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https://www.readbyqxmd.com/read/29332173/is-the-use-of-emergency-departments-socially-patterned
#1
Hélène Colineaux, Fanny Le Querrec, Laure Pourcel, Jean-Christophe Gallart, Olivier Azéma, Thierry Lang, Michelle Kelly-Irving, Sandrine Charpentier, Sébastien Lamy
OBJECTIVES: To analyse the association between patients' socioeconomic position (SEP) and the use of emergency departments (EDs). METHODS: This population-based study included all visits to ED in 2012 by inhabitants of the French Midi-Pyrénées region, recorded by the Regional Emergency Departments Observatory. We compared ED visit rates and the proportion of non-severe visits according to the patients' SEP as assessed by the European Deprivation Index. RESULTS: We analysed 496,388 visits...
January 13, 2018: International Journal of Public Health
https://www.readbyqxmd.com/read/29331519/understanding-and-misunderstanding-randomized-controlled-trials
#2
Angus Deaton, Nancy Cartwright
Randomized Controlled Trials (RCTs) are increasingly popular in the social sciences, not only in medicine. We argue that the lay public, and sometimes researchers, put too much trust in RCTs over other methods of investigation. Contrary to frequent claims in the applied literature, randomization does not equalize everything other than the treatment in the treatment and control groups, it does not automatically deliver a precise estimate of the average treatment effect (ATE), and it does not relieve us of the need to think about (observed or unobserved) covariates...
December 25, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29331352/factors-associated-with-voice-disorders-among-the-elderly-a-systematic-review
#3
Amanda Cibelly Brito Gois, Leandro de Araújo Pernambuco, Kenio Costa de Lima
INTRODUCTION: During the aging process, natural modifications occur in the larynx and the structures involved in phonation which explain the specific characteristics found in the voices of elderly persons. When, at any moment, a voice fails and there is interference with communication, a voice disorder has occurred. This can generate disadvantages in communicative efficiency and have a negative impact on quality of life, compromising mechanisms of socialization, the maintenance of autonomy, and the sense of well-being...
December 26, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29330932/influences-for-gender-disparity-in-dermatology-in-north-america
#4
Ahmed Shah, Sabeena Jalal, Faisal Khosa
BACKGROUND: Despite constituting half the population, women represent a minority of active physicians and hold a small proportion of faculty leadership positions in North America. However, dermatology is one of the few specialties where women comprise a substantial portion of the workforce. This study explores extent and contributors to gender disparity in academic dermatology faculty positions, leadership, and research. METHODS: We collected data on academic faculty including leadership from the websites of accredited U...
February 2018: International Journal of Dermatology
https://www.readbyqxmd.com/read/29330165/survival-in-relation-to-multimorbidity-patterns-in-older-adults-in-primary-care-in-barcelona-spain-2010-2014-a-longitudinal-study-based-on-electronic-health-records
#5
Carolina Ibarra-Castillo, Marina Guisado-Clavero, Concepció Violan-Fors, Mariona Pons-Vigués, Tomàs López-Jiménez, Albert Roso-Llorach
BACKGROUND: Several studies have analysed the characteristics of multimorbidity patterns but none have evaluated the relationship with survival. The purpose of this study was to compare survival across older adults with different chronic multimorbidity patterns (CMPs). METHODS: Prospective longitudinal observational study using electronic health records for 190 108 people aged ≥65 years in Barcelona, Spain (2009-2014). CMPs were identified by cluster analysis...
January 12, 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29327387/student-survey-trends-in-reported-alcohol-use-and-influencing-factors-in-australia
#6
John W Toumbourou, Bosco Rowland, Matin Ghayour-Minaie, Shauna Sherker, George C Patton, Joanne W Williams
INTRODUCTION AND AIMS: There is a need to explain reported trends of reduced alcohol and drug (substance) use in school-aged children in Australia. This study used student survey data collected in the states of Victoria, Western Australia and Queensland to examine trends in substance use and associated influencing factors. DESIGN AND METHODS: Youth self-reports were examined from 11 cross-sectional surveys completed by 41 328 adolescents (average age 13.5 years, 52...
January 12, 2018: Drug and Alcohol Review
https://www.readbyqxmd.com/read/29324244/how-social-status-influences-our-understanding-of-others-mental-states
#7
Michael T Rizzo, Melanie Killen
The current study investigated whether children's relative social status within a context influences their ability to identify others' mental states. Across two experiments, 3- to 7-year-olds (N = 103) were randomly assigned to hold either an advantaged or disadvantaged social status and were assessed on their ability to accurately identify others' mental states (via false-belief and belief-emotion "theory of mind" assessments). When participants' status was manipulated by a structural factor (gender; Experiment 1), participants with disadvantaged status were more likely than participants with advantaged status to pass the false-belief and belief-emotion assessments...
January 8, 2018: Journal of Experimental Child Psychology
https://www.readbyqxmd.com/read/29317007/growing-health-partnerships-in-rural-and-remote-communities-what-drives-the-joint-efforts-of-primary-schools-and-universities-in-maintaining-service-learning-partnerships
#8
Sue Kirby, Fabian P Held, Debra Jones, David Lyle
Aim This study explored the partnership between universities and local primary schools to deliver a classroom-based paediatric communication impairment service provided by undergraduate speech pathology students. It aimed to understand how partnerships work to facilitate programme replication. BACKGROUND: The partners included universities sending students on rural clinical placement, local host academic units and primary schools who worked together to provide paediatric speech and language services in primary schools in three sites in Australia...
January 10, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29316002/multidisciplinary-perspectives-application-of-the-consolidated-framework-for-implementation-research-to-evaluate-a-health-coaching-initiative
#9
Judy Brook, Caroline McGraw
Long-term conditions are a leading cause of mortality and morbidity. Their management is founded on a combination of approaches involving government policy, better integration between health and care systems, and individual responsibility for self-care. Health coaching has emerged as an approach to encouraging individual responsibility and enhancing the self-management of long-term conditions. This paper focuses on the evaluation of a workforce initiative in a diverse and socially deprived community. The initiative sought both to improve integration between health and care services for people with long-term conditions, and equip practitioners with health coaching skills...
January 7, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29315625/concentrated-disadvantage-residential-instability-and-the-home-environment-for-preschoolers
#10
Emily M May, Sandra T Azar, Stephen A Matthews
Living in a disadvantaged neighborhood is associated with heightened risk for poor school readiness and health outcomes in early childhood, and the home environment is thought to be a primary mechanism by which neighborhood context impacts preschoolers. This study examined the effects of neighborhood concentrated disadvantage and neighborhood residential instability on the home physical environment and home learning environment for preschoolers in economically disadvantaged families (N = 187). Using structural equation modeling, mothers' perceived neighborhood disorder and depressive symptoms were examined as mechanisms by which neighborhood context "comes through the door...
January 9, 2018: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29310064/the-prevalence-and-correlates-of-self-harm-ideation-trajectories-in-australian-women-from-pregnancy-to-4-years-postpartum
#11
Rebecca Giallo, Pamela Pilkington, Rohan Borschmann, Monique Seymour, Melissa Dunning, Stephanie Brown
OBJECTIVES: Women in the perinatal period are at increased risk of experiencing self-harm ideation. The current study longitudinally examines the prevalence, trajectories, and correlates of self-harm ideation in a population-based sample of Australian women from pregnancy through to the early years of parenting. METHODS: Drawing on data from 1507 women participating in a prospective pregnancy cohort study, data were collected during pregnancy, at 3-, 6-, 12-, and 18-months postpartum, and 4-years postpartum...
January 2, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29304784/ethical-aspects-of-diagnosis-and-interventions-for-children-with-fetal-alcohol-spectrum-disorder-fasd-and-their-families
#12
Gert Helgesson, Göran Bertilsson, Helena Domeij, Gunilla Fahlström, Emelie Heintz, Anders Hjern, Christina Nehlin Gordh, Viviann Nordin, Jenny Rangmar, Ann-Margret Rydell, Viveka Sundelin Wahlsten, Monica Hultcrantz
BACKGROUND: Fetal alcohol spectrum disorders (FASD) is an umbrella term covering several conditions for which alcohol consumption during pregnancy is taken to play a causal role. The benefit of individuals being identified with a condition within FASD remains controversial. The objective of the present study was to identify ethical aspects and consequences of diagnostics, interventions, and family support in relation to FASD. METHODS: Ethical aspects relating to diagnostics, interventions, and family support regarding FASD were compiled and discussed, drawing on a series of discussions with experts in the field, published literature, and medical ethicists...
January 5, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29297664/contemporary-management-of-moderate-to-severe-plaque-psoriasis
#13
Jashin J Wu
Psoriasis is a multisystem inflammatory disease that is often underdiagnosed, leaving many patients untreated. Plaque psoriasis, the most common form of the disease, affects approximately 80% to 90% of patients with psoriasis. Formulating a treatment plan can be complicated when various factors are considered. For example, type of therapy is dependent on the severity of the disease. Topical agents are preferred for mild disease, while phototherapy alone or in combination with systemic agents is recommended for the treatment of moderate to severe plaque psoriasis...
December 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/29294769/the-rural-urban-divide-examining-different-types-of-assault-through-a-social-disorganization-lens
#14
Amanda Goodson, Leana A Bouffard
Most studies of social disorganization theory focus on urban communities. In addition, these studies largely ignore more intimate crimes, such as intimate partner violence. Yet, results from extant studies are often generalized to explain all types of crime in all types of communities, thus potentially ignoring the dynamics surrounding intimate crimes and rurality. The current study expands on previous research in two ways. First, this study examines whether characteristics of social disorganization can predict assault across various victim-offender relationships...
May 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29284377/narratives-of-young-men-with-injecting-drug-use-histories-leaving-adult-prison
#15
Shelley Walker, Peter Higgs, Mark Stoové, Mandy Wilson
This research focuses on an under-examined aspect of the post-release prison trajectory for a seldom-researched cohort. Narratives of the immediate days/weeks surrounding release were gathered from young men with histories of injecting drug use (IDU). Twenty-eight participants (aged 19-24) released from adult prisons in Victoria, Australia, participated in face-to-face in-depth qualitative interviews after release. Analysis of findings through the lens of a "risk environment" framework reveals how their experiences were compromised by risk factors embedded in the physical spaces and social situations they inhabited, as well as the multi-sectoral policy environments under which they were governed...
December 1, 2017: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29284284/intimate-ties-of-people-living-with-hiv-in-france-resulted-both-from-social-status-and-the-experience-of-being-hiv-infected-results-from-the-anrs-vespa2-study-france
#16
Pascaline Feuillet, Christine Hamelin, Bruno Spire, Rosemary Dray-Spira, France Lert, The Anrs-Vespa Study Group
Based on data from the ANRS-Vespa2 study, conducted among a representative sample of PLWHIV (France, 2011), we studied intimate ties with relatives and friends and their determinants. Six social network profiles were identified, with a clear association with socioepidemiological groups: the most surrounded individuals were MSM, and the most isolated ones were sub-Saharan African migrants (especially women). Social networks were shaped both by material socioeconomic status and HIV experience: involvement in PLWHIV organizations, disclosure of HIV infection, and the experience of discrimination...
December 28, 2017: AIDS Care
https://www.readbyqxmd.com/read/29282606/appraisal-support-from-natural-mentors-self-worth-and-psychological-distress-examining-the-experiences-of-underrepresented-students-transitioning-through-college
#17
Noelle M Hurd, Jamie Albright, Audrey Wittrup, Andrea Negrete, Janelle Billingsley
The current study explored whether cumulative appraisal support from as many as five natural mentors (i.e., nonparental adults from youth's pre-existing social networks who serve a mentoring role in youth's lives) led to reduced symptoms of depression and anxiety via improved global self-worth among underrepresented college students. Participants in the current study included 340 college students (69% female) attending a 4-year, predominantly White institution of higher education. Participants were first-generation college students, students from economically disadvantaged backgrounds, and/or students from underrepresented racial/ethnic minority groups...
December 27, 2017: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/29281651/life-course-epidemiology-modeling-educational-attainment-with-administrative-data
#18
Leslie L Roos, Elizabeth Wall-Wieler
BACKGROUND: Understanding the processes across childhood and adolescence that affect later life inequalities depends on many variables for a large number of individuals measured over substantial time periods. Linkable administrative data were used to generate birth cohorts and to study pathways of inequity in childhood and early adolescence leading to differences in educational attainment. Advantages and disadvantages of using large administrative data bases for such research were highlighted...
2017: PloS One
https://www.readbyqxmd.com/read/29278269/childhood-developmental-vulnerabilities-associated-with-early-life-exposure-to-infectious-and-noninfectious-diseases-and-maternal-mental-illness
#19
Melissa J Green, Maina Kariuki, Kimberlie Dean, Kristin R Laurens, Stacy Tzoumakis, Felicity Harris, Vaughan J Carr
BACKGROUND: Fetal exposure to infectious and noninfectious diseases may influence early childhood developmental functioning, on the path to later mental illness. Here, we investigated the effects of in utero exposure to maternal infection and noninfectious diseases during pregnancy on offspring developmental vulnerabilities at age 5 years, in the context of estimated effects for early childhood exposures to infectious and noninfectious diseases and maternal mental illness. METHODS: We used population data for 66,045 children from an intergenerational record linkage study (the New South Wales Child Development Study), for whom a cross-sectional assessment of five developmental competencies (physical, social, emotional, cognitive, and communication) was obtained at school entry, using the Australian Early Development Census (AEDC)...
December 26, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29274616/integrating-social-justice-concerns-into-economic-evaluation-for-healthcare-and-public-health-a-systematic-review
#20
Vadim Dukhanin, Alexandra Searle, Alice Zwerling, David W Dowdy, Holly A Taylor, Maria W Merritt
Social justice is the moral imperative to avoid and remediate unfair distributions of societal disadvantage. In priority setting in healthcare and public health, social justice reaches beyond fairness in the distribution of health outcomes and economic impacts to encompass fairness in the distribution of policy impacts upon other dimensions of well-being. There is an emerging awareness of the need for economic evaluation to integrate all such concerns. We performed a systematic review (1) to describe methodological solutions suitable for integrating social justice concerns into economic evaluation, and (2) to describe the challenges that those solutions face...
December 14, 2017: Social Science & Medicine
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