1,034 research outputs found

    The Rhetorics of Health and Medicine: Inventional Possibilities for Scholarship and Engaged Practice

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    This essay argues that rhetoricians of health of medicine should continue to carve out an expansive focus on the exigencies, functions, and impacts of health-related discourse; attend to the movement, surrounding networks, and ecologies of this discourse; and work with other scholars/researchers, both inside and outside disciplinary rhetorical studies, toward a variety of goals

    Incidence of pregnancy among women accessing antiretroviral therapy in urban Malawi: a retrospective cohort study.

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    Although previous studies investigated pregnancy rates among women on antiretroviral therapy (ART), incidence of, and factors associated with pregnancy among these women remain poorly understood. We, therefore, conducted a retrospective cohort study at a large public HIV clinic in Lilongwe, Malawi, between July 2007 and December 2010. At each clinic visit, pregnancy status was assessed. Time to event analysis was conducted using Poisson regression. Among 4,738 women, 589 pregnancies were observed. Pregnancy incidence was 9.3/100 person-years. After 6 months on ART, women on ART had similar total fertility rates to women in the urban population. In multivariable analysis, increasing age and advanced WHO clinical stage were associated with decreased probability of becoming pregnant while higher body mass index and longer time on ART were associated with increased probability of becoming pregnant. We recommend that ART clinics integrate comprehensive family planning services to address reproductive health needs among women on ART

    Market PBL: A Cross-Curricular Exploration of Technological Innovation in Pre-Modern Civilizations

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    This project-based learning unit incorporates knowledge from history, English, math and science courses. Students explore how geography and available resources, coupled with technological advancements, shape a civilizationā€™s industry and therefore the quality of life of the inhabitants. Students design a product that could be made from the natural resources of their civilization and attempt to sell their product in a simulated market

    Clients' perceptions of an occupational therapy intervention at a substance use rehabilitation centre in the Western Cape

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    Substance use among adolescents is a significant health and social problem and affects occupational performance. While occupational therapy interventions are available at substance use rehabilitation centres in the Western Cape, little is known about clients' perceptions of the usefulness of these interventions. A qualitative study was conducted to address this gap, specifically exploring clients' perceptions of the usefulness of the intervention on their occupations post discharge. The occupational therapist at a particular centre was interviewed as a key informant. Eight participants who attended the aftercare programme at the centre took part in three focus groups. Four themes emerged from the analysis of data: "We taking the drugs away, but we need to give them something back in that place"; "I don't want to be that person I was in the past"; "Keeping me clean"; "Take us out into the life". Participants perceived skills development, work training, life skills and leisure exploration to be useful. However, team members' roles and treatment objectives should be clarified to the clients to ensure that clients understand why they are participating in therapy. Finally, there should be more community-based, out-patient support programmes for adolescents so that the appropriate services are more easily accessible.DHE

    Acceptability of a New Remote Monitoring Service for Patients with COVID-19 Infection using Wearable BioStickersā„¢: A Mixed Methods Study

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    The COVID-19 pandemic saw rapid adoption of telehealth, including remote patient monitoring (RPM). There is limited evidence about how patients and staff experience such services in New Zealand. This study aimed to understand the acceptability of the RPM experience, particularly for Maori and Pacific peoples, and identify strengths, gaps, and limitations to inform future delivery of services. A mixed methods study was undertaken between 4 July and 11 September 2022 in Auckland. We conducted telephone surveys with patients and semi-structured interviews with patients and staff. Survey, and clinical and administrative data were analysed descriptively using SPSS. Interviews were analysed using Directed Content Analysis. 121 patients took part in the study, with the majority identifying as Maori and Pacific peoples (40% and 17%, respectively). We conducted 75 telephone surveys (62% response rate), and 30 semi-structured interviews (18 patients and 12 staff). Patients reported feeling safe and reassured while in the RPM service and that they would be willing to use it again. Staff reflected on a range of potential benefits that RPM offers, identified learnings and would like to see a more widespread rollout of RPM. This study demonstrated that remote monitoring of patients infected with Covid-19 can provide an acceptable model for a culturally diverse population. Future research could focus on applying this model to other patient groups, such as people with chronic conditions

    Extending the Research Data Toolkit: Data Curation Primers

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    Niche and proprietary data formats used in cutting-edge research and technology have specific curation considerations and challenges. The increased demand for subject liaisons, library archivists, and digital curators to curate this variety of data types created locally at an institution or organization poses difficulties. Subject liaisons possess discipline knowledge and expertise for a given domain or discipline and digital curation experts know how to properly steward data assets generally. Yet, a gap often exists between the expertise available within the organization and local curation needs. While many institutions and organizations have expertise in certain domains and areas, oftentimes the heterogeneous data types received for deposit extend beyond this expertise. Additionally, evolving research methods and new, cutting-edge technology used in research often result in unfamiliar and niche data formats received for deposit. Knowing how to ā€˜get-startedā€™ in curating these file types and formats can be a particular challenge. To address this need, the data curation community have been developing a new set of tools ā€“ data curation primers. These primers are evolving documents that detail a specific subject, disciplinary area or curation task, and that can be used as a reference or jump-start to curating research data. This paper will provide background on the data curation primers and their content detail the process of their development, highlight the data curation primers published to date, emphasize how curators can incorporate these resources into workflows, and show curators how they can get involved and share their own expertise
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