CORR Insights®: How Should We Measure Social Deprivation in Orthopaedic Patients?

Music Downtown Eastside explores how human rights are at play in the popular music practices of homeless and street-involved people who feel that music is one of the rare things that cannot be taken away of them. It draws on two decades of ethnographic research in one of Canada’s poorest urban neighborhoods, Vancouver’s Downtown Eastside. Klisala Harrison takes the reader into popular music jams and therapy sessions offered to the poorest of the poor in churches, community centers and health organizations. There she analyzes the capabilities music-making develops, and how human rights are respected, promoted, threatened, or violated in those musical moments. When doing so, she also offers new and detailed insights on the relationships between music and poverty, a type of social deprivation that diminishes people’s human capabilities and rights. The book contributes to the human rights literature by examining critically how human rights can be strengthened in cultural practices. Harrison’s study demonstrates that capabilities and human rights are interrelated. Developing capabilities can be a way to strengthen human rights.

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Charismatic, Pentecostal, and Evangelical Movements in Europe, the US, and Brazil

10.1093/oso/9780198801665.003.0018 ◽

2017 ◽

Author(s):

Detlef Pollack ◽

Gergely Rosta

Keyword(s):

Latin American ◽

Social Deprivation ◽

Religious Change ◽

Evangelical Protestantism ◽

Secularization Theory ◽

Explanatory Factors ◽

Theoretical Approaches ◽

Healing Rituals ◽

The Us ◽

Latin American Countries

The growth of Evangelical Protestantism and Pentecostalism is widely regarded as a potent argument against the validity of secularization theory. To explain this growth, Chapter 12 draws on theoretical approaches to analysing new social movements, which allows an expansion of the repertoire of explanations concerning religious change and a testing of alternatives to the models provided by secularization theory. To explain the worldwide growth and relative resilience of the Evangelical and Pentecostal movements, the chapter identifies a number of conditions and explanatory factors: cultural and social confirmation, religious syncretism, social deprivation, and the widespread magical worldview and broadly accepted spiritistic beliefs in Latin American countries that are conducive to the acceptance of Pentecostal experiences and healing rituals.

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Social deprivation is an independent risk factor for mortality in type 1 diabetes

British Journal of Hospital Medicine ◽

10.12968/hmed.2013.74.7.369c ◽

2013 ◽

Vol 74 (7) ◽

pp. 369-369

Keyword(s):

Type 1 Diabetes ◽

Risk Factor ◽

Independent Risk Factor ◽

Social Deprivation

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WS11.5 The effect of social deprivation, disease severity, and time in hospital on employment chances in the UK cystic fibrosis population: A longitudinal study

Journal of Cystic Fibrosis ◽

10.1016/s1569-1993(13)60068-5 ◽

2013 ◽

Vol 12 ◽

pp. S23

Author(s):

D. Taylor-Robinson ◽

R. Smyth ◽

P. Diggle ◽

M. Whitehead

Keyword(s):

Cystic Fibrosis ◽

Longitudinal Study ◽

Disease Severity ◽

Social Deprivation ◽

Cystic Fibrosis Population ◽

The Uk

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Identifying Foot and Ankle Patients at Risk to Fall Based on Patient Reported Outcomes Assessments

Foot & Ankle Orthopaedics ◽

10.1177/2473011418s00026 ◽

2018 ◽

Vol 3 (3) ◽

pp. 2473011418S0002

Author(s):

Judith Baumhauer ◽

Jack Teitel ◽

Allison McIntyre ◽

David Mitten ◽

Jeff Houck

Keyword(s):

At Risk ◽

Effect Size ◽

Fall Risk ◽

Patient Reported Outcomes ◽

The United States ◽

Foot And Ankle ◽

Falls Risk ◽

Orthopaedic Patients ◽

Patient Reported ◽

Patients At Risk

Category: Other Introduction/Purpose: Each year approximately 30-40% of people over the age of 65 fall. Approximately one half of these falls result in an injury with the estimated annual direct medical costs of $30 billion. Pain, mobility issues, neuropathy and post-operative weight bearing limitations make foot and ankle patients particularly vulnerable to falls. Current approaches to determine at risk patients are cumbersome and time consuming requiring performance testing and “hands on” clinical assessment. The efficiency of obtaining PRO, such as PROMIS, in the clinical arena has been well documented. The purpose of this study is determine if patient reported outcomes (PROMIS) can identify orthopaedic and specifically foot and ankle patients at risk to fall. Methods: Prospective patient reported outcomes (PROMIS CAT physical function, pain interference and depression and CMS fall risk assessment questions) and patient demographics were collected for all patients at each clinic visit from an academic orthopaedic multi-specialty practice between January 2015 and November 2017. Standardized yes/no validated self-reported fall risk questions include: “Have you fallen in the last year?” and “Do you feel you are at risk of falling?” Histograms, t-tests, confidence intervals and effect size were used to determine the fall risk “YES” patients were different than the “NO” for ALL orthopaedic patients and specifically foot and ankle patients. Logistic Regression was used to determine if age, gender, height, weight, and PROMIS scales predicted self-reported falls risk. Results: 94,761 orthopaedic patients comprising 315,273 visits (44% male, mean age 53.7+/-17 years) and 13,720 foot/ankle patients comprising 33,480 visits (37% male, mean age 52.7+/-16.1 years) had complete data for analysis. Table 1 provides the means/SD/p-values/effect sizes for patient self-identifying at risk to fall stratified by PROMIS PF/ PI/Dep t-scores. Although all PROMIS scores demonstrated significant impairment between patients at risk designation (yes/no), PROMIS PF had the largest effect size for ALL Ortho and FOOT AND ANKLE patients (0.8 and 0.7 respectively). Patients who are at risk to fall have PROMIS PF t-scores >1.5 lower than the United States normative population while the patients not at risk are less <1 SD. In the adjusted regression models gender and PROMIS PF had the largest coefficients. Conclusion: Falls are a major threat to quality of life and independence yet prevention/treatment strategies are difficult to implement across a health system. There is also a tremendous societal cost with orthopaedic surgeons often the recipient of these debilitated patients. PROMIS assessments are part of the AOFAS OFAR initiative to track patient recovery with treatment and can additional be used to fulfill a quality indicator requirement by CMS. This study demonstrates these assessments (PROMIS threshold values) can also be linked to self-report falls risk (yes/no) and may identify patients at risk with no face to face time required from the provider.

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Disparities in access to mobile devices and e-health literacy among breast cancer survivors

Supportive Care in Cancer ◽

10.1007/s00520-021-06407-2 ◽

2021 ◽

Author(s):

Zoe Moon ◽

Mira Zuchowski ◽

Rona Moss-Morris ◽

Myra S. Hunter ◽

Sam Norton ◽

...

Keyword(s):

Breast Cancer ◽

Health Literacy ◽

Cancer Survivors ◽

Mobile Devices ◽

Breast Cancer Survivors ◽

Social Deprivation ◽

Logistic Regressions ◽

Widespread Access ◽

The Relationship ◽

Questionnaire Pack

Abstract Background The number of e-health interventions developed for breast cancer survivors continues to increase. However, issues with engagement and retention are common. This study aimed to explore e-health literacy rates and access to smartphones and tablets in a large sample of breast cancer survivors. Methods In study 1, women were recruited from outpatient breast clinics across England and Wales. Eligible women were asked to complete a questionnaire pack to assess their access to devices and their e-health literacy. Multiple regression analyses were run to assess the relationship between technology access and e-health literacy with sociodemographic variables such as age, social deprivation, and education. Study 2 presents a smaller sample recruited through social media who answered a questionnaire relating to use of mobile devices and e-health, and apps. Results Two thousand nine women participated in the study. Seventy-one percent had access to a smartphone, 54% had access to a tablet, and 20% did not have access to either device. Multiple logistic regressions showed that women who were younger, had higher levels of education, and who were from less deprived areas were more likely to have access to either device. Poorer e-health literacy was associated with being older, having less education, and not having access to a mobile device. Conclusions Whilst the results show relatively widespread access to mobile devices, there is evidence of a digital divide across some groups. Online interventions should be developed with consideration of individuals who are less e-health-literate and less technologically adept in order to increase the likelihood of engagement.

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Can Dogs’ Origins and Interactions with Humans Affect Their Accomplishments? A Study on the Responses of Shelter and Companion Dogs during Vocal Cue Training

Animals ◽

10.3390/ani11051360 ◽

2021 ◽

Vol 11 (5) ◽

pp. 1360

Author(s):

Maria Luiza A. Fonseca ◽

Angélica S. Vasconcellos

Keyword(s):

Social Interactions ◽

Social Deprivation ◽

Behavioral Responses ◽

The Other ◽

Influential Factor ◽

Vocal Cues ◽

Companion Dogs ◽

Shelter Dogs ◽

Tone Of Voice ◽

Neutral Tone

The inclusion of life history as a possible influential factor is pivotal in studies on behavior, welfare, and cognition. Shelter dogs have usually experienced a life involving poor social interactions with humans. Thus, we aimed to investigate the behavioral responses of shelter dogs (SDs) and companion dogs (CDs) during the training of two vocal cues (“sit”, “paw”), as well as the possible associations between their responses and the behaviors of trainers. We studied 15 SDs and 15 CDs in up to eight five-minute training sessions. Dogs’ and trainers’ behaviors were recorded and analyzed (through GLM, GLMM, correlation and Mann–Whitney tests). Shelter dogs responded to more cues per session, with shorter latencies and fewer repetitions of cues. Moreover, SDs spent more time wagging their tails. Dogs’ sex and trainers’ behaviors were also associated with differences in dogs’ responses. The use of a reproachful tone of voice was associated with a greater number of cues responded to, shorter latencies, and fewer repetitions of cues. However, this type voice/discourse was also linked to a greater exhibition of non-training behaviors (e.g., exploring the room or jumping on the trainer), and to dogs spending less time next to the trainer and wagging their tails. On the other hand, the use of a neutral tone of voice and laughter, besides being linked to performance, was also associated with longer durations of tail wagging. Furthermore, the duration of the trainers’ orientation to dogs was correlated with the orientation of the dogs to the trainers. Our data suggest that, even when having experienced social deprivation from humans, SDs’ capacities to learn vocal cues were preserved, possibly due to ontogenic homeostasis processes. Shelter dogs’ greater interest in the sessions may be also credited to their socially-deprived routine. Our outcomes also point to an association between friendly interactions during training and dog performance and excitement, which suggests that such interactions may have the potential to improve SD welfare.

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