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BMJ Open Nov 2023Culture is highlighted in previous research as important in encounters where health professionals and children do not share a language or culture. In these encounters,...
INTRODUCTION
Culture is highlighted in previous research as important in encounters where health professionals and children do not share a language or culture. In these encounters, culture is described as mainly related to the child, whereas the health professionals' understanding of their own culture as impacting the encounter tends to be left out. To clarify how culture is understood and conceptualised among professionals, it is of relevance to collate previous research on health professionals' understanding of culture. In the scoping review that this protocol describes, we aim to focus on the context of the school health services, being a context accessible to many children in their everyday life. The aim of the review will be to identify, describe and analyse previous research concerning school health professionals' (ie, school nurses, school social workers, school doctors and school psychologists) understanding of culture.
METHODS AND ANALYSIS
This scoping review will be guided by the methodology described by Peters and Khalil . Searches will be conducted in Scopus, PubMed, Cinahl Plus, SocIndex, Sociological Abstracts, Social Services Abstracts, APA PsycInfo, APA PsycArticles, Web of Science and Applied Social Sciences Index & Abstracts (ASSIA). Any published scientific papers focusing on school health professionals' understanding of culture (conceptualised through a variety of related terms) and school health services conducted within the last 10 years (2013-2023) will be included. Two reviewers will independently screen all titles and abstracts for inclusion. Two reviewers will conduct the screening of full-text documents and the extraction of information. Qualitative content analysis as well as discourse analysis will be employed.
ETHICS AND DISSEMINATION
Ethical approval is not required for this study. The findings will be disseminated through peer review publication as well as presentation at conferences and to relevant stakeholders.
Topics: Child; Humans; School Health Services; Peer Review; Health Personnel; Social Work; Schools; Research Design; Review Literature as Topic
PubMed: 38000829
DOI: 10.1136/bmjopen-2023-077134 -
Open Research Europe 2023The purpose of the ESCAPE Open-source Software and Service Repository (OSSR) is to provide a central location for the dissemination and use of trusted open-source...
PURPOSE
The purpose of the ESCAPE Open-source Software and Service Repository (OSSR) is to provide a central location for the dissemination and use of trusted open-source software in the fields of astronomy, astroparticle physics, and particle physics. The repository allows users to easily access and download tools and services developed within the community, and to contribute their own tools and services.
METHODS
The ESCAPE project has set up a curated repository of software that provides tools and an environment to make it easy for users to find and download the software and services that they need. The repository is regularly updated and is maintained by a curation board, ensuring that the software and services are reliable and up-to-date. The curation and onboarding process makes the OSSR a trustworthy source of software that can be used for scientific analysis. The software included in the repository must include documentation and instructions and follow a set of modern best practices in software development. Training is provided to students and researchers to help them provide high-quality scientific software following modern software development practices.
OUTCOME
The OSSR currently contains a wide range of software and services, including those for data management, data analysis, and machine learning. These tools and services are used by researchers and other users around the world. The OSSR has proven to be an effective means for disseminating and providing open-source software and services developed by the ESCAPE project partners and welcomes contributions from the entire community.
PubMed: 38264265
DOI: 10.12688/openreseurope.15692.2 -
The Journal of Mental Health Policy and... Dec 2023In the US, much of the research into new intervention and delivery models for behavioral health care is funded by research institutes and foundations, typically through... (Review)
Review
BACKGROUND
In the US, much of the research into new intervention and delivery models for behavioral health care is funded by research institutes and foundations, typically through grants to develop and test the new interventions. The original grant funding is typically time-limited. This implies that eventually communities, clinicians, and others must find resources to replace the grant funding -otherwise the innovation will not be adopted. Diffusion is challenged by the continued dominance in the US of fee-for-service reimbursement, especially for behavioral health care.
AIMS
To understand the financial challenges to disseminating innovative behavioral health delivery models posed by fee-for-service reimbursement, and to explore alternative payment models that promise to accelerate adoption by better addressing need for flexibility and sustainability.
METHODS
We review US experience with three specific novel delivery models that emerged in recent years. The models are: collaborative care model for depression (CoCM), outpatient based opioid treatment (OBOT), and the certified community behavioral health clinic (CCBHC) model. These examples were selected as illustrating some common themes and some different issues affecting diffusion. For each model, we discuss its core components; evidence on its effectiveness and cost-effectiveness; how its dissemination was funded; how providers are paid; and what has been the uptake so far.
RESULTS
The collaborative care model has existed for longest, but has been slow to disseminate, due in part to a lack of billing codes for key components until recently. The OBOT model faced that problem, and also (until recently) a regulatory requirement requiring physicians to obtain federal waivers in order to prescribe buprenorphine. Similarly, the CCBHC model includes previously nonbillable services, but it appears to be diffusing more successfully than some other innovations, due in part to the approach taken by funders.
DISCUSSION
A common challenge for all three models has been their inclusion of services that were not (initially) reimbursable in a fee-for-service system. However, even establishing new procedure codes may not be enough to give providers the flexibility needed to implement these models, unless payers also implement alternative payment models.
IMPLICATIONS FOR HEALTH CARE PROVISION AND USE
For providers who receive time-limited grant funding to implement these novel delivery models, one key lesson is the need to start early on planning how services will be sustained after the grant ends.
IMPLICATIONS FOR HEALTH POLICY
For research funders (e.g., federal agencies), it is clearly important to speed up the process of obtaining coverage for each novel delivery model, including the development of new billable service codes, and to plan for this as early as possible. Funders also need to collaborate with providers early in the grant period on sustainability planning for the post-grant environment. For payers, a key lesson is the need to fold novel models into stable existing funding streams such as Medicaid and commercial insurance coverage, rather than leaving them at the mercy of revolving time-limited grants, and to provide pathways for contracting for innovations under new payment models.
IMPLICATIONS FOR FURTHER RESEARCH
For researchers, a key recommendation would be to pay greater attention to the payment environment when designing new delivery models and interventions.
Topics: United States; Humans; Fee-for-Service Plans; Medicaid; Ambulatory Care Facilities
PubMed: 38113385
DOI: No ID Found -
Entropy (Basel, Switzerland) Jul 2023With the advent of cloud computing and social multimedia communication, more and more social images are being collected on social media platforms, such as Facebook,...
With the advent of cloud computing and social multimedia communication, more and more social images are being collected on social media platforms, such as Facebook, TikTok, Flirk, and YouTube. The amount of social images produced and disseminated is rapidly increasing. Meanwhile, cloud computing-assisted social media platforms have made social image dissemination more and more efficient. There exists an unstoppable trend of fake/unauthorized social image dissemination. The growth of social image sharing underscores potential security risks for illegal use, such as image forgery, malicious copying, piracy exposure, plagiarism, and misappropriation. Therefore, secure social image dissemination has become urgent and critical on social media platforms. The authors propose a secure scheme for social image dissemination on social media platforms. The main objective is to make a map between the tree structure Haar (TSH) transform and the hierarchical community structure of a social network. First, perform the TSH transform on a social image using social network analysis (SNA). Second, all users in a social media platform are coded using SNA. Third, watermarking and encryption are performed in a compressed domain for protecting social image dissemination. Finally, the encrypted and watermarked contents are delivered to users via a hybrid multicast-unicast scheme. The use of encryption along with watermarking can provide double protection for social image dissemination. The theory analysis and experimental results demonstrate the effectiveness of the proposed scheme.
PubMed: 37509978
DOI: 10.3390/e25071031 -
BMJ Open Dec 2023While ensuring appropriate growth is essential for all children, optimising nutritional status in children with cystic fibrosis (CF) is critical for improving health...
INTRODUCTION
While ensuring appropriate growth is essential for all children, optimising nutritional status in children with cystic fibrosis (CF) is critical for improving health outcomes. Nutritional challenges in CF are multifactorial and malnutrition is common. While gastrostomy tubes (G-tubes) can improve weight status in individuals with CF, they also have common and chronic complications resulting in clinical equipoise. To date, factors influencing G-tube decision-making among caregivers of children with CF have not been systematically explored. This review aims to chart existing knowledge about caregivers' decisional needs related to G-tube placement, with a focus on caregivers of children with CF, as well as known medical and psychosocial benefits and risks of G-tube feedings in paediatric care.
METHODS AND ANALYSIS
This scoping review will follow the JBI methodological framework. We will include articles published between 1 January 1985 and 1 November 2023 in English and Spanish from MEDLINE (Ovid), Embase, CINAHL, PsycInfo, Cochrane Database of Systematic Reviews and Web of Science related to G-tube decision-making. Articles published in languages besides English and Spanish will be excluded. Articles will be screened for final eligibility and inclusion according to title and abstract, followed by full texts. Articles will be independently reviewed by two reviewers and any disagreements discussed with a third reviewer for consensus. We will map themes and concepts, and data extracted will be presented in tabular, diagrams and descriptive summaries.
ETHICS AND DISSEMINATION
As a form of secondary analysis, scoping reviews do not require ethics approval. This review will inform future research with caregivers involved in G-tube decision-making for children with CF. The final review will be submitted to a peer-reviewed scientific journal, disseminated at relevant academic conferences and will be shared with patients and clinicians.
TRIAL REGISTRATION NUMBER
Center for Open Science. https://osf.io/g4pdb.
Topics: Child; Humans; Gastrostomy; Cystic Fibrosis; Caregivers; Systematic Reviews as Topic; Consensus; Research Design; Review Literature as Topic
PubMed: 38149423
DOI: 10.1136/bmjopen-2023-076539 -
Cureus Nov 2023Health dialogue plays a pivotal role in sustaining rural communities by enhancing help-seeking behaviors (HSBs). This article delves deep into how family physicians...
Health dialogue plays a pivotal role in sustaining rural communities by enhancing help-seeking behaviors (HSBs). This article delves deep into how family physicians accentuate the efficacy of rural health dialogues, prompting rural citizens to evaluate and adapt their current HSBs critically. Establishing a foundation of trust in rural family physicians significantly influences the motivation for refined HSBs. Additionally, such engagements optimize the application of limited healthcare resources. For these outcomes to be realized, family physicians must amplify their communication and leadership abilities, and confront the inherent challenges of disseminating contemporary medical evidence in rural domains.
PubMed: 38060724
DOI: 10.7759/cureus.48380 -
Cancer Causes & Control : CCC Sep 2023Partnerships between researchers and community members and organizations can offer multiple benefits for research relevance and dissemination. The goal of this project...
PURPOSE
Partnerships between researchers and community members and organizations can offer multiple benefits for research relevance and dissemination. The goal of this project was to build infrastructure to create bidirectional relationships between University of Wisconsin Carbone Cancer Center (UWCCC) researchers and community educators in the Division of Extension, which connects the knowledge and resources of the university to communities across the state.
METHODS
This project had three aims: (1) create linkages with Extension; (2) establish an in-reach program to educate and train researchers on the science of Community Outreach and Engagement (COE); and (3) identify and facilitate collaborative projects between scientists and communities. Survey and focus group-based needs assessments were completed with both researchers and Extension educators and program activity evaluations were conducted.
RESULTS
Most Extension educators (71%) indicated a strong interest in partnering on COE projects. UWCCC faculty indicated interest in further disseminating their research, but also indicated barriers in connecting with communities. Outreach webinars were created and disseminated to community, a "COE in-reach toolkit" for faculty was created and a series of "speed networking" events were hosted to pair researchers and community. Evaluations indicated the acceptability and usefulness of these activities and supported continuation of collaborative efforts.
CONCLUSION
Continued relationship and skill building, along with a sustainability plan, is critical to support the translation of basic, clinical, and population research to action in the community outreach and engagement context. Further incentives for faculty should be explored for the recruitment of basic scientists into community engagement work.
Topics: Humans; Surveys and Questionnaires; Research Personnel; Neoplasms; Community-Institutional Relations; Program Evaluation
PubMed: 37247136
DOI: 10.1007/s10552-023-01725-8 -
BMJ Open Dec 2023Four years after the devastating Ebola outbreak, governments in West Africa were quick to implement non-pharmaceutical interventions (NPIs) in response to the rapid...
INTRODUCTION
Four years after the devastating Ebola outbreak, governments in West Africa were quick to implement non-pharmaceutical interventions (NPIs) in response to the rapid spread of SARS-CoV-2. The NPIs implemented included physical distancing, closure of schools and businesses, restrictions on public gatherings and mandating the use of face masks among others. In the absence of widely available vaccinations, NPIs were the only known means to try to slow the spread of COVID-19. While numerous studies have assessed the effectiveness of these NPIs in high-income countries, less is known about the processes that lead to the adoption of policies and the factors that influence their implementation and adherence in low-income and middle-income countries. The objective of this scoping review is to understand the extent and type of evidence in relation to the policy formulation, decision-making and implementation stages of NPIs in West Africa.
METHODS AND ANALYSIS
A scoping review will be undertaken following the guidance developed by Arskey and O'Malley, the Joanna Briggs Institute (JBI) methodology for scoping reviews and the PRISMA guidelines for Scoping Reviews. Both peer-reviewed and grey literature will be searched using Web of Science, Embase, Scopus, APA PsycInfo, WHO Institutional Repository for Information Sharing, JSTOR and Google Advanced Search, and by searching the websites of the WHO, and the West African Health Organisation. Screening will be conducted by two reviewers based on inclusion and exclusion criteria, and data will be extracted, coded and narratively synthesised.
ETHICS AND DISSEMINATION
We started this scoping review in May 2023, and anticipate finishing by April 2024. Ethics approval is not required since we are not collecting primary data. This protocol was registered at Open Science Framework (https://osf.io/gvek2/). We plan to disseminate this research through publications, conference presentations and upcoming West African policy dialogues on pandemic preparedness and response.
Topics: Humans; COVID-19; SARS-CoV-2; Pandemics; Academies and Institutes; Africa, Western; Research Design; Systematic Reviews as Topic; Review Literature as Topic
PubMed: 38072480
DOI: 10.1136/bmjopen-2023-079810 -
BioRxiv : the Preprint Server For... Jun 2024Granulomas are defined by the presence of organized layers of immune cells that include macrophages. Granulomas are often characterized as a way for the immune system to...
Granulomas are defined by the presence of organized layers of immune cells that include macrophages. Granulomas are often characterized as a way for the immune system to contain an infection and prevent its dissemination. We recently established a mouse infection model where induces the innate immune system to form granulomas in the liver. This response successfully eradicates the bacteria and returns the liver to homeostasis. Here, we sought to characterize the chemokines involved in directing immune cells to form the distinct layers of a granuloma. We use spatial transcriptomics to investigate the spatial and temporal expression of all CC and CXC chemokines and their receptors within this granuloma response. The expression profiles change dynamically over space and time as the granuloma matures and then resolves. To investigate the importance of monocyte-derived macrophages in this immune response, we studied the role of CCR2 during infection. mice had negligible numbers of macrophages, but large numbers of neutrophils, in the -infected lesions. In addition, lesions had abnormal architecture resulting in loss of bacterial containment. Without CCR2, bacteria disseminated and the mice succumbed to the infection. This indicates that macrophages are critical to form a successful innate granuloma in response to .
PubMed: 38352492
DOI: 10.1101/2024.01.30.577927 -
Research Involvement and Engagement Jul 2023Integrated knowledge translation (IKT) is a partnered approach to research that aims to ensure research findings are applied in practice and policy. IKT can be used...
INTRODUCTION
Integrated knowledge translation (IKT) is a partnered approach to research that aims to ensure research findings are applied in practice and policy. IKT can be used during diffusion and dissemination of research findings. However, there is a lack of understanding how an IKT approach can support the diffusion and dissemination of research findings. In this study, we documented and described the processes and outcomes of an IKT approach to diffusing and disseminating the findings of consensus recommendations for conducting spinal cord injury research.
METHODS
Communication of the IKT Guiding Principles in two phases: a diffusion phase during the first 102 days from the manuscript's publication, followed by a 1147 day active dissemination phase. A record of all inputs was kept and all activities were tracked by monitoring partnership communication, a partnership tracking survey, a project curriculum vitae, and team emails. Awareness outcomes were tracked through Google Analytics and a citation-forward search. Awareness includes the website accesses, the number of downloads, and the number of citations in the 29 month period following publication.
RESULTS
In the diffusion period, the recommendations were viewed 60 times from 4 different countries, and 4 new downloads. In the dissemination period, the recommendations were viewed 1109 times from 39 different countries, 386 new downloads, and 54 citations. Overall, during dissemination there was a 17.5% increase in new visitors to the website a month and a 95.5% increase in downloads compared to diffusion.
CONCLUSION
This project provides an overview of an IKT approach to diffusion and dissemination. Overall, IKT may be helpful for increasing awareness of research findings faster; however, more research is needed to understand best practices and the the impact of an IKT approach on the diffusion and dissemination versus a non-partnered approach.
PubMed: 37438787
DOI: 10.1186/s40900-023-00462-1