19683 research outputs found
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Reliability Testing of the Reasonable Adjustments for Inclusive Education Rating Scale
No full textSchool inclusion of students with disabilities relies on reasonable adjustments to curriculum and class activities. The Reasonable Adjustments for Inclusive Education (RAIE) was designed to elicit reasonable adjustments from stakeholders in mainstream school inclusion for three contrived students with varied learning needs. We evaluated a scale for rating the quality of elicited reasonable adjustments across five dimensions: Agency, Authenticity, Real Learning, Strengths Based, and Inclusion. A trial (n = 5 participants) led to refinement of the scale, which was tested for inter-rater reliability with data from a randomized controlled trial (RCT) of an intervention to improve the quality of reasonable adjustments. RCT participants (10 parents, 10 educators, nine allied health professionals) provided 596 reasonable adjustments, rated for each dimension by two independent raters (n = 2980 ratings). Overall agreement was 75.3%; intraclass correlation (ICC) was.778. ICCs were moderate-good (.612–.816). Further refinement and testing with multiple raters are recommended
Direct and indirect relationships between social media use and body satisfaction: A prospective study among adolescent boys and girls
No full textCross-sectional research suggests a small, inverse association between social media use and body satisfaction. However, less is known regarding prospective, bidirectional, or mediating effects. In line with sociocultural theory, this study used a three-wave design to examine direct and indirect effects between social media use and body satisfaction, via thin-ideal and muscular-ideal internalisation and social comparisons. Adolescents (n = 1911; Mage = 14.27, SD = 1.08) were invited to complete three surveys over 1 year. Cross-lagged panel models indicated acceptable fit for two social media use operationalisations, with better fit statistics for the appearance-focused use rather than photo-based activities model. Despite largely no direct effects, indirect effects were found. Social comparisons mediated the relationships over time, whereby higher social media use predicted higher comparisons, which predicted lower body satisfaction. The reverse direction was also found. Gender invariance indicates that prevention aimed at reducing comparisons may be suitable for boys and girls
Exploring the experiences and perspectives of women on oral health during pregnancy: A qualitative study in Tasmania, Australia
No full textObjective: To explore women's oral health experiences and barriers to dental care and identify potential strategies to improve oral health during pregnancy. Methods: A qualitative descriptive study design was used. Purposively elected antepartum and postpartum women ≥18 years of age from Tasmania, Australia, were recruited using maximum variation sampling. Semi-structured interviews were conducted, and all qualitative data were analysed using an inductive thematic approach. Results: Fifteen women were interviewed with a mean ± SD age of 32.3 ± 4.5 years. Three key themes were generated from the data that described women's perceived changes in their oral health during pregnancy; barriers to oral health care during and after pregnancy; and perceived strategies to improve access to care. Most women acknowledged the importance of maintaining good oral health but reported a decline in their oral health status during pregnancy. Women also identified several barriers to dental care, including treatment costs, competing maternal priorities, limited oral health knowledge and negative perceptions towards dentistry. The provision of preventative oral health care by ANC providers was also limited. Community awareness, patient education resources and assessment tools could support the promotion of oral health care. Women also perceived that interprofessional collaboration between antenatal and dental providers played a key role in promoting oral health. Conclusion: This study explored women's varied oral health experiences and perceptions during pregnancy and highlighted critical barriers and enablers to dental care. Policy-level strategies that promote interprofessional collaboration between antenatal and dental providers and expand dental care access are suggested to overcome barriers to oral health for women during pregnancy
Trust in adolescence and depression and anxiety symptoms in young adulthood: findings from a Swedish cohort
No full textObjective: Trust and health are both fundamental elements of a socially sustainable society. While much research has shown that trust is associated with better mental health outcomes in adults, studies of young people are relatively scarce, despite the fact that mental health problems are common in young ages. In particular, there are few longitudinal studies that cover different dimensions of trust. Building on a previous study on trust and psychosomatic complaints in adolescents, the aim was to examine the links between generalised and institutional trust in adolescence and depression and anxiety symptoms in young adulthood. Data was obtained from a Swedish cohort study with self-reported information on generalised and institutional trust at ages 15–16 and 17–18 and depression and anxiety symptoms at age 20–21 (n = 2,668). Covariates included sociodemographic characteristics and indicators of prior mental health status. Results: Binary logistic and linear regressions showed that higher levels of generalised trust at ages 15–16 and 17–18 were inversely associated with depression and anxiety symptoms at age 20–21. Institutional trust was however not linked with subsequent depression and anxiety symptoms when adjusting for generalised trust and covariates. The findings indicate that generalised trust is a social determinant for mental health in young people
More Accurate Measurement of Return Peak Current in Cyclic Voltammetry Using Diffusional Baseline Fitting
No full textThe difficulty associated with accurately measuring the height of the back peak (Ipb) in cyclic voltammetry (CV) has long plagued electrochemists. Most commonly, Ipb is measured by extrapolating a linear fit from a selected region of a voltammogram after the switching potential (Eλ), but without substantial separation between the peak potential (Ep) and Eλ, this approach always overestimates the background current and so underestimates Ipb. Moreover, experimental conditions can present challenges for this method as an appropriate region for linear fitting is often lacking due to neighboring peaks or solvent electrolysis current. Here, we present a new method for finding the baseline current for the back peak in CV experiments. By examining the CV data as a function of time rather than potential, it is possible to fit a generalized Cottrell or Shoup-Szabo equation to the current decay of the forward peak and extrapolate this function as a baseline for the return peak. This approach was tested by using simulated and experimental data in a variety of conditions, including data demonstrating linear and radial diffusional control. We found that the method allows for more accurate determination of back peak currents, especially when linear fits are complicated by narrow electrochemical windows or radial diffusion. A user-friendly Python program was written to automatically find an appropriate fitting range for this analysis and measure peak currents. We have made this program available to the electrochemical community at large.</p
Blockchain technology as an enabler for sustainable business ecosystems: A comprehensive roadmap for socioenvironmental and economic sustainability
No full textBlockchain technology is a core technology expected to play a highly instrumental role in competing with socioenvironmental challenges. The literature hypothesizes various blockchain functions for building a sustainable business ecosystem. This study unifies these diverse perspectives into an interpretive strategy roadmap that provides a holistic overview of how blockchain should be leveraged to deliver sustainability functions optimally. The study first identified the sustainability functions of blockchain through a content-centric literature review. The study applied interpretive structural modeling (ISM) and drew on experts' opinions to model how and in which order blockchain delivers these sustainability functions. The study further drew on the ISM output and interpretive logic-knowledge base to develop the promised roadmap. Results revealed that blockchain promotes a decentralized decision system that facilitates automation and real-time information sharing (RIS) across supply chains. Blockchain introduces traceability and transparency into supply chain operations. These conditions offer monitoring of business operations and the development of trust across value-chain stakeholders. These driver functions lead to value chain optimization and circularity integration into business and supply chain operations. When these necessary functional conditions are met, businesses can further draw on blockchain to promote economic and environmental aspects of sustainability through more complex functions enabling resource efficiency, cost reduction, pollution prevention, and higher profit margins. The order in which businesses can leverage these functions would define blockchain sustainability performance. Each function is uniquely valuable to sustainability, and none of them can be overlooked
A theory of triage
No full textThis paper provides a general framework for conceptualizing triage for intensive care unit admissions in public health emergencies such as the COVID-19 pandemic. It applies this framework to some of the guidelines issued during the pandemic and addresses some controversial issues, including the role of age, the use of lives or life years, and the relevance of quality of life considerations. The paper defends a view on which triage protocols for public health emergencies should aim to maximize the number of life years saved, may take into account age as a proxy, and should ignore quality of life considerations
Meta.xlsx
No full textMeta-data for analyses performed in Predicting successful draft outcome in Australian Rules football: model sensitivity is superior in neural networks when compared to logistic regression.</p
Co‐development and evaluation of the Musculoskeletal Telehealth Toolkit for physiotherapists
No full textIntroduction: In-person physiotherapy services are not readily available to all individuals with musculoskeletal conditions, especially those in rural regions or with time-intensive responsibilities. The COVID-19 pandemic highlighted that telehealth may facilitate access to, and continuity of care, yet many physiotherapists lack telehealth confidence and training. This project co-developed and evaluated a web-based professional development toolkit supporting physiotherapists to provide telehealth services for musculoskeletal conditions. Methods: A mixed-methods exploratory sequential design applied modified experience-based co-design methods (physiotherapists [n = 13], clinic administrators [n = 2], and people with musculoskeletal conditions [n = 7]) to develop an evidence-informed toolkit. Semi-structured workshops were conducted, recorded, transcribed, and thematically analysed, refining the toolkit prototype. Subsequently, the toolkit was promoted via webinars and social media. The usability of the toolkit was examined with pre-post surveys examining changes in confidence, knowledge, and perceived telehealth competence (19 statements modelled from the theoretical domains framework) between toolkit users (>30 min) and non-users (0 min) using chi-squared tests for independence. Website analytics were summarised. Results: Twenty-two participants engaged in co-design workshops. Feedback led to the inclusion of more patient-facing resources, increased assessment-related visual content, streamlined toolkit organisation, and simplified, downloadable infographics. Three hundred and twenty-nine physiotherapists from 21 countries completed the baseline survey, with 172 (52%) completing the 3-month survey. Toolkit users had greater improvement in knowledge, confidence, and competence than non-users in 42% of statements. Seventy-two percentage of toolkit users said it changed their practice, and 95% would recommend the toolkit to colleagues. During the evaluation period, the toolkit received 5486 total views. Discussion: The co-designed web-based Musculoskeletal Telehealth Toolkit is a professional development resource that may increase physiotherapist's confidence, knowledge, and competence in telehealth
Building Quality and Safeguarding into Disability Service Provision
No full textThe processes of building quality and safeguarding are important in ensuring that people who use disability services have high-quality support that meets their needs and helps them achieve their goals. High-quality support and services are key safeguards against abuse and neglect. What constitutes good quality varies by each individual, stakeholder group, and type of service. However, compliance with regulatory obligations is the minimum that disability service providers and workers must achieve. This chapter attempts to demystify what workers and providers should do to deliver high-quality and safe supports, while still acknowledging the complexity involved. It argues that strategies for achieving high-quality and safe supports should be integrated into standard ways of working, rather than approached as a box-ticking exercise disconnected from day-to-day practice. It explains the key terms and core concepts, the levels for action, and the reactive and proactive strategies which can be implemented by managers.</p