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1.
J Interpers Violence ; : 8862605241239446, 2024 Mar 17.
Artigo em Inglês | MEDLINE | ID: mdl-38494794

RESUMO

Female-perpetrated sexual violence research in Australia and elsewhere has been limited, part of a less common and arguably contentious field of criminology. Because of gendered social and cultural stereotypes, female sexual offending is often perceived as harmless or too rare to warrant attention. Utilizing Schippers' pariah femininities, this paper presents a critical criminological exploration of social media users' constructions of female sex offenders and their male victim-survivors. Examining 28 Facebook posts from 13 popular Australian newspapers, our findings identified social media users' tendency to question offence severity and sexualize offenders based on appearance, revealing how offender legitimacy and conceptions of harm are shaped by gendered expectations of "pretty women" and "lucky blokes." Conclusions suggest online discourse remains influenced by gendered stereotypes, though awareness of pariah femininities is growing, with further research needed worldwide to explore the impact of such social media attitudes and commentary on the incidence of and reactions to female sexual offending against men, including victim-survivors' help-seeking behavior.

2.
Artigo em Inglês | MEDLINE | ID: mdl-38397683

RESUMO

The purpose of this study was to identify essential skills and abilities for mitigating job-related stressors and preventing burnout while also establishing connections between students and community health workers to provide students with a deeper comprehension of the challenges inherent to their future professions. Ten community health workers were interviewed and asked to present photographs that explored sources of burnout and promotions of well-being. The photographs along with quotes were displayed in a gallery style exhibit for students to view and talk with the community health workers and complete a survey. Using thematic analysis, the interviews resulted in four common factors that contribute to burnout: (1) workload demands, (2) unrealistic exceptions, (3) amount of time dedicated to care, and (4) lack of work-life balance. The themes that emerged from student responses were (1) learning self-care practices, (2) gaining insight into the need for self-care, (3) a sense of connection, and (4) exposure to different healthcare careers. This study demonstrates the importance of connecting students with community health workers. It increases understanding of the demands of their future professions as well as resources and engagement opportunities available to them as a part of their respective professional community.


Assuntos
Esgotamento Profissional , Satisfação no Emprego , Humanos , Atenção à Saúde , Estudantes , Carga de Trabalho , Inquéritos e Questionários
3.
BMJ Open ; 14(1): e078399, 2024 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-38296271

RESUMO

INTRODUCTION: As cancer incidence continues to rise, challenges remain in how to communicate accurate, timely information to people with cancer, their families and healthcare professionals. One option is to provide support and comprehensive, tailored information via a telephone cancer information and support service (CISS). This systematic review aims to summarise the service characteristics of telephone CISS and identify what aspects of services are important from callers' perspectives. METHODS AND ANALYSIS: A comprehensive literature search will be conducted for articles published from database inception to 30 March 2023 (OVID MEDLINE, EMBASE, CINAHL, PsycINFO and SocINDEX). Published, peer-reviewed, articles reporting qualitative research on the service characteristics of telephone CISS important to callers in any language will be included. One researcher will complete the searches, two researchers will independently screen results for eligible studies and a third researcher will resolve any disagreement. A narrative and thematic synthesis of studies will be provided. Study characteristics will be independently extracted by one researcher and checked by a second. Included studies' methodological quality will be evaluated independently by two researchers using the 2022 Critical Appraisal Skills Programme Qualitative Studies Checklist. Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research tool will assess the confidence of the review findings. ETHICS AND DISSEMINATION: Ethics approval is not required for this research as it is a planned systematic review of published literature. Findings will be presented at leading cancer, health economic and supportive care conferences, published in a peer-reviewed journal, and disseminated via websites and social media. PROSPERO REGISTRATION NUMBER: CRD42023413897.


Assuntos
Pessoal de Saúde , Neoplasias , Humanos , Revisões Sistemáticas como Assunto , Pesquisa Qualitativa , Neoplasias/terapia , Telefone , Projetos de Pesquisa
4.
BMJ Open ; 13(12): e079052, 2023 12 11.
Artigo em Inglês | MEDLINE | ID: mdl-38081669

RESUMO

INTRODUCTION: Globally, incidence, prevalence and mortality rates of skin cancers are escalating. Earlier detection by well-trained primary care providers in techniques such as dermoscopy could reduce unnecessary referrals and improve longer term outcomes. A review of reviews is planned to compare and contrast the conduct, quality, findings and conclusions of multiple systematic and scoping reviews addressing the effectiveness of training primary care providers in dermoscopy, which will provide a critique and synthesis of the current body of review evidence. METHODS AND ANALYSIS: Four databases (Cochrane, CINAHL, EMBASE and MEDLINE Complete) will be comprehensively searched from database inception to identify published, peer-reviewed English-language articles describing scoping and systematic reviews of the effectiveness of training primary care providers in the use of dermoscopy to detect skin cancers. Two researchers will independently conduct the searches and screen the results for potentially eligible studies using 'Research Screener' (a semi-automated machine learning tool). Backwards and forwards citation tracing will be conducted to supplement the search. A narrative summary of included reviews will be conducted. Study characteristics, for example, population; type of educational programme, including content, delivery method, duration and assessment; and outcomes for dermoscopy will be extracted into a standardised table. Data extraction will be checked by the second reviewer. Methodological quality will be evaluated by two reviewers independently using the Critical Appraisal Tool for Health Promotion and Prevention Reviews. Results of the assessments will be considered by the two reviewers and any discrepancies will be resolved by team consensus. ETHICS AND DISSEMINATION: Ethics approval is not required to conduct the planned systematic review of peer-reviewed, published articles because the research does not involve human participants. Findings will be published in a peer-reviewed journal, presented at leading public health, cancer and primary care conferences, and disseminated via website postings and social media channels. PROSPERO REGISTRATION NUMBER: CRD42023396276.


Assuntos
Dermoscopia , Neoplasias Cutâneas , Humanos , Detecção Precoce de Câncer , Revisões Sistemáticas como Assunto , Neoplasias Cutâneas/diagnóstico por imagem , Projetos de Pesquisa , Atenção Primária à Saúde , Literatura de Revisão como Assunto
5.
Microbiol Spectr ; 9(2): e0094121, 2021 10 31.
Artigo em Inglês | MEDLINE | ID: mdl-34468194

RESUMO

The entry of antibiotic resistance genes (ARGs) into aquatic systems has been documented for large municipal wastewater treatment plants (WWTPs), but there is less study of the impact of smaller plants that are situated on small rural rivers. We sampled water metagenomes for ARGs and taxa composition from the Kokosing River, a small rural river in Knox County, Ohio, which has been designated an Ohio State Scenic River for retention of natural character. Samples were obtained 1.0 km upstream, 120 m downstream, and 6.4 km downstream from the effluent release of the Mount Vernon WWTP. ARGs were identified in metagenomes using ShortBRED markers from the comprehensive antibiotic resistance database (CARD) screened against UniPROT. Through all seasons, the metagenome just downstream of the WWTP effluent showed a substantial elevation of at least 15 different ARGs, including 6 ARGs commonly associated with Acinetobacter baumannii, such as msrE, mphE (macrolide resistance), and tet(39) (tetracycline resistance). The ARGs most prevalent near the effluent pipe persisted 6.4 km downriver. Using metagenomic phylogenetic analysis (MetaPhlAn2) clade-specific marker genes, the taxa distribution near the effluent showed elevation of reads annotated as Acinetobacter species as well as gut-associated taxa, Bacteroides and Firmicutes. The ARG levels and taxa prevalence showed little dependence on seasonal chlorination of the effluent. Nitrogen and phosphorus were elevated near the effluent pipe but had no consistent correlation with ARG levels. We show that in a rural river microbiome, year-round wastewater effluent substantially elevates ARGs, including those associated with multidrug-resistant A. baumannii. IMPORTANCE Antibiotic resistance is a growing problem worldwide, with frequent transmission between pathogens and environmental organisms. Rural rivers can support high levels of recreational use by people unaware of inputs from treated wastewater, while wastewater treatment plants (WWTPs) can generate a small but significant portion of flow volume into a river surrounded by forest and agriculture. There is little information on the rural impacts of WWTP effluent on the delivery and transport of antibiotic resistance genes. In our study, the river water proximal to wastewater effluent shows evidence for the influx of multidrug-resistant Acinetobacter baumannii, an opportunistic pathogen of concern for hospitals but also widespread in natural environments. Our work highlights the importance of wastewater effluent in management of environmental antibiotic resistance, even in high quality, rural river systems.


Assuntos
Acinetobacter baumannii/efeitos dos fármacos , Acinetobacter baumannii/genética , Farmacorresistência Bacteriana Múltipla/genética , Águas Residuárias/microbiologia , Purificação da Água/métodos , Antibacterianos/farmacologia , Bacteroides/efeitos dos fármacos , Bacteroides/genética , Firmicutes/efeitos dos fármacos , Firmicutes/genética , Humanos , Macrolídeos/farmacologia , Metagenoma/genética , Microbiota/efeitos dos fármacos , Microbiota/genética , Ohio , Filogenia , Rios/microbiologia , Tetraciclinas/farmacologia
6.
Child Welfare ; 91(5): 37-71, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-24205550

RESUMO

State and local child welfare agencies are engaged in multiple efforts to enact systems change to improve outcomes, particularly in regard to achievement of child permanency. The Child and Family Services Review process, conducted by the Administration Children and Families, requires states to implement program improvement plans designed to improve outcomes for which they are not meeting national standards. However, a tool has not been demonstrated as useful in assessing the barriers to achievement of permanency across the out-of-home service continuum, from recruitment of families to placement stability. This article reports on the development and refinement of such a tool in one Midwestern state. The Child Permanency Barriers Scale has four factors: kinship, placement and matching, adequate services and resources, and communication and collaboration. Implications for use in state-specific and multisystem assessment and system reform are discussed.


Assuntos
Adoção , Administração de Caso/organização & administração , Cuidados no Lar de Adoção , Avaliação de Processos em Cuidados de Saúde/métodos , Serviço Social/métodos , Adulto , Criança , Tomada de Decisões Gerenciais , Análise Fatorial , Feminino , Humanos , Masculino , Meio-Oeste dos Estados Unidos , Melhoria de Qualidade , Reprodutibilidade dos Testes
7.
Can J Microbiol ; 55(12): 1347-54, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20029526

RESUMO

An environmental survey of tabanid host spiroplasma carriage was undertaken at 10 collection sites in Australia during February 1999. A total of 164 tabanid flies, representing 27 species, were collected and sustainable spiroplasma isolations were made from 48 of the flies. The morphology of the cultured spiroplasmas, as observed in M1D medium under dark-field microscopy, was typical of either (i) Apis group spiroplasmas (relatively thick cells (approximately 150 nm) with six or more turns) or (ii) chrysopicola-syrphidicola-TAAS-1 clade spiroplasmas (narrower, often much shorter cells) serologically related to Spiroplasma serogroup VIII. Repetitive serological analyses, involving successive rounds of dilution cloning and serological reevaluation, identified one serotype referable to the Spiroplasma serogroup VIII strain complex and five putative members of the Apis clade. Apis clade placement for these five groups was verified using 16S rRNA phylogenetic analyses. Among the Apis clade members, one serotype representing 11 isolates was identified as a geographic variant of Spiroplasma turonicum. Spiroplasma turonicum (Tab4C) was originally isolated from a tabanid Haematopoda sp. in France. The other 34 isolates represented four new serogroups (= putative species). The following strains are proposed as representatives of the new serogroups: strain GSU5478 (group XXXIX), strain GSU5490 (group XL), strain GSU5508 (group XLI), and strain GSU5603 (group XLII). In summary, six serogroups were observed from isolations originating from seven distinct sample sites in Australia. Surprisingly, the serotype with the greatest geographical range (five sites from 16 degrees 48.9'S to 35 degrees 40.0'S) and the greatest host diversity (nine species over three genera) was the geographic variant of S. turonicum, which had only been reported previously in France.


Assuntos
Dípteros/microbiologia , Spiroplasma/classificação , Animais , Austrália , Biodiversidade , Ecologia , Sorotipagem , Spiroplasma/isolamento & purificação
8.
J Appl Physiol (1985) ; 97(6): 2364-71; discussion 2354, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15347627

RESUMO

Development of smooth muscle in conducting airways begins early in fetal life. Whereas the pattern and regulation of smooth muscle differentiation are well-defined, the impact of airway growth on the process is not. To evaluate the transformations in organization during postnatal growth, smooth muscle bundle organization (size, abundance, and orientation) was mapped in five generations of distal airways of infant rhesus monkeys (5 days and 1, 2, 3, and 6 mo old). On the basis of direct measurement of the bronchiole proximal to the terminal bronchiole, length increased by 2-fold, diameter by 1.35-fold, and surface area by 2.8-fold between 5 days and 6 mo of age. Smooth muscle bundle size was greater in proximal bronchioles than in respiratory bronchioles and did not change with age. However, relative bundle size decreased in proportion to airway size as the airways grew. Relative bundle abundance was constant regardless of airway generation or age. The distribution of smooth muscle bundle orientation changed with age in each airway generation, and there were significant changes in the terminal and respiratory bronchioles. We conclude that smooth muscle undergoes marked organizational changes as airways grow during postnatal development.


Assuntos
Brônquios/crescimento & desenvolvimento , Músculo Liso/crescimento & desenvolvimento , Fatores Etários , Animais , Brônquios/anatomia & histologia , Processamento de Imagem Assistida por Computador , Macaca mulatta , Masculino , Músculo Liso/anatomia & histologia
9.
Can J Microbiol ; 50(12): 1061-7, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15714237

RESUMO

Spiroplasma species (Mollicutes: Spiroplasmataceae) are associated with a wide variety of insects, and serology has classified this genus into 34 groups, 3 with subgroups. The 16S rRNA gene has been used for phylogenetic analysis of spiroplasmas, but this approach is uninformative for group VIII because the serologically distinct subgroups generally have similarity coefficients >0.990. Therefore, we investigated the utility of the 16S-23S rRNA spacer region as a means to differentiate closely related subgroups or strains. We generated intergenic sequences and detailed serological profiles for 8 group VIII Spiroplasma strains. Sequence analyses using Maximum Parsimony, Neighbor Joining, and Maximum Likelihood placed the strains into 2 clades. One clade consisted of strains BARC 2649 and GSU5367. The other clade was divided into clusters containing representatives of the 3 designated group VIII subgroups (EA-1, DF-1, and TAAS-1) and 3 previously unclassified strains. The stability of the positions of the strains in various analytical models and the ability to provide robust support for groupings tentatively supported by serology indicates that the 16S-23S intergenic rDNA sequence will prove useful in intragroup analysis of group VIII spiroplasmas.


Assuntos
DNA Espaçador Ribossômico/química , DNA Espaçador Ribossômico/genética , Spiroplasma/classificação , Spiroplasma/genética , DNA Bacteriano/química , DNA Bacteriano/genética , Dados de Sequência Molecular , Filogenia , Análise de Sequência de DNA , Sorotipagem , Spiroplasma/isolamento & purificação
10.
Lab Invest ; 82(12): 1747-54, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12480924

RESUMO

SUMMARY: Remodeling of the epithelial basement membrane zone (BMZ) involves increased deposition of collagen, resulting in thickening of the BMZ. The current study focuses on fibroblast growth factor-2 (FGF-2) in the tracheal BMZ in house dust mite allergen (HDMA)-sensitized infant rhesus monkeys, challenged with HDMA at a time when the BMZ is undergoing active postnatal development. To detect structural changes in the BMZ, we measured collagens I, III, and V. To detect changes in the function of the BMZ, we measured immunoreactivity of the heparan sulfate proteoglycan, perlecan, and FGF-2. We found significant thickening of the tracheal BMZ (p < 0.05) with each of these parameters. We also found that all HDMA tracheal samples expressed thin focal areas of the BMZ associated with leukocyte trafficking. These areas were depleted of perlecan and FGF-2; however, increased FGF-2 immunoreactivity was present in the adjacent basal cells. We conclude that basal cells and FGF-2 are involved with significant remodeling of the BMZ in the developing trachea of infant rhesus monkeys exposed to HDMA.


Assuntos
Asma/metabolismo , Fator 2 de Crescimento de Fibroblastos/metabolismo , Traqueia/metabolismo , Alérgenos/imunologia , Alérgenos/farmacologia , Animais , Animais Recém-Nascidos , Antígenos de Dermatophagoides , Asma/imunologia , Asma/patologia , Membrana Basal/metabolismo , Membrana Basal/patologia , Testes de Provocação Brônquica , Colágeno/metabolismo , Macaca mulatta , Pyroglyphidae/imunologia , Traqueia/patologia
11.
Am J Physiol Lung Cell Mol Physiol ; 283(6): L1263-70, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12388330

RESUMO

Thickening of the basement membrane zone (BMZ) is a characteristic of several airway diseases; however, very little is known about how this process occurs. The purpose of this study was to define development of the BMZ in the trachea of growing rhesus monkeys at 1, 2, 3, and 6 mo of age. We measured immunoreactivity of collagen types I, III, and V to detect structural changes in the developing BMZ. To detect more dynamic, functional components of the epithelial-mesenchymal trophic unit, we evaluated the distribution of perlecan, fibroblast growth factor-2 (FGF-2), and fibroblast growth factor receptor-1 (FGFR-1). One-month-old monkeys had a mean collagen BMZ width of 1.5 +/- 0.7 microm that increased to 4.4 +/- 0.4 microm in 6-mo-old monkeys. Perlecan was localized in the BMZ of the epithelium at all ages. FGF-2 was strongly expressed in basal cells at 1-3 mo. At 6 mo, FGF-2 was expressed throughout the BMZ and weakly in basal cells. FGFR-1 immunoreactivity was expressed by basal cells and cilia and weakly in the nuclei of columnar cells at all time points. These data indicate that development of the BMZ is a postnatal event in the rhesus monkey that involves FGF-2.


Assuntos
Envelhecimento/metabolismo , Animais Recém-Nascidos/crescimento & desenvolvimento , Membrana Basal/metabolismo , Fator 2 de Crescimento de Fibroblastos/metabolismo , Traqueia/metabolismo , Animais , Colágeno/metabolismo , Proteoglicanas de Heparan Sulfato/metabolismo , Imuno-Histoquímica , Macaca mulatta , Masculino , Receptores Proteína Tirosina Quinases/metabolismo , Receptor Tipo 1 de Fator de Crescimento de Fibroblastos , Receptores de Fatores de Crescimento de Fibroblastos/metabolismo , Distribuição Tecidual , Traqueia/anatomia & histologia , Traqueia/citologia
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