“Mother’s Health and Well-Being Matters: Is a Mediated Social Cohesion Public Health Intervention Feasible?”

2021 ◽  
pp. 089011712110553
Author(s):  
Cheryl Jones ◽  
Marley Gibbons ◽  
Kate Magsamen-Conrad ◽  
Kathleen T. Ulanday ◽  
Jessica Watterson ◽  
...  
Keyword(s):  
New York ◽  
Low Socioeconomic Status ◽  
Public Health Intervention ◽  
Well Being ◽  
Careful Consideration ◽  
Before And After ◽  
Washington Heights ◽  
Additional Support ◽  
Risk Of Cancer ◽  
The Impact

Purpose To test the feasibility of introducing ‘Free Time for Wellness’ (FT4W) an intervention to increase healthy behaviours and reduce the risk of cancer. Design Feasibility study; Setting: Washington Heights, New York, USA is a low socioeconomic status area. Subjects Mothers aged 18 and above with children under 12 years of age and living in Washington Heights were recruited. Intervention FT4W, a community-based intervention delivered through a neighbourhood-based app, offering weekly dance and yoga classes, food pantry visits and group playdates. Childcare professionals cared for participants' children during wellness activities. Measures A bespoke before and after survey was designed and tested for its ability to collect relevant data to assess the impact of FT4W. Outcomes included recruitment rates, participation, attrition, acceptability, and success of the community champion. Analysis Comparisons of proportions and means Results Twenty-one mothers participated in the study of which 90% attended ≥ 1 FT4W activity; 65% ≥ 2; 52% ≥ 3. The survey was completed by a 100% of participants indicating it was easy to understand and not too burdensome. All measures detected change in constructs from baseline to follow-up. Availability of childcare was the most commonly (66%) reported reason participants were able to engage in the offered wellness activities. Conclusion Conducting a larger-scale trial to assess the impact of FT4W is feasible considering 4 major lessons. (1) Recruitment, retention, and acceptability rates were high; however, moms need additional support to increase participation in wellness activities and improve tech literacy. (2) Research measures were sensitive enough to detect change, but the timing of assessments needs to be considered. (3) Participants greatly valued access to professional childcare. (4) The Community Champion is a necessary, but difficult role to fill that requires careful consideration by the Institutional Review Board (IRB).

scholarly journals When Machines Take the Beans: Ex-Ante Socioeconomic Impact Evaluation of Mechanized Harvesting of Mungbean in Bangladesh and Myanmar

Agronomy ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 925
Author(s):  
Lutz Depenbusch ◽  
Cathy Rozel Farnworth ◽  
Pepijn Schreinemachers ◽  
Thuzar Myint ◽  
Md Monjurul Islam ◽  
...  
Keyword(s):  
Well Being ◽  
Careful Consideration ◽  
Women Farmers ◽  
Men And Women ◽  
Farm Work ◽  
Weather Shocks ◽  
Budget Analysis ◽  
Ex Ante ◽  
The 1960S ◽  
The Impact

Agricultural mechanization has spread across much of Asia since the 1960s. It has increased agricultural productivity and reduced arduous farm work. However, differing impacts for smallholders and hired laborers, and for men and women, require careful consideration. This study analyzed, ex-ante, the likely social and economic tradeoffs of mechanizing the mungbean harvest in Bangladesh and Myanmar. We used a mixed methods approach combining survey data from 852 farm households with in-depth interviews in four villages. Partial budget analysis shows that mechanical harvesting of mungbean is not yet profitable for most farms. There is nevertheless an incentive to mechanize as the associated timeliness of the harvest reduces the risk of harvest losses from weather shocks. Men and women farmers expect time savings and reduced drudgery. The results confirm that hired workers depend on manual harvesting for income and status in both countries. Most hired workers are landless married women with limited access to other sources of income. In the short term, farmers are likely to combine manual harvests and a final mechanized harvest of the indeterminate crop. This could mediate the impact on hired workers. However, in the long term, it will be necessary to facilitate income-generating opportunities for women in landless rural families to maintain their well-being and income.

scholarly journals Lively Social Space, Well-Being Activity, and Urban Design: Findings From a Low-Cost Community-Led Public Space Intervention

2016 ◽  
Vol 49 (6) ◽  
pp. 685-716 ◽  
Author(s):  
Jamie Anderson ◽  
Kai Ruggeri ◽  
Koen Steemers ◽  
Felicia Huppert
Keyword(s):  
Public Space ◽  
Urban Design ◽  
Design Research ◽  
Local Community ◽  
Social Space ◽  
Low Cost ◽  
Well Being ◽  
Observation Data ◽  
Before And After ◽  
The Impact

Empirical urban design research emphasizes the support in vitality of public space use. We examine the extent to which a public space intervention promoted liveliness and three key behaviors that enhance well-being (“connect,” “be active,” and “take notice”). The exploratory study combined directly observed behaviors with self-reported, before and after community-led physical improvements to a public space in central Manchester (the United Kingdom). Observation data ( n = 22,956) and surveys (subsample = 212) were collected over two 3-week periods. The intervention brought significant and substantial increases in liveliness of the space and well-being activities. None of these activities showed increases in a control space during the same periods. The findings demonstrate the feasibility of the research methods, and the impact of improved quality of outdoor neighborhood space on liveliness and well-being activities. The local community also played a key role in conceiving of and delivering an effective and affordable intervention. The findings have implications for researchers, policy makers, and communities alike.

scholarly journals The impact of the 2006 Massachusetts health care reform law on spine surgery patient payer-mix status and age

2017 ◽  
Vol 27 (6) ◽  
pp. 694-699 ◽  
Author(s):  
Nicolas W. Villelli ◽  
Hong Yan ◽  
Jian Zou ◽  
Nicholas M. Barbaro
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Reform ◽  
Health Care System ◽  
Spine Surgery ◽  
Private Insurance ◽  
New York State ◽  
Before And After ◽  
The Impact ◽  
Care System

OBJECTIVESeveral similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors’ prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US.METHODSUsing the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers’ compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control.RESULTSThe authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and “other” categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65–84 years old, with a decrease in surgeries for those 18–44 years old. New York showed an increase in all insurance categories and all adult age groups.CONCLUSIONSAfter the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly population. The Massachusetts model continues to show that this type of policy is not causing extreme shifts in the payer mix, and suggests that spine surgery will continue to thrive in the current US health care system.

scholarly journals Sex Differences and Commonalities in the Impact of a Palatable Meal on Thalamic and Insular Connectivity

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1627
Author(s):  
Lisa Kilpatrick ◽  
Teodora Pribic ◽  
Barbara Ciccantelli ◽  
Carolina Malagelada ◽  
Dan M. Livovsky ◽  
...  
Keyword(s):  
Sex Differences ◽  
Well Being ◽  
Neural Mechanisms ◽  
Healthy Individuals ◽  
Resonance Imaging ◽  
Subjective Responses ◽  
Biological Variable ◽  
Before And After ◽  
Meal Ingestion ◽  
The Impact

The neural mechanisms underlying subjective responses to meal ingestion remain incompletely understood. We previously showed in healthy men an increase in thalamocortical, and a decrease in insular-cortical connectivity in response to a palatable meal. As sex is increasingly recognized as an important biological variable, we aimed to evaluate sex differences and commonalities in the impact of a well-liked meal on thalamic and anterior insular connectivity in healthy individuals. Participants (20 women and 20 age-matched men) underwent resting-state magnetic resonance imaging (rsMRI) before and after ingesting a palatable meal. In general, the insula showed extensive postprandial reductions in connectivity with sensorimotor and prefrontal cortices, while the thalamus showed increases in connectivity with insular, frontal, and occipital cortices, in both women and men. However, reductions in insular connectivity were more prominent in men, and were related to changes in meal-related sensations (satiety and digestive well-being) in men only. In contrast, increases in thalamic connectivity were more prominent in women, and were related to changes in satiety and digestive well-being in women only. These results suggest that brain imaging may provide objective and sex-specific biomarkers of the subjective feelings associated with meal ingestion.

scholarly journals Medical Students’ Participation in Longitudinal Community Service During Preclerkship Years: A Qualitative Study on Experiences and Perceived Outcomes

2020 ◽  
Vol 7 ◽  
pp. 238212052093661
Author(s):  
Amier Haidar ◽  
Samuel G Erickson ◽  
Tiffany Champagne-Langabeer
Keyword(s):  
Medical Students ◽  
Nutrition Education ◽  
Community Service ◽  
Low Socioeconomic Status ◽  
Well Being ◽  
Low Socioeconomic ◽  
Volunteer Program ◽  
Semistructured Interviews ◽  
Community Issues ◽  
The Impact

The aim of this study was to qualitatively evaluate medical students perspectives of the benefits of a longitudinal volunteering experience compared with a 1-day community service experience. Fifteen medical students participated in 2 types of community service: (1) longitudinal, weekly volunteering from February to April of 2019 and (2) a single day of community service in March of 2019. Semistructured interviews were conducted to identify medical students perspectives of the impact of volunteering. Interview data was analyzed thematically based on the common ideas expressed by the participants. Four themes emerged: development of communication and interpersonal skills; understanding how to teach; ability to understand community issues in a low socioeconomic status (SES) neighborhood and the improvement of overall well-being. Medical students’ participation in a longitudinal nutrition education volunteer program was perceived as being an effective way to develop communication, interpersonal, and teaching skills. Medical students were able to interact with a diverse and vulnerable community located in a low SES neighborhood, to help them understand current community issues and risk factors.

Body Image and the Cancer Treatment Trajectory

2018 ◽  
Author(s):  
Kerry A. Sherman ◽  
Laura-Kate E. Shaw
Keyword(s):  
Body Image ◽  
Cancer Treatment ◽  
Cancer Detection ◽  
Well Being ◽  
Prophylactic Surgery ◽  
Premature Menopause ◽  
Cancer Occurrence ◽  
Body Image Concerns ◽  
Risk Of Cancer ◽  
The Impact

Abstract: The chapter “Body Image and the Cancer Treatment Trajectory” provides an overview of body image–related concerns and challenges that can arise throughout the cancer journey, from cancer detection and diagnosis through to active treatment and cancer survivorship. The chapter examines how body image concerns can serve as a significant barrier to cancer detection, including self- and physician examination, routine screening, and diagnostic tests. It then reviews the impact of cancer surgery and treatment-related side effects (such as physical disfigurement, hair loss, skin irritations, weight loss or gain, changes to bodily functions, premature menopause, and lymphedema) on an individual’s body image, self-concept, and overall psychosocial well-being in both the short and longer term. Finally, the chapter discusses body image concerns arising from risk-reducing or prophylactic surgery to minimize hereditary risk of cancer occurrence.

Effect of Median Design on Rural Freeway Safety

2008 ◽  
Vol 2060 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Andrew P. Tarko ◽  
Natalie M. Villwock ◽  
Nicolas Blond
Keyword(s):  
Opposite Direction ◽  
Negative Binomial ◽  
Prediction Models ◽  
Negative Binomial Regression ◽  
Well Being ◽  
Crash Severity ◽  
Before And After ◽  
Single Vehicle ◽  
Median Width ◽  
The Impact

Although median barriers are an absolute means of preventing drivers from crossing road medians and colliding with vehicles moving in the opposite direction, they may cause additional crashes. This perhaps complex safety effect of median barriers has not been investigated well. Being able to predict the safety impact of most types of median barriers on rural freeways is becoming more desirable because some state departments of transportation plan to expand many of their four-lane rural freeways to six lanes to accommodate increases in traffic volume. Realistic crash prediction models sensitive to the median design would provide the needed guidance useful in designing adequate median treatments on widened freeways. The impact of median designs on crash frequency was investigated in this study through negative binomial regression and before-and-after studies based on data collected in eight participating states. The impact on crash severity was investigated with a logit model. The separate effects of changes in median geometry were quantified for single-vehicle, multiple-vehicle same direction, and multiple-vehicle opposite direction crashes. The results were significantly different and indicated that reducing the median width without adding barriers (the remaining median width is still reasonably wide) increases the severity of crashes, particularly opposite direction crashes. Further, reducing the median and installing concrete barriers eliminates opposite direction crashes but doubles the frequency of single-vehicle crashes and tends to lessen the frequency of same direction crashes. The crash severity also tends to increase.

scholarly journals The effects of non-pharmaceutical interventions on SARS-CoV-2 transmission in different socioeconomic populations in Kuwait: A modelling study

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Fatima Khadadah ◽  
Abdullah A. Al-Shammari ◽  
Ahmad Alhashemi ◽  
Dari Alhuwail ◽  
Bader Al-Saif ◽  
...  
Keyword(s):  
Disease Transmission ◽  
Reproduction Number ◽  
Public Health Intervention ◽  
Population Level ◽  
Socioeconomic Groups ◽  
Before And After ◽  
Cross Transmission ◽  
Community Transmission ◽  
The Impact ◽  
Pharmaceutical Interventions

Background: Aggressive non-pharmaceutical interventions (NPIs) may reduce transmission of SARS-CoV2. The extent to which these interventions are successful in stopping the spread have not been characterized in countries with distinct socioeconomic groups. We compared the effects of a partial lockdown on disease transmission among Kuwaitis (P1) and non-Kuwaitis (P2) living in Kuwait. Methods: We fit a metapopulation Susceptible-Exposed-Infectious-Recovered (SEIR) model to reported cases stratified by two groups to estimate the impact of a lockdown on the effective reproduction number (Re). We estimated the basic reproduction number (R0) for the transmission in each group and simulated the potential trajectories of an outbreak from the first recorded case of community transmission until 12 days after the lockdown. We estimated R­e values of both groups before and after the lockdown, simulated the effect of these values on epidemic curves and explored a range of cross-transmission scenarios. Results: We estimate R0 at 1·06 (95% CI: 1·05-1·28) for P1 and 1·83 (1·58-2·33) for P2. On March 22nd, Re for P1 and P2 are estimated at 1·13 (1·07-1·17) and 1·38 (1·25-1·63) respectively. After the curfew had taken effect, Re for P1 dropped modestly to 1·04 (1·02-1·06) but almost doubled for P2 to 2·47 (1·98-3·45). Our simulated epidemic trajectories show that the partial curfew measure modestly reduced and delayed the height of the peak in P1, yet significantly elevated and hastened the peak in P2. Modest cross-transmission from P2 to P1 elevated the height of the peak in P1 and brought it forward in time closer to the peak of P2.    Conclusion: Our results demonstrate that a lockdown can reduce SARS-CoV2 transmission in one subpopulation but accelerate it in another. At the population level, the consequences of lockdowns may vary across the socioeconomic spectrum. Any public health intervention needs to be sensitive to disparities within populations.

scholarly journals Examining the Impact of Emotional Intelligence on Intention to Finish the Assignment of Indian Expatriates in the USA

2019 ◽  
Vol 8 (2S4) ◽  
pp. 642-649
Keyword(s):  
New York ◽  
Emotional Intelligence ◽  
Work Environment ◽  
Family Support ◽  
Organizational Support ◽  
Cultural Intelligence ◽  
Strong Relationship ◽  
Well Being ◽  
Work And Family ◽  
The Impact

The present study is an attempt to examine relationship of emotional intelligence, cultural intelligence, perceived organizational support, perceived family support, work adjustment, general adjustment with Intention to finish the assignment of Indian Information technology expatriates in United States of America. This study adopts positivist deductive approach it, starts with clear variables which are derived from theory and based on these variables. Structured questionnaire is used to collect the data. The sample for the present study was collected from the Indian IT expatriates who are assigned to USA working in the four major IT cluster of USA i.e. California, Washington, New York, & Chicago. A total 634 questionnaires were received indicating a response rate of 52 %. The questionnaire for this study consists of 78 items and the five point Likert scale is used for record the response. SPSS 21 and Microsoft excel are the statistical packages and regression is the tools used in the present study. The study proposes a strong relationship among emotional intelligence and expatriate intention to finish the assignment. . An emotional intelligent employee is more adjustable to the new cultural work environment and there are high chances of him being completing the assignment. Cultural intelligence help the expatriate to adjust well to the diverse work environment and when the expatriate is well adjusted to the new environment, his or her intention to complete the assignment will be high. The importance of the organizational support is essential for the employee well-being and the employees if they perceive that organization supports them in all facets of their work and family they will to be more productive and more committed to the organization. A well-adjusted employee to both general environment and work environment will have high intention to finish the assignment. No significant relationship was found between perceived family support and expatriate intention to finish the assignment. One of the important reason for the expatriate failure is the non-adjustment of the family so the perceived family support have a direct impact on the expatriate intention to finish the assignment.

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