scholarly journals Consuming sustainable seafood: guidelines, recommendations and realities

2018 ◽  
Vol 21 (8) ◽  
pp. 1503-1514 ◽  
Author(s):  
Anna K Farmery ◽  
Gabrielle O’Kane ◽  
Alexandra McManus ◽  
Bridget S Green
Keyword(s):  
Health Professionals ◽  
Quantitative Data ◽  
Information Needs ◽  
Cost Effective ◽  
Seafood Consumption ◽  
Dietary Recommendations ◽  
Online Questionnaire ◽  
Trade Offs ◽  
Seafood Industry ◽  
Consumption Advice

AbstractObjectiveEncouraging people to eat more seafood can offer a direct, cost-effective way of improving overall health outcomes. However, dietary recommendations to increase seafood consumption have been criticised following concern over the capacity of the seafood industry to meet increased demand, while maintaining sustainable fish stocks. The current research sought to investigate Australian accredited practising dietitians’ (APD) and public health nutritionists’ (PHN) views on seafood sustainability and their dietary recommendations, to identify ways to better align nutrition and sustainability goals.DesignA self-administered online questionnaire exploring seafood consumption advice, perceptions of seafood sustainability and information sources of APD and PHN. Qualitative and quantitative data were collected via open and closed questions. Quantitative data were analysed with χ2 tests and reported using descriptive statistics. Content analysis was used for qualitative data.SettingAustralia.SubjectsAPD and PHN were targeted to participate; the sample includes respondents from urban and regional areas throughout Australia.ResultsResults indicate confusion around the concept of seafood sustainability and where to obtain information, which may limit health professionals’ ability to recommend the best types of seafood to maximise health and sustainability outcomes. Respondents demonstrated limited understanding of seafood sustainability, with 7·5 % (n 6/80) satisfied with their level of understanding.ConclusionsNutrition and sustainability goals can be better aligned by increasing awareness on seafood that is healthy and sustainable. For health professionals to confidently make recommendations, or identify trade-offs, more evidence-based information needs to be made accessible through forums such as dietetic organisations, industry groups and nutrition programmes.

Microcirculation of the fingers in Raynaud’s syndrome

2005 ◽  
Vol 44 (01) ◽  
pp. 29-32 ◽  
Author(s):  
I. Garai ◽  
J. Varga ◽  
G. Szücs ◽  
Z. Galajda ◽  
C. András ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Quantitative Data ◽  
Cost Effective ◽  
Semiquantitative Analysis ◽  
Perfusion Scintigraphy ◽  
Visual Evaluation ◽  
Raynaud’S Syndrome ◽  
Raynaud's Syndrome ◽  
Primary Form

Summary Aim: We investigated the circulatory characteristics of patients suffering of primary and secondary Raynaud’s syndrome. Patients, methods: We examined 106 patients presenting with the classical symptoms of Raynaud’s syndrom (47 primary, 59 secondary) by hand perfusion scintigraphy developed by our Department of Nuclear Medicine. After visual evaluation we analyzed the images semiquantitatively, using the finger to palm ratio. We statistically compared the patients with primary and those with secondary Raynaud’s syndrome. Results: By visual evaluation we constated regional perfusion disturbances in 42 from 59 patients with secondary Raynaud’s syndrome. However, this was observed in only 3 from 47 patients with the primary form of this disease. This difference was statistically significant (p <0.001). Semiquantitative analysis showed that the finger/palm ratios (FPR) were significantly lower (p <0.05) for the patients with primary Raynaud’s syndrome. No differences in the FPR values concerning sex or right and left side. Conclusion: The hand perfusion scintigraphy with 99mTc-DTPA is a noninvasive, cost effective diagnostic tool, which objectively reflects the global and regional microcirculatory abnormalities of the hands, and provides quantitative data for follow-up.

scholarly journals Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey

2021 ◽  
Vol 18 (4) ◽  
pp. 2128
Author(s):  
Marta Maes-Carballo ◽  
Manuel Martín-Díaz ◽  
Luciano Mignini ◽  
Khalid Saeed Khan ◽  
Rubén Trigueros ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Shared Decision Making ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Shared Decision ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Professional Societies ◽  
New Policies

Objectives: To assess shared decision-making (SDM) knowledge, attitude and application among health professionals involved in breast cancer (BC) treatment. Materials and Methods: A cross-sectional study based on an online questionnaire, sent by several professional societies to health professionals involved in BC management. There were 26 questions which combined demographic and professional data with some items measured on a Likert-type scale. Results: The participation (459/541; 84.84%) and completion (443/459; 96.51%) rates were high. Participants strongly agreed or agreed in 69.57% (16/23) of their responses. The majority stated that they knew of SDM (mean 4.43 (4.36–4.55)) and were in favour of its implementation (mean 4.58 (4.51–4.64)). They highlighted that SDM practice was not adequate due to lack of resources (3.46 (3.37–3.55)) and agreed on policies that improved its implementation (3.96 (3.88–4.04)). The main advantage of SDM for participants was patient satisfaction (38%), and the main disadvantage was the patients’ paucity of knowledge to understand their disease (24%). The main obstacle indicated was the lack of time and resources (40%). Conclusions: New policies must be designed for adequate training of professionals in integrating SDM in clinical practice, preparing them to use SDM with adequate resources and time provided.

The dilemma of the direct answer

2020 ◽  
Vol 54 (1) ◽  
pp. 1-12
Author(s):  
Martin Potthast ◽  
Matthias Hagen ◽  
Benno Stein
Keyword(s):  
Paradigm Shift ◽  
Information Needs ◽  
Web Search ◽  
Information Sources ◽  
Information Access ◽  
User Preferences ◽  
Information System Design ◽  
Trade Offs ◽  
Remarkable Progress ◽  
Direct Answer

No Web technology has undergone such an impressive evolution as Web search engines did and still do. Starting with the promise of "Bringing order to the Web" 1 by compiling information sources matching a query, retrieval technology has been evolving to a kind of "oracle machinery", being able to recommend a single source, and even to provide direct answers extracted from that source. Notwithstanding the remarkable progress made and the apparent user preferences for direct answers, this paradigm shift comes at a price which is higher than one might expect at first sight, affecting both users and search engine developers in their own way. We call this tradeoff "the dilemma of the direct answer"; it deserves an analysis which has to go beyond system-oriented aspects but scrutinize the way our society deals with both their information needs and means to information access. The paper in hand contributes to this analysis by putting the evolution of retrieval technology and the expectations at it in the context of information retrieval history. Moreover, we discuss the trade offs in information behavior and information system design that users and developers may face in the future.

scholarly journals Integration of various dimensions in food-based dietary guidelines via mathematical approaches Report of a DGE/FENS Workshop in Bonn, Germany, 23-24 September 2019

2020 ◽  
pp. 1-18
Author(s):  
Anne Carolin Schäfer ◽  
Annemarie Schmidt ◽  
Angela Bechthold ◽  
Heiner Boeing ◽  
Bernhard Watzl ◽  
...  
Keyword(s):  
Population Based ◽  
Dietary Guidelines ◽  
Dietary Recommendations ◽  
Mathematical Methods ◽  
Trade Offs ◽  
Simultaneous Integration ◽  
Joint Workshop ◽  
Different Dimensions ◽  
Diverse Data ◽  
Mathematical Optimisation

Abstract In the past, food-based dietary guidelines (FBDGs) were derived nearly exclusively by using systematic reviews on diet-health-relationships and translating dietary reference values for nutrient intake into foods. This approach neglects many other implications that dietary recommendations have on society, the economy and environment. In view of pressing challenges, such as climate change and the rising burden of diet-related diseases, the simultaneous integration of evidence-based findings from different dimensions into FBDGs is required. Consequently, mathematical methods and data processing are evolving as powerful tools in nutritional sciences. The possibilities and reasons for the derivation of FBDGs via mathematical approaches were the subject of a joint workshop hosted by the German Nutrition Society (DGE) and the Federation of European Nutrition Societies (FENS) in September 2019 in Bonn, Germany. European scientists were invited to discuss and exchange on the topics of mathematical optimisation for the development of FBDGs and different approaches to integrate various dimensions into FBDGs. We concluded that mathematical optimisation is a suitable tool to formulate FBDGs finding trade-offs between conflicting goals and taking several dimensions into account. We identified a lack of evidence for the extent to which constraints and weights for different dimensions are set and the challenge to compile diverse data that suit the demands of optimisation models. We also found that individualisation via mathematical optimisation is one perspective of FBDGs to increase consumer acceptance, but the application of mathematical optimisation for population-based and individual FBDGs requires more experience and evaluation for further improvements.

Examination Of Health Literacy Levels Of Mothers: An Interdisciplinary Study With A Child Developmental Perspective

2021 ◽  
Vol 6 (14) ◽  
pp. 35-44
Author(s):  
burçin aysu ◽  
Neriman ARAL ◽  
Fatih AYDOĞDU ◽  
Figen GÜRSOY
Keyword(s):  
Health Literacy ◽  
Child Development ◽  
Normal Distribution ◽  
Health Professionals ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Education Level ◽  
Assessment Process ◽  
Development Professionals ◽  
Development Perspective

Introduction and aim: When health literacy is considered in terms of family and especially mother, its importance increases even more. Because the health literacy of the mother and the health of the child are related to each other, the probability of the children of mothers with high health literacy to be healthy is also high. Considering this situation, it is emphasized that health literacy is an important concept for child development professionals, who are one of the health professionals working with children. Because child development professionals involve families and especially mothers in the process while working with children, health literacy can also affect mothers' involvement in the process. Determining the health literacy of mothers and handling it with a child development perspective; It is thought that it will also guide interdisciplinary research on health literacy. In this study, it is aimed to determine the health literacy of mothers and to discuss them with a child development perspective. Method: In the study, residing in Mamak district of Ankara were included 100 mothers. Mixed method was used in the research. Quantitative data were collected with the “Adult Health Literacy Scale”, and qualitative data were collected through the “Questionnaire Form”. Ethics committee approval was obtained before starting to collect data in the study. Afterwards, the participants were given detailed information about the research and consent forms were signed. The research was conducted on a voluntary basis. After the quantitative data were collected, they were processed into the SPSS package program, and whether the data showed normal distribution was examined with the kolmogrov smirnov test. Since the data showed a normal distribution, Anova and t tests, which are parametric tests, were used in the analysis of quantitative data. Qualitative data were analyzed by descriptive analysis method. Results: As a result of the research, it was found that the health literacy levels of the mothers differed significantly according to the variables of education level, education level of the spouse and having a chronic disease. It has been determined that mothers consult physicians for health issues, receive support from health professionals about their children's health problems, and explain the concept of health as physical, mental, social well-being and protection of health. Conclusions and recommendations: In line with the results obtained from the research; preparing early intervention programs as child developers to increase mothers' health literacy levels, conducting health literacy screening in clinical settings and including the assessment of mothers' health literacy in the child's assessment process, it may be recommended to plan studies involving fathers on health literacy.

scholarly journals Towards Understanding EFL Teachers’ Conceptions of Research: Findings From Argentina

2018 ◽  
Vol 20 (1) ◽  
pp. 57-72
Author(s):  
Darío Luis Banegas
Keyword(s):  
Action Research ◽  
Foreign Language ◽  
Teacher Development ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Language Teachers ◽  
Foreign Language Teachers ◽  
Online Questionnaire ◽  
Efl Teachers ◽  
Research Findings

This paper investigates the conceptions of research held by English as a foreign language teachers in Argentina. Quantitative data from 622 participants from an online questionnaire were followed by qualitative data from online interviews with 40 of those participants. Results show that the teachers conceptualised research through conventional notions closer to a quantitative paradigm. They felt research was not part of their job, and a lack of time was the main reason for not engaging in/with research. Teacher development, agency, empowerment, and autonomy could be sought by engaging teachers with forms of research which are meaningful to them, such as action research.

Extended Breastfeeding in Poland: Knowledge of Health Care Providers and Attitudes on Breastfeeding Beyond Infancy

2018 ◽  
Vol 35 (2) ◽  
pp. 371-380 ◽  
Author(s):  
Barbara Baranowska ◽  
Marta Malinowska ◽  
Ewelina Stanaszek ◽  
Dorota Sys ◽  
Grażyna Bączek ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Professionals ◽  
Further Education ◽  
Self Report ◽  
Care Providers ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Level Of Knowledge ◽  
The Relationship

Background: Extended breastfeeding is rare in Poland, and lack of acceptance and understanding is often evident in public opinion. The ability to provide reliable information about breastfeeding beyond infancy depends on health professionals’ levels of knowledge and attitudes. They are considered by most parents in Poland to be authorities in the field of child nutrition. Research aims: To determine (1) the level of knowledge and the attitudes of Polish health professionals towards extended breastfeeding; (2) the relationship between personal breastfeeding experience and attitudes towards extended breastfeeding; and (3) the relationship between knowledge about breastfeeding beyond twelve months and attitudes towards breastfeeding beyond infancy. Methods: A one-group prospective, cross-sectional, self-report style survey was used. The convenience sample ( N = 495) comprised gynaecologists, neonatologists and midwives. Data were collected via an online questionnaire and the results were analyzed with the use of descriptive statistics, a chi-square independence test, Fisher’s exact test, post-hoc testing, and two-part tables using SPSS. Results: Most of the respondents (76.7%; n = 384) had a low level of knowledge about the benefits of breastfeeding beyond twelve months and even emphasized that this nutritional choice could have negative impacts. There was a positive correlation ( F = 105.847; p = < .01) between levels of knowledge and respondents’ attitudes towards breastfeeding beyond infancy. Attitudes were also influenced by the length of time respondents had breastfed. Conclusion: Healthcare providers have an insufficient level of knowledge about extended breastfeeding and need further education in this area.

scholarly journals Frost Protection for Georgia Peach Varieties: Current Practices and Information Needs

2017 ◽  
Vol 27 (3) ◽  
pp. 344-353 ◽  
Author(s):  
Skyler Simnitt ◽  
Tatiana Borisova ◽  
Dario Chavez ◽  
Mercy Olmstead
Keyword(s):  
Information Needs ◽  
Prunus Persica ◽  
Management Strategies ◽  
Cost Effective ◽  
Planning Horizon ◽  
Critical Temperatures ◽  
Early Season ◽  
Protection Method ◽  
Protection Systems ◽  
Frost Protection

The study focuses on frost protection for early-season (early-ripening) peach (Prunus persica) varieties, which are an important crop for producers in the southeastern United States. Using in-depth interviews with four major Georgia peach producers, we explore their frost protection management strategies. This information is the first step in developing a comprehensive research agenda to advise cost-effective frost protection methods for peach cultivation. We found that peach producers are concerned about frost impacts on their crops. Although early-season peach varieties are particularly susceptible to frost impacts, producers still dedicate significant acreage to these varieties, aiming to extend the market window, satisfy sales contracts, and meet obligations for hired labor. However, early-season varieties do not result in high profits, so producers prefer to concentrate on frost protection for mid- and late-season varieties. Producers employ a variety of frost protection methods, including passive methods (such as planting sensitive varieties in areas less susceptible to frost and adjusting pruning/thinning schedules) and active methods (such as frost protection irrigation and wind machines). The choice among active frost protection methods is based on factors such as the planning horizon, initial investment needs, frequency of frost events, and the effectiveness of the frost protection method. Problem areas that producers identified included improving the effectiveness of frost protection methods; reducing initial investments required to install frost protection systems; and employing better spatial targeting and configuration of frost protection strategies (to reduce investment costs while maintaining or improving the effectiveness of frost protection). Although the initial investment costs of enhanced protection systems may limit producers from actually adopting such methods, the operating costs of such systems are relatively low and have a limited effect on the decision to employ frost protection during a particular frost event. However, producers use information about critical temperatures for different bud stages, and hence, improving the quality of information regarding frost susceptibility can help producers make better frost protection decisions (and potentially reduce electricity costs and water use for frost protection).

scholarly journals Knowledge translation of prediction rules: methods to help health professionals understand their trade-offs

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
K. Hemming ◽  
M. Taljaard
Keyword(s):  
Knowledge Translation ◽  
Health Professionals ◽  
Natural Frequencies ◽  
Prediction Models ◽  
Prediction Rule ◽  
Performance Measure ◽  
Essential Information ◽  
Prediction Rules ◽  
Cut Points ◽  
Trade Offs

AbstractClinical prediction models are developed with the ultimate aim of improving patient outcomes, and are often turned into prediction rules (e.g. classifying people as low/high risk using cut-points of predicted risk) at some point during the development stage. Prediction rules often have reasonable ability to either rule-in or rule-out disease (or another event), but rarely both. When a prediction model is intended to be used as a prediction rule, conveying its performance using the C-statistic, the most commonly reported model performance measure, does not provide information on the magnitude of the trade-offs. Yet, it is important that these trade-offs are clear, for example, to health professionals who might implement the prediction rule. This can be viewed as a form of knowledge translation. When communicating information on trade-offs to patients and the public there is a large body of evidence that indicates natural frequencies are most easily understood, and one particularly well-received way of depicting the natural frequency information is to use population diagrams. There is also evidence that health professionals benefit from information presented in this way.Here we illustrate how the implications of the trade-offs associated with prediction rules can be more readily appreciated when using natural frequencies. We recommend that the reporting of the performance of prediction rules should (1) present information using natural frequencies across a range of cut-points to inform the choice of plausible cut-points and (2) when the prediction rule is recommended for clinical use at a particular cut-point the implications of the trade-offs are communicated using population diagrams. Using two existing prediction rules, we illustrate how these methods offer a means of effectively and transparently communicating essential information about trade-offs associated with prediction rules.

scholarly journals O-193 A devastating double disruption: IVF patients’ feelings and experiences regarding treatment delays due to Covid-19

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Z Gurtin
Keyword(s):  
Quantitative Data ◽  
Fertility Treatment ◽  
Online Questionnaire ◽  
Treatment Delays ◽  
Mainstream Media ◽  
Mailing Lists ◽  
Registration Number ◽  
O 193 ◽  
Additional Support ◽  
The Uk

Abstract Study question How did patients experience the delays and disruptions to their fertility treatment that occurred as a result of the Covid-19 pandemic and resulting clinic closures? Summary answer Patients reported feeling ‘powerless/helpless’ (78.3%), ‘frustrated’ (59.3%), and ‘anxious’ (54.7%), and detailed why clinic closures were experienced as a devastating double disruption. What is known already Fertility patients found clinic closures and the disruption to their treatments stressful due to uncertainty and perceived threats to their goal of parenthood, and experienced an increase in anxiety and depression. However, paper goes far beyond the mostly quantitative data that has been published by analysing patients’ detailed qualitative accounts of their feelings and experiences in their own words. Study design, size, duration A mixed-methods, anonymous, online questionnaire in English was live for 6 weeks between 19 May to 30 June 2020. All patients aged over 18, whose fertility treatment or investigations had been impacted by the coronavirus pandemic were eligible to take part. The questionnaire was widely distributed using mainstream media, social media, and the mailing lists of relevant organisations. In total 709 people began and 501 completed the questionnaire in the time available (70.7% completion rate). Participants/materials, setting, methods The questionnaire included ten parts with a mixture of quantitative and qualitative items. The responses of 457 female fertility patients who were resident in the UK were analysed. The average age was 34.6 (SD = 4.9). The majority were in a heterosexual relationship (91.0%), white (90.6%), and had no children (87.1%). Descriptive and inferential statistics were used on quantitative data, and thematic analysis used for qualitative data. Main results and the role of chance Using insights from the sociology of reproduction, including how patients face and resolve “disruption” (Becker 1997), this paper presents qualitative accounts from fertility patients regarding their feelings, reactions and experiences regarding the Covid-19 pandemic and the resulting clinic closures. Respondents highlighted the intensity of their feelings, noting that their lives seemed “paused”, “stopped” or “thrown into a state of limbo”, leaving them unable to move forward with crucial life plans. Moreover, many explained that clinics closures were not experienced simply as a disruption, but rather as an additional hurdle in what had already been a series of difficult disruptions to normalcy, including, in many cases, an unforeseen inability to conceive naturally, long waiting lists for fertility treatment, and treatment delays due to economic or other factors. The major themes to emerge from respondents’ accounts were: lack of control; lack of support; and feelings of difference, isolation and being left out. In many ways, the Covid-19 related disruptions exacerbated and added to fertility patients’ existing anxieties and frustrations. One respondent wrote, “IVF is one of the most stressful things you can go through. To then be in the middle of that during a global pandemic it makes it even more stressful.” Limitations, reasons for caution Participants were self-selecting and reporting their feelings and reactions at one particular point in time. Only responses from 457 UK-residents were included in the analyses. Wider implications of the findings These findings show that patients attending fertility clinics need additional support and care during times of uncertainty and disruption, and that many regard their treatment as an essential medical service. We encourage governments and regulators to keep fertility clinics open whenever it is possible to safely do so. Trial registration number Not applicable

Sign in / Sign up

Export Citation Format

Share Document