Search results for "interventio"
showing 10 items of 3167 documents
Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000-2018
2021
Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health …
Home-based HIV testing: Using different strategies among transgender women in Argentina.
2019
Background In Argentina, HIV prevalence among transgender women (TGW) has been reported at 34%. The stigma is one of the most important factors limiting their access to healthcare services. The aims of this study were to compare different HIV testing methodologies, to determine the factors associated with HIV diagnosis and to determine the feasibility of a home-based HIV testing service for TGW. Methods A multidisciplinary team performed home-based HIV testing interventions in four cities of Argentina. Participants self-identified as TGW, older than 14 years and with a negative or unknown HIV status. Blood samples were screened by two rapid tests (RT), one based on antibodies (Determine™ HI…
ESGAR consensus statement on liver MR imaging and clinical use of liver-specific contrast agents
2016
Objectives: To develop a consensus and provide updated recommendations on liver MR imaging and the clinical use of liver-specific contrast agents. Methods: The European Society of Gastrointestinal and Abdominal Radiology (ESGAR) formed a multinational European panel of experts, selected on the basis of a literature review and their leadership in the field of liver MR imaging. A modified Delphi process was adopted to draft a list of statements. Descriptive and Cronbach’s statistics were used to rate levels of agreement and internal reliability of the consensus. Results: Three Delphi rounds were conducted and 76 statements composed on MR technique (n = 17), clinical application of liver-speci…
Ureteral Stones: Shockwave Lithotripsy or Ureteroscopy, Which is Best?
2021
Background Renal stone disease is common and can cause emergency presentation with acute pain due to ureteric colic. International guidelines have stated the need for a multicentre randomised controlled trial (RCT) to determine whether a non-invasive outpatient (shockwave lithotripsy [SWL]) or surgical (ureteroscopy [URS]) intervention should be the first-line treatment for those needing active intervention. This has implications for shaping clinical pathways. Objective To report a pragmatic multicentre non-inferiority RCT comparing SWL with URS. Design, setting, and participants This trial tested for non-inferiority of up to two sessions of SWL compared with URS as initial treatment for ur…
Connecting Domains—Ecological Momentary Assessment in a Mobile Sensing Framework
2022
Ecological Momentary Assessment (EMA) is the state-of-the-art methodology to capture an individual’s experiences (e.g., feelings, thoughts, behaviors) in daily life in an ecologically valid way. In this chapter, we outline the prominent role of EMA within a broader mobile sensing framework connecting domains of data acquisition from a range of sensing sources. We particularly highlight the advantages of context-aware assessment strategies that link the assessment of experiences to specific sensing events or patterns. Finally, we discuss strategies that go beyond assessment to implement innovative Ecological Momentary Interventions in real-life.
2021
ObjectivesTo assess the ability to predict individual unfavourable future status and development in the 20m shuttle run test (20MSRT) during adolescence with machine learning (random forest (RF) classifier).MethodsData from a 2-year observational study (2013‒2015, 12.4±1.3 years, n=633, 50% girls), with 48 baseline characteristics (questionnaires (demographics, physical, psychological, social and lifestyle factors), objective measurements (anthropometrics, fitness characteristics, physical activity, body composition and academic scores)) were used to predict: (Task 1) unfavourable future 20MSRT status (identification of individuals in the lowest 20MSRT tertile after 2 years), and (Task 2) u…
Socio-cultural lock-ins and the difficulty of sustainability transition in fertilization : response to Struckman
2021
This commentary discusses the socio-cultural context of farming and proposes ways to break related lock-ins in the context of sustainability transition research. To be able to change farming practices and design policies to promote the changes, it is essential to understand what actually needs to change. Do we need to change the ways farmers think, the ways that food markets operate, the requirements of plant varieties or the requirements related to protecting water quality? In a complex situation the needed change emerges from the intertwinement of many different issues, which simultaneously work to create the locked-in situation. A focus on people and their practices provides a good start…
COVID-19 pandemic, mechanical reperfusion and 30-day mortality in ST elevation myocardial infarction
2022
ObjectiveThe initial data of the International Study on Acute Coronary Syndromes - ST Elevation Myocardial Infarction COVID-19 showed in Europe a remarkable reduction in primary percutaneous coronary intervention procedures and higher in-hospital mortality during the initial phase of the pandemic as compared with the prepandemic period. The aim of the current study was to provide the final results of the registry, subsequently extended outside Europe with a larger inclusion period (up to June 2020) and longer follow-up (up to 30 days).MethodsThis is a retrospective multicentre registry in 109 high-volume primary percutaneous coronary intervention (PPCI) centres from Europe, Latin America, S…
Comparing two burnout interventions: Perceived job control mediates decreases in burnout.
2007
This quasi-experimental study compared the effects of two rehabilitation interventions on burnout, and perceived job conditions during a one-year intervention among female white-collar workers. The participatory intervention (n = 20), involving rehabilitation activities focusing on the individual as well as individual-organizational levels, reduced exhaustion and cynicism and increased perceived job control during a one-year period. Increased job control served as a mechanism through which exhaustion and cynicism decreased in this intervention. The traditional intervention (n = 32), involving rehabilitation activities focusing mainly on the individual level, resulted in a reduction in time …