Searching the Internet for medical information: frequency over time and by age and gender in an outpatient population in the UK

2006 ◽  
Vol 12 (4) ◽  
pp. 186-188 ◽  
Author(s):  
A J Larner
2017 ◽  
Vol 46 (4) ◽  
pp. 797-814 ◽  
Author(s):  
MAJELLA KILKEY

AbstractEuropean Freedom of Movement (EFM) was central to the referendum on the UK's membership of the EU. Under a ‘hard’ Brexit scenario, it is expected that EFM between the UK and the EU will cease, raising uncertainties about the rights of existing EU citizens in the UK and those of any future EU migrants. This article is concerned with the prospects for family rights linked to EFM which, I argue, impinge on a range of families – so-called ‘Brexit families’ (Kofman, 2017) – beyond those who are EU-national families living in the UK. The article draws on policy analysis of developments in the conditionality attached to the family rights of non-EU migrants, EU migrants and UK citizens at the intersection of migration and welfare systems since 2010, to identify the potential trajectory of rights post-Brexit. While the findings highlight stratification in family rights between and within those three groups, the pattern is one in which class and gender divisions are prominent and have become more so over time as a result of the particular types of conditionality introduced. I conclude by arguing that, with the cessation of EFM, those axes will also be central in the re-ordering of the rights of ‘Brexit families’.


Sociology ◽  
2020 ◽  
Vol 54 (5) ◽  
pp. 883-903
Author(s):  
Saffron Karlsen ◽  
James Yzet Nazroo ◽  
Neil R Smith

This study uses data from consecutive England and Wales censuses to examine the intragenerational economic mobility of individuals with different ethnicities, religions and genders between 1971 and 2011, over time and across cohorts. The findings suggest more downward and less upward mobility among Black Caribbean, Indian Sikh and Muslim people with Bangladeshi, Indian and Pakistani ethnicities, relative to white British groups, and more positive relative progress among Indian Hindu people, but also some variation in the experiences of social mobility between individuals even in the same ethnic groups. For some groups, those becoming adults or migrating to the UK since 1971 occupy an improved position compared with older or longer resident people, but this is not universal. Findings suggest that these persistent inequalities will only be effectively addressed with attention to the structural factors which disadvantage particular ethnic and religious groups, and the specific ways in which these affect women.


2020 ◽  
Vol 27 (4) ◽  
pp. 467
Author(s):  
Ivana Simonova ◽  
Petra Poulova ◽  
Pavel Prazak ◽  
Blanka Klimova

2009 ◽  
Vol 2009 ◽  
pp. 1-1
Author(s):  
K J Moss ◽  
L Greening

The association between the age of a horse and their capacity for learning is understudied despite the large age range of horses used for both competition and leisure purposes in the UK and the considerable number of horses that swap over between different disciplines; for instance 4000 racehorse retire from racing each year and many go on to other careers including 900 each year going on to be polo ponies. A negative correlation between age and learning performance has been reported in test species to-date (Yagi et al., 1988); however relatively few studies have addressed this issue in equines (Madder & Price, 1980; Williams et al., 2004). The aim of the present study therefore was to investigate the association between a horse’s age and gender and the time taken to reach a pre-determined criterion during an operant learning task.


2021 ◽  
Vol 10 (4) ◽  
pp. 432-446
Author(s):  
Lisette van Alewijk ◽  
Kirsten Davidse ◽  
Karlijn Pellikaan ◽  
Judith van Eck ◽  
Anita C S Hokken-Koelega ◽  
...  

Objective Adolescents and young adults (AYA) with common endocrine disorders show a high dropout (up to 50%) after the transfer from paediatric to adult endocrinology. Little is known about transition readiness in rare endocrine conditions (rEC). This study aims to assess medical self-management skills (SMS) among AYA with rEC in relation to age and gender, in order to understand dropout and increase transition readiness. Design Cross-sectional study using web-based medical self-management questionnaires. Methods Questionnaires consisting of 54 questions in seven domains were filled out by the adolescents before the first shared appointment with both paediatric and adult endocrinologist. Results Fifty-seven patients (median age 17 years, 25/57 females) participated and generally scored well on most items. However, one out of seven did not know the name of their disorder, one sixth of the glucocorticoid users did not know that dose should be adapted in case of illness or surgery, over one-fifth had never ordered their repeat prescriptions themselves and two-thirds had never had a conversation alone with their doctor. Conclusions Several SMS among patients with rEC are insufficient, with regard to medical knowledge, practical skills and communication. As SMS are only weakly related to non-modifiable factors, such as age and gender, we recommend focussing on other factors to increase transition readiness. The timing, amount and ‘mode’ of medical information should be individualised. Transition checklists should be used to detect shortcomings in practical skills and communication, which can subsequently be trained with the help of parents, caregivers and/or e-technology.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Graziella D'arrigo ◽  
Carmela Marino ◽  
Daniela Leonardis ◽  
Patrizia Pizzini ◽  
Graziella Caridi ◽  
...  

Abstract Background and Aims Measuring QoL in CKD patients is fundamental to estimate the human cost of chronic diseases and to assess the effect of treatments. Non-medical factors play an important role in CKD progression and QoL. However, there is very limited information on the evolution of QoL over time in CKD patients and it remains unclear whether traditional and CKD specific risk factors are implicated QoL in CKD patients over CKD progression. Method We studied a cohort of 582 stage 2-5 CKD patients (age: 61±12 years; M: 60%, diabetics: 33%) and measured QoL by the short form of the Rand corporation questionnaire (SF36), an instrument which measures eight domains of QoL (physical functioning, role physical health, energy fatigue, pain, role emotional problem, emotional well-being, social function, and general health] and two summary scores, (the physical component score and the mental component score) which are calculated by a well validated algorithm (Taft C et al, 2001, Quality of life research). In all patients the SF36 was administered at enrolment and after one (489 patients), two (n=434) and three (n=287) years. The evolution of SF36 dimensions over-time and the predictors of SF36 changes were analyzed by the Linear Mixed Model (LMM). Results At baseline the median value of the Physical Component Score (PCS) was 43.7 (Interquartile range: 34.0-50.3) and the Mental Component Score (MCS) was 46.3 (37-52.9) and on average did not change over the 3 years follow up [median PCS at the 3rd year: . 46.3 (35.7-52.0), median MCS at the 3rd year 43 (33.6-50.6)]. On average the GFR at baseline was 36±13 ml/min/1.73 m2 and declined to 34±17 ml/min/1.73m2 at the 3rd year. On detailed longitudinal analysis by the LMM the PCS associated with the evolution of the GFR over time (beta=0.10; 95% CI from 0.06 to 0.13; P<0.001). Adjustment for time (0,1,2,3 years), age and gender did not materially modify such an association (beta=0.09; 95%CI from 0.06 to 0.13, p<0.001) while further adjustment for traditional (Systolic BP, diabetes, smoking, cholesterol), BMI, CV comorbidities and CKD specific (hemoglobin, albumin, calcium, phosphate) risk factors attenuated but did not cancel out the PCS-GFR link (beta=0.05, 95%CI 0.006 to 0.093, P=0.03). This finding suggests that the PCS-GFR link is either largely confounded or mediated by these risk factors but that the same risk factors do not explain in full the same link . The MCS – GFR association was weaker (beta=0.05, 95%CI from 0.008 to 0.09; P=0.02) than the PCS-GFR relationship, became non significant after simple adjustment for time, age and gender (beta=0.04 ; 95%CI -0.003 to 0.08; P=0.07) and was nullified after full adjustment (beta=-0.01; 95%CI -0.07 to 0.04; P=0.59) for the same risk factors. Conclusion The PCS and the MCS remain stable over the course of CKD but appear associated with the evolution of the GFR over time. Traditional and CKD specific risk factors substantially confound and/ or mediate these associations.


Author(s):  
Carmen Muñoz

Abstract In many contexts learners are enriching their limited contact with the foreign language in the classroom with unlimited contact outside the classroom thanks to the easy and immediate availability of the Internet and digital media. This study aimed to document the characteristics of the contact with English that a large sample of Catalan-Spanish learners have outside the classroom, to explore possible age- and gender-related differences, and to examine the association between out-of-school contact and classroom grades. The responses to a survey showed the type of activities in which young and old adolescents and young adults engage. The analyses showed differences between the three age groups, as well as large differences in the choices of males and females. The analysis of the association between respondents’ English-classroom grades and the different activities showed that reading had the highest positive correlation, followed by watching audiovisual material with L2 subtitles.


Author(s):  
Bradley E. Ensor

Gender relations and human agency are central to today’s dominant archaeological thought on social change. This chapter argues that Marxist analyses are appropriate for characterizing both class and gender relationships: the structural contexts for agency. However, the routine interpretation of a single mode of production for a group or population suggests only one type of social relation of production with only one social contradiction, which glosses over what are arguably more complex class and/or gender dynamics. Therefore, a social formations perspective is advocated whereby archaeologists can interpret multiple articulating modes or forms of production that create multiple contradictions and contexts structuring the possibilities for agency. In a case study on the prehispanic Chontal Maya, the framework identifies diverse contradictions within and among classes and genders in a tributary social formation having articulating forms of tributary and kinship modes. In another case study on the early Hohokam, the analysis leads to inferences on multiple age and gender contradictions within a social formation comprising articulating forms of the kinship mode, which suggests gendered agency altered relationships over time. The interpretations illustrate the framework’s capacity to identify multiple contexts for negotiating contradictions that better characterize the dynamic, complex lives of past peoples.


Author(s):  
Lee Schwamm ◽  
Gabrielle Parkinson ◽  
Laura Coe

Intro: IV tPA use has increased since the 2009 US guidelines recommended extending the window to 4.5 hr. The most common reasons for nontreatment are rapid improvement of stroke symptoms (RISS) and stroke “Too Mild”. We evaluated the NIHSS profile and outcomes over time in Massachusetts Coverdell patients receiving IV tPA, or not treated due to RISS and Too Mild. Methods: All adults >18 yr arriving at a MA Coverdell hospital < 4.5 hr from time last known well with a diagnosis of ischemic stroke or TIA (with persistent symptoms) were included (n=10,433). We compared rates of NIHSS documentation, median NIHSS, and discharge home between 11/09-10/10 (Year 1, n=2,573) vs. 11/12-10/13 (Year 4, n=2,658) among All, IV tPA, RISS, and Too Mild patients. Ordinal variables were analyzed by Kruskal-Wallis and proportions by Chi square, and odds ratio of discharge home was adjusted for NIHSS, age, and gender. NIHSS was missing in 20% of cases. Results: The two cohorts were similar by gender and vascular risk factors, except for age, HTN and dyslipidemia. IV tPA use within 4.5 hr of onset increased (19% vs. 25%, p<.0001) as did the documentation of an NIHSS among All patients (68% vs. 87%, p<.0001), IV tPA (86% vs. 97%, p<.0001), RISS (70% vs. 89%, p<.0001) and Too Mild (75% vs. 92%, p<.0001). Rates of RISS (27% vs. 26%) and Too Mild (19 vs. 22%) did not decrease but median NIHSS decreased over time among the IV tPA and Too Mild (Figure). Unadjusted rates of discharge home increased for IV tPA (25% vs. 31%, p=0.004), and for All (36% vs. 45%), RISS (51% vs. 63%), and Too Mild (52% vs. 67%; all comparisons, p<.0001). In multivariate analysis, discharge home increased among All (OR 1.9; 95%CI 1.6-2.2); RISS (2.2; 1.7-2.9) and Too Mild (2.4; 1.8-3.4) but not IV tPA (1.1, 0.8-1.6). Discussion: IV tPA use in MA Coverdell patients is increasing and now reaches 25% of all early arriving subjects. NIHSS documentation is increasing as well, especially among subjects with lower NIHSS scores. The median NIHSS in RISS or Too Mild patients is reassuringly low, and decreased significantly among Too Mild patients. These data, coupled with the fact that unadjusted rates of discharge home among IV tPA patients are increasing while severity-adjusted rates are not, suggests that more patients previously felt to be Too Mild are now receiving IV tPA. Further efforts are still warranted.


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