14 research outputs found

    Qualitative Analysis of Attitudes, Knowledge, and Interest in Research of People with Parkinson’s Disease and Their Care Partners Receiving Accessible Research Education

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    Background. People with Parkinson’s disease (PWP) and their care partners (CP) are underrepresented in research. Methods. As an eight-week research advocacy training program, TeleDREAMS was designed to increase understanding of, and participation in, clinical research by older adults through topics on the research process. Qualitative analysis was conducted to explore themes from 365 thirty-minute semistructured phone interviews with 32 PWP and 17 CP TeleDREAMS participants. Interviews gauged progress, motivation, and information retention after each weekly module. Results. Eight salient themes were identified from the interviews, including Understanding the Importance of Advocacy and Becoming Cognizant of Past Advocacy Experiences. Conclusions. While some findings aligned with weekly module topics, others, such as stated learning preferences and knowledge acquisition of older adults in an educational program, were unexpected. TeleDREAMS may increase interest in community engagement, research participation, and advocacy roles in marginalized and underrepresented participants

    Parkinson’s Disease and Diabetes Mellitus: Individual and Combined Effects on Motor, Cognitive, and Psychosocial Functions

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    Background/objective: Understanding the effects of multimorbidity on motor and cognitive function is important for tailoring therapies. Individuals with diabetes mellitus (DM) have a greater risk of developing Parkinson’s disease (PD). This study investigated if individuals with comorbid PD and DM experienced poorer functional ability compared to individuals with only PD or DM. Methods: A cross-sectional analysis of 424 individuals: healthy older adults (HOA), n = 170; PD without DM (PD-only), n = 162; DM without PD (DM-only), n = 56; and comorbid PD and DM (PD+DM), n = 36. Motor, motor–cognitive, cognitive, and psychosocial functions and PD motor symptoms were compared among groups using a two-way analyses of covariance with PD and DM as factors. Results: The PD-only and DM-only participants exhibited slower gait, worse balance, reduced strength, and less endurance. Motor–cognitive function was impaired in individuals with PD but not DM. DM-only participants exhibited impaired inhibition. Individuals with comorbid PD+DM had worse PD motor symptoms and exhibited impaired attention compared to the PD-only group. Conclusions: Having PD or DM was independently associated with poorer physical and mental quality of life, depression, and greater risk for loss of function. Both PD and DM have independent adverse effects on motor function. Comorbid PD+DM further impairs attention compared to the effect of PD-only, suggesting the importance of therapies focusing on attention. Understanding the functional ability levels for motor and cognitive domains will enhance the clinical care for PD, DM, and PD+DM

    Regionalism in Ukraine: Historic Evolution, Regional Claim-Making, and Centre–Periphery Conflict Resolution

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    This chapter examines the historical constitution of the present territory of Ukraine and its administrative-territorial system, identity and regional cleavages and the evolution and dynamics of claim-making and center-periphery contention related to them in different regions, namely Transcarpathia, Crimea and Donbas, since the late 1980s. It examines different forms of accommodation of claims such as an asymmetric state structure in the case of Crimean autonomy, power devolution, free economic zones, subsidies and budget disbursements, power-sharing at the national level, and local and regional legislation on historical memory and languages. Beyond the widely acknowledged role of external intervention in the escalation of conflict in eastern Ukraine in 2014, the chapter focuses on the long-term nonviolent contention related to regional cleavages prior to the escalation of the conflict and political exclusion. The chapter shows that while there has been an increasing identification with Ukrainian citizenship and support for decentralization since 2014, important regional differences in terms of historical memories, attitudes to the Euromaidan, and the nature of the ongoing conflict remain and may be loci of vulnerability to future regional mobilizations. The effect of the ongoing reforms in decentralization and democratic governance on the resolution of center–periphery conflicts and the accommodation of regional claims remains to be seen

    Sex on the Front: Prostitution and Venereal Disease in Russia’s First World War

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    Prostitution flourished during Russia's First World War. Mass mobilisation and the displacement of millions of the empire's population challenged the tsarist state's ability to control both the movement and bodies of those buying and selling sex. In light of this, military and medical authorities shifted their attention more directly onto regulating men's bodies. Wartime social turmoil also increased the visibility of prostitution, which saw many enlisted men lament the apparent ‘moral decline’ that they witnessed on the front. This article examines how the tsarist authorities grappled to control the bodies of its populace on Russia's western front, and how the conflict had an impact upon ideas of morality and sexuality
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