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Bharucha, Ashok J., Alex John London, David Barnard, Howard Wactlar, Mary Amanda Dew e Charles F. Reynolds. "Ethical Considerations in the Conduct of Electronic Surveillance Research". Journal of Law, Medicine & Ethics 34, n.º 3 (2006): 611–19. http://dx.doi.org/10.1111/j.1748-720x.2006.00075.x.
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Nearly 2.5 million Americans currently reside in nursing homes and assisted living facilities in the United States, accounting for approximately five percent of persons sixty-five and older. The aging of the “Baby Boomer” generation is expected to lead to an exponential growth in the need for some form of long-term care (LTC) for this segment of the population within the next twenty-five years. In light of these sobering demographic shifts, there is an urgency to address the profound concerns that exist about the quality-of-care (QoC) and quality-of-life (QoL) of this frailest segment of our population.
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Maytin, Lauren, Jason Maytin, Priya Agarwal, Anna Krenitsky, JoAnn Krenitsky e Robert S. Epstein. "Attitudes and Perceptions Toward COVID-19 Digital Surveillance: Survey of Young Adults in the United States". JMIR Formative Research 5, n.º 1 (8 de janeiro de 2021): e23000. http://dx.doi.org/10.2196/23000.
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Background COVID-19 is an international health crisis of particular concern in the United States, which saw surges of infections with the lifting of lockdowns and relaxed social distancing. Young adults have proven to be a critical factor for COVID-19 transmission and are an important target of the efforts to contain the pandemic. Scalable digital public health technologies could be deployed to reduce COVID-19 transmission, but their use depends on the willingness of young adults to participate in surveillance. Objective The aim of this study is to determine the attitudes of young adults regarding COVID-19 digital surveillance, including which aspects they would accept and which they would not, as well as to determine factors that may be associated with their willingness to participate in digital surveillance. Methods We conducted an anonymous online survey of young adults aged 18-24 years throughout the United States in June 2020. The questionnaire contained predominantly closed-ended response options with one open-ended question. Descriptive statistics were applied to the data. Results Of 513 young adult respondents, 383 (74.7%) agreed that COVID-19 represents a public health crisis. However, only 231 (45.1%) agreed to actively share their COVID-19 status or symptoms for monitoring and only 171 (33.4%) reported a willingness to allow access to their cell phone for passive location tracking or contact tracing. Conclusions Despite largely agreeing that COVID-19 represents a serious public health risk, the majority of young adults sampled were reluctant to participate in digital monitoring to manage the pandemic. This was true for both commonly used methods of public health surveillance (such as contact tracing) and novel methods designed to facilitate a return to normal (such as frequent symptom checking through digital apps). This is a potential obstacle to ongoing containment measures (many of which rely on widespread surveillance) and may reflect a need for greater education on the benefits of public health digital surveillance for young adults.
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Phares, Christina R., Yecai Liu, Zanju Wang, Drew L. Posey, Deborah Lee, Emily S. Jentes, Michelle Weinberg et al. "Disease Surveillance Among U.S.-Bound Immigrants and Refugees — Electronic Disease Notification System, United States, 2014–2019". MMWR. Surveillance Summaries 71, n.º 2 (21 de janeiro de 2022): 1–21. http://dx.doi.org/10.15585/mmwr.ss7102a1.
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Fei-Zhang, David J., Daniel C. Chelius, Urjeet A. Patel, Stephanie S. Smith, Anthony M. Sheyn e Jeff C. Rastatter. "Assessment of Social Vulnerability in Pediatric Head and Neck Cancer Care and Prognosis in the United States". JAMA Network Open 6, n.º 2 (17 de fevereiro de 2023): e230016. http://dx.doi.org/10.1001/jamanetworkopen.2023.0016.
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ImportancePrior investigations in social determinants of health (SDoH) in pediatric head and neck cancer (HNC) have only considered a narrow scope of HNCs, SDoH, and geography while lacking inquiry into the interrelational association of SDoH with disparities in clinical pediatric HNC.ObjectivesTo evaluate the association of SDoH with disparities in HNC among children and adolescents and to assess which specific aspects of SDoH are most associated with disparities in dynamic and regional sociodemographic contexts.Design, Setting, and ParticipantsThis retrospective cohort study included data about patients (aged ≤19 years) with pediatric HNC who were diagnosed from 1975 to 2017 from the Surveillance, Epidemiology, and End Results Program (SEER) database. Data were analyzed from October 2021 to October 2022.ExposuresOverall social vulnerability and its subcomponent contributions from 15 SDoH variables, grouped into socioeconomic status (SES; poverty, unemployment, income level, and high school diploma status), minority and language status (ML; minoritized racial and ethnic group and proficiency with English), household composition (HH; household members aged ≥65 and ≤17 years, disability status, single-parent status), and housing and transportation (HT; multiunit structure, mobile homes, crowding, no vehicle, group quarters). These were ranked and scored across all US counties.Main Outcomes and MeasuresRegression trends were performed in continuous measures of surveillance and survival period and in discrete measures of advanced staging and surgery receipt.ResultsA total of 37 043 patients (20 729 [55.9%] aged 10-19 years; 18 603 [50.2%] male patients; 22 430 [60.6%] White patients) with 30 different HNCs in SEER had significant relative decreases in the surveillance period, ranging from 23.9% for malignant melanomas (mean [SD] duration, lowest vs highest vulnerability: 170 [128] months to 129 [88] months) to 41.9% for non-Hodgkin lymphomas (mean [SD] duration, lowest vs highest vulnerability: 216 [142] months vs 127 [94] months). SES followed by ML and HT vulnerabilities were associated with these overall trends per relative-difference magnitudes (eg, SES for ependymomas and choroid plexus tumors: mean [SD] duration, lowest vs highest vulnerability: 114 [113] months vs 86 [84] months; P < .001). Differences in mean survival time were observed with increasing social vulnerability, ranging from 11.3% for ependymomas and choroid plexus tumors (mean [SD] survival, lowest vs highest vulnerability: 46 [46] months to 41 [48] months; P = .43) to 61.4% for gliomas not otherwise specified (NOS) (mean [SD] survival, lowest vs highest vulnerability: 44 [84] months to 17 [28] months; P < .001), with ML vulnerability followed by SES, HH, and HT being significantly associated with decreased survival (eg, ML for gliomas NOS: mean [SD] survival, lowest vs highest vulnerability: 42 [84] months vs 19 [35] months; P < .001). Increased odds of advanced staging with non-Hodgkin lymphoma (OR, 1.21; 95% CI, 1.02-1.45) and retinoblastomas (OR, 1.31; 95% CI, 1.14-1.50) and decreased odds of surgery receipt for melanomas (OR, 0.79; 95% CI, 0.69-0.91) and rhabdomyosarcomas (OR, 0.90; 95% CI, 0.83-0.98) were associated with increasing overall social vulnerability.Conclusions and RelevanceIn this cohort study of patients with pediatric HNC, significant decreases in receipt of care and survival time were observed with increasing SDoH vulnerability.
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Altheide, David L. "The Triumph of Fear". International Journal of Cyber Warfare and Terrorism 4, n.º 1 (janeiro de 2014): 1–7. http://dx.doi.org/10.4018/ijcwt.2014010101.
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Edward Snowden was castigated by government officials and mainstream mass media as a traitor, spy, and international criminal when he released information about the National Security Agency (NSA) secret and massive surveillance of virtually all U.S. electronic communication. More than “wiretapping” is involved in the spin being put on Snowden's revelations. A lot of institutional duplicity has been revealed. The reaction of United States officials can be seen as a dramatic performance to demonstrate their moral resolve and complete power (even as Snowden challenged it) in order to dissuade other whistleblowers from following suite, as well as maintain authority and a discourse of fear about terrorism that justifies surveillance and other forms of social control.
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Castells-Talens, Antoni. "Surveillance, Security, and Neo-noir Film: Spike Lee’s ‘Inside Man’ As a 9/11 Counter-narrative". Tripodos, n.º 51 (27 de janeiro de 2022): 109–28. http://dx.doi.org/10.51698/tripodos.2021.51p109-128.
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After the 9/11 terrorist attacks of 2001, a patriotic narrative permeated all aspects of US society. Planned and executed by the George W. Bush administration and reproduced by the media and by other social institutions, the narrative of the War on Terror permeated all aspects of society with little opposition. A few weeks after the attacks, Congress passed the Patriot Act, a bill that redefined security and surveillance in the United States. The new act contributed to the erosion of civil rights. This article analyzes how Spike Lee’s Inside Man (2006), a film that critics interpreted as a commercial thriller when it was launched, employs resources from film noir and neo-noir to construct a counter-narrative on security and surveillance. Through a plot that causes confusion, a distinct visual style, a typically noir role of the hero, and hidden references to a 9/11 theme, the film borrows elements from classical film noir and from eighties neo-noir to take a firm stand against the US response to the terrorist attacks. The movie removes the mask of the dominant narrative by showing a structurally corrupt system.
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Francis, Leslie Pickering. "The Physician-Patient Relationship and a National Health Information Network". Journal of Law, Medicine & Ethics 38, n.º 1 (2010): 36–49. http://dx.doi.org/10.1111/j.1748-720x.2010.00464.x.
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The United States, like other countries facing rising health care costs, is pursuing a commitment to interoperable electronic health records. Electronic records, it is thought, have the potential to reduce the risks of error, improve care coordination, monitor care quality, enable patients to participate more fully in care management, and provide the data needed for research and surveillance. Interoperable electronic health records on a national scale — the ideal of a national health information network (or NHIN) — seem likely to magnify these advantages. Thus, the recent economic stimulus package contains considerable funding for the development of “health information technology architecture that will support the nationwide electronic exchange and use of health information in a secure, private, and accurate manner.”
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Marczak, Magdalena, e Iain Coyne. "Cyberbullying at School: Good Practice and Legal Aspects in the United Kingdom". Australian Journal of Guidance and Counselling 20, n.º 2 (1 de dezembro de 2010): 182–93. http://dx.doi.org/10.1375/ajgc.20.2.182.
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AbstractCyberbullying at school has emerged as a new, electronic form of bullying and harassment and is recognised as a growing problem all over the world. The ability to use cyberspace to bully others means that harassment, rumours and intimidation can reach a much wider audience. Although research has not as yet explored fully the consequences of either cyber-victimisation or cyberbullying, it would appear that they may be detrimental to the health of young people, suggesting the need for policies and interventions, which some European countries (e.g., Germany, Luxemburg, Belgium and the United Kingdom) have attempted to undertake. Currently, however, only the United States has implemented specific laws that treat cyberbullying as a criminal offence per se. After briefly considering the literature on cyberbullying this article will focus on the legal, regulatory and good practice frameworks for controlling cyberbullying in UK educational contexts.
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Paterson, Craig. "From offender to victim-oriented monitoring: a comparative analysis of the emergence of electronic monitoring systems in Argentina and England and Wales". urbe. Revista Brasileira de Gestão Urbana 7, n.º 2 (agosto de 2015): 155–66. http://dx.doi.org/10.1590/2175-3369.007.002.se01.
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The increasingly psychological terrain of crime and disorder management has had a transformative impact upon the use of electronic monitoring technologies. Surveillance technologies such as electronic monitoring - EM, biometrics, and video surveillance have flourished in commercial environments that market the benefits of asocial technologies in managing disorderly behavior and which, despite often chimerical crime prevention promises, appeal to the ontologically insecure social imagination. The growth of EM in criminal justice has subsequently taken place despite, at best, equivocal evidence that it protects the public and reduces recidivism. Innovative developments in Portugal, Argentina and the United States have re-imagined EM technologies as more personalized devices that can support victims rather than control offenders. These developments represent a re-conceptualization of the use of the technology beyond the neoliberal prism of rational choice theories and offender-oriented thinking that influenced first generation thinking about EM. This paper identifies the socio-political influences that helped conceptualize first generation thinking about EM as, firstly, a community sentence and latterly, as a technique of urban security. The paper reviews attempts to theorize the role and function of EM surveillance technologies within and beyond criminal justice and explores the contribution of victimological perspectives to the use of EM 2.0.
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Afary, Janet, e Kevin Anderson. "Afghan Women’s Resistance - Forty Years of Struggle Against Gender Apartheid". Feminist Dissent, n.º 7 (25 de março de 2024): 1–13. http://dx.doi.org/10.31273/fd.n7.2023.1505.
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The defeat of the U.S. client regime in Afghanistan and the seizure of power by the Taliban in August 2021 marked a real turning point. These events represented another major setback for the United States in the wake of a failed war in Iraq. Journalists rushed to compare the debacle in Kabul in 2021 to Saigon in 1975, as Afghans fearful of Taliban rule scrambled to get onto US planes. Many were left behind as the United States rushed to get its own forces and those of its allies out.
The August 2021 regime collapse in Afghanistan, although sudden in its final manifestation, was a long time coming. The United States realized it had been defeated at least by 2020, as the Trump administration agreed to a total US withdrawal in direct negotiations with the Taliban. The Biden administration continued this policy, which had two basic aspects: the United States would withdraw by the end of August 2021, and the Taliban would not attack US forces during the period of withdrawal. Both sides kept to the bargain; the Afghan people were not consulted at all, nor was the US-backed government of Ashraf Ghani, who was not even included in the negotiations.
There was an important difference from the situation in Saigon in 1975, however. The forces that defeated the United States in Vietnam included female combatants and officers. Moreover, the regime they installed to replace the US client state espoused a modernist, if authoritarian, ideology that extolled gender equality, land reform, and other forms of social and economic transformation.
In contrast, the return to power of the Taliban was instead a setback for women’s rights of epochal proportions, and for other social and political rights as well. They set about establishing an ultra-conservative fundamentalist regime of a type not seen since the Islamic State was driven out of Raqqa, Syria, in 2017. The Taliban have again established a theocracy, which openly supports long-standing hierarchies of gender, ethnicity, religion, and class, albeit with a somewhat modern form of organization, including a surveillance apparatus and modern weapons. With its denial of secondary education to girls, the new Taliban regime’s level of gender apartheid far exceeds those of Saudi Arabia and Iran. At this writing, not a single country, not even Saudi Arabia, has formally recognized the Taliban government.
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Silva, Raquel Ataide Peres, Tamara P. Pace-Emerson, Carlos Rodriguez-Galindo, A. Lindsay Frazier e Karina Braga Ribeiro. "Socioeconomic status and incidence of pediatric embryonal tumors in the United States." Journal of Clinical Oncology 31, n.º 15_suppl (20 de maio de 2013): 10036. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.10036.
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10036 Background: Of the 13,000 children diagnosed with cancer each year in the United States (US), the embryonal solid tumors, neuroblastoma (NB), retinoblastoma (RB), Wilms tumors (WT), hepatoblastoma (HB), rhabdomyosarcomas (RMS) and germ cell tumors (GCT), account for over 30% of the cases. Social disparities in cancer are well studied for adults, but few studies have focused on children, mostly for leukemia. The aim of this study is to evaluate the differences in incidence of rare cancers according to socioeconomic status (SES). Methods: Cases aged 0-19 were identified from the Surveillance Epidemiology and End Results (SEER) cancer registries from 1992-2009. Using data from the US 2000 Census, the county of residence of the cases was categorized above or below the national average for SES measures including: % persons with< high school education, % persons below poverty, % persons unemployed and % households with > 1 person/room. Age standardized rates per million (ASR), rate ratios (RR) and 95% confidence intervals (CI) were obtained. The findings were validated using cases from the National Program of Cancer Registries (NPCR) from 1999-2009, analyzed with the same SES variables. Results: Among cases identified in SEER, rates of NB and WT are higher in counties with upper SES measures whereas RB and GCT occurred more frequently in counties with lower SES measures. No association was found between SES and rates of HB and RMS. The results were reproducible with NPCR cases. For instance, ASR of NB is lower (SEER: 5.86; NPCR: 7.48) in counties where >19.6% of the population had not completed high school and higher (SEER: 8.41; NPCR: 8.47) in counties where ≤19.6% had not achieved a high school degree. (SEER: RR=0.69; 95%CI=0.62-0.77; NPCR: RR=0.88; 95%CI=0.84-0.93). Analysis of NB rates according to poverty, unemployment and crowding showed consistent results, with higher rates in counties with higher SES. Conclusions: The findings are suggestive of a relation between SES and cancer susceptibility that may be connected to environment and lifestyle. Understanding the role of contributing causes demands further studies to evaluate why cancer rates vary across cultural and ethnic groups as well as the magnitude of specific SE aspects.
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Rossheim, Matthew E., Eric Q. Ninh, Melvin D. Livingston e Dennis L. Thombs. "49,000 Avocado Cutting Injuries". American Journal of Health Behavior 44, n.º 1 (1 de janeiro de 2020): 13–17. http://dx.doi.org/10.5993/ajhb.44.1.2.
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Objectives: In the United States (US), avocado consumption has increased dramatically since the year 2000. Despite media attention concerning injuries resulting from cutting or pitting avocados, such injuries have not been monitored systematically. The current study is the first to estimate the number of people with avocado cutting injuries presenting to US hospital emergency departments. Methods: We utilized cross-sectional data from the US Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS). We used keyword searches of case narrative text to identify avocado cutting and pitting injuries from 2000 to 2017. Sampling weights were applied to generate national estimates of avocado cutting injuries. Results: From 2000 to 2017, there were an estimated 49,331 avocado cutting injuries presenting to US emergency departments (95% CI 34,178-64,483). The increase in these injuries appears to coincide with increases in per capita avocado consumption. Avocado cutting injuries now constitute nearly 2% of knife-related injuries presenting to US hospital emergency departments. Conclusions: Due to the increase in avocado cutting injuries and the severity of these injuries, more systematic surveillance is needed as well as improved safety measures.
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Schwebel, David C., e Carl M. Brezausek. "Child Development and Pediatric Sport and Recreational Injuries by Age". Journal of Athletic Training 49, n.º 6 (1 de dezembro de 2014): 780–85. http://dx.doi.org/10.4085/1062-6050-49.3.41.
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Context: In 2010, 8.6 million children were treated for unintentional injuries in American emergency departments. Child engagement in sports and recreation offers many health benefits but also exposure to injury risks. In this analysis, we consider possible developmental risk factors in a review of age, sex, and incidence of 39 sport and recreational injuries. Objective: To assess (1) how the incidence of 39 sport and recreational injuries changed through each year of child and adolescent development, ages 1 to 18 years, and (2) sex differences. Design Descriptive epidemiology study. Setting: Emergency department visits across the United States, as reported in the 2001–2008 National Electronic Injury Surveillance System database. Patients or Other Participants: Data represent population-wide emergency department visits in the United States. Main Outcome Measure(s) Pediatric sport- and recreation-related injuries requiring treatment in hospital emergency departments. Results: Almost 37 pediatric sport or recreational injuries are treated hourly in the United States. The incidence of sport- and recreation-related injuries peaks at widely different ages. Team-sport injuries tend to peak in the middle teen years, playground injuries peak in the early elementary ages and then drop off slowly, and bicycling injuries peak in the preteen years but are a common cause of injury throughout childhood and adolescence. Bowling injuries peaked at the earliest age (4 years), and injuries linked to camping and personal watercraft peaked at the oldest age (18 years). The 5 most common causes of sport and recreational injuries across development, in order, were basketball, football, bicycling, playgrounds, and soccer. Sex disparities were common in the incidence of pediatric sport and recreational injuries. Conclusions: Both biological and sociocultural factors likely influence the developmental aspects of pediatric sport and recreational injury risk. Biologically, changes in perception, cognition, and motor control might influence injury risk. Socioculturally, decisions must be made about which sport and recreational activities to engage in and how much risk taking occurs while engaging in those activities. Understanding the developmental aspects of injury data trends allows preventionists to target education at specific groups.
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Adams, Ian, e Sharon Mastracci. "Police Body-Worn Cameras: Effects on Officers’ Burnout and Perceived Organizational Support". Police Quarterly 22, n.º 1 (4 de julho de 2018): 5–30. http://dx.doi.org/10.1177/1098611118783987.
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Police departments in the United States are rapidly adopting body-worn cameras (BWCs). To date, no study has investigated the effects of BWCs on police officers themselves, despite evidence suggesting negative effects of electronic performance monitoring on employee well-being. Police officers already experience higher levels of burnout than other professions. We hypothesize that the intense surveillance of BWCs will manifest in how police officers perceive the organizational support of their departments and will increase burnout. We test these hypotheses using data from patrol officers ( n = 271) and structural equation modeling. We find BWCs increase police officer burnout, and this effect is statistically different from zero. We also find that BWCs decrease officers’ perceived organizational support, which mediates the relationship between BWCs and burnout. Greater perceived organizational support can blunt the negative effects of BWCs. Our study is the first to situate effects on officers at the center of BWC literature.
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ZIPKIN, JOSEPH R., FREDERIC P. SCHOENBERG, KATHRYN CORONGES e ANDREA L. BERTOZZI. "Point-process models of social network interactions: Parameter estimation and missing data recovery". European Journal of Applied Mathematics 27, n.º 3 (8 de outubro de 2015): 502–29. http://dx.doi.org/10.1017/s0956792515000492.
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Electronic communications, as well as other categories of interactions within social networks, exhibit bursts of activity localised in time. We adopt a self-exciting Hawkes process model for this behaviour. First we investigate parameter estimation of such processes and find that, in the parameter regime we encounter, the choice of triggering function is not as important as getting the correct parameters once a choice is made. Then we present a relaxed maximum likelihood method for filling in missing data in records of communications in social networks. Our optimisation algorithm adapts a recent curvilinear search method to handle inequality constraints and a non-vanishing derivative. Finally we demonstrate the method using a data set composed of email records from a social network based at the United States Military Academy. The method performs differently on this data and data from simulations, but the performance degrades only slightly as more information is removed. The ability to fill in large blocks of missing social network data has implications for security, surveillance, and privacy.
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Eckert, Stine, e Jade Metzger-Riftkin. "Doxxing, Privacy and Gendered Harassment. The Shock and Normalization of Veillance Cultures". Medien & Kommunikationswissenschaft 68, n.º 3 (2020): 273–87. http://dx.doi.org/10.5771/1615-634x-2020-3-273.
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We conducted 15 in-depth interviews with women and men in Germany, Switzerland, Finland, Canada, and the United States who were victims of doxxing. The goal was to understand their experiences, their responses, and the consequences they faced. We understand doxxing as a complex, gendered communicative process of harassment. Doxxers use digital media technologies to expose personal information without consent given by those to whom the personal information belongs. We apply a feminist approach to surveillance studies to doxxing, focusing on the constructions of daily, habitual, and ubiquitous assemblages of veillances that disproportionately impact vulnerable individuals. We found that gendered aspects shaped the flow and suspected intent of doxxing and subsequent harassment. Victims experienced uncertainty, loss of control, and fear, while law enforcement and social media providers only helped in a few cases to pursue doxxers or remove unwanted personal information. We ultimately extend the definition of doxxing by considering the ubiquitous nature of information shared online in gendered veillance cultures. Our findings lead us to advocate for protecting the contextual integrity of entering personal information into expected, intentional, or desired spaces.
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Arora, Anshu Saxena, Amit Arora e Vas Taras. "The moderating role of culture in social media-based spatial imagery, consumer xenocentrism, and word-of-mouth for global virtual teams". International Journal of Cross Cultural Management 19, n.º 2 (20 de junho de 2019): 160–93. http://dx.doi.org/10.1177/1470595819856379.
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This study investigates how culture moderates the interrelationships among social spatial imagery (SSI), consumer xenocentrism (C-XEN), electronic word-of-mouth (eWoM), and overall project performance for global virtual teams (GVTs) in social media networked environments. In a sample of 1240 participants from developed economies (the United States and Italy) versus 1176 from emerging economies (China, India, Colombia, Brazil, and Malaysia), partial least squares structural equation modeling and multigroup analyses were conducted to examine the above social media-based interrelationships. The results indicate that low power distance (PD), individualist, and masculine cultures exert strong and positive relationships between C-XEN and negative eWoM; while high PD, collectivist, and less masculine (or feminine) cultures strengthen positive relationships between xenocentrism and positive eWoM. Further, negative eWoM aids project success for GVTs, while positive eWoM has no impact on project performance for developed and emerging economies. Theoretical and managerial implications for understanding cross-cultural aspects of SSI, C-XEN, eWoM, and GVT project performance in online social networks are discussed.
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David, Matthew, e Jamieson Kirkhope. "New Digital Technologies: Privacy/Property, Globalization, and Law". Perspectives on Global Development and Technology 3, n.º 4 (2004): 437–49. http://dx.doi.org/10.1163/1569150042728884.
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AbstractThis paper addresses attempts to locate and dislocate music audiences in the context of global commercial, legal, and technical developments. The 2001 legal decision against Napster in the United States found the file share service company guilty of copyright infringement. This precedent appeared to support the recording industry. However, such legal frames have been bypassed by new softwares. Supporters see such global networks of sharing and distribution as undoing corporate control. The recording industry has responded with parallel claims of having encryption and surveillance technologies capable of globally reregulating property. However, as this article shows, there is no technical necessity and that total freedom and total enforcement are impossible. Just as globalization is reified into an inevitable process of deregulation in one instance and at the next moment it is reified into an indispensable regulatory regime, so new electronic media and global electronic networks promote neither regulation or deregulation, except in so far as the balance of social forces at any one time interprets and enacts them in such ways.
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Nguyen, Tran H., Gulzar H. Shah, Ravneet Kaur, Maham Muzamil, Osaremhen Ikhile e Elizabeth Ayangunna. "Factors Predicting In-School and Electronic Bullying among High School Students in the United States: An Analysis of the 2021 Youth Risk Behavior Surveillance System". Children 11, n.º 7 (28 de junho de 2024): 788. http://dx.doi.org/10.3390/children11070788.
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Background: Bullying is a global public health problem with severe adverse effects on behavioral health. Understanding the predictors of victimization by bullying is essential for public policy initiatives to respond to the problem effectively. In addition to traditional in-person bullying, electronic bullying has become more prevalent due to increasing social interaction and identity formation in virtual communities. This study aims to determine the predictors of in-school and electronic bullying. Methods: We employed multivariable logistic regression to analyze a nationally representative sample of 17,232 high school students in the United States, the 2021 Youth Risk Behavior Surveillance System national component. The survey was conducted during the COVID-19 pandemic, from September through December 2021. The factors examined included sociodemographic characteristics (age, gender, race), appearance (obesity), physically active lifestyles (being physically active, spending a long time on digital games), and risk-taking behavior (using marijuana). Results: Our results indicated that sociodemographic characteristics were strong predictors of being bullied in school and electronically. Being obese is more likely to result in bullying in school (AOR = 1.32, p = 0.003) and electronically (AOR = 1.30, p = 0.004). Adolescent students showing marijuana use had higher odds of being bullied in school (AOR = 2.15, p < 0.001) and electronically (AOR = 1.81, p < 0.001). While spending a long time on digital devices raises the risk of being electronically bullied (AOR = 1.25, p = 0.014), being physically active is not associated with being bullied. Neither of the two lifestyle factors was associated with in-school bullying. Conclusions: Interventions addressing violence among adolescents can benefit from empirical evidence of risk factors for bullying victimization in high school.
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Abdulraheem Olaide Babarinde, Oluwatoyin Ayo-Farai, Chinedu Paschal Maduka, Chiamaka Chinaemelum Okongwu e Olamide Sodamade. "Data analytics in public health, A USA perspective: A review". World Journal of Advanced Research and Reviews 20, n.º 3 (30 de dezembro de 2023): 211–24. http://dx.doi.org/10.30574/wjarr.2023.20.3.2462.
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The integration of data analytics into public health practices represents a transformative paradigm shift in the United States. This review provides a comprehensive analysis of the impact and implications of data analytics on public health strategies, with a focus on disease surveillance and health policy within the USA. In the context of disease surveillance, data analytics has emerged as a crucial tool for real-time monitoring and early detection of health threats. Leveraging diverse datasets, including electronic health records and social media, allows for swift identification of trends and anomalies, enabling proactive responses to potential outbreaks. Advanced analytics techniques, such as machine learning and predictive modeling, contribute to the precision of surveillance efforts, facilitating targeted interventions and resource allocation. Beyond disease surveillance, data analytics significantly influences health policy. Evidence-based policy formulation is enhanced through data-driven insights, providing policymakers with a foundation for understanding the impact of interventions and designing strategies that align with the unique needs of diverse populations. Resource allocation strategies are optimized, ensuring efficient use of limited resources by analyzing health outcomes, service utilization patterns, and cost-effectiveness. Continuous monitoring and evaluation of implemented health policies through data analytics enable policymakers to adapt strategies in response to evolving health challenges, fostering a dynamic and adaptive public health ecosystem. As the landscape of public health evolves, data analytics in the USA continues to play a central role in shaping strategies and policies. The study delves into the historical context, key components, applications, and success stories, providing valuable insights for policymakers, public health professionals, and researchers aiming to navigate the complexities of data-driven public health management.
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Chua, Jocelyn Lim. "Medication by Proxy: The Devolution of Psychiatric Power and Shared Accountability to Psychopharmaceutical Use Among Soldiers in America’s Post-9/11 Wars". Culture, Medicine, and Psychiatry 44, n.º 4 (11 de abril de 2020): 565–85. http://dx.doi.org/10.1007/s11013-020-09673-7.
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Abstract With the United States military stretched thin in the “global war on terror,” military officials have embraced psychopharmaceuticals in the effort to enable more troops to remain “mission-capable.” Within the intimate conditions in which deployed military personnel work and live, soldiers learn to read for signs of psychopharmaceutical use by others, and consequently, may become accountable to those on medication in new ways. On convoys and in the barracks, up in the observation post and out in the motor pool, the presence and perceived volatility of psychopharmaceuticals can enlist non-medical military personnel into the surveillance and monitoring of medicated peers, in sites far beyond the clinic. Drawing on fieldwork with Army personnel and veterans, this article explores collective and relational aspects of psychopharmaceutical use among soldiers deployed post-9/11 in Iraq and Afghanistan. I theorize this social landscape as a form of “medication by proxy,” both to play on the fluidity of the locus of medication administration and effects within the military corporate body, and to emphasize the material and spatial ways that proximity to psychopharmaceuticals pulls soldiers into relationships of care, concern and risk management. Cases presented here reveal a devolution and dispersal of biomedical psychiatric power that complicates mainstream narratives of mental health stigma in the US military.
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Black, Christopher M., Dandan Zheng, Bradley Goodnight, Magdiel Habila, Sanjay Merchant, Marie Cassese, Alexander Fortman, Harold Walbert, Fred Sieling e Glenn J. Hanna. "Mapping disparities in head and neck cancer care: Geospatial analysis of social vulnerability and healthcare access in the US." Journal of Clinical Oncology 42, n.º 16_suppl (1 de junho de 2024): e23112-e23112. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.e23112.
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e23112 Background: Ensuring equitable access to head and neck (H&N) cancer care across the US is vital for optimal patient outcomes. This study explores the impact of social vulnerability on disparities in access to H&N multidisciplinary specialist care by US region and metro status. Methods: Oncologists and a subset of H&N cancer specialist practice locations were extracted from the National Provider Index, American Society of Clinical Oncology, and US News and World Report. Travel time using the fastest transportation mode from population-weighted county centroids to the nearest H&N cancer specialist (surgical, radiation, or medical oncologist) was computed using Travel Time API. Cancer data were obtained from United States Cancer Statistics and Surveillance, Epidemiology, and End Results (SEER). Regression analysis assessed impact of aspects of social vulnerability from the Social Vulnerability Index (SVI) on travel time. A disparity index incorporating travel time, county-level H&N cancer incidence, and SVI was developed to quantify disparities at the county-level. Results: In total, 18,241 medical, 6,387 radiation, and 2,564 surgical oncologists were identified, of which 346 medical, 308 radiation, and 453 surgical oncologists self-identified as H&N specialists. Regression analysis indicated that low household income and lack of insurance within counties significantly increased travel time ( p < .001) after controlling for US region, metro status, cancer rate, and other county-level factors. The disparity index identified counties with highest and lowest disparity (Table 1). Conclusions: Key findings highlight specific counties with higher vulnerability, primarily rural counties in the West and Southeast, and underscores the influence of social vulnerability on access to care. After accounting for US region and metro status, aspects of social vulnerability still predict travel time, with low household income and lack of insurance being the most impactful. Identified disparities in care may provide targets for interventions and policies aimed at reducing access inequalities, such as outreach programs and allocation of resources to underserved areas. [Table: see text]
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Yang, Shuang, Sheling Ye e Haiyan Li. "Comparison of Senior Leisure Activities in China and the United States from the Perspective of Cultural Differences". Wireless Communications and Mobile Computing 2022 (23 de fevereiro de 2022): 1–8. http://dx.doi.org/10.1155/2022/8430490.
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Leisure activities are important in older adults’ life. With the higher mobility and internationalization of population, the leisure behavior and habits of older adults in different countries have become a popular topic among international scholars. This study was to compare the different leisure activities of older adults in two countries—the US and China—to discuss the possible reasons for the differences from traditional and social-cultural aspects. The sample data (192 Chinese aged over 60) was collected in a metropolis in China—Hangzhou—and was compared with data undertaken by Bureau of Labor Statistics (BLS) published in American Time Use Survey (ATUS). We found that older adults in the US and China spend similar daily leisure time on average; watching TV and walking are the most popular choices of indoor and outdoor leisure activities, respectively, by both Americans and Chinese. Surfing the Internet, communicating with others (indoor) and traditional activities (leisure activities from ancient China, like Taiji, sword dancing, etc.), and physical exercises (outdoor) are the second most popular choices of Chinese older adults; while socializing, reading, working out, and using sports technology equipment for outdoor exercising are popular among older adults in the US. Possible reasons for the differences were discussed from individual differences and collectivist cultures, independent and dependent habits, reliance on family, early education, and the value of young mentality versus conservative spirit.
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Sarles, Samantha Emma, Edward C. Hensel e Risa J. Robinson. "Surveillance of U.S. Corporate Filings Provides a Proactive Approach to Inform Tobacco Regulatory Research Strategy". International Journal of Environmental Research and Public Health 18, n.º 6 (16 de março de 2021): 3067. http://dx.doi.org/10.3390/ijerph18063067.
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The popularity of electronic cigarettes in the United States and around the world has led to a startling rise in youth nicotine use. The Juul® e-cigarette was introduced in the U.S. market in 2015 and had captured approximately 13% of the U.S. market by 2017. Unlike many other contemporary electronic cigarette companies, the founders behind the Juul® e-cigarette approached their product launch like a traditional high-tech start-up company, not like a tobacco company. This article presents a case study of Juul’s corporate and product development history in the context of US regulatory actions. The objective of this article is to demonstrate the value of government-curated archives as leading indicators which can (a) provide insight into emergent technologies and (b) inform emergent regulatory science research questions. A variety of sources were used to gather data about the Juul® e-cigarette and the corporations that surround it. Sources included government agencies, published academic literature, non-profit organizations, corporate and retail websites, and the popular press. Data were disambiguated, authenticated, and categorized prior to being placed on a timeline of events. A timeline of four significant milestones, nineteen corporate filings and events, twelve US regulatory actions, sixty-four patent applications, eighty-seven trademark applications, twenty-three design patents and thirty-two utility patents related to Juul Labs and its associates is presented, spanning the years 2004 through 2020. This work demonstrates the probative value of findings from patent, trademark, and SEC filing literature in establishing a premise for emergent regulatory science research questions which may not yet be supported by traditional archival research literature. The methods presented here can be used to identify key aspects of emerging technologies before products actually enter the market; this shifting policy formulation and problem identification from a paradigm of being reactive in favor of becoming proactive. Such a proactive approach may permit anticipatory regulatory science research and ultimately shorten the elapsed time between market technology innovation and regulatory response.
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Glebov, V. V., V. V. Shevtsov e D. N. Efremova. "Armed attacks in educational institutions: social, psychological and informational problems of education security in Russia and abroad". Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, n.º 1 (5 de maio de 2023): 87–99. http://dx.doi.org/10.25016/2541-7487-2023-0-1-87-99.
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Relevance. The history of armed attacks on educational institutions originated in the United States, but in recent decades this social phenomenon has spread widely to other countries, including Russia. Mass social tragedies associated with deaths of the youth cause great concern among all groups of population and require comprehensive prevention measures.The objective of the study is to identify social environmental factors that shape school shooter mentality, as well as to explore various strategies to prevent attacks in educational institutions of different levels (kindergartens, schools, universities).Methods. Armed attacks in educational institutions are the focus of our research. The material includes published research data (articles, dissertations and monographs) in English and Russian. The set of methods included generalizing conclusions published by peer investigators regarding the considered matter. Bibliographic databases (i.e. Federal State Institution “Russian State Library”, library platforms of Lomonosov Moscow State University and Peoples’ Friendship University of Russia) and scientific networks (ResearchGate, Web of Knowledge, Scopus, Google Scholar, Academia.edu, Mendeley) were used to explore research data. The findings present over 127 thousand publications regarding meta-analysis of armed attacks and mass shooting that occurred in educational institutions, as well as their social, psychological, cultural, and informational implications.Results and Discussion. The analysis of data regarding armed attacks in educational institutions demonstrates a very specific phenomenon that belongs to a specific type of crimes. Findings show that mass shootings of schoolchildren and students occur annually in the United States, apparently due to the free circulation of firearms and the cult of the guns. From 1974 to 1921 the US witnesses over 50 major armed attacks causing over a hundred deaths. In China, this problem is also substantial due to the country’s rapid and profound social changes (reforms, gender imbalance and demographic policy). Cold arms (knives, hammers) is the major weapon of assault in China, which caused deaths of at least a hundred children. In Europe, school shooting is not a critical problem, with only few cases reported by a few countries (Germany, Denmark and Finland). Russia shows no increase in the number of armed attacks using firearms or cold arms. In general, such incidents occur annually (1 to 4 violence cases) and are associated with slumped standards of living, increased aggression, social and psychological maladaptation among the population. To solve this problem, an integrated approach is needed, which could bring together technical and social aspects. The technical aspects imply broader use of video surveillance security systems and barriers, as well as regular profound inspections of school grounds (the venue and inside the school building). However, preventive measures should effectively provide for the social aspect to ensure expanded and deeper social and communicative relations within the student – administration / school teacher – parents paradigm. Taken together, these measures are bound o mitigate many factors of antisocial, aggressive, and violent behaviors in schools.Conclusion. A comprehensive analysis of Russian and foreign literature regarding armed attacks in educational institutions suggests that this is an independent psychosocial phenomenon. A system approach of the study allowed to establish a school shooter’s presumable portrait, as well as to identify typical social and personal characteristics of a shooter’s personality (i.e. social isolation; lack of individual ability to cope with life difficulties, such as study failures, conflicts at school or in the family; weak social integration at school and in other communities; decreased self-esteem and identity-related problems, in particular gender-related issues).
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Ahn, Min-hwa. "Community of Comparison: How can Korean and Japanese Films Make their Contemporaneity?" Sookmyung Research Institute of Humanities 15 (31 de outubro de 2023): 51–80. http://dx.doi.org/10.37123/th.2023.15.51.
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Contrary to the perception that the social contexts of post-war Korea and Japan were completely different, there are also aspects of the country that were reorganized in a similar way, because post-war Japan and Korea each concealed colonialism and its legacy through aspects of complicity between the nation-state and American imperialism. In addition, the nation-states of the United States, Korea, and Japan deny this similar collusion and abandon their responsibility to respond to colonial victims. In film culture, these phenomenon are explicitly visible in the genres of liberation melodrama, idea picture, and educational documentaries produced under the US military government control in both Japan and Korea. However, at the same time, there were film cultures in Korea and Japan that expressed alternative, or “colonial differences,” and by comparing them, this article focuses on comparative film studies that emphasizes differences based on the binary opposition of Japan = empire and Korea=colony. Inotherwords,thisshowsthat“colonialdifference”andmemoryare not based on the totality of the nation, but lie on various layers such as gender, diaspora, class, and transnational local. This would be a restoration of contemporaneity between Korea and Japan, where they have responsibility to respond to each other.
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Portacolone, Elena, Jodi halpern, Jay Luxenberg, Krista Harrison e Kenneth Covinsky. "INTRODUCING ARTIFICIAL COMPANIONS TO USERS WITH DEMENTIA IN UNREGULATED MARKETS: OPPORTUNITIES VS. ETHICAL ISSUES". Innovation in Aging 3, Supplement_1 (novembro de 2019): S378. http://dx.doi.org/10.1093/geroni/igz038.1386.
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Abstract Because of the high costs of providing long-term care, artificial companions are increasingly considered an opportunity to provide support to older adults with cognitive impairment while saving costs. Artificial companion can comfort and inform, thus inducing a sense of being in a relationship. Sensors and algorithms usually allow these applications to exude a life-like feel. The explosion of these technologies has created a “cultural lag” between their rapid commercial introduction and the slower evolution of regulations. An outcome of this cultural lag is a tension between the potential of artificial companions to support users and a series of unresolved ethical issues related to the fact that users might lack the capacity to fully understand the implications of using these technologies. Specific challenges of deception, surveillance, consent and social isolation are raised by the introduction of these technologies in users with cognitive impairment. The case study of a sophisticated artificial companion commercially available in the United States lends the opportunity to examine the tension between the potential of this technologies vs. unresolved ethical issues. This companion is an avatar on an electronic tablet that is displayed as a dog or a cat. Whereas artificial intelligence guides most artificial companions, this application is a hybrid of robots and human beings because it also relies on technicians “behind” the on-screen avatar, who via surveillance, interact with users. We conclude with a call to develop regulations promoting artificial companions as “human-driven technologies,” i.e. technologies focused on truly empowering users according to their cognitive abilities.
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Hoerter, Jacob E., Pauline P. Huynh, Abhishek Doshi, Louis McKinnon e Jonathan Liang. "Modern Trends in Nasal Bone Fractures and the Effect of Social Distancing". Journal of Craniofacial Surgery 35, n.º 3 (maio de 2024): 755–59. http://dx.doi.org/10.1097/scs.0000000000009991.
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Objectives: To assess differences in demographics, incidence, and cause of nasal bone fractures (NBFs) between pre–coronavirus disease 2019 (COVID-19) and COVID-19 eras. Methods: The National Electronic Injury Surveillance System was queried for adult NBF. Two sample t tests and Wald χ2 tests were used to identify changes across the 2012 to 2019 period and 2020 to 2021 period (age, sex, race, location, disposition, and product). Results: There was a total of 523,259 (95% CI: 445,082–601,436) emergency department (ED)–treated adult NBFs in the United States. There was a greater incidence of NBF during COVID-19 (61,621 annual cases; 95% CI: 61,572–61,669) compared with pre–COVID-19 (50,773 annual cases; 95% CI: 50,195–51,351; P < 0.01). Fewer patients with NBF were discharged after ED evaluation during COVID-19 (79.46%; 95% CI: 74.45%–83.70%) compared with before (84.41%; 95% CI: 82.36%–86.28%; P = 0.049, t test). During COVID-19, there was a decrease in sport-associated NBFs, such as basketball [2.36% (95% CI: 1.71%–3.27%) versus 5.21% (95% CI: 4.20%–6.45%), P < 0.01] and baseball [1.18% (95% CI: 0.82%–1.69%) versus 2.22% (95% CI: 1.80%–2.74%), P<0.01], but an increase in fall (66.34% versus 75.02%), alcohol (7.04% versus 12.89%), and drug-associated (0.47% versus 5.70%) NBFs (all P < 0.001). Conclusion: A greater incidence of NBFs has been observed since the start of the COVID-19 pandemic without significant changes in sex or race. Nasal bone fractures during COVID-19 were less likely to be related to sports or discharged from the ED and more likely to be associated with drugs and alcohol. Changes in sociobehavioral patterns during these unprecedented times may account for post–COVID-19 NBF etiologic drift. Level of Evidence: Level II—retrospective cohort study.
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Abdelhameed, Adam Mohamed Ahmed, e Kamal Halili Hassan. "Modern Means of Evidence Collection and their Effects on the Accused Privacy: The US Law". Journal of Politics and Law 12, n.º 1 (28 de fevereiro de 2019): 85. http://dx.doi.org/10.5539/jpl.v12n1p85.
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The objective of this article is to discuss modern means of evidence collection by the enforcement agencies and their effects on the accused privacy under the United States’ law. Focus of this article is on the modern means of evidence collection such as electronic surveillance, wiretapping and technology eavesdropping, among others. In the age of modern technology, the objective of revealing the truth and instituting justice has encouraged those with an interest in matters of criminal justice to use modern means beside or instead of the conventional means of evidence collection. Resorting to modern means is premised on the need for criminal proceedings to reflect the circumstances and level of progress of the society where it has been taken. The main problem here however is that there is a possibility of the law enforcement interest in prosecution to be favored and the accused rights to be underrated. We found that at the US federal level, the accused’s privacy right is one of the rights included in the Bill of Rights in 1791 (Fourth Amendment) and supported by many case-law. The article adopts a legal analysis approach which is an accepted form of a qualitative method in social science research.
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Mangono, Tichakunda, Peter Smittenaar, Yael Caplan, Vincent S. Huang, Staci Sutermaster, Hannah Kemp e Sema K. Sgaier. "Information-Seeking Patterns During the COVID-19 Pandemic Across the United States: Longitudinal Analysis of Google Trends Data". Journal of Medical Internet Research 23, n.º 5 (3 de maio de 2021): e22933. http://dx.doi.org/10.2196/22933.
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Background The COVID-19 pandemic has impacted people’s lives at unprecedented speed and scale, including how they eat and work, what they are concerned about, how much they move, and how much they can earn. Traditional surveys in the area of public health can be expensive and time-consuming, and they can rapidly become outdated. The analysis of big data sets (such as electronic patient records and surveillance systems) is very complex. Google Trends is an alternative approach that has been used in the past to analyze health behaviors; however, most existing studies on COVID-19 using these data examine a single issue or a limited geographic area. This paper explores Google Trends as a proxy for what people are thinking, needing, and planning in real time across the United States. Objective We aimed to use Google Trends to provide both insights into and potential indicators of important changes in information-seeking patterns during pandemics such as COVID-19. We asked four questions: (1) How has information seeking changed over time? (2) How does information seeking vary between regions and states? (3) Do states have particular and distinct patterns in information seeking? (4) Do search data correlate with—or precede—real-life events? Methods We analyzed searches on 38 terms related to COVID-19, falling into six themes: social and travel; care seeking; government programs; health programs; news and influence; and outlook and concerns. We generated data sets at the national level (covering January 1, 2016, to April 15, 2020) and state level (covering January 1 to April 15, 2020). Methods used include trend analysis of US search data; geographic analyses of the differences in search popularity across US states from March 1 to April 15, 2020; and principal component analysis to extract search patterns across states. Results The data showed high demand for information, corresponding with increasing searches for coronavirus linked to news sources regardless of the ideological leaning of the news source. Changes in information seeking often occurred well in advance of action by the federal government. The popularity of searches for unemployment claims predicted the actual spike in weekly claims. The increase in searches for information on COVID-19 care was paralleled by a decrease in searches related to other health behaviors, such as urgent care, doctor’s appointments, health insurance, Medicare, and Medicaid. Finally, concerns varied across the country; some search terms were more popular in some regions than in others. Conclusions COVID-19 is unlikely to be the last pandemic faced by the United States. Our research holds important lessons for both state and federal governments in a fast-evolving situation that requires a finger on the pulse of public sentiment. We suggest strategic shifts for policy makers to improve the precision and effectiveness of non-pharmaceutical interventions and recommend the development of a real-time dashboard as a decision-making tool.
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Araújo, Kathleen, e David Shropshire. "A Meta-Level Framework for Evaluating Resilience in Net-Zero Carbon Power Systems with Extreme Weather Events in the United States". Energies 14, n.º 14 (14 de julho de 2021): 4243. http://dx.doi.org/10.3390/en14144243.
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Important changes are underway in the U.S. power industry in the way that electricity is sourced, transported, and utilized. Disruption from extreme weather events and cybersecurity events is bringing new scrutiny to power-system resilience. Recognizing the complex social and technical aspects that are involved, this article provides a meta-level framework for coherently evaluating and making decisions about power-system resilience. It does so by examining net-zero carbon strategies with quantitative, qualitative, and integrative dimensions across discrete location-specific systems and timescales. The generalizable framework is designed with a flexibility and logic that allows for refinement to accompany stakeholder review processes and highly localized decision-making. To highlight the framework’s applicability across multiple timescales, processes, and types of knowledge, power system outages are reviewed for extreme weather events, including 2021 and 2011 winter storms that impacted Texas, the 2017 Hurricane Maria that affected Puerto Rico, and a heatwave/wildfire event in California in August 2020. By design, the meta-level framework enables utility decision-makers, regulators, insurers, and communities to analyze and track levels of resilience safeguards for a given system. Future directions to advance an integrated science of resilience in net-zero power systems and the use of this framework are also discussed.
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Ahmadmehrabi, Shadi, Deborah X. Xie, Bryan K. Ward, Paul C. Bryson e Patrick Byrne. "OHNS Residency Program and Applicant Social Media Presence During the COVID-19 Pandemic". Annals of Otology, Rhinology & Laryngology 130, n.º 8 (16 de janeiro de 2021): 961–65. http://dx.doi.org/10.1177/0003489420987977.
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Objectives: In addition to clinical and social disruption, the Coronavirus Disease 2019 (COVID-19) pandemic has affected many aspects of the otolaryngology residency application process. With delays in the 2021 Electronic Residency Applications Service (ERAS) timeline, students and programs have had more time to interact prior to the formal application process. This communication will report recent trends in social media presence by OHNS residency programs, and discuss mechanisms to compensate for decreased applicant-program interactions using social media ahead of the 2021 Match. Methods: In a cross-sectional study of the accredited otolaryngology residency programs in the United States, the number of social media profiles on Twitter, Instagram, and Facebook from 2009 to 2019 were recorded and compared. Results: Most programs (61%) have at least 1 social media profile. Over the past 10 years, the number of programs on social media has increased. During the COVID-19 pandemic, Twitter and Instagram showed higher rates of growth compared to Facebook. With the reduction of in-person opportunities for interactions, both applicants and programs are utilizing social media to showcase their values and their research. Twitter, in particular, also serves as a platform for professional networking. Conclusion: Both Twitter and Instagram are growing in popularity among programs and applicants to enhance networking. Social media is a powerful tool for networking and may help compensate for limitations imposed on the residency match process by the COVID-19 pandemic while maintaining professionalism considerations. The impact of social media on the 2021 otolaryngology residency match is an evolving phenomenon.
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Ofili, Elizabeth, Laura Schanberg, Barbara Hutchinson, Felix Sogade, Icilma Fergus, Phillip Duncan, Joe Hargrove et al. "The Association of Black Cardiologists (ABC) Cardiovascular Implementation Study (CVIS): A Research Registry Integrating Social Determinants to Support Care for Underserved Patients". International Journal of Environmental Research and Public Health 16, n.º 9 (10 de maio de 2019): 1631. http://dx.doi.org/10.3390/ijerph16091631.
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African Americans, other minorities and underserved populations are consistently under- represented in clinical trials. Such underrepresentation results in a gap in the evidence base, and health disparities. The ABC Cardiovascular Implementation Study (CVIS) is a comprehensive prospective cohort registry that integrates social determinants of health. ABC CVIS uses real world clinical practice data to address critical gaps in care by facilitating robust participation of African Americans and other minorities in clinical trials. ABC CVIS will include diverse patients from collaborating ABC member private practices, as well as patients from academic health centers and Federally Qualified Health Centers (FQHCs). This paper describes the rationale and design of the ABC CVIS Registry. The registry will: (1) prospectively collect socio-demographic, clinical and biospecimen data from enrolled adults, adolescents and children with prioritized cardiovascular diseases; (2) Evaluate the safety and clinical outcomes of new therapeutic agents, including post marketing surveillance and pharmacovigilance; (3) Support National Institutes of Health (NIH) and industry sponsored research; (4) Support Quality Measures standards from the Center for Medicare and Medicaid Services (CMS) and Commercial Health Plans. The registry will utilize novel data and technology tools to facilitate mobile health technology application programming interface (API) to health system or practice electronic health records (EHR). Long term, CVIS will become the most comprehensive patient registry for underserved diverse patients with cardiovascular disease (CVD) and co morbid conditions, providing real world data to address health disparities. At least 10,000 patients will be enrolled from 50 sites across the United States.
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Howes, Jared, Yvonne Denier e Chris Gastmans. "Electronic Tracking Devices for People With Dementia: Content Analysis of Company Websites". JMIR Aging 5, n.º 4 (11 de novembro de 2022): e38865. http://dx.doi.org/10.2196/38865.
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Background Electronic tracking devices, also known as locators, monitors, or surveillance devices, are increasingly being used to manage dementia-related wandering and, subsequently, raising various ethical questions. Despite the known importance technology design has on the ethics of technologies, little research has focused on the companies responsible for the design and development of electronic tracking devices. This paper is the first to perform a qualitative analysis of the ethically related content of the websites of companies that design and develop electronic tracking devices. Objective The aim of this study was to understand how companies that design, develop, and market electronic tracking devices for dementia care frame, through textual marketing content, the vulnerabilities and needs of persons with dementia and caregivers, the way in which electronic tracking devices respond to these vulnerabilities and needs, and the ethical issues and values at stake. Methods Electronic tracking device company websites were identified via a Google search, 2 device recommendation lists (Alzheimer’s Los Angeles and the Canadian Agency for Drugs and Technologies in Health), and the 2 recent reviews of wander management technology by Neubauer et al and Ray et al. To be included, websites must be official representations of companies (not market or third-party websites) developing and selling electronic tracking devices for use in dementia care. The search was conducted on December 22, 2020, returning 199 websites excluding duplicates. Data synthesis and analysis were conducted on the textual content of the included websites using a modified form of the Qualitative Analysis Guide of Leuven. Results In total, 29 websites met the inclusion criteria. Most (15/29, 52%) companies were in the United States. The target audience of the websites was largely caregivers. A range of intertwined vulnerabilities facing persons with dementia and their caregivers were identified, and the companies addressed these via care tools that centered on certain values such as providing information while preserving privacy. Life after device implementation was characterized as a world aspired to that sees increased safety for persons with dementia and peace of mind for caregivers. Conclusions The way electronic tracking device content is currently conveyed excludes persons with dementia as a target audience. In presenting their products as a response to vulnerabilities, particular values are linked to design elements. A limitation of the results is the opaque nature of website content origins. How or when values arise in the process of design, development, and marketing is unknown. Therefore, further research should explore the process companies use to identify vulnerabilities, how values are decided upon and integrated into the design of products, and the perceptions of developers regarding the ethics of electronic tracking devices.
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Gentle, Paul F. "Issues concerning Social Security, Medicare and the national debt". Health Economics and Management Review 4, n.º 2 (2023): 24–30. http://dx.doi.org/10.21272/hem.2023.2-02.
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It happens quite usually that national politicians can regularly speak of limiting Social Security and Medicare in some ways. However, when confronted with enough public scrutiny in general, those politicians who advocate such reductions become less strident in their own comments. Taxes from the Federal Insurance Contributions Act (FICA) provides revenue for the Social Security and Medicare programs. The amount of gathered tax revenue is partially dependent on the payroll FICA tax cap. This article explains how the cap works. Social Security started in 1935, as part of the New Deal. In 1956, insurance to aid disabled people was started. In this article, different aspects of that cap are also examined. In 1965, the Medicare program came into effect. Any temporary surplus of federal funds must be used to hold US Treasury Securities. Starting in Fiscal Year 1969, the United States of America have operated under the law of the Unified Budget Act. This act stipulates that all receipts and outlays of all federal spending be consolidated into a unified budget. Much of these funds will be needed as future retirees receive benefits from the Social Security and Medicare. As that happens, there may be comparatively less US Treasury securities held by the Social Security and Medicare Trust funds. This article shows some of the concerns that the President and Congress face in budget negotiations. In 2017, the rating for long-term US Treasury Securities stayed at AA+ by Standard and Poor’s, a credit rating firm. Both Congress and the US President needed to work together to slow the growth of annual deficits, which adds to the federal debt. Interestingly, two other bond rating firms, Moody’s Investors and Fitch, maintained the bond rating of AAA. It has to be remembered that none of these ratings are permanent. As time goes on, firms that give bonds ratings will keep on analysing those who issues securities, including the US government. Furthermore, not all credit rating agencies agreed with any fall of the credit rating. As to a more recent credit rating, US Treasuries were rated at AAA. The reader should always be cognizant of the fact that ratings can change over time. Such times as occurred in May 2023 (debt ceilings, tax revenues and spending disagreements between the legislative and executive branches) may or may not be contemplated regarding the credit rating of US Treasuries.
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Idris, Idris, e Taufik Rachmat Nugraha. "Does the International Community Have Efforts to Protect the Marine Environment from Seabed Mining?" Sriwijaya Law Review 5, n.º 2 (31 de julho de 2021): 273. http://dx.doi.org/10.28946/slrev.vol5.iss2.1017.pp273-286.
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Through the United Nations, the international community is seriously paying attention to the use of seabed areas as regulated by the Law of the Sea Convention 1982, which states that the area and its resources are the common heritage of humankind. The 1994 Agreement has implemented chapter XI. The resources are relating to the state's interests in terms of energy exploration and environmental impact aspects. An increasing need for global electronic products by many countries in which of the components are rare minerals. Various minerals such as manganese, polymetallic nodules, and polymetallic sulphur are lying down in the seabed. However, seabed also had an essential role in keeping the marine ecosystem balanced. On the one hand, the human's need for those minerals also cannot be denied. Draft of regulations by the International Seabed Authority to manage deep-sea mining are still insufficient to prevent irrevocable damage to the marine ecosystem and loss of essentials species for the next. On the other hand, the spirit of Sustainable Development Goals 14 concerns life underwater. This paper examines deep-sea mining science from a legal perspective to protect and preserve seabed for the future generation using normative approach describing norms and principles in the Law of the Sea Convention 1982. As a result, the commercialisation of deep-sea mining violates the principle of the convention. Thus, it needs to encourage ISA to enhance the minimum requirements for all contracting parties in the future.
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Jones, Erick C., e Ariadna Reyes. "Identifying Themes in Energy Poverty Research: Energy Justice Implications for Policy, Programs, and the Clean Energy Transition". Energies 16, n.º 18 (19 de setembro de 2023): 6698. http://dx.doi.org/10.3390/en16186698.
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Energy poverty affects numerous households across the globe and has several key implications and concerns for public health and social equity. Energy poverty is defined as “the lack of access to modern and affordable energy services”. Individuals or communities in energy poverty face limitations in accessing reliable, affordable, and sustainable energy. This review paper examines a focused subset of recent research on energy poverty highlighted by the “NSF 2026: Priorities and Research Needs for an Equitable Energy Transition” workshop and the United States Department of Energy’s Office of Energy Justice Policy and Analysis to help frame energy poverty’s impacts on policy, poverty alleviation, environmental impact, and social inequity. This review paper uses five themes to organize previous energy poverty work: (1) Energy Poverty and Justice Definitions and Metrics; (2) Behavioral Aspects of Energy Poverty; (3) Efficacy of Energy Assistance Programs; (4) Efficiency of Energy Efficiency Policy; (5) The Energy Transition and Environmental and Energy Justice. We found that the literature examined how comprehensive assessment of energy poverty requires going beyond standard statistics and metrics and must include an understanding of how underserved households interact with energy. We found strong optimism for the clean energy transition’s ability to significantly alleviate energy poverty, but only if policymakers include equity. Finally, we found that while there is plenty of work highlighting deficiencies there is a dearth of work examining successful implementations and how to replicate them which will be needed if the clean energy transition is to match its potential.
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Escobar-Viera, César G., Darren L. Whitfield, Charles B. Wessel, Ariel Shensa, Jaime E. Sidani, Andre L. Brown, Cristian J. Chandler, Beth L. Hoffman, Michael P. Marshal e Brian A. Primack. "For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities". JMIR Mental Health 5, n.º 3 (23 de julho de 2018): e10496. http://dx.doi.org/10.2196/10496.
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Background Over 90% of adults in the United States have at least one social media account, and lesbian, gay, and bisexual (LGB) persons are more socially active on social media than heterosexuals. Rates of depression among LGB persons are between 1.5- and 2-fold higher than those among their heterosexual counterparts. Social media allows users to connect, interact, and express ideas, emotions, feelings, and thoughts. Thus, social media use might represent both a protective and a risk factor for depression among LGB persons. Studying the nature of the relationship between social media use and depression among LGB individuals is a necessary step to inform public health interventions for this population. Objective The objective of this systematic review was to synthesize and critique the evidence on social media use and depression among LGB populations. Methods We conducted a literature search for quantitative and qualitative studies published between January 2003 and June 2017 using 3 electronic databases. Articles were included if they were peer-reviewed, were in English, assessed social media use either quantitatively or qualitatively, measured depression, and focused on LGB populations. A minimum of two authors independently extracted data from each study using an a priori developed abstraction form. We assessed appropriate reporting of studies using the Strengthening the Reporting of Observational Studies in Epidemiology and the Consolidated Criteria for Reporting Qualitative Research for quantitative and qualitative studies, respectively. Results We included 11 articles in the review; 9 studies were quantitative and cross-sectional and 2 were qualitative. Appropriate reporting of results varied greatly. Across quantitative studies, we found heterogeneity in how social media use was defined and measured. Cyberbullying was the most studied social media experience and was associated with depression and suicidality. Qualitative studies found that while social media provides a space to disclose minority experiences and share ways to cope and get support, constant surveillance of one’s social media profile can become a stressor, potentially leading to depression. In most studies, sexual minority participants were identified inconsistently. Conclusions This review supports the need for research on the role of social media use on depression outcomes among LBG persons. Using social media may be both a protective and a risk factor for depression among LGB individuals. Support gained via social media may buffer the impact of geographic isolation and loneliness. Negative experiences such as cyberbullying and other patterns of use may be associated with depression. Future research would benefit from more consistent definitions of both social media use and study populations. Moreover, use of larger samples and accounting for patterns of use and individuals’ experiences on social media may help better understand the factors that impact LGB mental health disparities.
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Thapa, Rahul, Anurag Garikipati, Sepideh Shokouhi, Myrna Hurtado, Gina Barnes, Jana Hoffman, Jacob Calvert, Lynne Katzmann, Qingqing Mao e Ritankar Das. "Predicting Falls in Long-term Care Facilities: Machine Learning Study". JMIR Aging 5, n.º 2 (1 de abril de 2022): e35373. http://dx.doi.org/10.2196/35373.
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Background Short-term fall prediction models that use electronic health records (EHRs) may enable the implementation of dynamic care practices that specifically address changes in individualized fall risk within senior care facilities. Objective The aim of this study is to implement machine learning (ML) algorithms that use EHR data to predict a 3-month fall risk in residents from a variety of senior care facilities providing different levels of care. Methods This retrospective study obtained EHR data (2007-2021) from Juniper Communities’ proprietary database of 2785 individuals primarily residing in skilled nursing facilities, independent living facilities, and assisted living facilities across the United States. We assessed the performance of 3 ML-based fall prediction models and the Juniper Communities’ fall risk assessment. Additional analyses were conducted to examine how changes in the input features, training data sets, and prediction windows affected the performance of these models. Results The Extreme Gradient Boosting model exhibited the highest performance, with an area under the receiver operating characteristic curve of 0.846 (95% CI 0.794-0.894), specificity of 0.848, diagnostic odds ratio of 13.40, and sensitivity of 0.706, while achieving the best trade-off in balancing true positive and negative rates. The number of active medications was the most significant feature associated with fall risk, followed by a resident’s number of active diseases and several variables associated with vital signs, including diastolic blood pressure and changes in weight and respiratory rates. The combination of vital signs with traditional risk factors as input features achieved higher prediction accuracy than using either group of features alone. Conclusions This study shows that the Extreme Gradient Boosting technique can use a large number of features from EHR data to make short-term fall predictions with a better performance than that of conventional fall risk assessments and other ML models. The integration of routinely collected EHR data, particularly vital signs, into fall prediction models may generate more accurate fall risk surveillance than models without vital signs. Our data support the use of ML models for dynamic, cost-effective, and automated fall predictions in different types of senior care facilities.
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Coronado, Gloria D., Andrea Burnett-Hartman, Jeffrey Lee, Carmit McMullen, Carolyn Rutter, Mary Ann McBurnie, Christine Neslund-Dudas e John Carethers. "Abstract A011: Building a data resource to advance research on early-onset colorectal cancer: The consortium for research on early-onset colorectal cancer (CREO)". Cancer Research 82, n.º 23_Supplement_1 (1 de dezembro de 2022): A011. http://dx.doi.org/10.1158/1538-7445.crc22-a011.
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Abstract Introductory sentence indicating purpose of the study: Over the last three decades, incidence of colorectal cancer (CRC) has risen steadily among people younger than age 50 (early-onset) in many developed countries, including the United States. More information is needed about the causes of early-onset CRC and novel, pragmatic interventions are needed to ensure rapid identification of early-onset CRC cases through timely screening and symptoms detection. Brief description of pertinent experimental procedures: The Consortium for Research on Early-Onset Colorectal Cancer (CREO) is a partnership among scientists and clinicians at four data-contributing health systems: Kaiser Permanente Northwest, Kaiser Permanente Northern California, and Kaiser Permanente Colorado, and Henry Ford Health. CREO plans to assemble a novel cohort of 8 million adults (including 3,200 early-onset CRC cases diagnosed from 2010 through 2025) encompassing electronic health record, survey, and biospecimen data to conduct research that will identify and estimate the impact of approaches to rapidly detect early-onset CRC through screening and clinical practice. Using electronic health record data from our participating health systems, we identified individuals diagnosed with CRC between 2010 and 2020. Here, we describe demographic and tumor characteristics of individuals with CRC in this cohort, and compare those to national data obtained from the Surveillance, Epidemiology, and End-Results program for the years 2012 – 2016. Summary of the new, unpublished data: We identified 15,884 adults with CRC (1,932 with early-onset CRC and 13,912 with late-onset CRC) in the four participating CREO health systems. Individuals with early-onset CRC in the CREO cohort were non-Hispanic White (54%), Hispanic (18%), Asian-American (14%), and African American/Black (9%). The proportion of CREO cohort adults with early-onset CRC was 12%; this matched the proportion in the population-based SEER data. The proportion of diagnosed CRC cases located in the rectum was 29% in both the CREO cohort and in SEER data. Anatomic location for the remaining tumors varied slightly between the CREO cohort and SEER data: in CREO data, 22% were proximal colon cancers, and 31% were distal colon cancers; in SEER data, and 29% were proximal and 22% were distal. Statement of the conclusions: Our findings show that CREO’s assembled cohort of electronic health record data from multiple large health systems matches several key aspects of population-based data from SEER. Through CREO, we plan to create a comprehensive, multi-level dataset of a new, racially and ethnically diverse cohort of 8 million adults in order to elucidate factors associated with the alarming rise in early-onset CRC and identify interventions to ensure rapid identification and secondary prevention of early-onset CRC. Citation Format: Gloria D. Coronado, Andrea Burnett-Hartman, Jeffrey Lee, Carmit McMullen, Carolyn Rutter, Mary Ann McBurnie, Christine Neslund-Dudas, John Carethers. Building a data resource to advance research on early-onset colorectal cancer: The consortium for research on early-onset colorectal cancer (CREO) [abstract]. In: Proceedings of the AACR Special Conference on Colorectal Cancer; 2022 Oct 1-4; Portland, OR. Philadelphia (PA): AACR; Cancer Res 2022;82(23 Suppl_1):Abstract nr A011.
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Filijović, Marko, e Dušan Proroković. "SWOT analysis of Russian Arctic strategy: Military aspect". Nacionalni interes 45, n.º 2 (2023): 45–63. http://dx.doi.org/10.5937/nint45-44866.
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Climate change has induced global warming, which resulted in the rapid melting of the northern ice CAP in the last decade and a half. In addition to allowing the vast resources stored in the area to eventually become available for exploitation, it also made the northern borders of the Arctic coastal states exposed to potential attack. Aware of this, Russia, the United States of America, Canada, Denmark, Norway, Sweden, Iceland and Finland have begun the process of militarization of the region. In this paper, the authors focused on Russia's military activities in the High North, and the SWOT matrix was used for their analysis. Accordingly, the main goal of the work was to determine the main strengths, weaknesses, opportunities and threats that characterize Russian military engagement in the aforementioned area. The analysis showed that the massive presence of infrastructure and military personnel form the backbone of Russian military power in the mentioned area. Within this context, missile systems (hypersonic and other), which are technologically superior to those possessed by the competition, are of particular importance. The absence of a significant presence of NATO military forces in the given area and the strengthening of military cooperation with the Chinese in the Arctic are a chance for Russia to further strengthen its position. On the other hand, the analysis also showed that Russian military activism in the area around the North Pole is characterized by certain weaknesses. The inconsistency of the development of the military component with the economic, social and other aspects of power projection in the region represents the most important one. Apart from leading to an uneven development of the overall potential in the Russian part of the Arctic and thereby preventing the implementation of an integral strategy, it simultaneously makes it difficult to carry out planning and operational military activities, primarily because it causes the emergence of logistical and other gaps. In addition to the above, the condition of a part of the Russian military equipment is also an obvious weakness. It is not at a satisfactory level, which, among other things, is evidenced by frequent accidents related to this issue. With this in mind, climate change is also a relevant factor. They caused the melting of the ice sheet, which throughout history served as a natural shield of the northern Russian borders. With its disappearance, those borders become more open to attack by potential aggressors, at the same time complicating the protection of the Northern Sea Route. The main threat for Russia, according to the analytical matrix, is the announced expansion of NATO. Namely, if Sweden and Finland join that military alliance, the border between Russia and NATO will double. Given that the two Scandinavian countries were militarily neutral for many years, the Russians had no need to build massive defense capabilities along the dividing line with Finland, nor to significantly protect their strategic installations on the Kola Peninsula from a potential threat that could threaten them from that direction. However, if the circumstances change, Kremlin will face obvious problems. These problems primarily refer to the absence of military infrastructure along the mentioned border, but also to the shortcomings related to civilian capacities in the said area, which directly or indirectly hinder the logistical functioning of the army. Nevertheless, if the circumstances change, Kremlin will face obvious problems. The authors conclude that Kremlin should undertake the uniform development of all Arctic potentials, in order for Russia to maintain its position as the leading nation in the region. Only in this way protection of borders and security of resources would be at an optimal level, both in peacetime and in conditions of armed conflict.
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Saber, Ibrahim, Maragatha Kuchibhatla, Alys Adamski, Lisa C. Richardson, Nimia Reyes, Karon Abe, Michele G. Beckman et al. "Cancer- Associated Venous Thromboembolism (VTE) Characteristics in Blacks Compared to Whites in Durham County, North Carolina". Blood 134, Supplement_1 (13 de novembro de 2019): 3652. http://dx.doi.org/10.1182/blood-2019-132034.
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Introduction: Venous thromboembolism (VTE), defined as deep vein thrombosis (DVT), pulmonary embolism (PE), or both, represents a major cause of morbidity and mortality in patients with cancer. VTE is the second leading cause of death in patients with cancer, after cancer itself, in the United States. Previous studies have suggested differences by race in the occurrence of VTE among cancer patients. The purpose of this study was to investigate clinical differences in black and white patients with VTE and cancer. Methods: We conducted an analysis of a CDC/Duke VTE surveillance project at the three hospitals in Durham County, North Carolina (Duke University Hospital, Duke Regional Hospital and the Durham VA Medical Center) from April 2012 through March 2014. A combination of electronic and manual review methods were used to identify unique Durham County residents with new diagnoses of objectively confirmed VTE. Data abstracted included demographics, risk factors including cancer, clinical data, treatment, and outcomes. Results: A total of 1028 patients with a new VTE were identified during the surveillance period. Twenty-seven patients who were not black or white (e.g., race not listed; Asian; etc), and 41 with VTE affecting areas other than PE or limb DVT (e.g., cerebral sinus venous thrombosis) were excluded from this analysis. Of the remaining 960 patients, slightly more than half were female (497/960=51.8%), more than half were black (508/960=52.9%), almost a third were obese (337/960 = 35.1%), and median age was 59 years old. At the time of their VTE diagnosis, 184 patients with VTE (19.2%) had active cancer, defined as metastatic or diagnosed within the previous 6 months. The proportion of VTE associated with cancer varied by race. Among the 508 black patients with VTE, 111 (21.9%) had active cancer; in comparison, among the 452 white patients with VTE, 73 (16.1%) had active cancer (p-value=0.025). Black patients with VTE and cancer were older, had a lower body mass index (BMI), and were less likely to have sustained a prior VTE compared to black patients with VTE who did not have cancer (Table 1). Similarly, white patients with VTE and cancer had a lower BMI than white patients without cancer (Table 1). However, in contrast to the findings for black patients, white patients with VTE and cancer were not significantly older and did not show differences in having a prior VTE than white patients with VTE who did not have cancer. Additionally, white patients with VTE and cancer were much more likely to have sustained a PE, with or without DVT, and less likely to have sustained a DVT alone, than white patients with VTE who did not have cancer (Table 1). Black and white patients with both VTE and cancer, were similar in several aspects; however, white patients were less likely to have sustained a DVT alone and more likely to have sustained a PE, with or without DVT, compared to black patients. The types of cancer most frequently encountered in black patients with VTE were gastrointestinal (24.3%), genitourinary (23.4%), and lung (18.9%), followed by breast (8.1%), gynecologic (9.0%) and hematologic malignancies (9.9%). The types of cancer most frequently encountered in white patients with VTE were lung (27.4%), breast (16.4%), and gastrointestinal (13.7%), followed by genitourinary (9.6%), gynecologic (8.2%) and hematologic malignancies (6.8%). Black and white patients with VTE and cancer were treated similarly to black and white patients with VTE who did not have cancer, with most receiving anticoagulant therapy and fewer than 10% receiving an IVC filter (Table 1). Enoxaparin was used most frequently, followed by warfarin. Conclusions: There are several notable demographic and clinical differences between patients with VTE with and without cancer. While differences were observed for both black and white patients, several factors that were variable according to cancer status were unique to either black patients or white patients. One notable difference between black and white patients with both VTE and cancer was a lower proportion of DVT only and a higher proportion of PE, with or without DVT, in white patients. Disclosures Ortel: Instrumentation Laboratories: Consultancy.
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Martin Ramirez, J., e Camilla Pagani. "Editorial: Towards a Better Understanding of Aggression and Other Related Concepts". Open Psychology Journal 8, n.º 1 (30 de janeiro de 2015): 1–2. http://dx.doi.org/10.2174/1874350101508010001.
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This special issue entitled “Towards a better understanding of aggression and other related concepts” is a product of the XXXVII CICA International Conference co-organized by two Polish universities: Kazimierz Wielki University of Bydgoszcz and the University of Zielona Góra. It took place from the 22 to the 25 June, 2014 and was attended by about 100 participants from 16 countries [1]. The aim of the Conference was to study the phenomena of aggression and conflict resolution using a comprehensive, integrated and interdisciplinary approach which takes into account both biological and psycho-socio-cultural factors. Several communications dealing with emotions, including anger and fear, and others with behaviors such as aggression, violence and terrorism, have been selected for this issue. A Southafrican practitioner, Tina Lindhard, specialized in transpersonal psychology, suggests that maybe it is time we start studying emotions including anger and fear from "the inside out" by including phenomenology as a method to throw more light on how we experience these states in or through our bodies. Furthermore, she presents the "Living Matrix" model, which owes its origin to Quantum Mechanics and Electronic Biology, as a new complementary way of understanding how the living organism functions [2]. The Italian scholar Dr. Pagani stresses the complexity of violence, presented as a macrosystem of networks and of agents linked and interacting at different interconnected levels. She points out to the difficulty of defining violence, referring it not only to the explorations of the connections between systems taken from different research fields, but also to the theoretical premises and to the aims of the research. She argues that this “holistic” approach could allow a deeper understanding of violence and could lead towards more innovative and effective solutions to the problem of violence itself [3]. Dr. Ramirez, who has dedicated several decades of his research to the analysis of the justification of aggression from a cross-cultural approach across four continents, evaluates the applicability of a specific test (CAMA) in a new cultural context, assessing the structural equivalence of the data obtained in two different German age cohorts with the data previously investigated across the other cultures. Some adaptations concerning the assessment and theoretical models of the justification of aggressive actions in the German cultural context are being discussed [4]. Two academic colleagues from the University of Zielona Góra, Dr. Farnicka & Dr. Grzegorzewska, focus on some more practical aspects of aggression research, if we may say that, leading towards its prevention or therapy in children and adolescents. These Polish psychologists identify and analyse the family determinants for undertaking the aggressor or victim role. The results of their study reveal a number of determinants for people involved in perpetration or victimization, such as the type of relationship with parents (secure or insecure pattern), personal experience of being in the victim or aggressor role, and the level of hostility [5]. Finally, the first president of the Society for Terrorism Research, Dr. LoCicero, recounts some concerns raised by American psychologists, both earlier, in the years following September 11, 2001 (9/11), and more recent changes in the US policy, leading towards the risk for the USA of becoming a police state. According to her paper, engaging in open discussion about the failings of the American policy, the sometimes legitimate grievances of terrorist groups, and the draw of violence as a solution, is likely to put sincere and innocent adults at risk of becoming targets of intensive surveillance and suspicion [6]. It is thus clear that the discussion on aggression and other related concepts is here carried out from various scientific perspectives, which include traditional experimental psychology with a special focus on the role of family relationships and cultural factors, social and political psychology with a special focus on the role of State policies, and other theoretical perspectives which try to integrate their psychological framework with contributions from western and eastern philosophy, the neurosciences, biology, quantum physics, and complexity theory.
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Shah, Saeedullah, Farhat Hamid, Jaehanzeb Malik e Erum Jhumra. "THE NEED FOR OPTIMUM NUTRITIONAL STRATEGIES FOR CARDIOVASCULAR HEALTH IN PAKISTANI POPULATION". Pakistan Heart Journal 55, n.º 1 (25 de março de 2022): 1–3. http://dx.doi.org/10.47144/phj.v55i1.2271.
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The cardiometabolic health spectrum that encompasses atherosclerotic cardiovascular disease (ASCVD), dysglycemia, hypertension, diabetes, dyslipidemia, and their sequelae are associated with several contributing factors, including high caloric intake and poor-quality diet.1 ASCVD and diabetes are closely associated, and both are increasing worldwide, particularly in the developing world.2 Pakistan is part of the South Asian subcontinent with a high prevalence of ASCVD and diabetes. Besides many other factors, the composition, quality, and quantity of the food consumed in the South Asian subcontinent appear to play a significant role in the manifestation of these diseases.3 Pakistan has an extensive array of geographical regions, ethnicities, and cultures that determine their dietary patterns and lifestyle choices.4 When compared with India, Pakistani food has always been based on more animal proteins.5 Recent socioeconomic growth and exposure to other cultures, particularly the Western and Middle Eastern influence have affected Pakistan’s dietary patterns.6 Food choices have become more energy-dense with higher calories and high-fat content, including excessive use of saturated and trans-fat containing ingredients.7 The non-communicable diseases (NCDs) risk factor survey showed that 96.5% of the participants were consuming an unhealthy diet.6 The variety of food choices together with increasing use of sugar-sweetened carbonated and non-carbonated beverages and lack of physical activity has led to an overall increase in the body weight and prevalence of obesity in society over the last two to three decades. These factors have resulted in a significant rise in the incidence of cardio-metabolic diseases.2 More importantly, these new trend has affected our younger population with the onset of diabetes and ASCVD at an earlier age.7-9 Most of the research on nutrition, dietary patterns, and their association with CVD has been conducted in developed and resource-rich populations.10 Specific diets that are associated with better cardiovascular morbidity and mortality include the Mediterranean style, Dietary Approaches to Stop Hypertension (DASH) style, Healthy US-Style, and healthy vegetarian style diets.11-13 The guidelines on diet and nutrition for cardiovascular health from the major societies (AHA/ACC, European Society of Cardiology) are mostly based upon the data from the above mentioned dietary styles.14 Pakistan lacks applied nutritional guidelines that can be adapted for our general and patient populations. A valuable resource, Pakistan Dietary Guidelines for Better Nutrition (PDGN) was published by the Ministry of Planning, Government of Pakistan 2019 However; it is not formally incorporated into guidelines for our medical societies or resulted in meaningful governmental policies.15 Therefore, there is an urgent need to address the lack of framework on nutrition for Pakistani population. Not only a review and improvement in our diet is required, other aspects of primary and secondary prevention related to lifestyle modification need also to be incorporated. This necessitates a need to develop a national policy to focus on all aspects of improving cardiovascular health and to address the issues related to the advertisement of unhealthy food choices on electronic and print media. This approach has been taken up by the developed world with significant results in health for their populations.16 There has been a gradual reduction in smoking and consumption of fast food through national policies and promotion of measures such as availability of food labeling, reduction of trans fat content in the food, and encouragement of exercise and physical activity through the availability of playing areas, cycling routes and sports in schools.8,9 Similarly, a more recent change in imposing a tax levy on sugar-sweetened beverages has improved the uptake of sugar-free carbonated drinks.17 Comprehensive diet and nutrition policies and guidelines must be developed, with the participation of all the stakeholders, at a national level and endorsed by the Government, and to fully resource the implementation across Pakistan. National guidelines on diet and nutrition must be based on a deeper understanding of the geographical, cultural, social, and economic situation of Pakistan. There are huge wealth inequalities in Pakistan leading to pockets of the population where there is an abundance of unhealthy foods consumed due to the adoption of Western style fast-food choices. More epidemiological and scientific work is required to learn the extent of the problem, particularly the role of our current diet as a causative factor in cardio metabolic diseases specific to the Pakistani population. Working closely with the education sector to build nutritional and healthy lifestyle advice into the core curriculum would allow access to a significant proportion of the population. This will accentuate the critical role of initiating heart-healthy dietary habits early in life. Given the limitations of resources available, we must adopt and incorporate innovative and novel solutions to influence and educate our local population based on consistent standard guidelines. For example, social media and IT-based solutions are being utilised to educate and follow up participants in the HEAL-Ramadan and COMET-Health Programmes. A majority of our population has access to information through either social media or mass media (electronic and print). The use of this approach is found to be cost-effective, easily reproducible, and less labor-intensive for public health education, a very important aspect of lifestyle measures programs. For inclusivity, we must also explore education interventions for parts of the Pakistan population for which an electronic-based program may not be suitable. A clinical review in the next quarter’s issue of Pakistan Heart Journal and a position paper later in the year on this subject will further highlight this important aspect of cardiovascular health. Our current editorial provides an outline and syntax for future work in this important area. We propose that the framework provided should be deliberated and discussed with other key stakeholders to develop comprehensive national guidelines incorporating the input from the relevant quarters. Furthermore, dietary guidelines must form an essential aspect of primary and secondary management of the cardio-metabolic disease spectrum and must include other facets of lifestyle measures, such as optimal body mass index, exercise, and cessation of smoking in the population. References Wu JHY, Micha R, Mozaffarian D. Dietary fats and cardiometabolic disease: mechanisms and effects on risk factors and outcomes. Nat Rev Cardiol. 2019;16(10):581-601. Kapoor D, Iqbal R, Singh K, Jaacks LM, Shivashankar R, Sudha V, et al. Association of dietary patterns and dietary diversity with cardiometabolic disease risk factors among adults in South Asia: The CARRS study. Asia Pac J Clin Nutr. 2018;27(6):1332-43. Barolia R, Petrucka P, Higginbottom GA, Khan FFS, Clark AM. Motivators and Deterrents to Diet Change in Low Socio-Economic Pakistani Patients with Cardiovascular Disease. Glob Qual Nurs Res. 2019;6:2333393619883605. Mahal DG, Matsoukas IG. The Geographic Origins of Ethnic Groups in the Indian Subcontinent: Exploring Ancient Footprints with Y-DNA Haplogroups. Front Genet. 2018;9:4. Safdar NF, Bertone-Johnson E, Cordeiro L, Jafar TH, Cohen NL. Dietary patterns of Pakistani adults and their associations with sociodemographic, anthropometric and life-style factors. J Nutr Sci. 2014;2:e42. Rafique I, Saqib MAN, Munir MA, Qureshi H, Rizwanullah, Khan SA, et al. Prevalence of risk factors for noncommunicable diseases in adults: key findings from the Pakistan STEPS survey. East Mediterr Health J. 2018;24(1):33-41. Sadia A, Strodl E, Khawaja NG, Kausar R, Cooper MJ. Understanding eating and drinking behaviours in Pakistani university students: A conceptual model through qualitative enquiry. Appetite. 2021;161:105133. Iqbal R, Iqbal SP, Yakub M, Tareen AK, Iqbal MP. Major dietary patterns and risk of acute myocardial infarction in young, urban Pakistani population. Pak J Med Sci. 2015;31(5):1213-8. Titus AR, Kalousova L, Meza R, Levy DT, Thrasher JF, Elliott MR, Lantz PM, Fleischer NL. Smoke-Free Policies and Smoking Cessation in the United States, 2003-2015. Int J Environ Res Public Health. 2019;16(17):3200. Anton S, Ezzati A, Witt D, McLaren C, Vial P. The effects of intermittent fasting regimens in middle-age and older adults: Current state of evidence. Exp Gerontol. 2021;156:111617. Lichtenstein AH, Appel LJ, Vadiveloo M, Hu FB, Kris-Etherton PM, Rebholz CM, et al. 2021 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation. 2021;144(23):e472-e87. Kim RJ, Lopez R, Snair M, Tang A. Mediterranean diet adherence and metabolic syndrome in US adolescents. Int J Food Sci Nutr. 2021;72(4):537-47. Harnden KE, Frayn KN, Hodson L. Dietary Approaches to Stop Hypertension (DASH) diet: applicability and acceptability to a UK population. J Hum Nutr Diet. 2010;23(1):3-10. Ferraro RA, Fischer NM, Xun H, Michos ED. Nutrition and physical activity recommendations from the United States and European cardiovascular guidelines: a comparative review. Curr Opin Cardiol. 2020;35(5):508-16. Iqbal R, Tahir S, Ghulamhussain N. The need for dietary guidelines in Pakistan. J Pak Med Assoc. 2017;67(8):1258-61. Cámara M, Giner RM, González-Fandos E, López-García E, Mañes J, Portillo MP, et al. Food-Based Dietary Guidelines around the World: A Comparative Analysis to Update AESAN Scientific Committee Dietary Recommendations. Nutrients. 2021;13(9):3131. Teng AM, Jones AC, Mizdrak A, Signal L, Genç M, Wilson N. Impact of sugar-sweetened beverage taxes on purchases and dietary intake: Systematic review and meta-analysis. Obes Rev. 2019;20(9):1187-204.
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Waugh, Sheldon G., e Sara B. Mullaney. "Progress towards Companion Animal Zoonotic Disease Surveillance in the U.S. Army". Online Journal of Public Health Informatics 11, n.º 1 (30 de maio de 2019). http://dx.doi.org/10.5210/ojphi.v11i1.9888.
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ObjectiveWe assesed the feasibility of a zoonotic disease surveillance system through the current EHR (ROVR) for all POAs and GOAs. Additionally, we conducted a retrospective observational study querying and collecting reported zoonoses of interest, for 2017.IntroductionDogs, cats and other companion animals have played an integral role in many aspects of human life. Human and companion animal (CAs) interactions have a wide range of benefits to human health1–3. The threat of zoonotic transmission between CAs and humans is exacerbated by proximity (56% of dog owners and 62% of cat owners sleep with their animal next to them4) and the number of diseases CAs share with humans. Many of these highlighted zoonoses are spread by direct contact, and others are vector-transmitted (e.g., fleas, ticks, flies, and mosquitos). Within the realm of the One-Health concept, CAs can serve multiple roles in zoonotic transmission chains between humans and animals. They can serve as intermediate hosts between wildlife reservoirs and humans, or as possible sentinel or proxy species for emerging diseases5. Given the large number of CAs within the United States (estimated 72 million pet dogs, 81 million pet cats), understanding and preventing the diseases prevalent in CA populations is of utmost importance.Biosurveillance is a critical component of One Health initiatives including zoonotic disease mitigation and control. As Lead Service for Veterinary Animal and Public Health Services, the Army has a responsibility to champion biosurveillance efforts to support One Health initiatives, improving Servicemember, family, and retiree health across the Joint Force. Additionally, with military personnel experiencing apparent increased rates of job-reducing ailments such as diarrheal, bacterial and viral disease6–8, it is essential that the Army focus on maximizing their operational potential by minimizing the amount of time personnel are sick from these transmissible diseases and observing potential sources of infection. By observing the zoonotic disease burden in privately owned (POAs) and government-owned (GOAs) animals, public health investigators can increase focus on what transmittable diseases are at greatest risk of being spread from companion animals to military personnel.To address this potential source of infection, the Department of Defense (DoD) sought and continues to seek to establish a centralized and integrated veterinary zoonotic surveillance system to provide Commanders with a clear picture of disease burden9. With this assigned responsibility, the Army Veterinary Service (VS) seeks to centralize and enhance surveillance efforts through the Remote Online Veterinary Record (ROVR) Electronic Health Record (EHR), an enterprise web-based application to support the Army VS, accurately establishing a zoonotic epidemiological baseline and sustaining consistent future reporting.MethodsThrough a requested effort and proof of concept, the Army Public Health Center’s (APHC) One Health Division tested the feasibility of a zoonotic disease surveillance system through the current EHR (ROVR) for all POAs and GOAs. We obtained one year (2017) worth of zoonotic encounters of interest through ROVR, querying a population of roughly 202,000 animals (n=202,217). We conducted a retrospective observational study comparing reported zoonoses of interest between CA populations. Maximum Likelihood Estimations of frequency detailed comparisons of frequency and prevalence between GOAs and POAs, within the ROVR EHR. Additionally, we evaluated the accuracy of surveillance data queried, proposed potential metrics and dashboards for commanders and stakeholders to easily observe zoonotic burden of companion animals and developed potential courses of action for future tools, collaborations, and educational interventions.ResultsOf the 512 collected zoonotic encounters, Giardia and Hookworm were the two most prevalent zoonoses overall, with 4.23 and 5.43 cases per 10,000 outpatient visits (OPVs), respectively. We observed a significant differential frequency of Giardia and Hookworm between GOAs and POAs (63% (CI: 54.6-71.4) vs 12.7% (CI: 9.7-16.1) and 2.5% (CI: 0.1-5.9) vs 41.9% (CI: 37.1-46.8) of all queried zoonotic diseases of interest, respectively). In addition to back-end database and querying improvements, we suggested the development of an educational intervention based at Army First-Year Graduate Veterinary Education program (FYGVE) locations to emphasize the important benefits of capturing zoonotic diseases of interest correctly, early stages in the clinical experience. The intervention would focus on increasing accurate data capture with the ultimate goal of a phased regional rollout through education and collaboartive buy-in.ConclusionsFrom these results and recent CDC guidance of data-driven surveillance, we’ve proposed a phased surveillance development plan focused on systematic data collection, collaboration, and evaluation. Our idenfitied overexpressed zoonoses will focus our efforts on tracking Giardia and Hookworm through multi-year trends. This assessment and proof of concept allows for illumination of gaps and limitations within the Army VS to effectively track the zoonotic burden of GOA and POA populations. Our current and future work will look to close surveillance gaps and help identify potential routes of transmission from companion animals to humans.References1. Edney AT. Companion animals and human health: an overview. J R Soc Med. 1995 Dec;88(12):704p-708p.2. Wells DL. The Effects of Animals on Human Health and Well-Being. Journal of Social Issues. 2009 Sep 1;65(3):523–43.3. O’Haire M. Companion animals and human health: Benefits, challenges, and the road ahead. Journal of Veterinary Behavior: Clinical Applications and Research. 2010 Sep 1;5(5):226–34.4. Krahn LE, Tovar MD, Miller B. Are Pets in the Bedroom a Problem? Mayo Clinic Proceedings. 2015 Dec 1;90(12):1663–5.5. Day MJ, Breitschwerdt E, Cleaveland S, Karkare U, Khanna C, Kirpensteijn J, et al. Surveillance of Zoonotic Infectious Disease Transmitted by Small Companion Animals. Emerg Infect Dis. 2012 Dec;18(12):e1.6. Cook GC. Influence of diarrhoeal disease on military and naval campaigns. J R Soc Med. 2001 Feb 1;94(2):95–7.7. Sanchez JL, Gelnett J, Petruccelli BP, Defraites RF, Taylor DN. Diarrheal disease incidence and morbidity among United States military personnel during short-term missions overseas. The American journal of tropical medicine and hygiene. 1998;58(3):299–304.8. Russell KL, Hawksworth AW, Ryan MAK, Strickler J, Irvine M, Hansen CJ, et al. Vaccine-preventable adenoviral respiratory illness in US military recruits, 1999–2004. Vaccine. 2006 Apr 5;24(15):2835–42.9. Richardson TR. DoD Directive 6400.04E: DoD Veterinary Public and Animal Health Services [Internet]. Monterey, California. Naval Postgraduate School; 2000 [cited 2017 Jul 26]. Available from: http://calhoun.nps.edu/handle/10945/9216
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Chaparro‐Buitrago, Julieta. "Sterilizing body‐territories: Understanding contemporary cases of forced sterilization in the United States and China". Feminist Anthropology, 23 de fevereiro de 2024. http://dx.doi.org/10.1002/fea2.12135.
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AbstractIn the summer of 2020, shocking headlines reverberated across global media outlets, revealing harrowing stories of forced sterilizations and reproductive abuses committed against Uighurs in China and immigrant women in the United States. The simultaneity of these events sheds light on essential aspects of a transnational order characterized by mass surveillance and detention, a defining feature of diverse contemporary political regimes. This article explores how reproductive violence intertwines with systems of detention and mass surveillance through these two cases. I do so by weaving together the decolonial feminist framework of body‐territory and the principles of reproductive justice that allow for a nuanced examination of how the control of the reproductive lives of Uighur and immigrant women reinforce the mechanisms of exclusion and surveillance embedded in state infrastructures. The demand for the right to bear children and to parent them under dignified conditions, free from violence, is increasingly pressing in a world where reproduction has become an instrument of surveillance and containment. This article engages in an ethnographic exploration of electronic paper trails, adopting what Geiger and Ribes aptly termed “trace ethnography.”
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Hartwell, Micah, Amy Hendrix-Dicken, Rachel Terry, Sadie Schiffmacher, Lauren Conway e Julie M. Croff. "Trends and forecasted rates of adverse childhood experiences among adults in the United States: an analysis of the Behavioral Risk Factor Surveillance System". Journal of Osteopathic Medicine, 22 de março de 2023. http://dx.doi.org/10.1515/jom-2022-0221.
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Abstract Context Many studies have shown increases in negative social aspects in the United States that may increase the likelihood of a child experiencing adversity. These rising trends include household dysfunction, poor mental health and substance use, crime rates, and incarceration. Additionally, the pathway of adverse childhood experiences (ACEs) may also perpetuate intergenerational trauma. Objectives Given these increased trends, our objective was to determine the mean ACEs reported among adults by year of birth to assess trends of ACEs over time. Methods To assess ACEs trends in the United States, we utilized data from the 2020 Behavioral Risk Factor Surveillance System (BRFSS), a nationally representative survey. We summed individuals’ reported ACEs and then calculated the mean ACE score within age cohorts (in 1-year increments) by year of birth. We utilized an auto-regressive integrated moving average (ARIMA) model to forecast mean ACEs through 2030. Results Respondents to the ACEs module (n=116,378) represented 63,076,717 adults in the United States, with an average age cohort of 1715 individuals. The mean reported ACEs among individuals 80 years or older (born in or before 1940) was 0.79, while the highest mean ACEs (2.74) were reported among the cohort born in 1998—an average increase of 0.022 ACEs per year. The ARIMA model forecasted that individuals born in 2018 will, on average, surpass a cumulative of three ACEs. Conclusions Given the connection of ACEs to poor health outcomes and quality of life, this trend is alarming and provides evidence for the necessity of child maltreatment prevention. Multigenerational trauma-informed care and education are warranted for individuals with ACEs and may even prevent the cycle from recurring.
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Giabbanelli, Philippe J., Ketra L. Rice, Nisha Nataraj, Margaret M. Brown e Christopher R. Harper. "A systems science approach to identifying data gaps in national data sources on adolescent suicidal ideation and suicide attempt in the United States". BMC Public Health 23, n.º 1 (1 de abril de 2023). http://dx.doi.org/10.1186/s12889-023-15320-8.
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Abstract Background Suicide is currently the second leading cause of death among adolescents ages 10–14, and third leading cause of death among adolescents ages 15–19 in the United States (U.S). Although we have numerous U.S. based surveillance systems and survey data sources, the coverage offered by these data with regard to the complexity of youth suicide had yet to be examined. The recent release of a comprehensive systems map for adolescent suicide provides an opportunity to contrast the content of surveillance systems and surveys with the mechanisms listed in the map. Objective To inform existing data collection efforts and advance future research on the risk and protective factors relevant to adolescent suicide. Methods We examined data from U.S. based surveillance systems and nationally-representative surveys that included (1) observations for an adolescent population and (2) questions or indicators in the data that identified suicidal ideation or suicide attempt. Using thematic analysis, we evaluated the codebooks and data dictionaries for each source to match questions or indicators to suicide-related risk and protective factors identified through a recently published suicide systems map. We used descriptive analysis to summarize where data were available or missing and categorized data gaps by social-ecological level. Results Approximately 1-of-5 of the suicide-related risk and protective factors identified in the systems map had no supporting data, in any of the considered data sources. All sources cover less than half the factors, except the Adolescent Brain Cognitive Development Study (ABCD), which covers nearly 70% of factors. Conclusions Examining gaps in suicide research can help focus future data collection efforts in suicide prevention. Our analysis precisely identified where data is missing and also revealed that missing data affects some aspects of suicide research (e.g., distal factors at the community and societal level) more than others (e.g., proximal factors about individual characteristics). In sum, our analysis highlights limitations in current suicide-related data availability and provides new opportunities to identify and expand current data collection efforts.
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Diab, Ramon Salim. "Becoming-Infrastructure: Datafication, Deactivation and the Social Credit System". Journal of Critical Library and Information Studies 1, n.º 1 (31 de janeiro de 2017). http://dx.doi.org/10.24242/jclis.v1i1.19.
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How might critical library and information studies analyze the intersection of information infrastructure and class structure? The emergence of big data through "datafication" rests on the historical process of information and communication technology (ICT) production and distribution. This paper explores the concept of datafication as an integrated component of information infrastructures unfolding within the class structures of capitalism. A critical realist perspective on relational sociology is offered to illustrate how heterogenous data sources are combined and configured to activate materials and bodies into new internal economic class relations of control. My analysis of datafication therefore moves beyond isolated conceptions of "information" and toward the capacity of distributed data sources to extend and deepen class structures. Two recent large scale cases of datafication are analyzed to highlight its causal powers within class structured society. The first case is drawn from a New York Times article concerning the subprime automobile loan market in the United States. The article details the installation of surveillance technologies into the vehicles of people segmented by low credit scores as a condition of exchange for subprime loans. As a result of this exchange, surveillance technologies capture borrower's driving behaviors and locations in real-time data flows. These data flows are analyzed according to interest bearing payment regimes, rendering both vehicle and borrower as manageable assets while conferring onto lenders the power of remote automobile deactivation. This suggests datafication of driving behaviour produces new implications for class conditions when such data are integrated with the structures of the subprime market. The second case detailed in several news articles examines the plan for a large scale top-down cybernetic behavioural programming initiative by the Chinese government termed the "social credit system," built from digital traces of multiple economic and non-economic social behaviours of its citizens. While aspects of this system are currently voluntary, they are expected to become mandatory within five years. Ubiquitous surveillance of digital activity never before combined into a predictive and prescriptive score may be considered a nation-wide disciplinary subsumption of social activity under novel valuation algorithms, integrating previously unwatched or irrelevant external activities into new internal relations determinative of class structured possibilities. The plan for a social credit system appears driven toward developing a seamlessly interconnected national behavioural identity for every Chinese citizen, which may produce structural implications for pre-existing class conditions. I suggest these cases are examples of the need for library and information studies to engage critically with the emerging causal powers of information infrastructures theorized here as deepening capitalism's control of class structures.
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Peacock, James E., David M. Herrington, Sharon L. Edelstein, Austin L. Seals, Ian D. Plumb, Sharon Saydah, William H. Lagarde et al. "Survey of Adherence with COVID-19 Prevention Behaviors During the 2020 Thanksgiving and Winter Holidays Among Members of the COVID-19 Community Research Partnership". Journal of Community Health, 12 de agosto de 2021. http://dx.doi.org/10.1007/s10900-021-01021-z.
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AbstractPrevention behaviors represent important public health tools to limit spread of SARS-CoV-2. Adherence with recommended public health prevention behaviors among 20000 + members of a COVID-19 syndromic surveillance cohort from the mid-Atlantic and southeastern United States was assessed via electronic survey following the 2020 Thanksgiving and winter holiday (WH) seasons. Respondents were predominantly non-Hispanic Whites (90%), female (60%), and ≥ 50 years old (59%). Non-household members (NHM) were present at 47.1% of Thanksgiving gatherings and 69.3% of WH gatherings. Women were more likely than men to gather with NHM (p < 0.0001). Attending gatherings with NHM decreased with older age (Thanksgiving: 60.0% of participants aged < 30 years to 36.3% aged ≥ 70 years [p-trend < 0.0001]; WH: 81.6% of those < 30 years to 61.0% of those ≥ 70 years [p-trend < 0.0001]). Non-Hispanic Whites were more likely to gather with NHM than were Hispanics or non-Hispanic Blacks (p < 0.0001). Mask wearing, reported by 37.3% at Thanksgiving and 41.9% during the WH, was more common among older participants, non-Hispanic Blacks, and Hispanics when gatherings included NHM. In this survey, most people did not fully adhere to recommended public health safety behaviors when attending holiday gatherings. It remains unknown to what extent failure to observe these recommendations may have contributed to the COVID-19 surges observed following Thanksgiving and the winter holidays in the United States.