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1.
Am J Geriatr Psychiatry ; 32(5): 527-534, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38001019

RESUMO

There are many misconceptions about Prolonged Grief Disorder (PGD). We show with data that PGD is a diagnosis that applies to a rare few of mourners who are at risk of significant distress and dysfunction. Those mourners who meet criteria for PGD have been shown to benefit from specialized, targeted treatment for it. The case against PGD is empirically unsubstantiated, and the need for scientific examination of effective treatments is warranted.


Assuntos
Luto , Humanos , Pesar , Transtorno do Luto Prolongado
2.
BMC Infect Dis ; 24(1): 54, 2024 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-38184543

RESUMO

BACKGROUND: Misconceptions and myths are still the bottlenecks for the prevention of HIV/AIDS transmission in developing countries. This study aimed to assess the prevalence and associated factors of misconception about HIV transmission among reproductive age groups using the most recently available Ethiopian Demographic and Health Surveydata. METHODS: A cross-sectional study design was done using the Ethiopian Demographic and Health Survey 2016 data set. The data analysis was conducted using  Statistical Package for Social Sciences version 25. Multivariable logistic regression analysis was done to identify associated factors of misconception about HIV/AIDS transmission. A p-value of < 0.05 and an adjusted odds ratio with a 95% confidence interval were considered to confirm a statistically significant association. RESULTS: From the sample of 11,425 reproductive-age women, the prevalence of misconception about HIV/AIDS transmission among reproductive-age women in Ethiopia was 27.47%. Women residing in rural area [AOR:1.24; 95% CI: 1.03-1.75] compared to urban resident participants, attended primary education [AOR:0.58;95%CI: 0.49-0.68], attended secondary education [AOR:0.36;95%CI:0.29-0.46], attended higher education [AOR:0.24;95%CI: 0.18-0.32] compared to those participants without education, had history of HIV test [AOR:0.77; 95%CI: 0.67-0.88] compared to their counterpart, respondents living in Amhara region [AOR:0.44:95% CI:0.35-0.54], Benishangul [AOR: 0.34; 95% CI: 0.25-0.46], SNNPR [AOR:0.50; 95% CI: 0.38-0.67], Gambela [AOR:0.57; 95% CI: 0.42-0.79], Harari [AOR:0.62; 95% CI: 0.46-0.82], Addis Ababa [AOR:0.63; 95% CI: 0.49-0.81] compared to those living in Tigray and having richest wealth status[AOR:0.57;95% CI: 1.457-4.078] compared to those whose wealth index was poorest were significantly associated with the misconception about HIV transmission. CONCLUSION: Over all the prevalence of misconception about HIV/AIDS transmission among reproductive-age women in Ethiopia was high. Residence, educational level, wealth index, region, and respondents who ever tested for HIV were significantly associated with the misconception about HIV/AIDS transmission. This high misconception could affect HIV/AIDS transmission and its prevention strategies unless timely and appropriate intervention should be taken. Strengthening strategies aimed at maximizing HIV/AIDS testing, scaling up educational status, and emphasizing regional-wide interventions might have a substantial contribution.


Assuntos
Síndrome da Imunodeficiência Adquirida , Humanos , Feminino , Etiópia/epidemiologia , Prevalência , Estudos Transversais , Escolaridade
3.
Epilepsy Behav ; 153: 109731, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38452516

RESUMO

BACKGROUND: Despite significant advancements in the understanding and treatment of epilepsy, the quality of life for persons diagnosed with Epilepsy (PdwE) can still be negatively impacted due to prevalent misconceptions and societal attitudes. This study aimed to investigate the knowledge, misconceptions, and attitudes towards epilepsy in Bahrain. METHODS: This cross-sectional study involved 1079 participants aged ≥ 18 years living in Bahrain. Data collection occurred between June and December 2023 through an online questionnaire. The questionnaire consisted of four sections: sociodemographic characteristics, sources of information, knowledge about epilepsy, and attitudes toward PdwE. RESULTS: Most participants (1063 out of 1179) were familiar with epilepsy, with social media being the main source of information (56.7%). While 75.6% correctly recognized epilepsy as a nervous system disorder. About 30% of participants believed that body shaking and falling to the ground were the only types of seizures. In terms of attitudes, 47.9% believed that PdwE could achieve high levels of education, but 40% thought they might face job loss due to their condition. Additionally, 27.5% disagreed with the idea of marrying someone with epilepsy or allowing a family member to do so. Being female, young, highly educated, and having a family member with epilepsy were associated with significantly more positive attitudes compared to other groups. CONCLUSION: The studied sample of the Bahraini public demonstrated a satisfactory level of knowledge about epilepsy. However, they still held certain misconceptions that could impact their attitudes towards PdwE. Community awareness campaigns can address this knowledge gap and reduce epilepsy stigma.


Assuntos
Epilepsia , Qualidade de Vida , Humanos , Feminino , Masculino , Estudos Transversais , Barein/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Epilepsia/epidemiologia , Inquéritos e Questionários
4.
Memory ; : 1-15, 2024 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-38805606

RESUMO

Peoples' recognition memory for pictorial stimuli is extremely good. Even complex scientific visualisations are recognised with a high degree of accuracy. The present research examined recognition memory for the branching structure of evolutionary trees. This is an educationally consequential topic due to the potential for contamination from students' misconceptions. The authors created six pairs of scientifically accurate and structurally identical evolutionary trees that differed in whether they included a taxon that cued a misconception in memory. As predicted, Experiment 1 found that (a) college students (N = 90) had better memory for each of the six tree structures when a neutral taxon (M = 0.73) rather than a misconception-cuing taxon (M = 0.64) was included in the tree, and (b) recognition memory was significantly above chance for both sets of trees. Experiment 2 ruled out an alternative hypothesis based on the possibility that 8-12 sec was not enough time for students to encode the relationships depicted in the trees. The authors consider implications of these results for using evolutionary trees to better communicate scientific information. This is important because these trees provide information that is relevant for everyday life.

5.
Afr J Reprod Health ; 28(2): 83-95, 2024 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-38425218

RESUMO

The contraceptive use in Nigeria is relatively low, indicative of the non-adoption of contraceptives by people of reproductive age to curtail the increasing fertility rate with its attendant consequences on the family. The non-use is attributed to numerous factors, including perceptions of and attendant barriers to the uptake of contraceptives. This study was aimed at assessing the perception of and barriers to the uptake of contraceptives among residents of plantation farming communities in Cross River State, Nigeria. It was a multi-sited qualitative descriptive study conducted in three Local Government Areas (Ikom, Yakurr, and Akamkpa) in Cross River State, Nigeria between March and April 2022. Nine Focus Group Discussions (FGDs) and twelve key informant interviews (KIIs) were conducted with respondents from three plantation farming communities. The FGDs were conducted on sexually active unmarried girls, married women within the reproductive age, and married men with spouses of reproductive age. The KIIs were conducted on health care providers, village heads, youth leaders, and women leaders. The generated data were thematically analyzed using both deductive and inductive analytical approaches. Married women were deemed eligible to use contraceptives, which are viewed as a method for preventing pregnancy. The information supplied by healthcare professionals was deemed insufficient for women to make informed decisions. Fear of side effects, dysfunctional health facilities, frequent stock outs, and spousal opposition were the most significant barriers to contraceptive use. Family planning programs should be targeted more at residents of rural areas to increase awareness, dispel misconceptions, and promote contraceptive use.


L'utilisation de contraceptifs au Nigéria est relativement faible, ce qui indique que les personnes en âge de procréer ne les adoptent pas pour freiner l'augmentation du taux de fécondité et ses conséquences sur la famille. La non-utilisation est attribuée à de nombreux facteurs, notamment les perceptions et les obstacles à l'adoption des contraceptifs. Cette étude visait à évaluer la perception et les obstacles à l'adoption des contraceptifs parmi les résidents des communautés agricoles des plantations de l'État de Cross River, au Nigeria. Il s'agissait d'une étude descriptive qualitative multisites menée dans trois zones de gouvernement local (Ikom, Yakurr et Akamkpa) dans l'État de Cross River, au Nigeria, entre mars et avril 2022. Neuf discussions de groupe (FGD) et douze entretiens avec des informateurs clés (KII). ont été menées auprès de répondants de trois communautés agricoles de plantations. Les groupes de discussion ont été menés auprès de filles célibataires sexuellement actives, de femmes mariées en âge de procréer et d'hommes mariés ayant des épouses en âge de procréer. Les KII ont été menées auprès des prestataires de soins de santé, des chefs de village, des jeunes leaders et des femmes leaders. Les données générées ont été analysées thématiquement en utilisant des approches analytiques déductives et inductives. Les femmes mariées étaient considérées comme éligibles à l'utilisation de contraceptifs, considérés comme une méthode permettant de prévenir une grossesse. Les informations fournies par les professionnels de santé ont été jugées insuffisantes pour permettre aux femmes de prendre des décisions éclairées. La peur des effets secondaires, le dysfonctionnement des établissements de santé, les ruptures de stock fréquentes et l'opposition des conjoints étaient les obstacles les plus importants à l'utilisation des contraceptifs. Les programmes de planification familiale devraient cibler davantage les résidents des zones rurales afin de les sensibiliser, de dissiper les idées fausses et de promouvoir l'utilisation des contraceptifs.


Assuntos
Anticoncepcionais , Serviços de Planejamento Familiar , Gravidez , Masculino , Adolescente , Humanos , Feminino , Nigéria , Reprodução , Agricultura , Comportamento Contraceptivo , Anticoncepção
6.
J Community Psychol ; 52(1): 181-197, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-37740986

RESUMO

Objectives were (a) to understand a community-informed narrative, as told by community members (CMs) and community partners (CPs), about the strengths, experiences, and perspectives of public housing communities; and (b) to analyze similarities and differences between CMs' and CPs' experiences and perspectives. Qualitative interviews were conducted with 22 CMs of public housing (ages 26-58, 100% female caregivers, 96% Black, 4% multiethnic) and 43 CPs (ages 28-78, 67.4% female, 81.4% Black and African American). Four themes were derived from the CM and CP interviews: (1) counters to public narratives, (2) disinvestment begets disinvestment, (3) community conditions should be better, and (4) community cohesion and connection. Findings from this study present community-centered narratives and experiences that were counter to stereotyped public narratives and could influence public perceptions and behavior to inform policy changes related to improving living conditions and supporting CMs in public and low-income housing communities.


Assuntos
Pobreza , Habitação Popular , Feminino , Humanos , Masculino , Negro ou Afro-Americano , Narração
7.
J Intellect Disabil ; : 17446295241242573, 2024 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-38530165

RESUMO

Background: Learning-support provision by parents is key to children's scholastic success. However, when children are diagnosed with mild intellectual disabilities and in need of additional support, learning support provision is hindered. Aim: The study sought to investigate parents' experiences when providing learning support to children diagnosed with Mild intellectual disabilities. Setting: Using a phenomenological design and an interpretive paradigm, anchored in a qualitative research approach, data were gathered from parents whose children were diagnosed with Mild intellectual disabilities across three inclusive schools from disadvantaged backgrounds in the Gauteng province, in South Africa. Methods: Twenty-three (23) parents were purposefully selected to participate in the study by sharing their lived experiences. Data was collected using semi-structured interviews and thematic content data analysis methods. Bronfenbrenner's bio-ecological systems theory underpinned the study. Results: The findings revealed that the parents' misconception of the mild intellectual disability concept is one of the learning support hindrances. Conclusion: Parental empowerment through psycho-education was highlighted as a need for policy and practice adaptation.

8.
Medicina (Kaunas) ; 60(6)2024 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-38929470

RESUMO

Background and Objectives: Inadequate treatment of asthma and chronic obstructive pulmonary disease (COPD) might have a negative impact on their progression. Inhalation therapy is the cornerstone of pharmacotherapy for these conditions. However, challenges such as low adherence, negative attitudes, and misconceptions about inhaled medications still persist, impeding effective disease management. This study aimed to evaluate adherence, ascertain the level of disease control in asthma and COPD, explore potential misconceptions surrounding inhalation therapy among patients with obstructive lung diseases and the general population in Vojvodina, and evaluate the reliability of newly developed questionnaires employed in the study. Materials and Methods: This cross-sectional study utilized a battery of questionnaires encompassing sociodemographic data, the Asthma Control Test (ACT), the COPD Assessment Test (CAT), along with two novel questionnaires-one for assessing adherence and another for analyzing attitudes toward inhalation therapy. Statistical analyses were conducted using SPSS software, version 25.0. Results: The average ACT score among patients with asthma was 17.31, while it was 19.09 for the CAT questionnaire among COPD patients. The composite score on the newly developed adherence assessment questionnaire was 2.27, exhibiting a reliability coefficient lower than recommended (α = 0.468). Significant statistical differences emerged among sample subgroups regarding attitudes and misconceptions toward inhalation therapy. The reliability coefficient for this questionnaire was deemed satisfactory (α = 0.767). Conclusions: Adherence rates were notably suboptimal in both subgroups of the studied population. The disease control levels were higher among asthma patients, while they exhibited less prevalent misconceptions regarding inhalation therapy compared to COPD patients and the healthy population.


Assuntos
Asma , Adesão à Medicação , Doença Pulmonar Obstrutiva Crônica , Humanos , Estudos Transversais , Masculino , Feminino , Pessoa de Meia-Idade , Inquéritos e Questionários , Doença Pulmonar Obstrutiva Crônica/tratamento farmacológico , Adulto , Administração por Inalação , Idoso , Adesão à Medicação/estatística & dados numéricos , Adesão à Medicação/psicologia , Asma/tratamento farmacológico , Terapia Respiratória/métodos , Terapia Respiratória/estatística & dados numéricos , Reprodutibilidade dos Testes
9.
Actas Dermosifiliogr ; 115(1): 10-20, 2024 Jan.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-37442420

RESUMO

BACKGROUND AND OBJECTIVE: A significant proportion of women of childbearing age have psoriasis. The aim of this study was to examine family planning concerns in this population. MATERIAL AND METHODS: Observational, descriptive, cross-sectional, multicenter study conducted between March 2020 and October 2021. We collected sociodemographic data and analyzed responses to a family planning questionnaire administered to women aged 18 to 45 years with plaque psoriasis who were candidates for systemic treatment. RESULTS: We studied 153 patients (mean [SD] age, 35.4 [8.0] years; mean disease duration, 16.7 years) being treated at 11 Spanish hospitals. Overall, 38.4% of women were considered to have moderate to severe psoriasis by their physicians; perceived severity ratings were significantly higher among women. Psoriasis affected the women's desire to become pregnant or led to their delaying pregnancy in 1 in 3 respondents. They were concerned that their condition might worsen if they had to discontinue or switch treatment or that the treatment might harm the baby. Approximately half of the women had not received family planning counseling from their physicians, and this was more likely to be the case among never-pregnant women. Women on biologic therapy (58.7%) had better psoriasis control and a better quality of life than women on other treatments. Their sexual health was also less affected. CONCLUSIONS: Women with psoriasis have numerous family planning concerns, which in some cases can lead them to delay pregnancy or affect their desire to become pregnant. Dermatologists need to receive better training regarding family planning in women with psoriasis so that they can provide their patients with more and better information.


Assuntos
Serviços de Planejamento Familiar , Psoríase , Humanos , Feminino , Gravidez , Adulto , Estudos Transversais , Qualidade de Vida , Inquéritos e Questionários , Psoríase/tratamento farmacológico
10.
Actas Dermosifiliogr ; 115(1): T10-T20, 2024 Jan.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-37923069

RESUMO

BACKGROUND AND OBJECTIVE: A significant proportion of women of childbearing age have psoriasis. The aim of this study was to examine family planning concerns in this population. MATERIAL AND METHODS: Observational, descriptive, cross-sectional, multicenter study conducted between March 2020 and October 2021. We collected sociodemographic data and analyzed responses to a family planning questionnaire administered to women aged 18 to 45 years with plaque psoriasis who were candidates for systemic treatment. RESULTS: We studied 153 patients (mean [SD] age, 35.4 [8.0] years; mean disease duration, 16.7 years) being treated at 11 Spanish hospitals. Overall, 38.4% of women were considered to have moderate to severe psoriasis by their physicians; perceived severity ratings were significantly higher among women. Psoriasis affected the women's desire to become pregnant or led to their delaying pregnancy in 1 in 3 respondents. They were concerned that their condition might worsen if they had to discontinue or switch treatment or that the treatment might harm the baby. Approximately half of the women had not received family planning counseling from their physicians, and this was more likely to be the case among never-pregnant women. Women on biologic therapy (58.7%) had better psoriasis control and a better quality of life than women on other treatments. Their sexual health was also less affected. CONCLUSIONS: Women with psoriasis have numerous family planning concerns, which in some cases can lead them to delay pregnancy or affect their desire to become pregnant. Dermatologists need to receive better training regarding family planning in women with psoriasis so that they can provide their patients with more and better information.


Assuntos
Serviços de Planejamento Familiar , Psoríase , Humanos , Feminino , Gravidez , Adulto , Estudos Transversais , Qualidade de Vida , Inquéritos e Questionários , Psoríase/tratamento farmacológico
11.
Epilepsy Behav ; 148: 109445, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37778222

RESUMO

BACKGROUND: Epilepsy is estimated to affect 50 million people globally, with 80% living in sub-Saharan Africa (SSA). Children with epilepsy (CWE) in SSA are often socially isolated, and many do not get access to school. This study aimed to explore the barriers hindering accessibility to formal education among CWE in Mahenge, Tanzania. METHODS: The study was conducted in June 2022 in four villages (Mdindo, Msogezi, Mzelezi and Sali) using quantitative and qualitative methods. The quantitative included 203 persons with epilepsy (PWE), while the qualitative involved six focus group discussions and 17 in-depth interviews. Quantitative and qualitative data were analyzed using Stata and Nvivo software, respectively. RESULTS: Of the 203 PWE, 62 (30.5%) had never enrolled in school, while 77 (54.6%) of those enrolled dropped-out before completing it. The perceived barriers to accessing education were categorized as individual barriers (such as frequent seizures, learning difficulties, anti-seizure medication side effects and perceived stigma), Community barriers (such as stigma and discrimination, negative beliefs and misconceptions, relocation to farms and poor socio-economic status), and Institutional barriers (including lack of knowledge about epilepsy among stake-holders, topography and distance to schools). CONCLUSION: There is a high rate of dropouts and non-enrolment of CWE in schools within the Mahenge area. Negative beliefs and low awareness of the community about epilepsy and formal education contribute to this issue. This calls for more advocacy to raise community awareness on epilepsy. The government should enforce an inclusive education policy and provide free and uninterrupted anti-seizure medication for seizure control.


Assuntos
Epilepsia , Criança , Humanos , Tanzânia/epidemiologia , Epilepsia/terapia , Epilepsia/tratamento farmacológico , Escolaridade , Estigma Social , Instituições Acadêmicas
12.
BMC Psychiatry ; 23(1): 300, 2023 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-37127570

RESUMO

BACKGROUND: Depression literacy has received extensive attention within mental health research. It has been studied by different social groups and professions in Western and non-Western cultures. The importance of this topic stems from the fact that depression literacy is strongly related to attitudes toward people who are diagnosed with depression, the tendency to stigmatize this mental disorder, and to the propensity to undertake help-seeking behaviors. Therefore, understanding and promoting depression literacy is crucial in contemporary mental health prevention and promotion. We propose a new two-factorial tool measuring beliefs about depression. This 14-item self-report measure captures how people vary across two dimensions of beliefs about depression-depression literacy and misconceptions about depression. METHODS: In ten studies with a total sample of over 4,600 participants from three countries, we demonstrated the two-factorial structure of the Depression Literacy and Misconceptions Scale (DepSter) in Polish (Studies 1 and 2), American (Study 4), and British (Study 5) samples. We showed measurement equivalence for the Polish and English versions of the scale (Study 3). Furthermore, we tested the discriminant meaning of the two dimensions of beliefs about depression analyzing its association with health literacy, mental health literacy, and prejudice toward people with mental illness (Study 4), depression literacy and depression stigma (Study 5), empathetic concerns (Study 7), social dominance orientation (Study 8), and the Big Five personality traits (Study 9). We also investigated whether individuals with formal education in psychology and direct or indirect experience with depression demonstrate a higher level of depression literacy and a lower level of misconceptions about depression (Study 6). Our measure showed high stability for two dimensions of beliefs about depression (Study 10), in both its Polish and English versions, with the measurement conducted after three weeks and three months. DISCUSSION: We conclude that the proposed approach to beliefs about depression capturing both depression literacy and misconceptions about depression measured with the DepSter scale can easily be applied in clinical and social settings, especially in studies concerning the perception of those diagnosed with depression.


Assuntos
Letramento em Saúde , Transtornos Psicóticos , Humanos , Depressão/psicologia , Saúde Mental , Estigma Social , Conhecimentos, Atitudes e Prática em Saúde
13.
BMC Public Health ; 23(1): 2370, 2023 11 29.
Artigo em Inglês | MEDLINE | ID: mdl-38031084

RESUMO

BACKGROUND: The discussion about breast cancer (BC) causation continues to be surrounded by a number of myths and misbeliefs. If efforts are misdirected towards reducing risk from false mythical causes, individuals might be less likely to consider and adopt risk-reducing behaviors for evidence-based BC causes. This national study aimed to assess the awareness of BC causation myths and misbeliefs among Palestinian women, and examine the factors associated with having good awareness. METHODS: This national cross-sectional study recruited adult women from government hospitals, primary healthcare centers, and public spaces in 11 governorates in Palestine. A modified version of the Cancer Awareness Measure-Mythical Causes Scale was used to collect data. The level of awareness of BC causation myths was determined based on the number of myths recognized to be incorrect: poor (0-5), fair (6-10), or good (11-15). RESULTS: A total of 5,257 questionnaires were included. Only 269 participants (5.1%) demonstrated good awareness (i.e., recognizing more than 10 out of 15 BC mythical causes). There were no notable differences in displaying good awareness between the main areas of Palestine, the Gaza Strip and the West Bank and Jerusalem (5.1% vs. 5.1%). Having chronic disease as well as visiting hospitals and primary healthcare centers were associated with a decrease in the likelihood of displaying good awareness. Myths related to food were less frequently recognized as incorrect than food-unrelated myths. 'Eating burnt food' was the most recognized food-related myth (n = 1414, 26.9%), while 'eating food containing additives' was the least recognized (n = 599, 11.4%). 'Having a physical trauma' was the most recognized food-unrelated myth (n = 2795, 53.2%), whereas the least recognized was 'wearing tight bra' (n = 1018, 19.4%). CONCLUSIONS: A very small proportion of Palestinian women could recognize 10 or more myths around BC causation. There is a substantial need to include clear information about BC causation in future educational interventions besides focusing on BC screening, signs and symptoms, and risk factors.


Assuntos
Neoplasias da Mama , Adulto , Humanos , Feminino , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/etiologia , Neoplasias da Mama/diagnóstico , Estudos Transversais , Árabes , Oriente Médio/epidemiologia , Inquéritos e Questionários , Conhecimentos, Atitudes e Prática em Saúde
14.
Parasitol Res ; 122(12): 3131-3138, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37855971

RESUMO

Raw or undercooked freshwater fish consumption contributes to persistent Opisthorchis viverrini infection in Northeast Thailand. This study aims to assess the relationship between misconceptions, unhealthy eating habits, and O. viverrini infection. Data were obtained from the Cholangiocarcinoma Screening and Care Program in Northeast Thailand from 2019 to 2021. Participants were screened for O. viverrini annually over the following 2 years using the Kato-Katz technique. Misconceptions and unhealthy eating habits were assessed through questionnaires. The relationship between these factors and O. viverrini infection was evaluated using adjusted risk ratios (ARRs) and 95% confidence intervals (CIs) from generalized estimating equations under binomial regression framework. Of 5375 participants screened for O. viverrini over 3 years, infection rates were 21.53%, 10.7%, and 4.6% each year, respectively. Out of those, 636 participants responded to questions regarding misconceptions. Results showed that participants who believed in the efficacy of putting lime or red ants in Koi pla (raw fish salad) or eating Koi pla with white whiskey to kill parasites, and early-stage cholangiocarcinoma can be cured, were 41% (ARR, 1.41; 95% CI, 1.03-1.94) and 57% (ARR, 1.57; 95% CI, 1.06-2.33), respectively, more likely to be infected with O. viverrini. Our study confirms that belief in using lime or red ants in Koi pla or eating Koi pla with white whiskey to make it cooked, or early-stage cholangiocarcinoma can be cured, increases O. viverrini infection risk in high-risk populations. Changing health beliefs and eating habits is necessary to reduce O. viverrini infection and its risk to cholangiocarcinoma.


Assuntos
Neoplasias dos Ductos Biliares , Colangiocarcinoma , Opistorquíase , Opisthorchis , Animais , Humanos , Opistorquíase/diagnóstico , Opistorquíase/epidemiologia , Opistorquíase/parasitologia , Tailândia/epidemiologia , Neoplasias dos Ductos Biliares/diagnóstico , Neoplasias dos Ductos Biliares/epidemiologia , Neoplasias dos Ductos Biliares/parasitologia , Colangiocarcinoma/diagnóstico , Colangiocarcinoma/epidemiologia , Colangiocarcinoma/parasitologia , Comportamento Alimentar , Peixes , Ductos Biliares Intra-Hepáticos/parasitologia
15.
Adv Physiol Educ ; 47(1): 71-81, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-35981722

RESUMO

The purpose of this study was to 1) help novice students scaffold problem-solving and engage safely in the deliberate practice of diagnostic reasoning and medical decision-making in real time; 2) assess how accurately students gather and apply data in medical reasoning and treatment during high-fidelity patient simulations (HFPSs); 3) identify students' scientific misconceptions related to the case; 4) promote student metacognitive processing, self-assessment, and self-efficacy; and 5) facilitate the explicit calibration of student confidence in deliberate reasoning with patient outcomes. In a mixed-method design, a metacognitive calibration self-assessing (MCC) survey tool was applied to HFPS (n = 80, 20 teams of 6 medical students) and semistructured interviews were conducted with faculty (n = 5). When scored by faculty with a rubric, the mean student accuracy ranged from 23% to 74%, whereas their self-assessment of confidence ranged from 71% to 86%. This result revealed overconfidence bias in novice students regarding the correctness of their wrong responses. The most common misconception identified was inverting cause and effect: metabolic acidosis was pointed to as the cause of the patient's problems rather than a consequence of untreated diabetes mellitus. The most common treatment error was overtreatment, with unnecessary added medication. Interviews with faculty suggested that the MCC tool improved the team process by slowing students down, requiring them to think through their answers, and that overall the tool improved their critical thinking. This study demonstrated the feasibility of using a metacognitive confidence calibration tool to assist novice students in learning safely to make deliberate diagnostic reasoning and decisions on patient care in real time during complex simulations while observing objectively their levels of psychological confidence against patient outcomes.NEW & NOTEWORTHY This study demonstrates the feasibility of a metacognitive confidence calibration tool (MCC) to assess and promote novices in the learning of diagnostic reasoning and treatment decisions on patient care in real time during high-fidelity patient simulations while comparing confidence and accuracy data and identifying students' scientific misconceptions. Results revealed the presence of overconfidence bias, overtreatment, and the misconception of metabolic acidosis as the cause of the patient's problems rather than a consequence of untreated diabetes mellitus.


Assuntos
Metacognição , Estudantes de Medicina , Humanos , Calibragem , Simulação de Paciente , Resolução de Problemas , Competência Clínica
16.
Behav Res Methods ; 55(4): 1907-1923, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35790682

RESUMO

We offer short story ("vignette") materials that have been developed and tested with the intention of influencing people's true and false beliefs about the world. First, we present norming data on the baseline rates at which participants from both U.S.-census matched and general U.S. online samples were correctly able to classify a selected set of accurate (e.g., aerobic exercise strengthens your heart and lungs) and inaccurate (e.g., aerobic exercise weakens your heart and lungs) assertions as "True" or "False." Next, we present data which validate that reading vignettes in which people discuss these accurate and inaccurate assertions influences participants' subsequent judgments of the validity of the asserted claims. These vignettes are brief, easy-to-read, allow for flexible and accountable online data collection, and reflect realistic accurate and inaccurate claims that people routinely encounter (e.g., preventative health behaviors, use of alternative medicines and therapies, etc.). As intended, vignettes containing inaccurate assertions increased participants' subsequent judgment errors, while vignettes containing accurate assertions decreased participants' subsequent judgment errors, both relative to participants' judgments after not reading related information. In an additional experiment, we used the vignette materials to replicate findings from Salovich et al. (2021), wherein participants reported lower confidence in correct judgments and higher confidence in incorrect judgments after having read inaccurate assertions. Overall, these materials are well suited for investigations on the consequences of exposures to accurate and inaccurate information, address limitations in currently available stimuli, and align with trends in research practice (e.g., online sampling) within psychological science.


Assuntos
Julgamento , Humanos , Coleta de Dados
17.
J Chem Educ ; 100(8): 2873-2886, 2023 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-37576851

RESUMO

This article examines student experiences in a workshop-based undergraduate research experience studying the activity and inhibition of salivary amylase that provides students with the chance to participate in authentic scientific research prior to the start of their undergraduate studies, following the structure of a course-based undergraduate research experience (CURE). Understanding student experiences at this point in their studies is important because research experiences at the beginning of university studies have been shown to increase retention in STEM. This study utilizes meaningful learning and situated cognition as theoretical frameworks and phenomenography as a methodological framework, applied to data from semi-structured interviews with six students. The student experiences were characterized as an outcome space detailing the degree of their meaningful learning with respect to their understanding of the research process, nature of science, and the poster creation and presentation process. The findings highlight that meaningful learning is achieved when research is connected to students' personal lives and/or future job interests. The research process and nature of science must also be made explicit to students by emphasizing the iterative nature of research and highlighting distinctions between science and non-science fields. All participating students displayed an understanding that anyone can partake in science anywhere. Implications for building on this work to develop an understanding of students' sense of belonging and self-identity are also discussed.

18.
Sci Educ (Dordr) ; 32(1): 19-36, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34690434

RESUMO

Evolutionary theory (ET) is the unifying theory of Life Sciences, but it is largely misunderstood and the target of dispute in many countries, mainly because of conflicts with religious beliefs. Brazil is a country with a culture that is deeply rooted belief in God. In this paper, we report a study in Brazil where we applied a 12-question questionnaire to understand the relationship among the major field of study and the self-declared religious and philosophical context on the knowledge of evolutionary theory by Brazilian freshmen. We answer the following questions: (1) Is there a difference in ET comprehension according to the major field of study? (2) Are religious and philosophical contexts related to the comprehension of ET? (3) Are major field of study and religious/philosophical contexts together related to the comprehension of ET by Brazilian freshmen? A total of 153 freshmen students answered our questionnaire. Students from the Biological Sciences fared better than students from most other major field of study but were equal to students of Humanities. The philosophical perception of life had a major correlation with their knowledge about evolution, with self-declared atheists and agnostics showing better performance than religious students. There were no clear trends in the interaction of major field of study and philosophy of life. We discuss these results in the light of the rising ideological activism in Brazilian society since philosophy of life was the main driver of evolutionary theory perception. We highlight the importance of scientists and teachers in reassuring the role of science and scientific knowledge in modern societies. Supplementary Information: The online version contains supplementary material available at 10.1007/s11191-021-00286-z.

19.
Proc Biol Sci ; 289(1980): 20221077, 2022 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-35946159

RESUMO

Evolutionary understanding is central to biology. It is also an essential prerequisite to understanding and making informed decisions about societal issues such as climate change. Yet, evolution is generally poorly understood by civil society and many misconceptions exist. Citizen science, which has been increasing in popularity as a means to gather new data and promote scientific literacy, is one strategy through which people could learn about evolution. However, despite the potential for citizen science to promote evolution learning opportunities, very few projects implement them. In this paper, we make the case for incorporating evolution education into citizen science, define key learning goals, and suggest opportunities for designing and evaluating projects in order to promote scientific literacy in evolution.


Assuntos
Ciência do Cidadão , Mudança Climática , Participação da Comunidade , Humanos , Aprendizagem , Alfabetização
20.
Epilepsy Behav ; 127: 108537, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35026562

RESUMO

OBJECTIVE: To assess the community's perception of epilepsy and its treatment in onchocerciasis-endemic villages of Maridi County, Western Equatoria State, South Sudan. The study was conducted prior to the setting up of a community-based intervention to manage the important disease burden caused by onchocerciasis-associated epilepsy in these villages. METHOD: Five focus group discussions (FGD) were conducted with community leaders and with persons with epilepsy (PWE) and their families between November and December 2019. RESULTS: Villages close to the Maridi dam were considered to be most affected by epilepsy. Misconceptions about the cause and treatment of epilepsy were identified. Most people believed that epilepsy is caused by bad spirits and is contagious, transmitted through saliva, air, and contact with PWE. Very few participants were aware of the link between onchocerciasis and epilepsy. Persons with epilepsy are restricted in their day-to-day activities and children with epilepsy are often denied going to school. Persons with epilepsy are stigmatized and seen as unfit for marriage. Most participants considered both traditional and medical treatment as ineffective. Uninterrupted anti-seizure treatment continuously was unaffordable for most families with one or more PWE. CONCLUSION: There is a need to establish a comprehensive epilepsy treatment program which addresses misconceptions about epilepsy and reduces epilepsy-related stigma. Explaining the link between onchocerciasis and epilepsy could lead to a reduction in epilepsy-related stigma.


Assuntos
Epilepsia , Oncocercose , Criança , Epilepsia/complicações , Epilepsia/epidemiologia , Epilepsia/terapia , Humanos , Oncocercose/complicações , Oncocercose/epidemiologia , Percepção , Convulsões/complicações , Sudão do Sul/epidemiologia
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