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Speaking up

Gail Reed
This roundtable began with world-renowned US and Cuban experts in arboviruses (particularly those transmitted by mosquitoes) but was quickly transformed with the participation of globally recognized scientists in other fields. All have contributed and continue to contribute to the often frustrating efforts to advance bilateral health cooperation, for the benefit of the USA, Cuba and the world. Each from their own vantage point argues why such cooperation can release potential to create scientific synergies capable of addressing some of the most perplexing and urgent global health problems...
April 2018: MEDICC Review
Kelsey B Borner, Tarrah B Mitchell, Jane S Gray, Ann M Davis, Stephen J Pont, Brooke R Sweeney, Sarah Hampl, Meredith L Dreyer Gillette
Objective: Latino youth are disproportionately affected by pediatric obesity and consequently experience impaired health-related quality of life (HRQOL). Although many caregivers of Latino youth do not speak English fluently, no validated Spanish translations of obesity-specific HRQOL measures exist for this population. Therefore, non-English-speaking Latino parents have typically been excluded from analyses related to HRQOL. This study assesses the factor structure of a Spanish translation of a parent-report measure of obesity-specific HRQOL, Sizing Them Up, in a treatment-seeking sample of children with obesity...
May 15, 2018: Journal of Pediatric Psychology
Bettina Siewert, Suzanne Swedeen, Olga R Brook, Ronald L Eisenberg, Mary Hochman
Purpose To investigate barriers to reporting safety concerns in an academic radiology department and to evaluate the role of human factors, including authority gradients, as potential barriers to safety concern reporting. Materials and Methods In this institutional review board-approved, HIPAA-compliant retrospective study, an online questionnaire link was emailed four times to all radiology department staff members (n = 648) at a tertiary care institution. Survey questions included frequency of speaking up about safety concerns, perceived barriers to speaking up, and the annual number of safety concerns that respondents were unsuccessful in reporting...
May 15, 2018: Radiology
Sandra Young, Norma Gomez, Annette E Maxwell
Originating from one of the poorest areas in Mexico, Mixtecs are one of the largest indigenous groups of workers in California. Providing health education to this group is challenging because many do not speak English or Spanish, and indigenous languages are mainly oral, not written. We explored the feasibility of conveying health information through the radio and in promotora-led workshops. The study included an evaluation of the workshops through surveys before the workshop and 4 to 6 months later in a subsample of 96 indigenous women...
May 1, 2018: Health Promotion Practice
Catherine Davies, Helene Kreysa
Children's ability to refer is underpinned by their developing cognitive skills. Using a production task (n = 57), we examined pre-articulatory visual fixations to contrast objects (e.g., to a large apple when the target was a small one) to investigate how visual scanning drives informativeness across development. Eye-movements reveal that although four-year-olds fixate contrast objects to a similar extent as seven-year-olds and adults, this does not result in explicit referential informativeness. Instead, four-year-olds frequently omit distinguishing information from their referring expressions regardless of the comprehensiveness of their visual scan...
May 9, 2018: Journal of Child Language
Martha P Montgomery, Elizabeth D Allen, Olivia Thomas, Byron F Robinson, Donnie Clark, Ann Connelly, Joshua A Mott, Elizabeth Conrey
OBJECTIVE: Limited English proficiency can be a barrier to asthma care and is associated with poor outcomes. This study examines whether pediatric patients in Ohio with limited English proficiency experience lower asthma care quality or higher morbidity. METHODS: We used electronic health records for asthma patients aged 2-17 years from a regional, urban, children's hospital in Ohio during 2011-2015. Community-level demographics were included from U.S. Census data...
May 8, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Stacey L Schepens Niemiec, Jeanine Blanchard, Cheryl L P Vigen, Jenny Martínez, Laura Guzmán, Alyssa Concha, Michelle Fluke, Mike Carlson
AimThe aim of this study was to determine the feasibility and efficacy of a culturally tailored lifestyle intervention, ¡Vivir Mi Vida! (Live My Life!). This intervention was designed to improve the health and well-being of high risk late middle-aged Latino adults and to be implemented in a rural primary care system. BACKGROUND: Rural-dwelling Latino adults experience higher rates of chronic disease compared with their urban counterparts, a disparity exacerbated by limited access to healthcare services...
May 6, 2018: Primary Health Care Research & Development
Matthew W Gallagher, Laura J Long, William Tsai, Annette L Stanton, Qian Lu
OBJECTIVE: The present study examined the impact of expressive writing on reducing posttraumatic stress disorder symptoms (PTSS) and facilitating posttraumatic growth (PTG) in Chinese American breast cancer survivors. METHOD: Ninety-six women who had completed primary treatments for breast cancer were randomly assigned to a cancer experience facts condition, an emotional disclosure condition, or a self-regulation condition and wrote on three occasions over 3 weeks...
May 4, 2018: Journal of Clinical Psychology
Kate Allen
Kate Allen speaks to Roshaine Wijayatunga, Managing Commissioning Editor. Dr Kate Allen works as an Executive Director in Science and Public Affairs at World Cancer Research Fund International ( ), an NGO and leading authority in the field of cancer prevention through diet, weight and physical activity. Kate is responsible for the organization's scientific, policy and conference programs in the areas of food, nutrition, physical activity and weight management. An important aspect of her role is helping to create collaborative relationships and activities across the WCRF national charities (in Europe, America and Asia) in these areas, as well as maintaining and creating external partnerships...
May 2, 2018: Future Oncology
Mengyuan Wang, Lingzhi Kong, Changxin Zhang, Xihong Wu, Liang Li
This study examines whether speech rhythm affects speech recognition under "cocktail-party" conditions. Against a two-talker masker, but not a speech-spectrum noise masker, recognition of the last (third) keyword in a normal rhythmic sentence was significantly better than that of the first keyword. However, this word-position-related speech-recognition improvement disappeared for rhythmically hybrid target sentences that were constructed by grouping parts from different sentences with different artificially modulated rhythms (rates) (fast, normal, or slow)...
April 2018: Journal of the Acoustical Society of America
Natalie Fecher, Elizabeth K Johnson
Talker recognition is a language-dependent process, with listeners recognizing talkers better when the talkers speak a familiar versus an unfamiliar language. This language familiarity effect (LFE) is firmly established in adults, but its developmental trajectory in children is not well understood. Some evidence suggests that the effect already exists in infancy, but little is known about how it unfolds in childhood. The present study explored whether the strength of the LFE increases in early childhood. Adults and children were tested in their native language and a foreign language using a "same-different" talker discrimination task and a "voice line-up" talker recognition task...
April 2018: Journal of the Acoustical Society of America
Joseph A Kotarba, Kevin Wooten
Introduction: This paper reports on the baseline stage of a qualitative evaluation of the application of the Innovative Scorecard (ISC) to the Clinical and Translational Science Award (CTSA) at the University of Texas Medical Branch (UTMB) at Galveston. The ISC is adopted from the established Balanced Scorecard system for strategic planning and performance management. In formulating the evaluation, we focused on the organizational identity literature. Methods: The initial evaluation consisted of a series of semi-structured interviews with 22 participants of the ISC Boot Camp conducted in July 2015...
October 2017: Journal of Clinical and Translational Science
David Schwappach, Gerald Sendlhofer, Lynn Häsler, Veronika Gombotz, Karina Leitgeb, Magdalena Hoffmann, Lydia Jantscher, Gernot Brunner
Objective: To analyze speaking up behavior and safety climate with a validated questionnaire for the first time in an Austrian university hospital. Design: Survey amongst healthcare workers (HCW). Data were analyzed using descriptive statistics, Cronbach's alpha was calculated as a measure of internal consistencies of scales. Analysis of variance and t-tests were used. Setting: The survey was conducted in 2017. Participants: About 2...
April 26, 2018: International Journal for Quality in Health Care
Laura Curren, Ilana Huz, Madison McKee, Lara Traeger, C Andres Bedoya, Trina E Chang, Paolo Cassano, Maurizio Fava, Jonathan Alpert, Albert Yeung, Stephen E Gilman, Nhi-Ha Trinh
BACKGROUND: This study examined whether a culturally focused psychiatric consultation program (CFP) for Latino Americans was equally effective in reducing depressive symptoms in English-speaking and Spanish-speaking patients. METHODS: The CFP utilizes the Engagement Interview Protocol (EIP), a semi-standardized protocol eliciting patient narratives about illness beliefs. The sample included 118 Latino American patients presenting with depressive symptoms. Patient-preferred primary language was examined as a moderator for the effect of CFP participation vs usual care on change in depressive symptoms...
May 2018: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
Giovanna Leone
The focus of my commentary is two-fold. First, I discuss what appeared to me as the central theoretical focus of the article; the possibility to create a space, if at all, for integrating post-colonial theory into the broader research field of social and psychological studies of the consequences of colonial past. Second, I intend to show why, in my opinion, the methodological choices of the authors and the criteria adopted for corpus construction allowed for data that, although too thin to establishing the state of knowledge in the field of study on consequences of colonial past, is nevertheless very informative and thoughts-provoking...
April 26, 2018: Integrative Psychological & Behavioral Science
Nubia E Barbosa, Sandra M Forero, Claudia P Galeano, Edgar D Hernández, Nancy S Landinez, Katharina S Sunnerhagen, Margit Alt Murphy
PURPOSE: Fugl-Meyer Assessment (FMA) is the most widely used and recommended clinical scale for evaluation of sensorimotor impairment post stroke, but an official Spanish version is not available today. This study aimed to establish methodological structure for translation and cultural adaptation process and perform a transcultural validation of the upper and lower extremity FMA to Colombian Spanish. METHODS: Procedures included forward and backward translation, step-wise reviewing by bilingual and professional experts to ensure conceptual and semantic equivalence...
April 24, 2018: Disability and Rehabilitation
Pierre Ronco
Gabriel Richet, one of the fathers of the French and international Nephrology, was a man remarkable for his courage, vision and empathy. He was proud and brave, and he presented himself proud of being brave. He opens his interview speaking about his youth, when he was injured, and went back to the fight. He cites the number of stitches he received, but doesn't cite being decorated with the Légion d'Honneur, one of the highest honours of the French Republic. This anecdote perfectly illustrates his elegance and detachment from awards and self-satisfaction...
April 19, 2018: BMC Nephrology
Francis F Ulmer, Rana Sharara-Chami, Zavi Lakissian, Martin Stocker, Ella Scott, Peter Dieckmann
INTRODUCTION: Culture is believed to play a role in education, safety, and patient outcome in healthcare. Hofstede's culture analysis permits a quantitative comparison between countries, along different culture dimensions, including power distance (PD). Power distance index (PDI) is a value reflecting social hierarchy in a country. We sought to explore the relation between PDI and self-reported behavior patterns of debriefers during simulation debriefings. We determined six culture-relevant debriefing characteristics and formulated six hypotheses on how these characteristics correlate with national PDIs...
April 18, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Kanta Kumar, Sabrina R Raizada, Christian D Mallen, Rebecca J Stack
Background: Rheumatoid arthritis (RA) causes painful joint inflammation and is incurable, but treatments control RA. Drug regimens are complex, and patients often do not take their medication as expected. Poor medication adherence can lead to poorly controlled disease and worse patient outcomes. Biologics treatments are expensive and require full engagement from patients. We have previously shown that patients from Black ethnic minority backgrounds do not fully engage into treatment plan...
2018: Patient Preference and Adherence
Joline Goossens, Sofie Verhaeghe, Ann Van Hecke, Geraldine Barrett, Ilse Delbaere, Dimitri Beeckman
OBJECTIVE: To evaluate the psychometric properties of the Dutch version of the London Measure of Unplanned Pregnancy in women with pregnancies ending in birth. METHODS: A two-phase psychometric evaluation design was set-up. Phase I comprised the translation from English into Dutch and pretesting with 6 women using cognitive interviews. In phase II, the reliability and validity of the Dutch version of the LMUP was assessed in 517 women giving birth recently. Reliability (internal consistency) was assessed using Cronbach's alpha, inter-item correlations, and corrected item-total correlations...
2018: PloS One
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