies have asked individuals with DS about their views of health, and fewer have explored the impact of COVID-19 on the health of individuals with DS and their families. We used a mixed methods approach including two studies on the health of individuals with DS and their parents conducted during the COVID-19 pandemic: (1) eight virtual focus groups, comprised of 20 parents and 8 individuals with DS to obtain participants' views of health, and (2) a 20-item questionnaire on health care experience of patients with DS who are African American or come from primarily Spanish-speaking homes. Focus group transcripts were coded using a hybrid inductive/deductive framework and thematically analyzed using the Framework Method. This questionnaire included questions regarding the impact of COVID-19 on caregivers and their loved ones with DS; responses to these questions were summarized using descriptive statistics. Individuals with DS discussed the impact of the COVID-19 pandemic on their physical and social health including masking, online learning, and online communication with friends and family. Parents of individuals with DS discussed how the COVID-19 pandemic negatively impacted their child's physical, social, and mental health, as a result of virtual schooling and decreased socialization. There were unexpected positives of the pandemic such as improved hygiene and eased scheduling with telehealth visits. Caregivers noted COVID-19 impacted their own anxiety, employment, and other domains that have potential ripple effects on the health of their children. The COVID-19 pandemic had a pervasive impact on the mental health and wellness of caregivers as well as the physical, social, and mental health of individuals with DS.


Subject(s)
COVID-19 , Down Syndrome , Child , Humans , COVID-19/epidemiology , Pandemics , Down Syndrome/epidemiology , Down Syndrome/psychology , Parents/psychology , Mental Health
5.
Genet Med ; 23(1): 163-173, 2021 01.
Article in English | MEDLINE | ID: mdl-32879436

ABSTRACT

PURPOSE: We sought to determine if a novel online health tool, called Down Syndrome Clinic to You (DSC2U), could improve adherence to national Down syndrome (DS) guidelines. We also sought to determine if primary care providers (PCPs) and caregivers are satisfied with this personalized online health tool. METHODS: In a national, randomized controlled trial of 230 caregivers who had children or dependents with DS without access to a DS specialist, 117 were randomized to receive DSC2U and 113 to receive usual care. The primary outcome was adherence to five health evaluations indicated by national guidelines for DS. DSC2U is completed electronically, in all mobile settings, by caregivers at home. The outputs-personalized checklists-are used during annual wellness visits with the patient's PCP. RESULTS: A total of 213 participants completed a 7-month follow-up evaluation. In the intention-to-treat analysis, the intervention group had a 1.6-fold increase in the number of indicated evaluations that were recommended by the primary care provider or completed compared with controls. Both caregivers and PCPs reported high levels of satisfaction with DSC2U. CONCLUSIONS: DSC2U improved adherence to the national DS health-care guidelines with a novel modality that was highly valued by both caregivers and PCPs.


Subject(s)
Down Syndrome , Caregivers , Child , Down Syndrome/diagnosis , Health Personnel , Humans , Personal Satisfaction
6.
Conserv Biol ; 31(4): 753-760, 2017 08.
Article in English | MEDLINE | ID: mdl-28092422

ABSTRACT

Human-wildlife conflicts are commonly addressed by excluding, relocating, or lethally controlling animals with the goal of preserving public health and safety, protecting property, or conserving other valued wildlife. However, declining wildlife populations, a lack of efficacy of control methods in achieving desired outcomes, and changes in how people value animals have triggered widespread acknowledgment of the need for ethical and evidence-based approaches to managing such conflicts. We explored international perspectives on and experiences with human-wildlife conflicts to develop principles for ethical wildlife control. A diverse panel of 20 experts convened at a 2-day workshop and developed the principles through a facilitated engagement process and discussion. They determined that efforts to control wildlife should begin wherever possible by altering the human practices that cause human-wildlife conflict and by developing a culture of coexistence; be justified by evidence that significant harms are being caused to people, property, livelihoods, ecosystems, and/or other animals; have measurable outcome-based objectives that are clear, achievable, monitored, and adaptive; predictably minimize animal welfare harms to the fewest number of animals; be informed by community values as well as scientific, technical, and practical information; be integrated into plans for systematic long-term management; and be based on the specifics of the situation rather than negative labels (pest, overabundant) applied to the target species. We recommend that these principles guide development of international, national, and local standards and control decisions and implementation.


Subject(s)
Animals, Wild , Consensus , Conservation of Natural Resources , Animal Welfare , Animals , Ecosystem , Environmental Policy , Humans
8.
J Community Health ; 40(1): 153-60, 2015 Feb.
Article in English | MEDLINE | ID: mdl-24981322

ABSTRACT

Individuals with multiple sclerosis (MS) often use complementary and alternative medicine (CAM). However, specific CAM therapies used within this population have not been thoroughly described, particularly the use of supplements, herbal remedies, and dietary modifications. The aim of this pilot study was to determine the prevalence of specific types of CAM used by adults with MS in the United States. Participants included adults who were diagnosed with MS at least 1 year prior to study enrollment. CAM use was measured using the CAM Supplement of the National Health Interview Survey, and nutrient intake was assessed using an Automated Self-Administered 24-h Recall. This study found that a majority (77 %, n = 27) of the sample used CAM within the past 12 months, the most prevalent type being vitamins/minerals (88.9 %, n = 24), nonvitamin, nonmineral, natural products (NP) (44.4 %, n = 12), relaxation techniques (33.3 %, n = 9), and special diets (29.6 %, n = 8). Regarding diet, median percent calories from fat (37 %) and saturated fat (12 %) were higher than current recommendations, while dietary fiber intake met only 87 % of the adequate intake. Participants following the Paleo (7.4 %, n = 2) diet did not meet the Estimated Average Requirement (EAR) for vitamins D and E, while those on the Swank diet (7.4 %, n = 2) were below the EAR for vitamins C, A, E, and folate. The results support previous findings that CAM therapies are commonly used by individuals with MS. Inadequate intakes of certain vitamins and minerals by those following the Swank and Paleo diet suggest these diets may be too restrictive, thus further research is warranted.


Subject(s)
Complementary Therapies/methods , Complementary Therapies/statistics & numerical data , Diet , Energy Intake , Multiple Sclerosis/therapy , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Pilot Projects , Severity of Illness Index , Socioeconomic Factors , United States , Young Adult
9.
Arterioscler Thromb Vasc Biol ; 33(7): 1544-51, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23640496

ABSTRACT

OBJECTIVE: Rho GTPase proteins play a central role in regulating the dynamics of the platelet actin cytoskeleton. Yet, little is known regarding how Rho GTPase activation coordinates platelet activation and function. In this study, we aimed to characterize the role of the Rho GTPase effector, p21 activated kinase (PAK), in platelet activation, lamellipodia formation, and aggregate formation under shear. APPROACH AND RESULTS: Stimulation of platelets with the glycoprotein receptor VI agonist, collagen-related peptide, rapidly activated PAK in a time course preceding phosphorylation of PAK substrates, LIM domain kinase LIMK1 and the MAPK/ERK kinase MEK, and the subsequent activation of MAPKs and Akt. Pharmacological inhibitors of PAK blocked signaling events downstream of PAK and prevented platelet secretion as well as platelet aggregation in response to collagen-related peptide. PAK inhibitors also prevented PAK activation and platelet spreading on collagen surfaces. PAK was also required for the formation of platelet aggregates and to maintain aggregate stability under physiological shear flow conditions. CONCLUSIONS: These results suggest that PAK serves as an orchestrator of platelet functional responses after activation downstream of the platelet collagen receptor, glycoprotein receptor VI.


Subject(s)
Blood Platelets/enzymology , Platelet Activation , Platelet Aggregation , Platelet Membrane Glycoproteins/metabolism , Pseudopodia/enzymology , Signal Transduction , p21-Activated Kinases/blood , Blood Platelets/drug effects , Carrier Proteins/pharmacology , Cell Shape , Enzyme Activation , Humans , Lim Kinases/blood , MAP Kinase Kinase Kinases/blood , Peptides/pharmacology , Phosphorylation , Platelet Activation/drug effects , Platelet Aggregation/drug effects , Platelet Membrane Glycoproteins/agonists , Protein Kinase Inhibitors/pharmacology , Pseudopodia/drug effects , Signal Transduction/drug effects , Stress, Mechanical , Time Factors , p21-Activated Kinases/antagonists & inhibitors
10.
Conserv Biol ; 28(3): 663-76, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24661260

ABSTRACT

International trade in exotic pets is an important and increasing driver of biodiversity loss and often compromises the standards required for good animal welfare. We systematically reviewed the scientific and gray literature and used the United Nations Environment Programme - World Conservation Monitoring Centre (UNEP-WCMC) Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) trade database to establish temporal and geographical trade patterns of live exotic birds, mammals, and reptiles and to describe trends in research, taxonomic representation, and level of threat and legal protection of species traded. Birds were the most species-rich and abundant class reported in trade; reptiles were second most abundant but unusually the most studied in this context; and mammals were least abundant in trade. Mammalian and reptilian species traded as pets were more likely to be threatened than expected by random. There have been a substantial number of Appendix I listed captive-bred mammals and birds and wild-caught birds and reptiles reported in trade to CITES. We identified the Middle East's emerging role as a driver of demand for exotic pets of all taxa alongside the well-established and increasing role of South America and Southeast Asia in the market. Europe, North America, and the Middle East featured most heavily in trade reports to CITES, whereas trade involving South America and Southeast Asia were given most emphasis in the literature. For effective monitoring of and appropriate response to the international exotic pet trade, it is imperative that the reliability and detail of CITES trade reports improve and that scientific research be directed toward those taxa and locations that are most vulnerable.


Subject(s)
Commerce , Conservation of Natural Resources , Pets/economics , Animal Welfare , Animals , Birds , Mammals , Pets/psychology , Reptiles
11.
Am J Physiol Cell Physiol ; 305(5): C519-28, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23784547

ABSTRACT

Regulation of the platelet actin cytoskeleton by the Rho family of small GTPases is essential for the proper maintenance of hemostasis. However, little is known about how intracellular platelet activation from Rho GTPase family members, including Rac, Cdc42, and Rho, translate into changes in platelet actin structures. To better understand how Rho family GTPases coordinate platelet activation, we identified platelet proteins associated with Rac1, a Rho GTPase family member, and actin regulatory protein essential for platelet hemostatic function. Mass spectrometry analysis revealed that upon platelet activation with thrombin, Rac1 associates with a set of effectors of the p21-activated kinases (PAKs), including GIT1, ßPIX, and guanine nucleotide exchange factor GEFH1. Platelet activation by thrombin triggered the PAK-dependent phosphorylation of GIT1, GEFH1, and other PAK effectors, including LIMK1 and Merlin. PAK was also required for the thrombin-mediated activation of the MEK/ERK pathway, Akt, calcium signaling, and phosphatidylserine (PS) exposure. Inhibition of PAK signaling prevented thrombin-induced platelet aggregation and blocked platelet focal adhesion and lamellipodia formation in response to thrombin. Together, these results demonstrate that the PAK signaling system is a key orchestrator of platelet actin dynamics, linking Rho GTPase activation downstream of thrombin stimulation to PAK effector function, MAP kinase activation, calcium signaling, and PS exposure in platelets.


Subject(s)
Blood Platelets/drug effects , Platelet Activation/drug effects , Thrombin/pharmacology , p21-Activated Kinases/metabolism , Actin Cytoskeleton/drug effects , Actin Cytoskeleton/metabolism , Adaptor Proteins, Signal Transducing/genetics , Adaptor Proteins, Signal Transducing/metabolism , Blood Platelets/cytology , Blood Platelets/metabolism , Cell Adhesion/drug effects , Cell Cycle Proteins/genetics , Cell Cycle Proteins/metabolism , Cells, Cultured , Gene Expression Regulation , Guanine Nucleotide Exchange Factors/genetics , Guanine Nucleotide Exchange Factors/metabolism , Humans , Lim Kinases/genetics , Lim Kinases/metabolism , Mitogen-Activated Protein Kinases/genetics , Mitogen-Activated Protein Kinases/metabolism , Neurofibromin 2/genetics , Neurofibromin 2/metabolism , Phosphorylation , Platelet Aggregation/drug effects , Proto-Oncogene Proteins c-akt/genetics , Proto-Oncogene Proteins c-akt/metabolism , Pseudopodia/drug effects , Pseudopodia/metabolism , Rho Guanine Nucleotide Exchange Factors , Signal Transduction , p21-Activated Kinases/genetics , rac1 GTP-Binding Protein/genetics , rac1 GTP-Binding Protein/metabolism
12.
Plast Surg Nurs ; 33(1): 11-21; quiz 22-3, 2013.
Article in English | MEDLINE | ID: mdl-23446503

ABSTRACT

Women facing an early-stage breast cancer diagnosis may elect to have a contralateral prophylactic mastectomy (CPM) to reduce the risk of developing a contralateral breast cancer. In the United States, CPM rates for all surgically treated women with stages I through III unilateral breast cancer increased dramatically from 1998 to 2003. In 1991, the National Institutes of Health Consensus Panel concluded that breast-conserving surgery is an appropriate and preferred treatment for the majority of women with stage I and II breast cancer because it provides survival rates equivalent to those of total mastectomy while preserving the breast. Owing to the near equivalence of the 2 surgical treatment options in terms of survival benefit and recurrence risk, surgical treatment for early-stage breast cancer qualifies as a "preference-sensitive decision" for which no one treatment is best (S. T. ; ). We performed a literature review to identify studies that examined CPM decision making in women facing an early-stage breast cancer diagnosis with the aim of determining the most influential factors affecting her surgical choice. Study outcome measures were largely based on demographic information retrospectively extracted from large databases representing trends rather than revealing influences reflecting preference-sensitive decision making. While we may know demographically, which women choose CPM, we do not know why. To better understand this increasing trend, which greatly impacts patient counseling, prospective research is needed using decision quality methods developed to illuminate factors influencing a woman's decision.


Subject(s)
Breast Neoplasms/prevention & control , Decision Making , Mastectomy , Neoplasms, Second Primary/prevention & control , Breast Neoplasms/genetics , Breast Neoplasms/mortality , Female , Genetic Predisposition to Disease , Humans , Mastectomy/psychology , Neoplasms, Second Primary/genetics
13.
Animals (Basel) ; 12(3)2022 Feb 08.
Article in English | MEDLINE | ID: mdl-35158725

ABSTRACT

Scientific assessment of the impacts of trapping on mammal welfare is necessary to inform cost-benefit analyses of using traps in wildlife management, improve trap performance and trapping processes and develop international trap standards. The Sharp and Saunders humaneness assessment model was developed specifically for assessing welfare impacts in vertebrate wildlife management and has been used to assess the impacts of trapping various mammals. It is a specific version of the more general Five Domains model for welfare assessment which is based on the understanding that welfare state reflects the sum of the animal's mental experiences. Our experience of applying the Sharp and Saunders model allows us to make key recommendations for those wishing to use it. First, the exact parameters of the trapping scenario to be assessed must be decided. Second, assessments should be based on published data, as well as integrating both scientific and practitioner expertise to provide rigorous and relevant outcomes. Third, conclusions about welfare impacts should be based on the appropriate indicators. As far as is possible, mental experiences should be inferred using animal-based indicators, and some representation should be provided of the scorers' confidence in the data on which assessment is based. Careful consideration of these points will help optimize the value of information produced using the model for wildlife management decision-making.

14.
J Acad Nutr Diet ; 122(8): 1525-1533.e4, 2022 08.
Article in English | MEDLINE | ID: mdl-35231662

ABSTRACT

BACKGROUND: Food skills are defined as meal planning, preparation, shopping, budgeting, resourcefulness, and label reading/consumer awareness. To date, food skills have not been tested in intervention-based studies. OBJECTIVE: To evaluate the feasibility of implementing a food skills intervention. DESIGN: This was an 8-week prospective food skills intervention. Study measures were completed through questionnaires provided before the start of the intervention and after the intervention was completed. For questionnaires, the web platform REDCap was used. PARTICIPANTS AND SETTING: Thirty parents (aged 18 years or older) with at least one child (aged 2 to 12 years), attended weekly virtual intervention sessions via Zoom. The intervention took place from August to October 2020 with assessment measures collected within 2 months of the start and end date of the intervention. Participants were from the mid-Atlantic region of the United States INTERVENTION: A food skills intervention based on behavior modification strategies from the Social Cognitive Theory was implemented. Intervention goals included meal planning (six of seven dinner meals per week), meal plan implementation (at least four of six planned dinner meals), and always using a grocery list when shopping. MAIN OUTCOME MEASURES: Feasibility was evaluated based on parent attendance, number of self-monitoring booklets completed, adherence to goals, implementation fidelity, and qualitative responses to interviews. Change in food skills confidence and nutrition knowledge were also assessed. STATISTICAL ANALYSIS: Descriptive statistics and qualitative responses were used to describe feasibility. Paired t tests were used to evaluate change in food skills confidence and nutrition knowledge from baseline to 8 weeks. RESULTS: Parents attended a mean of 7.6 ± 1.0 (out of eight) sessions and completed a mean of 6.2 ± 1.7 (out of seven) self-monitoring booklets. Parents planned a mean of 6.1 ± 1.5 dinners per week and implemented a mean of 4.7 ± 1.6 of the six planned dinners, achieving the intervention goals. Of the mean 1.2 ± 0.6 trips/week to the grocery store reported, grocery lists were used a mean of 1.1 ± 0.6 times. Mean food skills confidence score increased significantly from baseline to 8 weeks (baseline = 86.5 ± 18.0; 8 weeks = 101.4 ± 15.3; P < 0.001). Mean nutrition knowledge score also significantly increased (baseline = 64.1 ± 7.2; 8 weeks = 69.1 ± 6.6; P < 0.001). Parents reported on a scale of zero ("easy") to 10 ("difficult") a mean difficulty rating of 2.4 ± 2.4 for meal planning, a mean of 2.1 ± 2.1 for meal plan implementation, and a mean of 1.0 ± 1.7 for always using a grocery shopping list indicating acceptability of goals. CONCLUSIONS: Feasibility of a food skills intervention was demonstrated by high session attendance, high numbers of self-monitoring booklets turned in, high achievement of intervention goals, parent acceptability, and high ratings of implementation fidelity. There was an increase in food skill confidence and nutrition knowledge. Future research should examine the efficacy of changing food skill behaviors on dietary intake.


Subject(s)
Meals , Parents , Child , Eating , Family , Feasibility Studies , Humans , Meals/psychology , Parents/psychology
15.
Nurs Educ Perspect ; 32(4): 234-9, 2011.
Article in English | MEDLINE | ID: mdl-21923003

ABSTRACT

The purpose of this study was to examine empowerment, job satisfaction levels, and relationships among 139 associate degree nursing educators.The Conditions of Work Effectiveness II, Psychological Empowerment Scale, and Job Diagnostic Survey were used. Findings indicated that the majority of educators were satisfied with their jobs as nursing faculty and felt empowered in their workplaces. Psychological empowerment demonstrated the strongest positive correlation with job satisfaction. There were no significant differences in empowerment or job satisfaction based on educators' tenure status, educational level, evidence of scholarship, or academic rank. Based on the findings of this study, the authors recommend that deans use resources to provide faculty opportunities to expand their departmental influence and spend more time with students, as well as place faculty in positions that highlight their relevance to the college and nursing program.


Subject(s)
Education, Nursing, Associate , Faculty, Nursing/supply & distribution , Job Satisfaction , Power, Psychological , California , Career Choice , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Workforce , Workplace
16.
J Acad Nutr Diet ; 121(7): 1339-1349.e2, 2021 07.
Article in English | MEDLINE | ID: mdl-33589381

ABSTRACT

BACKGROUND: Food skills are behaviors surrounding the planning, purchasing, and preparing of food. Food skills have been identified as important for promoting diet quality. Little work has investigated specific food skills perceived by parents to promote a healthy diet or parents' perceived barriers to implementing food skills. OBJECTIVE: Our aim was to determine current food skills that parents identify as helpful behaviors for consuming a healthy diet and the perceived barriers to implementing food skills. DESIGN: We conducted a qualitative study using focus groups with mothers (18 years or older) who reported being primarily responsible for acquiring and preparing food. PARTICIPANTS/SETTING: Thirty mothers with at least 1 child under the age of 18 years were asked to attend 1 of 5 focus groups held in a university setting. MAIN OUTCOMES: Outcomes included emergent themes and subthemes within the domains of food skill behaviors identified as helpful and perceived barriers to implementing food skills. ANALYSIS: Focus groups were audio-recorded and transcribed. Thematic analysis was used to analyze transcripts and descriptive statistics were used to characterize participant demographics. RESULTS: Food skill themes identified as helpful behaviors for consuming a healthy diet included mothers' resourcefulness, overall planning behaviors, and child involvement and influence. Themes for barriers to implementing food skills included limited time, cooking for multiple needs and tastes, exposure to food and sales while shopping, and food cost. CONCLUSIONS: Qualitative findings indicated that mothers need behavior strategies for time management, meeting multiple family needs, dealing with exposure to food and sales, and food resource management rather than being provided solely with education. These findings can inform future behavior-based interventions to improve the diet quality of families.


Subject(s)
Child Rearing/psychology , Consumer Behavior , Diet, Healthy/psychology , Feeding Behavior/psychology , Mothers/psychology , Adult , Child , Cooking , Female , Focus Groups , Humans , Perception , Qualitative Research
17.
J Am Acad Audiol ; 32(2): 90-98, 2021 02.
Article in English | MEDLINE | ID: mdl-33296929

ABSTRACT

BACKGROUND: Matching hearing aid output levels to prescribed targets is a component of preferred practice, yet recent normative data on appropriateness of fittings are lacking. Verification measures that assess closeness of fit-to-target include raw deviations from target, root-mean-squared-error (RMSE) deviations from target, and aided Speech Intelligibility Index (SII) values. Establishing normative ranges for these measures may help hearing professionals determine whether a patient's fit-to-targets and/or aided speech audibility is typical for his or her degree of hearing loss. PURPOSE: This article aims to characterize the range of fit-to-target and the range of aided SII associated with hearing aid fittings using the Desired Sensation Level version 5.0 (DSL v5-adult) prescription with adults, considering also hearing aid style, venting, and audiometric characteristics. RESEARCH DESIGN: A descriptive and correlational study of data collected from a retrospective chart review. RESULTS: Hearing aid fittings to 281 ears were compiled. The four-frequency average deviation from target (RMSE) was within ± 5 dB of target in 77% of fittings for mid-level speech. Deviation from targets increased with hearing loss, particularly when the loss is greater than 85 dB hearing level or if the loss was steeply sloping. Venting increased the deviation from targets in the low frequencies. Aided SII values strongly correlated with the participants' hearing thresholds. Clinical ranges for RMSE and aided SII were developed for characterization of fitting outcomes. CONCLUSION: Fitting to DSL v5-adult targets was observed within ± 5 dB absolute deviation, or within 5 dB RMSE, on average for typical adult hearing aid fittings. Confidence intervals for deviation from target and aided SII are proposed.


Subject(s)
Hearing Aids , Speech Perception , Adult , Female , Humans , Male , Prescriptions , Retrospective Studies , Speech Intelligibility
18.
J Contin Educ Nurs ; 41(9): 413-7, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20506931

ABSTRACT

Formalized orientation can prepare and socialize nurse educators for academic roles, increasing job satisfaction and retention. This article describes a community college nursing faculty orientation program that includes goals, pre- and post-assessment, a group-determined instructional plan, support and mentoring, and outcomes evaluation. Posttest scores showed that at program completion, perceived teaching competency was either the same or greater in all identified skill areas (increase of 40% to 60% above the original group baseline). Nurse educator participants reported that the program contributed to their overall perception of support and satisfaction with academia, with open group discussion times rated highest. At the end of 3 years, 91% of novice faculty (n=11) were retained.


Subject(s)
Faculty, Nursing , Inservice Training , Faculty, Nursing/supply & distribution , Humans , Inservice Training/methods , Job Satisfaction , Mentors , Program Evaluation , United States
20.
Animals (Basel) ; 10(8)2020 Jul 24.
Article in English | MEDLINE | ID: mdl-32722315

ABSTRACT

In 1999, after pressure from the European Union, an Agreement on International Humane Trapping Standards (AIHTS) that would result in the banning of the steel-jawed leghold traps in the European Community, Canada, and Russia was signed. The United States implemented these standards through an Agreed Minute with the European Community. Over the last two decades, scientists have criticized the AIHTS for (1) omitting species that are commonly trapped; (2) threshold levels of trap acceptance that are not representative of state-of-the-art trap technology; (3) excluding popular traps which are commonly used by trappers although they are known to cause prolonged pain and stress to captured animals; (4) inadequate coverage of capture efficiency and species selectivity (i.e., number of captures of target and non-target species) performance. Concerns about the ability of standards and test procedures to ensure animal welfare, and about the implementation of standards, have also been voiced by wildlife biologists, managers, and conservation groups. In this review, we present a synopsis of current trapping standards and test procedures, and we compare the standards to a then contemporary 1985-1993 Canadian trap research and development program. On the basis of the above-noted concerns about AIHTS, and our experience as wildlife professionals involved in the capture of mammals, we formulated the following hypotheses: (1) the list of mammal species included in the AIHTS is incomplete; (2) the AIHTS have relatively low animal welfare performance thresholds of killing trap acceptance and do not reflect state-of-the-art trapping technology; (3) the AIHTS animal welfare indicators and injuries for restraining traps are insufficient; (4) the AIHTS testing procedures are neither thorough nor transparent; (5) the AIHTS protocols for the use of certified traps are inadequate; (6) the AIHTS procedures for the handling and dispatching of animals are nonexistent; (7) the AIHTS criteria to assess trap capture efficiency and species selectivity are inappropriate. We conclude that the AIHTS do not reflect state-of-the-art trapping technology, and assessment protocols need to be updated to include trap components and sets, animal handling and dispatching, and trap visit intervals. The list of traps and species included in the standards should be updated. Finally, the concepts of capture efficiency and trap selectivity should be developed and included in the standards. Based on our review, it is clear that mammal trapping standards need to be revisited to implement state-of-the-art trapping technology and improve capture efficiency and species selectivity. We believe that a committee of international professionals consisting of wildlife biologists and veterinarians with extensive experience in the capture of mammals and animal welfare could produce new standards within 1-2 years. We propose a series of measures to fund trap testing and implement new standards.

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