9,564 research outputs found
Recommended from our members
Ensuring Access to Safe and Nutritious Food for All Through the Transformation of Food Systems
Anuário cientÃfico da Escola Superior de Tecnologia da Saúde de Lisboa - 2021
É com grande prazer que apresentamos a mais recente edição (a 11.ª) do Anuário CientÃfico da Escola Superior de Tecnologia da Saúde de Lisboa. Como instituição de ensino superior, temos o compromisso de promover e incentivar a pesquisa cientÃfica em todas as áreas do conhecimento que contemplam a nossa missão. Esta publicação tem como objetivo divulgar toda a produção cientÃfica desenvolvida pelos Professores, Investigadores, Estudantes e Pessoal não Docente da ESTeSL durante 2021. Este Anuário é, assim, o reflexo do trabalho árduo e dedicado da nossa comunidade, que se empenhou na produção de conteúdo cientÃfico de elevada qualidade e partilhada com a Sociedade na forma de livros, capÃtulos de livros, artigos publicados em revistas nacionais e internacionais, resumos de comunicações orais e pósteres, bem como resultado dos trabalhos de 1º e 2º ciclo. Com isto, o conteúdo desta publicação abrange uma ampla variedade de tópicos, desde temas mais fundamentais até estudos de aplicação prática em contextos especÃficos de Saúde, refletindo desta forma a pluralidade e diversidade de áreas que definem, e tornam única, a ESTeSL. Acreditamos que a investigação e pesquisa cientÃfica é um eixo fundamental para o desenvolvimento da sociedade e é por isso que incentivamos os nossos estudantes a envolverem-se em atividades de pesquisa e prática baseada na evidência desde o inÃcio dos seus estudos na ESTeSL. Esta publicação é um exemplo do sucesso desses esforços, sendo a maior de sempre, o que faz com que estejamos muito orgulhosos em partilhar os resultados e descobertas dos nossos investigadores com a comunidade cientÃfica e o público em geral. Esperamos que este Anuário inspire e motive outros estudantes, profissionais de saúde, professores e outros colaboradores a continuarem a explorar novas ideias e contribuir para o avanço da ciência e da tecnologia no corpo de conhecimento próprio das áreas que compõe a ESTeSL. Agradecemos a todos os envolvidos na produção deste anuário e desejamos uma leitura inspiradora e agradável.info:eu-repo/semantics/publishedVersio
Does Internet use connect smallholder farmers to a healthy diet? Evidence from rural China
IntroductionUndernutrition and micronutrient malnutrition remain problems of significant magnitude among small-scale subsistence farmers, posing a serious threat to their health and well-being. Developing a healthy diet can effectively reduce this threat. Fortunately, the Internet can speed up the process.MethodsBased on survey data from 5,114 farm households in nine provinces in China, this study quantitatively assesses the impact of Internet use on the dietary quality of smallholder farmers using OLS regression models and PSM models.Results/Discussion(1) Internet use can significantly contribute to dietary diversity and dietary rationality among smallholder farmers, thus optimizing their dietary structure. (2) Internet use significantly increased the average consumption amounts of milk and its products (2.9 g), fruits (21.5 g), eggs (7.5 g), and vegetables (27.1 g), while also decreasing the intake of salts (1.5 g) and oil (3.8 g). (3) The pull of internet use to improve diet quality is more significant for smallholder households with lower levels of education, older heads of households, and higher household incomes. (4) A possible mechanism is that Internet use increases household income and information access skills of rural residents, thus improving their dietary quality. In summary, governments should further promote Internet penetration in rural areas for health purposes
Recommended from our members
Antecedents of business intelligence system use
This thesis was submitted for the award of Doctor of Philosophy and was awarded by Brunel University London.Organisational reliance on information has become vital for organisational competitiveness. With increasing data volumes, Business Intelligence (BI) becomes a cornerstone of the decision-support system. However, employee resistance to use Business Intelligence Systems (BIS) is evident. This creates a problem to organisations in realising the benefits of BIS. It is thus important to study the enablers of sustained use of BIS amongst employees.
This thesis identifies existing theories that can be used to study BI system use. It integrates and extends technology use theories through a framework focusing on Business Intelligence System Use (BISU). Empirical research is then conducted in Kuwait’s telecom and banking industries through a close-ended, self-administered questionnaire using a five-point Likert scale. Responses were received from 211 BI users. The data was analysed using SmartPLS to study the convergent and discriminant validity and reliability. Partial least squares structural equation modelling (PLS-SEM) was used to study the direct and indirect relationships between constructs and answer the hypotheses. In addition to SmartPLS, SPSS was used for descriptive analysis.
The results indicated that UTAUT factors consisting of performance expectancy, effort expectancy and social influence positively impact BI system use. Voluntariness of use was found to positively moderate the relationship between social influence and BI system use. Furthermore, BI system quality positively impacts both performance expectancy and effort expectancy. The BI user’s self-efficacy also positively impacts effort expectancy. In addition, social influence was found to be positively influenced by organisational factors, namely top management support and information culture.
The findings of this research contribute to literature by determining and quantifying the factors that influence BISU through the lens of employee perspectives. This thesis also explains how employees’ object-based beliefs about BI affect their behavioural beliefs, which in turn impact BISU. Limitations of this research include the omission of UTAUT’s facilitating conditions and the limited variance of respondent demographics
Improving the estimation of Cost-of-Illness in rheumatoid arthritis
Cost-of-illness (COI) studies measure the economic burden of a disease and estimate the maximum amount that could potentially be saved or gained if a disease were to be eradicated. Estimates of the COI can help appropriately target specific problems and policies on a disease in policy agenda setting. COI studies are particularly useful for chronic diseases that impact heavily on health expenditures and productivity loss for the whole society. It is essential for policymakers to know where costs are incurred.
Consequently, appropriate interventions can be implemented and prioritised. Over the past two decades, the accumulation of coexisting long-term conditions within an individual has been confirmed as the best predictor of sustained high costs. It is now an established priority for both research and clinical practice owing to the high prevalence of coexisting diseases among patients, particularly with ageing populations. Because of this shift in how we approach chronic diseases in medical research, it is pertinent that we also think about how this impacts the way we look at COI.
On the other hand, inconsistencies in the designs and methodologies that COI studies are conducted and a lack of transparency in reporting have made interpretation and comparison difficult and have limited the usefulness of results in health decision making. Variations include data sources, perspectives, cost components, and costing approaches. On the other hand, while standardisation of methodology through the implementation of guidelines is becoming increasingly important, some flexibility may be required for diseases or different contexts with unique characteristics to be adequately described.
Rheumatoid arthritis (RA), as one of the most common chronic diseases, is a leading cause of work disability worldwide. Although numerous COI studies have attempted to quantify the economic burden of RA, the cost estimates vary substantially due to different methodological approaches, perspectives and settings. This thesis aims to improve the estimation of COI. To explore the differences in estimating COI, two case studies were developed in diverse contexts: Scotland and Tanzania. Both studies were complementary to each other in terms of different approaches and contexts to estimating COI. The former was in a high-income country, using secondary data analysis from a RA inception cohort linked to routinely collected health records to estimate the COI. In contrast, the latter was in a low- and middle-income country with limited treatment options. Due to the absence of routinely collected health data and the availability of screening tools for RA, a widening criterion of musculoskeletal (MSK) disorders was adopted. A context-specific questionnaire was developed to collect primary data to estimate the COI of MSK in Tanzania.
This thesis confirms the need for improved estimation of COI studies. Good quality COI studies are not easy to do. Current evidence shows a lack of consistency in taking into account indirect costs, resulting in underestimating COI in RA. Moreover, indirect costs need more attention, with improvements in terms of data collection and costing approaches. Health conditions are complex and multi-dimensional, especially when the way we look at them have evolved over time. It is becoming clear that context is also an influencing factor in estimating COI. These complexities need to be considered in COI. While many systematic reviews for COI studies have urged the need to increase comparability, it is more crucial to be transparent in reporting contexts and methodological clarity, including identifying, measuring, and valuing COI
Recommended from our members
Co-design As Healing: Exploring The Experiences Of Participants Facing Mental Health Problems
This thesis is an exploration of the healing role of co-design in mental health. Although co-design projects conducted within mental health settings are rising, existing literature tends to focus on the object of design and its outcomes while the experiences of participants per se remain largely unexplored. The guiding research question of this study is not how we design things that improve mental health, but how co-designing, as an act, might do so.
The thesis presents two projects that were organized in collaboration with the mental health charity Islington Mind and the Psychosis Therapy Project (PTP) in London.
The project at Islington Mind used a structured design process inviting participants to design for wellbeing. A case study analysis provides insights on how participants were impacted, summarizing key challenges and opportunities.
The design at PTP worked towards creating a collective brief in an emergent fashion, finally culminating in a board game. The experiences of participants were explored through Interpretative Phenomenological Analysis (IPA), using semi-structured interview data. The analysis served to identify key themes characterising the experience of co-design such as contributing, connecting, thinking and intentioning. In addition, a mixed-methods analysis of questionnaires and interview data exploring participants' wellbeing, showed that all participants who engaged fairly consistently in the project improved after the project ended, although some participants' scores returned to baseline six months later.
Reflecting on both projects, an approach to facilitation within mental health is outlined, detailing how the dimensions of weaving and layered participation, nurturing mattering and facilitating attitudes interlace. This contribution raises awareness of tacit dimensions in the practice of facilitation, articulating the nuances of how to encourage and sustain meaningful and ethical engagement and offering insights into a range of tools. It highlights the importance of remaining reflexive in relation to attitudes and emotions and discusses practical methodological and ethical challenges and ways to resolve them which can be of benefit to researchers embarking on a similar journey.
The thesis also offers detailed insights on how methodologies from different fields were integrated into a whole, arguing for transparency and reflexivity about epistemological assumptions, and how underlying paradigms shift in an interdisciplinary context.
Based on the overall findings, the thesis makes a case for considering design as healing (or a designerly way of healing), highlighting implications at a systems, social and individual level. It makes an original contribution to our understanding of design, highlighting its healing character, and proposes a new way to support mental health. The participants in this study not only had increased their own wellbeing through co-designing, but were also empowered and contributed towards healing the world. Hence, the thesis argues for a unique, holistic perspective of design and mental health, recognizing the interconnectedness of the individual, social and systemic dimensions of the healing processes that are ignited
TOWARDS AN UNDERSTANDING OF EFFORTFUL FUNDRAISING EXPERIENCES: USING INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS IN FUNDRAISING RESEARCH
Physical-activity oriented community fundraising has experienced an exponential growth in popularity over the past 15 years. The aim of this study was to explore the value of effortful fundraising experiences, from the point of view of participants, and explore the impact that these experiences have on people’s lives. This study used an IPA approach to interview 23 individuals, recognising the role of participants as proxy (nonprofessional) fundraisers for charitable organisations, and the unique organisation donor dynamic that this creates. It also bought together relevant psychological theory related to physical activity fundraising experiences (through a narrative literature review) and used primary interview data to substantiate these. Effortful fundraising experiences are examined in detail to understand their significance to participants, and how such experiences influence their connection with a charity or cause. This was done with an idiographic focus at first, before examining convergences and divergences across the sample. This study found that effortful fundraising experiences can have a profound positive impact upon community fundraisers in both the short and the long term. Additionally, it found that these experiences can be opportunities for charitable organisations to create lasting meaningful relationships with participants, and foster mutually beneficial lifetime relationships with them. Further research is needed to test specific psychological theory in this context, including self-esteem theory, self determination theory, and the martyrdom effect (among others)
- …