53,059 results match your criteria Accountability in Research-Policies and Quality Assurance[Journal]

Becoming a Parent During Cardiovascular Training.

J Am Coll Cardiol 2022 May;79(21):2119-2126

Division of Cardiovascular Medicine, University of Florida College of Medicine, Malcom Randall VA Medical Center, Gainesville, Florida, USA.

Background: Specialty training in cardiovascular diseases is consistently perceived to have adverse job conditions and interfere with family life. There is a dearth of universal workforce support for trainees who become parents during training.

Objectives: This study sought to identify parental policies across cardiovascular training programs internationally. Read More

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Moderators of cognitive behavioural therapy treatment effects and predictors of outcome in the CODES randomised controlled trial for adults with dissociative seizures.

J Psychosom Res 2022 Apr 19;158:110921. Epub 2022 Apr 19.

King's College London, Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, UK. Electronic address:

Objective: We explored moderators of cognitive behavioural therapy (CBT) treatment effects and predictors of outcome at 12-month follow-up in the CODES Trial (N = 368) comparing CBT plus standardised medical care (SMC) vs SMC-alone for dissociative seizures (DS).

Methods: We undertook moderator analyses of baseline characteristics to determine who had benefited from being offered CBT 12 months post-randomisation. Outcomes included: monthly DS frequency, psychosocial functioning (Work and Social Adjustment Scale - WSAS), and health-related quality of life (Mental Component Summary (MCS) and Physical Component Summary (PCS) SF-12v2 scores). Read More

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Integrating policy to achieve a harmonized sustainability model: A multidisciplinary synthesis and conceptual framework.

J Environ Manage 2022 May 23;317:115314. Epub 2022 May 23.

Department of Soil, Water, and Ecosystem Sciences, University of Florida, Gainesville, FL, 32611, USA. Electronic address:

While the concept of environmental sustainability has steadily grown over the past thirty years, little progress has been made in unifying the efforts of the entities most involved: society, the environment, the economy, and governmental policy. This synthesis integrates across disciplines to outline the need for a harmonized sustainability model to align disparate environmental objectives. Specifically, this study highlights the disconnect between policy and capitalistic economies regarding environmental sustainability. Read More

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Relationships Between Pediatric Safety Indicators Across a National Sample of Pediatric Hospitals: Dispelling the Myth of the "Safest" Hospital.

J Patient Saf 2022 Jun 28;18(4):e741-e746. Epub 2021 Dec 28.

Harvard University, Cambridge.

Objective: There are many measures of healthcare quality, but no obvious summary measures to simplify ranking of hospital performance. With public reporting and accountability for hospital performance, the validity of composite measures for performance rankings has increased importance. This study aimed to explore the covariance of pediatric hospital quality indicators and evaluate the use of a single composite score. Read More

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Structural racism, health disparities, and opportunities for PA practice.

JAAPA 2022 Jun;35(6):46-51

Shani Fleming is an associate professor in the Physician Assistant Leadership and Learning Academy at the University of Maryland Baltimore Graduate School in Baltimore, Md. Bettie Coplan is an associate professor in the PA program at Northern Arizona University in Phoenix, Ariz. Deanna Bridge Najera works at the Carroll County Health Department in Westminster, Md., and practices in the ED at MedStar Montgomery Medical Center in Olney, Md. Delilah Dominguez practices at Yale New Haven Hospital in New Haven, Conn. Patricia J. Devine is director of community outreach and the HEALWA program at the University of Washington in Seattle, Wash. The authors have disclosed no potential conflicts of interest, financial or otherwise. The views expressed in this article are the authors' own and do not reflect those of their employers.

Abstract: Social determinants of health are rooted in structural racism. The healthcare community has long recognized the existence of significant race- and ethnicity-related health disparities. Yet pervasive disparities persist despite ongoing calls for institutions and healthcare professionals to promote health equity by addressing bias, discrimination, and social determinants of health. Read More

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Gheirat as a complex emotional reaction to relational boundary violations: A mixed-methods investigation.

J Pers Soc Psychol 2022 May 26. Epub 2022 May 26.

Department of Psychology.

People from different cultural backgrounds vary in how they define, perceive, and react to violations of relational boundaries. Muslim cultures are diverse and include nearly one in four people in the world, yet research on their relational and moral norms is scarce. We contribute to narrowing this gap by studying , a moral-emotional experience ubiquitous in Muslim Middle Eastern cultures. Read More

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Social norms about handling financial challenges in relation to health-protective capacity among low-income older adults.

Gerontologist 2022 May 25. Epub 2022 May 25.

School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.

Background And Objectives: Despite evidence linking financial challenges to poor health among older adults, effective interventions are lacking. This study examined the experience of living with financial challenges, useful strategies to handle them, and social norms that may constrain options and decision-making.

Research Design And Methods: This two-staged qualitative study recruited low-income older adults from the U. Read More

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Mobile Health Interventions to Support Caregivers of Older Adults: An Equity-Focused Systematic Review.

JMIR Aging 2022 May 23. Epub 2022 May 23.

University of Toronto, Toronto, CA.

Background: Informal caregivers, hereafter referred to as caregivers, provide crucial support to older adults so they can remain safely in their homes as they age. Responsibility to take on caregiving roles can be influenced by individual factors, such as personal choice, or societal factors such as social determinants of health, including household income, employment status, or culture-specific gender roles. Over time, caregivers' own health can be negatively impacted by their caregiving role. Read More

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Accountability mechanisms of inquiries and investigations into Australian governments' responses to the COVID-19 pandemic.

Aust N Z J Public Health 2022 May 26. Epub 2022 May 26.

College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensland.

Objective: Australian federal, state and territory government responses to the COVID-19 pandemic have been subject to public oversight by various domestic inquiries and investigations, despite little analysis about what accountability these processes deliver in the context of public health emergencies (PHEs) involving communicable disease. This article identifies and describes recent inquiries and investigations. It examines their ability to promote accountability through mechanisms of answerability (information and justification) and enforceability (sanctions). Read More

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Untying Moral Efficacy and Meaningfulness in Promoting Students' Social Entrepreneurial Intentions: The Mediating Role of Positive Reciprocity.

Front Psychol 2022 9;13:915725. Epub 2022 May 9.

College of Chinese Language and Culture, Jinan University, Guangzhou, China.

This study chooses to describe social entrepreneurship as a social mission that enables business students to identify opportunities to launch start-ups and social enterprises by understanding the nature of social responsibility and fostering a reciprocal attitude to solve social issues. We collected data on students from different business schools in mainland China through a structured questionnaire ( = 326) and analyzed them through structural equation modeling (SEM). The results show that moral efficacy and meaningfulness are positively related to positive reciprocity, which leads to students' social entrepreneurial intentions. Read More

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Fostering the Environmental Performance of Hotels in Pakistan: A Moderated Mediation Approach From the Perspective of Corporate Social Responsibility.

Front Psychol 2022 9;13:857906. Epub 2022 May 9.

School of Management, Guangzhou University, Guangzhou, China.

The Islamic Republic of Pakistan has been a mere victim of climate change in recent years. The country needs emergency measures at every level to mitigate environmental dilapidation. The role of enterprises in the country's environmental efforts is critical. Read More

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Barriers and Strategies for Type 1 Diabetes Management Among Emerging Adults: A Qualitative Study.

Clin Med Insights Endocrinol Diabetes 2022 21;15:11795514221098389. Epub 2022 May 21.

Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND, USA.

Purpose: Individuals in the emerging adult age group (18-30 years) with type 1 diabetes (T1DM) have unique medical and social needs. The purpose of this study was to observe barriers and strategies for diabetes management among emerging adults with T1DM.

Methods: A qualitative grounded theory model was utilized. Read More

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Changes in Corporate Social Responsibility Efficiency in Chinese Food Industry Brought by COVID-19 Pandemic-A Study With the Super-Efficiency DEA-Malmquist-Tobit Model.

Front Public Health 2022 9;10:875030. Epub 2022 May 9.

School of Business, Guangdong University of Foreign Studies, Guangzhou, China.

Coronavirus disease 2019 (COVID-19) has brought about a significant and far-reaching impact on the world's business environment, corporations, and individuals. In the face of the general shortage of funds caused by the pandemic, assuming corporate social responsibility (CSR) is a problem for every enterprise manager. In the recent years, as corporate social responsibility (CSR) has become a hot topic globally, many enterprises have chosen to incorporate social responsibility into their development strategies. Read More

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How to teach ethics to the undergraduates in clinical context?

J Pak Med Assoc 2022 Apr;72(4):745-746

Medical Education, Institute of Health Professions Education and Research, Khyber Medical University, Peshawar, Pakistan.

Teaching ethics to undergraduates is no more a part of hidden curriculum rather it is a norm to be incorporated in the formal curriculum. Regarding instructional strategies, the consensus is stagerry and mainly based on the institutional choices. To develop moral reasoning and address the social value system, Cognitive part is delivered through lecturing while affection part is discussed via reflective practices in small group settings through deliberate moral case teachings and portfolio note book writings. Read More

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Dental education and prison health: A scoping review.

J Dent Educ 2022 May 25. Epub 2022 May 25.

Public Health, Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.

Introduction: There is a huge oral disease burden among imprisoned people. Comprehensive guidelines are available on prison dentistry. Prison dental education is important to increase the quality and quantity of the dental workforce in prisons. Read More

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Designing for Human Well-Being: A Case Study with Informal Caregivers of Individuals with Cancer.

Stud Health Technol Inform 2022 May;294:214-218

Department of Immunology, Uppsala University, Sweden.

Informal Caregivers such as a spouse, other close relatives or friends of cancer patients can play an essential role in home-based treatment and care. However, the informal caregivers might not be prepared for this responsibility, and they might have several unmet requirements for taking care of patients in the home environment. The informal caregivers' physical, social and psychological health is also profoundly affected due to the health conditions of their relatives. Read More

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Point-of-care magnetic resonance technology to measure liver fat: Phantom and first-in-human pilot study.

Magn Reson Med 2022 May 25. Epub 2022 May 25.

Liver Imaging Group, Department of Radiology, University of California San Diego, San Diego, California, USA.

Purpose: To assess feasibility and accuracy of point-of-care (POC) NMR-proton density fat fraction (PDFF) in phantoms and in a human pilot study in a POC setting.

Methods: POC NMR (LiverScope, Livivos, San Diego CA) PDFF measurements were obtained of certified phantoms with known PDFF values (0%-40%). In an institutional review board-approved, Health Insurance Portability and Accountability Act-compliant prospective human study, a convenience sample of participants from an obesity clinic was enrolled (November 2020 to June 2021). Read More

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Blockchain for SME Clusters: An Ideation using the Framework of Ostrom Commons Governance.

Inf Syst Front 2022 May 20:1-19. Epub 2022 May 20.

Research Scholar, MDI, Gurgaon, India.

Small and medium-sized enterprises (SMEs) organize themselves into clusters by sharing a set of limited resources to achieve the holistic success of the cluster. However, these SMEs often face conflicts and deadlock situations that hinder the fundamental operational dynamics of the cluster due to varied reasons, including lack of trust and transparency in interactions, lack of common consensus, and lack of accountability and non-repudiation. Blockchain technology brings trust, transparency, and traceability to systems, as demonstrated by previous research and practice. Read More

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Applicability of a national strategy for patient-oriented research to people who use(d) substances: a Canadian experience.

Res Involv Engagem 2022 May 24;8(1):22. Epub 2022 May 24.

University of Victoria, Canadian Institute for Substance Use Research, Victoria, Canada.

Background: Europe and North America are in the grips of a devastating overdose crisis. People who use substances often feel unsafe to access healthcare due to fears of stigma, blame, judgement, poor treatment, or other repercussions. As a result, they often avoid, delay, or leave care, resulting in premature death and missed opportunities for care. Read More

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The experiences of patients with diabetes and strategies for their management during the first COVID-19 lockdown: a qualitative study.

BMC Nurs 2022 May 24;21(1):124. Epub 2022 May 24.

Health Promotion in Rural Areas Research Group, Gerència Territorial de La Catalunya Central, Institut Català de La Salut, 08272, Sant Fruitós de Bages, Spain.

Background: During the pandemic, primary care systems prioritised attention to COVID-19 patients; chronically ill patients, such as people with Type 2 Diabetes were obliged to take more responsibility for their own care. We aimed to analyse the experiences of patients with Type 2 Diabetes Mellitus during the stay-at-home order that was in place during the first wave of the COVID-19 pandemic and identify the strategies and resources used in managing their care.

Method: We conducted a qualitative descriptive study. Read More

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Self-Regulation as a Protective Factor for Diabetes Distress and Adherence in Youth with Type 1 Diabetes During the COVID-19 Pandemic.

J Pediatr Psychol 2022 May 24. Epub 2022 May 24.

Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA.

Objective: The COVID-19 pandemic increased economic, social, and health stressors for families, yet its impacts on families of youth with chronic conditions, such as type 1 diabetes (T1D), are not well understood. Self-regulation (SR)-or the capacities to control emotions, cognition, and behavior in response to challenge-is known to support T1D management and coping in the face of stress. Strong SR may have protected youth with T1D from the impacts of pandemic-related stressors. Read More

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Extracorporeal Membrane Oxygenation Candidacy Decisions: An Argument for a Process-Based Longitudinal Approach.

Pediatr Crit Care Med 2022 May 25. Epub 2022 May 25.

Department of Pediatrics, Harvard Medical School, Boston, MA.

Are all children extracorporeal membrane oxygenation (ECMO) candidates? Navigating ECMO decisions represents an enormous challenge in pediatric critical care. ECMO cannulation should not be a default option as it will not confer benefit for "all" critically ill children; however, "all" children deserve well-considered decisions surrounding their ECMO candidacy. The complexity of the decision demands a systematic, "well-reasoned" and "dynamic" approach. Read More

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The Carbon Footprint of Single-Use Flexible Cystoscopes compared to Reusable Cystoscopes.

J Endourol 2022 May 24. Epub 2022 May 24.

Mercy University Hospital, 36860, Department of Urology, Cork, Ireland;

Introduction: Single-use devices for endourological procedures are becoming more popular. The environmental impact of single-use instruments is relatively unknown. This study aimed to compare the carbon footprint of single-use versus reusable flexible cystoscopes based on waste production and estimated carbon emissions. Read More

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The labor of talking to stay healthy and socially connected: Communication work during the COVID-19 pandemic.

SSM Qual Res Health 2022 Dec 17;2:100102. Epub 2022 May 17.

The University of Texas at Austin, United States.

One of the primary means through which people protect themselves and their loved ones from COVID-19 is by communicating with others, as they discuss preventive health behaviors and make decisions about safe social interaction. These conversations are sometimes quite challenging. Guided by the conceptual lens of communication work, this study was an investigation of how communication during the pandemic was experienced by people as work. Read More

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December 2022

Is the AKOBEN programme the panacea to gold mining related environmental degradation in Ghana? An integrated analysis of the AKOBEN programme.

Heliyon 2022 May 13;8(5):e09428. Epub 2022 May 13.

Faculty of Water Technology, School of Engineering and Architecture, SRH Heidelberg University, Bonhoefferstraße 11, 69123 Heidelberg, Germany.

'AKOBEN Programme' named after an 'Adinkra' symbol signifying vigilance, circumspection, and preparedness the underlying principles for the first "environmental performance rating and public disclosure initiative" which came into effect in the year 2010 was to serves as a continuous monitoring tool for gold mining companies among others post their environmental impact assessment in Ghana. Based on several criteria including legal requirements, environmental monitoring/reporting, hazardous/toxic waste management, best practices in environmental management, complaints management, compliance to environmental quality standards, community relation and corporate social responsibility policy, the effectiveness of the 'AKOBEN Programme' as a wholly Ghanaian tool for promoting good environmental stewardship was assessed. An adapted version of the integrated policy analysis, which links actual programme performance with criteria for programme performance consisting of an 'AKOBEN Programme' commitment review, an 'AKOBEN Programme' strategy scan and an 'AKOBEN Programme' plan and strategy mix matrix were used in scrutinizing environmental commitments mandated by the 'AKOBEN Programme'. Read More

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Understanding the Benefits of Brief Classroom-Based Physical Activity Interventions on Primary School-Aged Children's Enjoyment and Subjective Wellbeing: A Systematic Review.

J Sch Health 2022 May 23. Epub 2022 May 23.

School of Educational Psychology & Counselling, Faculty of Education, Monash University, 19 Ancora Imparo Way, Clayton, Victoria, 3800, Australia.

Background: Engaging in classroom-based physical activity (PA) breaks may help increase children's subjective wellbeing and enjoyment of PA, important precursors for children to remain engaged in PA. We conducted a systematic review to investigate the effect of brief classroom-based PA interventions on primary school children's subjective wellbeing and enjoyment of PA.

Methods: Databases were reviewed between the earliest date of records and April 2020. Read More

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What is needed for continuity of care and how can we achieve it? - Perceptions among multiprofessionals on the chronic care trajectory.

BMC Health Serv Res 2022 May 23;22(1):686. Epub 2022 May 23.

Department of Health and Caring Sciences, Linnaeus University, Pedalstråket 13, S-39182, Kalmar, Sweden.

Background: Continuity of care (CoC) implies delivery of services in a coherent, logical and timely fashion. Continuity is conceptualized as multidimensional, encompassing three specific domains - relational, management and informational continuity - with emphasis placed on their interrelations, i.e. Read More

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Implications of COVID-19 for safeguarding in international development research: learning, action and reflection from a research hub.

BMJ Glob Health 2022 May;7(5)

International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.

COVID-19 brings uncertainties and new precarities for communities and researchers, altering and amplifying relational vulnerabilities (vulnerabilities which emerge from relationships of unequal power and place those less powerful at risk of abuse and violence). Research approaches have changed too, with increasing use of remote data collection methods. These multiple changes necessitate new or adapted safeguarding responses. Read More

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Does Bystander Intervention Training Work? When Employee Intentions and Organisational Barriers Collide.

J Interpers Violence 2022 May 23:8862605221104530. Epub 2022 May 23.

Fletcher Steel, Christchurch, South Island, New Zealand.

Scholars have recently begun to consider the role of bystander intervention training in countering workplace incivility and bullying. Given the scarce empirical evidence of bystander training outcomes in occupational settings, this study set out to evaluate the effectiveness of a bystander intervention training in a large healthcare organisation, by assessing changes to levels of psychological safety, bystander efficacy, intent and behaviours over time. One hundred and forty employees in a large healthcare organisation in New Zealand attended the training and were asked to complete three surveys, one conducted at baseline, one carried out 2 weeks following the training and the last survey conducted 2 months later. Read More

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