5,558 research outputs found

    Exploring Adolescent Dating Violence in Rural Communities: A Mixed Methods Study

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    Adolescent dating violence (ADV) occurs nearly twice as often among rural adolescents than it does among non-rural adolescents. Research has suggested several reasons for this population difference. First, people in the rural context oftentimes have traditional gender role attitudestowards male dominance over women, which can be displayed in the form of relationship violence. People in the rural context also tend to have less access to friends and resources (e.g., social services), whichcan further perpetuate violence by limiting a victim’s opportunity to seek help. In addition, rural individuals tend to have a reduced sense of anonymity, and thus, victims may be reluctant to seek help for fear that their community will criticize them. Research has examined these rural sociocultural aspects in regards to adult relationship violence, but research on rural ADV has yet to examine these factors. This study uses a concurrent nested mixed methods design where the qualitative phase is embedded in the predominant quantitative phase. The purpose of this study is to understand how aspects of the rural context are associated with attitudes toward and experiences of ADV. A convenience sample of 208 rural Nebraska adolescents (ages 13-19) was used to answer a survey regarding rural sociocultural aspects and ADV. Quantitative research questions were addressed with structural equation modeling and moderation analyses. The qualitative research question was addressed using content analysis. Findings reveal that hostile sexist gender role attitudes significantly predict ADV victimization. Benevolent sexist and hostile sexist attitudes are associated with favorable attitudes towards ADV. However, results from structural equation modeling did not provide support for the isolation and anonymity hypotheses. Moreover, participants’ parents impact their relationships in a variety of ways. Adolescents learn how individuals should act in relationships through their parents, parents provide social support for relationships to many adolescents, and many adolescents report that their parents are completely aware of their dating behaviors. Nonetheless, many parents reinforced traditional gender roles, provided no social support, and were not aware of their child’s relationships. These findings have implications for prevention, intervention, and policy regarding relationship education efforts. Advisor: Yan Ruth Xi

    Modifications to the Aesop's Fable paradigm change New Caledonian crow performances

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    While humans are able to understand much about causality, it is unclear to what extent non-human animals can do the same. The Aesop's Fable paradigm requires an animal to drop stones into a water-filled tube to bring a floating food reward within reach. Rook, Eurasian jay, and New Caledonian crow performances are similar to those of children under seven years of age when solving this task. However, we know very little about the cognition underpinning these birds' performances. Here, we address several limitations of previous Aesop's Fable studies to gain insight into the causal cognition of New Caledonian crows. Our results provide the first evidence that any non-human animal can solve the U-tube task and can discriminate between water-filled tubes of different volumes. However, our results do not provide support for the hypothesis that these crows can infer the presence of a hidden causal mechanism. They also call into question previous object-discrimination performances. The methodologies outlined here should allow for more powerful comparisons between humans and other animal species and thus help us to determine which aspects of causal cognition are distinct to humans.Publisher PDFPeer reviewe

    Improved synchronous production of Plasmodium falciparum gametocytes in vitro.

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    The sexual stages of the Plasmodium falciparum life cycle are attractive targets for vaccines and transmission blocking drugs. Difficulties in culturing and obtaining large amounts of sexual stage P. falciparum parasites, particularly early stages, have often limited research progress in this area. We present a new protocol which simplifies the process of stimulating gametocytogenesis leading to improved synchronous gametocyte production. This new method can be adapted to enrich for early stage gametocytes (I and II) with a higher degree of purity than has previously been achieved, using MACS magnetic affinity columns. The protocol described lends itself to large scale culturing and harvesting of synchronous parasites suitable for biochemical assays, northern blots, flow cytometry, microarrays and proteomic analysis

    Strategies for the Management of Postoperative Anemia in Elective Orthopedic Surgery

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    Objective: To assess the use of oral iron, intravenous (IV) iron, and erythropoiesis-stimulating agents (ESAs) for the prevention and management of perioperative anemia in elective orthopedic surgery patients, and to provide a clinical algorithm for use. Data Sources: A PubMed and MEDLINE search was conducted from 1964 through March 2016 using the following search terms alone or in combination: orthopedic, surgery, elective, anemia, blood transfusion, iron, erythropoiesisstimulating agents, and erythropoietin. Study Selection and Data Extraction: All English-language prospective and retrospective human studies and meta-analyses evaluating oral iron, IV iron, or ESA alone or in combination in elective orthopedic surgery patients were evaluated, provided they reported blood transfusion outcomes. Data Synthesis: A total of 9 prospective and retrospective studies and 1 meta-analysis were identified and included. In the preoperative setting, administration of oral iron, IV iron, or ESA alone or in combination to correct underlying anemia led to significantly reduced transfusion rates. Transfusion requirements were generally less with combination therapy (ESA + oral or IV iron). In the short-term perioperative or postoperative period, use of oral or IV iron led to conflicting results, with some reporting a statistically significant reduction in blood transfusions, whereas others reported none. Conclusions: In elective orthopedic surgery, IV or oral iron with or without an ESA may provide benefit in prevention of postoperative anemia and results in blood transfusion reduction without significantly increasing the risk of adverse events. These agents should be considered at the lowest effective dose with emphasis on administration prior to planned surgery

    GLP-1 Agonists in Type 1 Diabetes Mellitus: A Review of the Literature

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    Objective: To review the use of GLP-1 agonists in patients with type 1 diabetes mellitus (T1DM). Data Sources: A search using the MEDLINE database, EMBASE, and Cochrane Database was performed through March 2016 using the search terms glucagon-like peptide 1 (GLP-1) agonists, incretin, liraglutide, exenatide, albiglutide, dulaglutide, type 1 diabetes mellitus. Study Selection and Data Extraction: All English-language trials that examined glycemic end points using GLP- 1 agonists in humans with T1DM were included. Data Synthesis: A total of 9 clinical trials examining the use of GLP-1 agonists in T1DM were identified. On average, hemoglobin A1C (A1C) was lower than baseline, with a maximal lowering of 0.6%. This effect was not significant when tested against a control group, with a relative decrease in A1C of 0.1% to 0.2%. In all trials examined, reported hypoglycemia was low, demonstrating no difference when compared with insulin monotherapy. Weight loss was seen in all trials, with a maximum weight loss of 6.4 kg over 24 weeks. Gastrointestinal adverse effects are potentially limiting, with a significant number of patients in trials reporting nausea. Conclusion: The use of GLP-1 agonists should be considered in T1DM patients who are overweight or obese and not at glycemic goals despite aggressive insulin therapy; however, tolerability of these agents is a potential concern. Liraglutide has the strongest evidence for use and would be the agent of choice for use in overweight or obese adult patients with uncontrolled T1DM

    Community Orchards for Food Sovereignty, Human Health, and Climate Resilience: Indigenous Roots and Contemporary Applications

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    Community orchards could play a valuable role as nature-based solutions to complex challenges we face today. In these unique plantings, a variety of nut- and fruit-producing trees and berry shrubs are often established together on public spaces to provide the community with healthy, fresh food. Interest in these plantings has been increasing in the United States, even more so since the COVID-19 pandemic highlighted vulnerabilities in our food systems. However, the roots of community orchards can be traced back to Indigenous foodways which have persisted for millennia. Then and now, community orchards support an array of functions, positioning them to contribute to solutions to major challenges related to food security, human health, and climate resilience. In this paper, contemporary applications are considered for Indigenous communities in the US that seek to care for their communities and the environment. A case study of the Osage Orchard project in Pawhuska, OK, USA, highlights the value of reconnecting with cultural foods and practices of Osage ancestors, to meet the needs and preferences of a contemporary Indigenous community

    The experiences of older people who live with a long-term condition

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    AIM: The aim of this study was to gain insight into the experiences of people aged 65 and older who have learned to live with a pre-existing long-term condition. METHOD: A qualitative approach and the principles of narrative research were used to learn as much as possible about the individuals' stories. A focus group of five men was interviewed and two women were interviewed as a pair. FINDINGS: Existing skills in condition management and interactions with professionals are transferable to new health needs that older people develop, but additional, age-related problems can affect management of long-term conditions. Progressive long-term conditions may become more difficult to manage with age, and it is difficult to distinguish between ageing processes and deterioration of pre-existing long-term conditions. Age-related social and financial changes and society's perception of older people may also present challenges to condition management. CONCLUSION: Nurses who care for older people should take into account the effects of the person's long-term condition and the ageing process when assessing their needs; understand that people may be reluctant to ask for practical assistance; explore existing support mechanisms that people have in place and their sustainability; and advocate with people to secure appropriate choices related to their health needs

    Mental template matching is a potential cultural transmission mechanism for New Caledonian crow tool manufacturing traditions

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    Cumulative cultural evolution occurs when social traditions accumulate improvements over time. In humans cumulative cultural evolution is thought to depend on a unique suite of cognitive abilities, including teaching, language and imitation. Tool-making New Caledonian crows show some hallmarks of cumulative culture; but this claim is contentious, in part because these birds do not appear to imitate. One alternative hypothesis is that crows' tool designs could be culturally transmitted through a process of mental template matching. That is, individuals could use or observe conspecifics' tools, form a mental template of a particular tool design, and then reproduce this in their own manufacture - a process analogous to birdsong learning. Here, we provide the first evidence supporting this hypothesis, by demonstrating that New Caledonian crows have the cognitive capacity for mental template matching. Using a novel manufacture paradigm, crows were first trained to drop paper into a vending machine to retrieve rewards. They later learnt that only items of a particular size (large or small templates) were rewarded. At test, despite being rewarded at random, and with no physical templates present, crows manufactured items that were more similar in size to previously rewarded, than unrewarded, templates. Our results provide the first evidence that this cognitive ability may underpin the transmission of New Caledonian crows' natural tool designs.Tis study was supported by the NZ Marsden fund (RDG), a Rutherford Discovery Fellowship and the 2015 Prime Ministers MacDiarmid Emerging Scientist prize (AHT). SAJ thanks the ERC (Grant Agreement No. 3399933) for funding
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