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Explorando el efecto de la telemedicina en el control de la presión arterial y las mediciones de lípidos en pacientes cardiovasculares de la Suecia rural: un estudio de intervención antes y después
No full textIntroduction: Compliance with long-term secondary prevention guidelines in primary care settings is hampered, in part, by a shortage of health professionals in rural areas. Telemedicine has shown promise in supporting preventive care without requiring the physical relocation of professionals to underserved regions. Although many studies have shown positive outcomes with telemedicine, more evidence is needed. The aim of this study was to compare the effect of telemedicine on compliance to guidelines for blood pressure and lipid control in primary care in patients with ischaemic cardiovascular disease compared with traditional care in rural Sweden. In addition, the study investigated the effect of five years of telemedicine follow-up on improvements in blood pressure and lipid levels compared with a control health centre.
Methods: Two rural health centres in northern Sweden were included. The intervention group received regularly scheduled online video consultations between a cardiologist and the local nurses, while the control group received conventional centre-based monitoring. Patient-based registry information was collected for the period 2016-2020. Data included available measurements of systolic and diastolic blood pressure, LDL, HDL, total cholesterol and triglycerides. Compliance with the guidelines was assessed by recording the number of available blood pressure and lipid measurements from the list of eligible patients. Those with one or no measurements were considered non-compliant. Means of blood pressure and lipid measurements at two time points were estimated, followed by difference-in-difference analysis.
Results: The intervention group showed increased compliance to guideline recommendations. However, there were no statistically significant differences in blood pressure and lipid measurements over time compared with the control group.
Conclusion: The results highlight the potential of telemedicine to improve compliance to secondary cardiovascular prevention guidelines in rural primary care. This study serves as a successful model for integrating telemedicine into real-world healthcare and highlights the need for continued research and evaluation.Introducción: El cumplimiento de las directrices de prevención secundaria a largo plazo en los centros de atención primaria se ve dificultado, en parte, por la escasez de profesionales sanitarios, sobre todo en las zonas rurales. La telemedicina se ha mostrado prometedora para apoyar la atención preventiva sin necesidad de que los profesionales se desplacen físicamente a regiones desatendidas. Aunque muchos estudios han mostrado resultados positivos con la telemedicina, se necesitan más evidencias. El objetivo de este estudio fue comparar el efecto de la telemedicina en el cumplimiento de las directrices para el control de la presión arterial y los lípidos en la atención primaria en pacientes con enfermedad cardiovascular isquémica en comparación con la atención tradicional en las zonas rurales de Suecia. Además, el estudio investigó el efecto de cinco años de seguimiento con telemedicina sobre las mejoras en la presión arterial y los niveles de lípidos en comparación con un centro de salud de control.
Métodos: Se incluyeron dos centros de salud rurales del norte de Suecia. El grupo de intervención recibió videoconsultas en línea programadas periódicamente entre un cardiólogo y las enfermeras locales, mientras que el grupo de control recibió un seguimiento convencional en el centro. Se recopiló información de registro basada en pacientes para el período 2016-2020. Los datos incluyeron las mediciones disponibles de presión arterial sistólica y diastólica, LDL, HDL, colesterol total y triglicéridos. El cumplimiento de las directrices se evaluó registrando el número de mediciones de presión arterial y lípidos disponibles de la lista de pacientes elegibles. Se consideraron no conformes aquellos en los que no se había realizado ninguna o ninguna medición. Se calcularon las medias de las mediciones de la presión arterial y los lípidos en dos momentos y se realizó un análisis de diferencias en diferencias.
Resultados: El grupo de intervención mostró un mayor cumplimiento de las recomendaciones de las directrices. Sin embargo, no hubo diferencias estadísticamente significativas en las mediciones de la presión arterial y los lípidos a lo largo del tiempo en comparación con el grupo de control.
Conclusiones: Los resultados destacan el potencial de la telemedicina para mejorar el cumplimiento de las directrices de prevención cardiovascular secundaria en la atención primaria rural. Este estudio sirve como modelo de éxito para la integración de la telemedicina en la atención sanitaria del mundo real y pone de relieve la necesidad de seguir investigando y evaluando
Preocupaciones en materia de fertilidad y vacunas COVID-19: Diseño de infografía comunitaria en la región urbana de Waterloo, Ontario (Canadá)
No full textIntroduction: Vaccine hesitancy, including concerns about possible fertility side-effects, caused delay in the uptake of COVID-19 vaccines in Canada and elsewhere. One way of tackling vaccine hesitancy is the use of infographics that explain key issues and address concerns. The aim of this study was to explore the collaborative process of rapidly developing an infographic that was informed by community feedback and tailored to address fertility concerns during urgent COVID-19 pandemic conditions.
Methods: A survey promoted through social media and focus group discussion with community contacts were used to iteratively consult target audiences and gather feedback on interpretation of the infographic’s content and meaning. Survey results were analysed using descriptive methods. A focus group discussion was analysed using inductive thematic and sentiment analysis. Feedback guided infographic development.
Results: A draft infographic and survey were shared online. 33 of 37 survey respondents expressed that they trusted the information provided in infographics. Survey respondents and focus group participants both wanted simple language and additional information to address concerns about the long-term effect of COVID-19 vaccines on fertility. Opinions indicated that more effort was needed to address varying levels of health literacy within communities. There was conflicting feedback on whether use of inclusive language by removing gender labels and focusing on biology, was helpful or confusing.
Conclusions: This study shows public feedback can help tailor content and design of vaccine confidence building tools making them more accessible to the general population. In addition, efforts to resolve specific concerns can be augmented by modifying and/or creating different versions of infographics.Introducción: Las dudas sobre las vacunas, incluida la preocupación por los posibles efectos secundarios sobre la fertilidad, han retrasado la adopción de la vacuna COVID-19 en Canadá y otros países. Una forma de abordar las dudas sobre las vacunas es el uso de infografías que expliquen las cuestiones clave y aborden las preocupaciones. El objetivo de este estudio fue explorar el proceso de colaboración para desarrollar rápidamente una infografía basada en aportes comunitarios y adaptada para abordar las preocupaciones sobre la fertilidad durante las condiciones urgentes de la pandemia de COVID-19.
Métodos: Se utilizó una encuesta promovida a través de los medios sociales y una discusión de grupo focal con contactos de la comunidad para consultar iterativamente a las audiencias objetivo y recopilar comentarios sobre la interpretación del contenido y el significado de la infografía. Los resultados de la encuesta se analizaron mediante métodos descriptivos. Un grupo de discusión se analizó mediante un análisis inductivo temático y de sentimientos. Los comentarios orientaron el desarrollo de la infografía.
Resultados: Se compartieron en línea un borrador de infografía y una encuesta. 33 de los 37 encuestados expresaron que confiaban en la información proporcionada en la infografía. Tanto los encuestados como los participantes en los grupos de discusión querían un lenguaje sencillo e información adicional para abordar las preocupaciones sobre el efecto a largo plazo de las vacunas COVID-19 en la fertilidad. Las opiniones indicaron que era necesario un mayor esfuerzo para abordar los distintos niveles de alfabetización sanitaria dentro de las comunidades. Hubo opiniones contradictorias sobre si el uso de un lenguaje inclusivo, eliminando las etiquetas de género y centrándose en la biología, era útil o inducía a confusión.
Conclusiones: Este estudio muestra que las opiniones del público pueden ayudar a adaptar el contenido y el diseño de las herramientas de fomento de la confianza en las vacunas, haciéndolas más accesibles para la población general. Además, se pueden aumentar los esfuerzos para resolver preocupaciones específicas modificando y/o creando diferentes versiones de las infografías
A Princess of Science? Becoming the first Woman Professor in Mathematics in Modern Europe
Get PDFIn this paper I look at the process of becoming the first Woman Professor in Mathematics in Modern Europe by reading the personal and literary writings of Sofia Kovalevskaya. The paper emerges from a wider Leverhulme funded project of writing a feminist genealogy of “automathographies,” tracing women mathematicians’ historical emergence as subjects of scientific knowledge, as well as creators of philosophy and culture. What I argue is that it is essential to throw light onto the social, cultural, and political practices that some women mathematicians deployed in surpassing the restrictions and limitations of their gendered position and excel in the field of mathematical sciences and beyond. In this light, I initiate a process of intense memory work against a wider background within which women mathematicians’ figure as exceptional, albeit marginalized, and largely unknown subjects, and not as active agents, whose scientific, philosophical and literary work has had a huge impact on the cultural formations of modernity and beyond. By highlighting the importance of memory work, as a way of understanding the lasting effects of the past into the present, I trace new paths in the field of gender and science studies to confront women mathematicians’ marginalization within the archive and beyond
Educating the First Generation of Textile Researchers: The Drawing School for Women and the Development of Textile Research as a Field of Knowledge
Get PDFThis article explores the role of the Drawing School for Women (Tegneskolen for Kvinder) in the development of textile research as a field of knowledge, as well as its contribution to women’s education and social status in Denmark. Through an examination of the lives and work of early textile researchers associated with the Drawing School for Women, the article first considers the emancipatory potential of knowledge in relation to the professionalization of textile crafts. It then sheds light on the ideals and potentials expressed by the advocates of textile research – as well as how, and to what extent, these were realised. Specifically, it suggests a close relationship between textile research, women’s emancipation, and Danish nationalism. It concludes that the proponents of textile research were successful in making women’s textile craft – and the study of it – a matter of national pride and interest, furthering the opportunities for women in the field
Gunnar Harðarson & Karl G. Johansson (eds.), Dominican Resonances in Medieval Iceland. The Legacy of Bishop Jón Halldórsson of Skálholt, Leiden: Brill 2021
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[Book review] Andreas Schmidt & Daniela Hahn (eds.), Unwanted
No full textReview of: Andreas Schmidt & Daniela Hahn (eds.), Unwanted. Neglected Approaches, Characters, and Texts in Old Norse-Icelandic Saga Studies, München: Utzverlag 202
[Book review] Elizabeth Walgenbach, Excommunication and Outlawry in the Legal World of Medieval Iceland
No full textReview of: Elizabeth Walgenbach, Excommunication and Outlawry in the Legal World of Medieval Iceland (The Northern World 92), Brill: Leiden & Boston 202
Gender Gap in Entrepreneurial Potential in Finland and Reflecting Its Underlying Causes
Get PDFThe gender gap in entrepreneurship is a widely recognized phenomenon meaning that women are less likely to start a business than men. However, increased gender equality is believed to remove barriers to female entrepreneurship. We used secondary data collected for Global Entrepreneurship Monitor from 2003, 2009, 2015, and 2021 to get closer to this phenomenon in Finland, one of the most equal countries in the world. The aim of the study was to clarify the gender gap in entrepreneurship potential in Finland during recent decades, taking into account different age groups. We found that the gender gap exists in business start-up intentions and has not narrowed in the twenty-first century in any age group. A clear gender gap was also found in fear of failure in starting a business and perceived skills in entrepreneurship. Finally, the underlying causes of the gender gap in the Finnish context are discussed
