10,195 research outputs found

    College Student Alcohol Use and Engagement in Prevention Programming

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    Social problems and adverse consequences have been associated with risky alcohol use (Paschall et al, 2015). Personalized Normative Feedback (PNF) has been utilized to address these problems (White and Hingson, 2014) by comparing students’ alcohol use to campus or national norms (Butler et al, 2009). The current investigation sought to understand differences in alcohol use behaviors in freshmen who did and did not report completion of a personalized feedback intervention (PFI) in a diverse sample of college students from the Spit for Science (S4S) project. S4S is a campus-wide, longitudinal study on the genetic and environmental factors that contribute to mental health and substance use outcomes in college students. Freshmen (N=1,168) completed surveys in the fall and spring; in the spring, whether or not students completed a PFI during their freshman year was assessed. Alcohol use disorder (AUD) symptoms and grams of ethanol consumed were calculated for participants who reported completing an online PFI for alcohol use (n=365) and for those who did not (n=803). We hypothesized that (1) PFI freshmen would exhibit greater alcohol consumption and AUD symptoms in the fall (pre-PFI), and (2) students in both groups would exhibit equal rates in the spring (post-PFI). There was sufficient evidence to support the fall hypothesis: students in the prevention group exhibited higher levels of alcohol consumption (t=1.39, p\u3c0.001) and AUD symptoms (t=2.42, p=0.031). The spring hypothesis was not supported: PFI students exhibited higher levels of alcohol consumption (t)=1.4373, p\u3c0.01) and AUD symptoms (t=2.09, p \u3c 0.01). Future research could examine whether the results may vary by ethnicity or other demographic characteristics.https://scholarscompass.vcu.edu/uresposters/1272/thumbnail.jp

    Family planning methods among women in a vaginal microbicide feasibility study in rural KwaZulu-Natal, South Africa

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    This study investigated contraceptive use among women in rural KwaZulu-Natal, South Africa. Of 866 sexually active women not intending pregnancy and screened for a microbicide feasibility study, 466 (54%) reported currently using modern contraceptives: injectables (31%), condoms (12%), sterilization (60%) and pills (4%). Multivariable logistic regression analyses revealed statistically significantly higher odds of current contraceptive use among married vs. engaged/unmarried women (aOR 1.64), multiparous vs. nulliparous (aOR 4.45) and women who completed secondary education or above vs. primary or less (aOR 1.64). Significantly lower odds of use were observed among women aged 40+ vs. age 15-19 (aOR 0.38). Age, marital status, education level and parity were associated with different contraceptive method choices. Among 195 women followed longitudinally for 9 months, contraceptive use increased significantly from 56% to 70%, largely due to increased condom use (15% to 28%). Results highlight the importance of integrating family planning and HIV/STI prevention counseling and informing promotion of further contraceptive uptake among women not intending pregnancy

    Informed consent comprehension in African research settings

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    ObjectivePrevious reviews on participants' comprehension of informed consent information have focused on developed countries. Experience has shown that ethical standards developed on Western values may not be appropriate for African settings where research concepts are unfamiliar. We undertook this review to describe how informed consent comprehension is defined and measured in African research settings.MethodsWe conducted a comprehensive search involving five electronic databases: Medline, Embase, Global Health, EthxWeb and Bioethics Literature Database (BELIT). We also examined African Index Medicus and Google Scholar for relevant publications on informed consent comprehension in clinical studies conducted in sub-Saharan Africa. 29 studies satisfied the inclusion criteria; meta-analysis was possible in 21 studies. We further conducted a direct comparison of participants' comprehension on domains of informed consent in all eligible studies.ResultsComprehension of key concepts of informed consent varies considerably from country to country and depends on the nature and complexity of the study. Meta-analysis showed that 47% of a total of 1633 participants across four studies demonstrated comprehension about randomisation (95% CI 13.9–80.9%). Similarly, 48% of 3946 participants in six studies had understanding about placebo (95% CI 19.0–77.5%), while only 30% of 753 participants in five studies understood the concept of therapeutic misconception (95% CI 4.6–66.7%). Measurement tools for informed consent comprehension were developed with little or no validation. Assessment of comprehension was carried out at variable times after disclosure of study information. No uniform definition of informed consent comprehension exists to form the basis for development of an appropriate tool to measure comprehension in African participants.ConclusionsComprehension of key concepts of informed consent is poor among study participants across Africa. There is a vital need to develop a uniform definition for informed consent comprehension in low literacy research settings in Africa. This will be an essential step towards developing appropriate tools that can adequately measure informed consent comprehension. This may consequently suggest adequate measures to improve the informed consent procedure.ObjectifLes normes éthiques élaborées selon les valeurs occidentales ne sont peut-être pas appropriées au contexte africain où les concepts de recherche ne sont pas familiers. Cette revue décrit comment la compréhension du consentement éclairé est définie et mesurée dans les cadres de recherche africains.MéthodesDes recherches ont été effectuées sur Medline, Embase, Global Health, EthxWeb, base de données de la Bioéthique Littérature, Index Medicus African et Google Scholar pour des publications pertinentes sur la compréhension du consentement éclairé dans les études cliniques menées en Afrique sub-saharienne. 29 études répondaient aux critères d'inclusion; une méta-analyse a été possible pour 21 études. La compréhension des participants sur les domaines du consentement éclairé dans toutes les études admissibles a été comparée directement.RésultatsLa compréhension des concepts clés du consentement éclairé varie considérablement selon les pays et dépend de la nature et de la complexité de l’étude. La méta-analyse a montré que 47% des participants ont compris la randomisation (IC95%: 13,9 - 80,9%), 48% ont compris le placebo (IC95%: 19,0 - 77,5%), 30% ont compris le concept de méprise thérapeutique (IC95%: 4,6 - 66,7%). Les outils de mesure de la compréhension du consentement éclairé étaient développés avec peu ou pas de validation.ConclusionsLa compréhension des concepts clés du consentement éclairé est faible en Afrique. Il y a une nécessité vitale d’élaborer une définition uniforme pour la compréhension du consentement éclairé dans les cadres de recherche avec un faible niveau d'alphabétisation en Afrique.ObjetivoLos estándares éticos desarrollados basándose en valores occidentales podrían no ser apropiados para emplazamientos Africanos en donde los conceptos de investigación no son familiares. En esta revisión se describe como la comprensión del consentimiento informado se define y mide en un centro de investigación Africano.MétodosSe buscaron publicaciones relevantes sobre la comprensión del consentimiento informado en estudios clínicos en África subsahariana en Medline, Embase, Global Health, EthxWeb, Bioethics Literature Database, African Index Medicus y Google Scholar. 29 estudios satisfacían los criterios de inclusión y el metaanálisis era posible para 21. La comprensión del consentimiento informado por parte de los participantes se comparó directamente en todos los estudios elegibles.ResultadosLa comprensión de conceptos claves del consentimiento informado varió de forma considerable entre países, y dependía de la naturaleza y de la complejidad del estudio. El meta-análisis mostró que un 47% entendía la aleatorización (IC 95% 13.9-80.9%); un 48% entendía el placebo (IC 95% 19.0-77.5%); y un 30% entendió el concepto terapéutico errado (IC 95% 4.6-66.7%). Las herramientas para medir la comprensión del consentimiento informado se desarrollaron con poca o ninguna validación.ConclusionesEn África, la comprensión de conceptos claves del consentimiento informado es pobre. Existe una necesidad vital de desarrollar una definición uniforme para la comprensión del consentimiento informado en lugares con bajos niveles de alfabetización en África

    Assessing the Readiness of Atlanta Hotels to Host International Visitors During the \u2796 Summer Olympics

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    Three major areas were investigated to assess the readiness of Atlanta\u27s hotels to host international visitors during the summer Olympics of 1996. In the area of human resource development, hotels were asked if they planned to conduct language training and hire bilingual employees. In the area of services, hotels were asked if they plan to provide special services for international guests. In the area of marketing and sales, hotels were asked if they would provide promotional materials in different languages and advertising to attract international guests. International guests are expected by 83 percent of the respondents, and authors provide answers to these question

    'Inspired by business': A case of mentoring among low socio-economic students

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    To boost enrolment and retention of students from low socio-economic backgrounds in higher education, existing research has proposed a number of ways to support their university experiences. One initiative highlighted in the literature is mentoring, which has been shown to enhance students' skillsets, networks, and their self-esteem. This study examines the experiences of mentoring for low socio- economic status students accepted into a competitive widening participation programme, 'Inspired by Business', at the University of Sydney Business School. The purpose of the research was to evaluate the programme's perceived benefits for both mentees and mentors. Through interviews conducted with students and mentors, the findings reveal that mentoring was highly beneficial for the students, where the informal networks that developed between the participants developed their social capital and enhanced their sense of belonging. However, we highlight that mentoring processes of matching and preparation are critical aspects of mentor satisfaction

    Diagnostic Approach to Constipation in Children

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    Jovian equatorial H2 emission from 1979-1987

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    Ninety two IUE observations of the Jovian equatorial region taken between 2 Dec. 1978 and 1 Feb. 1988 were averaged together by date of observation, resulting in 22 averaged spectra which were fit with a model to determine the amount of H2 Lyman band emission in the region 1552 to 1624A. The data suggest that the H2 emission may vary with time. Especially suggestive is the marked downward trend of the emission between 1983 and 1987, during which time the strength of the emission in the 1552 to 1624A region decreases by a factor of 10. Uncertainty in the existing data and a gap in the data in 1980 and 1981 preclude a positive identification of a correlation between the brightness of the H2 emission and the major solar cycle
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