Impact assessment in complex contexts of rural livelihood transformations in Africa. Part 2- Interview data

Qualitative interview resulting from semi-structured household interviews and focus group discussions that aimed to assess the impact of development activities that are intended to benefit poor men, women and children; and how their income and food security is changing. The study took place in four rural village sites: Masumbankhunda and Karonga areas in Malawi and Tigray and Oromia areas in Ethiopia

Impact assessment in complex contexts of rural livelihood transformations in Africa. Part 1- Longitudinal household income data

The individual household method (IHM) was developed by Evidence for Development as a reliable, standardised method of collecting and using household income data that is suitable for operational use. IHM work involves both in-person data collection and the use of specialised analytical software, open-IHM, which can be used to manage complex household data and produce reports, models and predictions to inform policy-making. This data set includes anonymised data from project areas Masumbankunda, Malawi; Karonga, Malawi; Tigray, Ethiopia; Assela, Ethiopia. Please also see related file on Qualitative Impact Assessment (QUIP) data which includes some qualitative data collected from a sub-sample of the same households included in this study (only Round 2 files - Round 1 households were not from the same sample set)

Critique and Politics: A sociomaterialist intervention

Sociomaterial theories, including actor–network theory (ANT), materialist feminism and posthumanism, are sometimes argued to not be addressing or unable to address sufficiently the political and are therefore dismissed as irrelevant to educational research. Through an extended discussion of writers across the social sciences, this article seeks to counter such a view. Drawing specifically on the work of Latour on the nature of critique and on examples of political analysis from writers such as Barad, Bennett, Braidotti, Marres and Whatmore, we suggest that sociomaterialist approaches to the more-than-human open up extended understandings and productive alternative practices of politics. While recognising that this is a work in progress and not without difficulties and challenges, we argue that there is much to be gained for educational researchers from engaging with such approaches

A multifaceted approach to assessment of mentalization: the mentalization profile in patients with eating disorders

Purpose: The existing literature, however sparse, suggests an association between eating disorders (ED) and mentalization ability. The aim of this study was to investigate the mentalization profile (MP) in patients with ED. It was hypothesized that patients with ED would have a lower degree of mentalization ability compared to healthy controls (HC). Materials and methods: The study is based on a cross-sectional survey on a sample of patients diagnosed with ED compared to a HC group. Results and conclusion: A total of 88 participants, distributed between patients with ED (N = 30) and HC (N = 58) were included. Results: The study results show statistically significant differences between patients with ED and HC. Thus, patients with an ED scored significantly higher on Reflective Functioning Questionnaire (uncertainty about mental states) (RFQ-U) (mean difference: 0.31, p = 0.048) and Toronto Alexithymia Scale (TAS-20) (mean difference: 0.44, p = 0.019) compared to the HC. Furthermore, the results indicated that patients with Bulimia Nervosa (BN) may have a lower ability to mentalize about oneself as well as a generally lower ability to mentalize across different dimensions of the mentalization profile as the BN group scored significantly higher on RFQ-U (mean difference: 0.71, p = 0.023) and TAS-20 (mean difference: 0.89, p = 0.006) compared to the Anorexia Nervosa (AN) group. Further research should be conducted to gain knowledge on the mentalization ability in patients with an ED

A multifaceted approach to assessment of mentalization: the mentalization profile in patients with eating disorders

Purpose: The existing literature, however sparse, suggests an association between eating disorders (ED) and mentalization ability. The aim of this study was to investigate the mentalization profile (MP) in patients with ED. It was hypothesized that patients with ED would have a lower degree of mentalization ability compared to healthy controls (HC). Materials and methods: The study is based on a cross-sectional survey on a sample of patients diagnosed with ED compared to a HC group. Results and conclusion: A total of 88 participants, distributed between patients with ED (N = 30) and HC (N = 58) were included. Results: The study results show statistically significant differences between patients with ED and HC. Thus, patients with an ED scored significantly higher on Reflective Functioning Questionnaire (uncertainty about mental states) (RFQ-U) (mean difference: 0.31, p = 0.048) and Toronto Alexithymia Scale (TAS-20) (mean difference: 0.44, p = 0.019) compared to the HC. Furthermore, the results indicated that patients with Bulimia Nervosa (BN) may have a lower ability to mentalize about oneself as well as a generally lower ability to mentalize across different dimensions of the mentalization profile as the BN group scored significantly higher on RFQ-U (mean difference: 0.71, p = 0.023) and TAS-20 (mean difference: 0.89, p = 0.006) compared to the Anorexia Nervosa (AN) group. Further research should be conducted to gain knowledge on the mentalization ability in patients with an ED

Additional file 1 of Association between intravenous iron therapy and short-term mortality risk in older patients undergoing hip fracture surgery: an observational study

Additional file 1: Table S1. Causes of death among the patients who died within 30-days postoperatively. Table S2. Demographics of patients who died before hemoglobin level between day 14 to 30 was measured

Association between intravenous iron therapy and short-term mortality risk in older patients undergoing hip fracture surgery: an observational study

Abstract Background Anemia is common among ortho-geriatric hip fracture patients and is associated with prolonged recovery and increased postoperative mortality rate. Intravenous iron seems to increase hemoglobin recovery and reduce the mortality rate in patients undergoing orthopedic surgeries. This study investigated the association between short-term mortality risk and intravenous iron therapy in older patients undergoing hip fracture surgery. Methods This observational study included 210 patients undergoing hip fracture surgery from July 2018 to May 2020. These 210 patients were alive and had a hemoglobin ≤ 6.5 mmol/L on the 3rd postoperative day. In May 2019, a local intravenous iron therapy protocol was implemented and recommended intravenous iron (Monofer©) if hemoglobin on the 3rd postoperative day was ≤ 6.5 mmol/L. According to the treatment of postoperative anemia between the 1st and 3rd day post-surgery, the patients were divided into four groups: no treatment (n=52), blood transfusion (n=38), IV Monofer (n=80), and blood transfusion and IV Monofer (n=40). Primary outcome was 30-day mortality post-surgery. The secondary outcome was the impact on hemoglobin level 14–30 days postoperatively. Multivariable Cox regression was used to estimate the 30-day mortality standardized for covariates. Results Of 210 patients, 17 (8.1%) died within 30 days after surgery. There was a significantly lower mortality among the patients who received IV Monofer compared to those who received no treatment (HR 0.17, 95% CI [0.03–0.93], P = 0.041). Among the 86 patients with available hemoglobin measurements within 14 to 30 days post-surgery, there was no significant difference in hemoglobin level between the various treatment groups (mean 6.6 mmol/L, P = 0.1165). Conclusion IV Monofer on the 3rd postoperative day in older hip fracture patients seemed to reduce 30-day mortality compared with no treatment. No significant differences in hemoglobin levels between 14 and 30 days post-surgery across treatment groups were found, although this was assessed in a subset of patients with available hemoglobin levels warranting further study