The Impact of Availability of Youth-friendly Services on Engagement in Care for HIV-infected Youth: A Study of the HIV Research Network

This article analyzes the preconditions for «youth-friendly» services development. The study aims to justify the development prospects and identify ways to improve the efficiency of the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic» in Shostka under healthcare reform. The object of the study is the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic». The study’s subject is the organizational, economic and social relations that arise of the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic» under healthcare reform. The methodological basis of this study is a systematic approach and fundamental premises of the general economic theory. The study involved scientific research methods such as abstract-logical and system-structural analysis to determine the problems leading to the need for «youth-friendly» services; statistical and expert assessments methods to determine the number of visits to the «Youth-Friendly Clinic». The research involved data for 2017-2019. The study determined several global problems that caused the emergence and development of youth-friendly clinics as follows: the risk of morbidity of young people through an active lifestyle; low awareness of young people about the importance of maintaining their own health; lack of specialists competent in socio-psychological problems of today’s youth. Besides, the findings showed that the main prerequisite for youth-friendly clinic development is achieving sustainable development goals, especially goal 3 «Good health and well-being». This study considered preventive work, voluntary counselling and testing for HIV (VCT), medical-diagnostic and social areas of the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic» in Shostka. The authors analyzed the visit dynamic and the share of specialists in-demand among clients of the Center. The most active groups of clients were identified by age and sex. The obtained results allowed identifying the effective management tools of the researched Center, prospects and ways to improve its activity under healthcare reform. The authors indicated further research directions considering the impact of the COVID-19 pandemic on the youth-friendly clinics and the best world practice in the youth clinics management system.

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Disparities in Antiretroviral Treatment: A Comparison of Behaviorally HIV-Infected Youth and Adults in the HIV Research Network

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0b013e31822327df ◽

2011 ◽

Vol 58 (1) ◽

pp. 100-107 ◽

Cited By ~ 25

Author(s):

Allison L Agwu ◽

John A Fleishman ◽

P Todd Korthuis ◽

George K Siberry ◽

Jonathan M Ellen ◽

...

Keyword(s):

Antiretroviral Treatment ◽

Research Network ◽

Hiv Research ◽

Hiv Infected Youth

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Getting real with youth-friendly services in Africa

PsycEXTRA Dataset ◽

10.1037/e628452012-010 ◽

2012 ◽

Author(s):

H. Nabimanya

Keyword(s):

Youth Friendly ◽

Youth Friendly Services

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Validation of the BATT score for prehospital risk stratification of traumatic haemorrhagic death: usefulness for tranexamic acid treatment criteria

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine ◽

10.1186/s13049-020-00827-5 ◽

2021 ◽

Vol 29 (1) ◽

Author(s):

Francois-Xavier Ageron ◽

Timothy J. Coats ◽

Vincent Darioli ◽

Ian Roberts

Keyword(s):

Tranexamic Acid ◽

Acid Treatment ◽

Injury Severity ◽

External Validation ◽

Research Network ◽

Brier Score ◽

Trauma Patients ◽

Using Data ◽

The Uk ◽

The Impact

Abstract Background Tranexamic acid reduces surgical blood loss and reduces deaths from bleeding in trauma patients. Tranexamic acid must be given urgently, preferably by paramedics at the scene of the injury or in the ambulance. We developed a simple score (Bleeding Audit Triage Trauma score) to predict death from bleeding. Methods We conducted an external validation of the BATT score using data from the UK Trauma Audit Research Network (TARN) from 1st January 2017 to 31st December 2018. We evaluated the impact of tranexamic acid treatment thresholds in trauma patients. Results We included 104,862 trauma patients with an injury severity score of 9 or above. Tranexamic acid was administered to 9915 (9%) patients. Of these 5185 (52%) received prehospital tranexamic acid. The BATT score had good accuracy (Brier score = 6%) and good discrimination (C-statistic 0.90; 95% CI 0.89–0.91). Calibration in the large showed no substantial difference between predicted and observed death due to bleeding (1.15% versus 1.16%, P = 0.81). Pre-hospital tranexamic acid treatment of trauma patients with a BATT score of 2 or more would avoid 210 bleeding deaths by treating 61,598 patients instead of avoiding 55 deaths by treating 9915 as currently. Conclusion The BATT score identifies trauma patient at risk of significant haemorrhage. A score of 2 or more would be an appropriate threshold for pre-hospital tranexamic acid treatment.

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Early Childhood Educators’ Wellbeing During the COVID-19 Pandemic

Early Childhood Education Journal ◽

10.1007/s10643-021-01203-3 ◽

2021 ◽

Author(s):

Patricia Eadie ◽

Penny Levickis ◽

Lisa Murray ◽

Jane Page ◽

Catriona Elek ◽

...

Keyword(s):

Early Childhood ◽

Lower Risk ◽

Online Survey ◽

Negative Impact ◽

Linear Regression Analysis ◽

Organizational Structures ◽

Research Network ◽

Student Teacher Relationship ◽

Learning At Home ◽

The Impact

AbstractThe importance of Early Childhood (EC) educators’ wellbeing has been brought into sharp focus during the COVID-19 pandemic, as educators have navigated numerous additional stressors while providing education and care services for some children and ongoing support for many others learning at home. This study aimed to explore the impact of the pandemic on EC educators’ wellbeing and educator-child relationships, as growing evidence shows the influence of these factors on children’s developmental outcomes.In July 2020, members of a Research Network of EC Professionals—who previously identified educator wellbeing as a priority issue—were invited to participate in an online survey. The survey included two published, validated scales: the Early Childhood Professional Wellbeing scale (ECPW) and the Student–Teacher Relationship Scale (modified). Survey items about educators’ experiences during the pandemic were also included. Two hundred and thirty-two EC educators from across Australia completed the survey, mostly from Victoria where lockdowns were most severe. Linear regression analysis demonstrated stronger professional wellbeing was associated with less conflict in educator-child relationships and lower risk of staff turnover. This was more likely to be experienced by senior or more experienced staff. Although a negative impact of COVID-19 was reported, ECPW scores were relatively high, and organizational structures supporting professional wellbeing were most strongly associated with lower risk of turnover (r = 0.63, p < 0.001). Findings highlight that supporting EC educators’ wellbeing is essential for workforce retention, and for promoting quality educator-child relationships which are central to young children’s learning and development.

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Towards Including Dynamic Vegetation Parameters in the EUMETSAT H SAF ASCAT Soil Moisture Products

Remote Sensing ◽

10.3390/rs13081463 ◽

2021 ◽

Vol 13 (8) ◽

pp. 1463

Author(s):

Susan C. Steele-Dunne ◽

Sebastian Hahn ◽

Wolfgang Wagner ◽

Mariette Vreugdenhil

Keyword(s):

Soil Moisture ◽

Interannual Variability ◽

Incidence Angle ◽

Pearson Correlation ◽

The United States ◽

Research Network ◽

Window Width ◽

High Frequency Variability ◽

Vegetation Parameters ◽

The Impact

The TU Wien Soil Moisture Retrieval (TUW SMR) approach is used to produce several operational soil moisture products from the Advanced Scatterometer (ASCAT) on the Metop series of satellites as part of the EUMETSAT Satellite Application Facility on Support to Operational Hydrology and Water Management (H SAF). The incidence angle dependence of backscatter is described by a second-order Taylor polynomial, the coefficients of which are used to normalize ASCAT observations to the reference incidence angle of 40∘ and for correcting vegetation effects. Recently, a kernel smoother was developed to estimate the coefficients dynamically, in order to account for interannual variability. In this study, we used the kernel smoother for estimating these coefficients, where we distinguished for the first time between their two uses, meaning that we used a short and fixed window width for the backscatter normalisation while we tested different window widths for optimizing the vegetation correction. In particular, we investigated the impact of using the dynamic vegetation parameters on soil moisture retrieval. We compared soil moisture retrievals based on the dynamic vegetation parameters to those estimated using the current operational approach by examining their agreement, in terms of the Pearson correlation coefficient, unbiased RMSE and bias with respect to in situ soil moisture. Data from the United States Climate Research Network were used to study the influence of climate class and land cover type on performance. The sensitivity to the kernel smoother half-width was also investigated. Results show that estimating the vegetation parameters with the kernel smoother can yield an improvement when there is interannual variability in vegetation due to a trend or a change in the amplitude or timing of the seasonal cycle. However, using the kernel smoother introduces high-frequency variability in the dynamic vegetation parameters, particularly for shorter kernel half-widths.

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Impact of routine S100B protein assay on CT scan use in children with mild traumatic brain injury

Clinical Chemistry and Laboratory Medicine (CCLM) ◽

10.1515/cclm-2020-1293 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Fleur Lorton ◽

Jeanne Simon-Pimmel ◽

Damien Masson ◽

Elise Launay ◽

Christèle Gras-Le Guen ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Mild Traumatic Brain Injury ◽

University Hospital ◽

S100b Protein ◽

Research Network ◽

Ct Scans ◽

Intermediate Risk ◽

Protein Assay ◽

The Impact

AbstractObjectivesTo evaluate the impact of implementing a modified Pediatric Emergency Care Applied Research Network (PECARN) rule including the S100B protein assay for managing mild traumatic brain injury (mTBI) in children.MethodsA before-and-after study was conducted in a paediatric emergency department of a French University Hospital from 2013 to 2015. We retrospectively included all consecutive children aged 4 months to 15 years who presented mTBI and were at intermediate risk for clinically important traumatic brain injury (ciTBI). We compared the proportions of CT scans performed and of in-hospital observations before (2013–2014) and after (2014–2015) implementation of a modified PECARN rule including the S100B protein assay.ResultsWe included 1,062 children with mTBI (median age 4.5 years, sex ratio [F/M] 0.73) who were at intermediate risk for ciTBI: 494 (46.5%) during 2013–2014 and 568 (53.5%) during 2014–2015. During 2014–2015, S100B protein was measured in 451 (79.4%) children within 6 h after mTBI. The proportion of CT scans and in-hospital observations significantly decreased between the two periods, from 14.4 to 9.5% (p=0.02) and 73.9–40.5% (p<0.01), respectively. The number of CT scans performed to identify a single ciTBI was reduced by two-thirds, from 18 to 6 CT scans, between 2013–2014 and 2014–2015. All children with ciTBI were identified by the rules.ConclusionsThe implementation of a modified PECARN rule including the S100B protein assay significantly decreased the proportion of CT scans and in-hospital observations for children with mTBI who were at intermediate risk for ciTBI.

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