1,259 research outputs found
Comparison of self-reported measures of hearing with an objective audiometric measure in adults in the English longitudinal study of ageing
No full textImportance: an effective and sustainable hearing loss (HL) screening strategy for the early detection of and intervention for HL in older adults is needed.Objectives: to examine the concordance of self-reported measures of hearing difficulty with objective hearing data and the factors associated with the potential discordances among these measures across different population subgroups of a representative sample of people 50 years and older in England.Design, Setting, and Participants: this study was a cross-sectional analysis of wave 7 of the English Longitudinal Study of Ageing (ELSA), a large, population-based, prospective cohort study that provides a unique resource for exploring issues associated with aging in England in the 21st century. The full analytic cohort was composed of 9666 individuals participating in the ELSA wave 7, which collected information from June 1, 2014, to May 31, 2015. This study further analyzed a sample of 8529 adults 50 to 89 years of age who had an assessment of their hearing by self-reported measures, and consented to assessment by a qualified nurse via a hearing screening device, and did not have an ear infection or a cochlear implant. Bivariate analyses were performed from July 1 to December 30, 2018, and multivariate analysis from January 1 to June 30, 2019. Multiple logistic regression models examined factors associated with misclassification of hearing difficulties across several categories among those with objectively identified HL.Exposures: the study examined whether age, marital status, retirement status, indicators of socioeconomic position, and lifestyle factors (such as body mass index, physical activity, and tobacco and alcohol consumption) were associated with the concordance between self-reported hearing problems and manual audiometry among older adults.Main Outcomes and Measures Self-reported hearing measures, including hearing in background noise, compared with objective audiometric assessments.Results A total of 9666 study participants (5368 female [55.5%]; mean [SD] age, 67.4 [14.4] years) provided responses regarding their hearing difficulties, hearing in noise, quality of care in hearing, and hearing aid recommendation in ELSA wave 7. Within the cohort, 684 individuals (30.2%) with objectively measured HL greater than 35 dB HL at 3.0 kHz went undetected by the self-report measure, whereas the new constructed categories for moderate and moderately severe or severe HL resulted in 9.3% increased sensitivity. Factors associated with misreporting hearing difficulties (while they had objectively measured HL >35 dB HL at 3.0 kHz, in the better-hearing ear) were as follows: female sex (odds ratio [OR], 1.97; 95% CI, 1.18-3.28), no educational qualifications (OR, 1.37; 95% CI, 1.26-2.55), routine or manual occupation (OR, 1.43; 95% CI, 1.28-2.61), tobacco consumption (OR, 1.14; 95% CI, 1.08-1.90), alcohol intake above the low-risk-level guidelines (OR, 1.13; 95% CI, 1.11-2.34), and lack of moderate physical activity (OR, 1.25; 95% CI, 1.03-1.42). Age was largely associated with misreporting of moderately severe to severe HL; the odds were 5.75 (95% CI, 1.17-8.13) higher for those 65 to 74 years of age and 7.08 (95% CI, 1.41-9.30) higher for those 75 to 89 years of age to not report their hearing difficulties compared with those 50 to 64 years of age. In addition, socioeconomic indicators, such as educational level (OR, 1.95; 95% CI, 1.63-6.01) and occupation (OR, 2.07; 95% CI, 1.78-5.40), along with lifestyle factors, such as smoking (OR, 1.46; 95% CI, 1.25-2.48) and alcohol intake above the low-risk-level guidelines (OR, 1.86; 95% CI, 1.67-5.12), were factors associated with misreporting moderately severe or severe HL.Conclusions and Relevance The use of a screening measure for audiometric testing and a self-report measure is essential for accurately identifying older people with HL. The results of this study should be considered by HL researchers who analyze self-reported hearing data as a surrogate measurement of audiometric hearing to identify bias in their observed analytic research results
Socioeconomic and Lifestyle Factors Associated with Hearing Loss in Older Adults:A Cross-sectional Study of the English Longitudinal Study of Ageing (ELSA)
No full textOBJECTIVES:Aims were (1) to examine whether socioeconomic position (SEP) is associated with hearing loss (HL) among older adults in England and (2) whether major modifiable lifestyle factors (high body mass index, physical inactivity, tobacco consumption and alcohol intake above the low-risk-level guidelines) are associated with HL after controlling for non-modifiable demographic factors and SEP.SETTING:We used data from the wave 7 of the English Longitudinal Study of Ageing, which is a longitudinal household survey dataset of a representative sample of people aged 50 and older.PARTICIPANTS:The final analytical sample was 8529 participants aged 50-89 that gave consent to have their hearing acuity objectively measured by a screening audiometry device and did not have any ear infection.PRIMARY AND SECONDARY OUTCOME MEASURES:HL defined as >35 dBHL at 3.0 kHz (better-hearing ear). Those with HL were further subdivided into two categories depending on the number of tones heard at 3.0 kHz.RESULTS:HL was identified in 32.1% of men and 22.3% of women aged 50-89. Those in a lower SEP were up to two times more likely to have HL; the adjusted odds of HL were higher for those with no qualifications versus those with a degree/higher education (men: OR 1.87, 95%CI 1.47 to 2.38, women: OR 1.53, 95%CI 1.21 to 1.95), those in routine/manual occupations versus those in managerial/professional occupations (men: OR 1.92, 95%CI 1.43 to 2.63, women: OR 1.25, 95%CI 1.03 to 1.54), and those in the lowest versus the highest income and wealth quintiles (men: OR 1.62, 95%CI 1.08 to 2.44, women: OR 1.36, 95%CI 0.85 to 2.16, and men: OR1.72, 95%CI 1.26 to 2.35, women: OR 1.88, 95%CI 1.37 to 2.58, respectively). All regression models showed that socioeconomic and the modifiable lifestyle factors were strongly associated with HL after controlling for age and gender.CONCLUSIONS:Socioeconomic and lifestyle factors are associated with HL among older adults as strongly as core demographic risk factors, such as age and gender. Socioeconomic inequalities and modifiable lifestyle behaviours need to be targeted by the health policy strategies, as an important step in designing interventions for individuals that face hearing health inequalities.</p
Consensual
No full textAn explosive and thought-provoking play from the author of Girls Like That, exploring what happens when buried secrets catch up with you.As Head of Year 11, Diane is meant to be implementing the new 'Healthy Relationships' curriculum. But then Freddie arrives. She hasn't seen him since that night six years earlier when he was fifteen.She thinks he took advantage of her. He thinks she groomed him for months. Neither is sure. But when it comes to sex and consent, how far can you blur the lines?Evan Placey's Consensual was first performed by the National Youth Theatre in their 2015 West End season
Ep. #154 - Evan Berry
No full textThis recording and transcript form part of a collection of podcasts conducted by the Cultures of Energy at Rice University. Cultures of Energy brings writers, artists and scholars together to talk, think and feel their way into the Anthropocene. We cover serious issues like climate change, species extinction and energy transition. But we also try to confront seemingly huge and insurmountable problems with insight, creativity and laughter.Cymene and Dominic rediscover the Violent Femmes on this week's podcast and that prompts a discussion of the best albums of all time. We then (18:54) welcome American U’s Evan Berry to the podcast, author of Devoted to Nature: The Religious Roots of American Environmentalism (U California Press, 2015) and the PI of a Luce Foundation funded project on “Religion and Climate Change in Cross-Regional Comparison.” We start with the Pope and his views on climate change and then quickly move on to Evan’s argument that much apparently secular environmentalist thinking has deep affinities with Christian theology. We revisit Lynn White’s famous argument that Christianity devalues nature, discuss the need to move past “great man” narratives of the evolution of environmentalism, and ruminate on what 19th century Christian environmentalists considered to be the “moral salubriousness of nature.” Evan shares his thoughts on how Protestant nominalism may have informed American climate denialism over time and also about how walking as a form of “recreational salvation” became linked to the valorization of wilderness. We discuss whether American Christianity is exceptional in terms of climate morality and why American political culture has become an incubator for religious radicalism. We then turn to how climate change is now impacting religious systems across the world and how better intergenerational ethics might teach us to think collectively rather than individually. Finally, we discuss another recent book project Evan has undertaken with Rob Albro, Church, Cosmovision, and the Environment: Religion and Social Conflict in Contemporary Latin America (Routledge 2018)
Poser
No full textPoser is a book of poems consisting of seven sections. The poems inside the book deal with a range of topics, but focus centrally around the development of identity in contemporary society. The work calls to question the paths human beings seek in order to affirm selfhood, and deals heavily with the psychological problem known as "Imposter Syndrome." The sections address distinct periods of development and their corresponding spiritual, social, and human inquiries, which end up defining the shapes of our lives.M.F.A.Includes bibliographical referencesby Evan Gill Smit
Functional assessment of multiple sclerosis
No full textAn appraisal of the Functional Assessment of Multiple SclerosisPeer reviewe
Selecting Rehabilitation Outcome Measures for Persons with Multiple Sclerosis
No full textDespite the well-known benefits of using standardized outcome measures (OMs) in clinical practice, a variety of barriers interfere with their use. In particular, rehabilitation therapists lack sufficient knowledge in selecting appropriate OMs. The challenge is compounded when working with people with multiple sclerosis (MS) owing to heterogeneity of the patient population and symptom variability in individual patients. To help overcome these barriers, the American Physical Therapy Association appointed the Multiple Sclerosis Outcome Measures Task Force to review and make evidence-based recommendations for OM use in clinical practice, education, and research specific to people with MS. Sixty-three OMs were reviewed based on their clinical utility, psychometric properties, and a consensus evaluation of the appropriateness of use for people with MS. We sought to illustrate use of the recommendations for two cases. The first case involves a 43-year-old man with new-onset problems after an exacerbation. The second case pertains to an outpatient clinic interested in assessing the effectiveness of their MS rehabilitation program. For each case, clinicians identified areas that were important to assess and various factors deemed important for OM selection. Criteria were established and used to assist in OM selection. In both cases, the described processes narrowed the selection of OMs and assisted with choosing the most appropriate ones. The recommendations, in addition to the processes described in these two cases, can be used by clinicians in any setting working with patients with MS across the disability spectrum.Peer reviewedCopyright belongs to the Consortium of Multiple Sclerosis Centers
Is the International System in a Moment of Crisis?
No full textAn interview with Evan J. Criddle, co-author of Mandatory Multilateralism, published in the American Journal of International Law (AJIL)
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Is the International System in a Moment of Crisis?
No full textAn interview with Evan J. Criddle, co-author of Mandatory Multilateralism, published in the American Journal of International Law (AJIL)
Satirizing Ethics
No full textI explored three late-night satirical monologues from late-night television following the Orlando Nightclub Shooting on 12 June 2016. I examined the monologues using a social constructionist approach to understand what lessons could be drawn from the event and how a satirist references the nomos when tackling an issue in the world. Satire uses comedic tools to point out follies within society and each host used his or her platform on late-night television to address issues they believed needed to be addressed following the shooting. What I found was that each host aimed to set an agenda in their monologues by emphasizing a) certain facts and information about the event and by b) presenting the audience with a way of viewing what happened and why the issue of gun violence and hate crimes in American needs to be addressed to ensure incidents like these do not happened again
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