-
Journal of the American Academy of... Sep 2023For over a century, the plain radiograph has been used to measure and predict the development of pediatric hip conditions. Classic measurements, such as the acetabular... (Review)
Review
For over a century, the plain radiograph has been used to measure and predict the development of pediatric hip conditions. Classic measurements, such as the acetabular index, the center-edge angle, and the migration percentage, have stood the test of time and remain the default tools for any pediatric orthopaedic surgeons. However, in contemporary research, the terminology regarding these measurements has become markedly inconsistent. A substantial number of synonyms, acronyms, and similar, but not identical, terms are used to label measurements. This is perhaps unsurprising, considering decades of use and numerous suggested modifications. The results of treatment cannot be reliably compared if the measured parameters are not identical, and scientific analysis of disease requires consistent terminology. In this review, we aim both to provide historical definitions and identification of radiographic landmarks commonly used in three parameters of interest on pediatric AP radiographs and to examine the variability of landmarks and definitions in contemporary research.
Topics: Humans; Child; Names; Pelvis; Acetabulum; Orthopedic Surgeons; Orthopedics
PubMed: 37734040
DOI: 10.5435/JAAOSGlobal-D-23-00120 -
SAHARA J : Journal of Social Aspects of... Dec 2021This paper explores how HIV-positive (young male initiates) undergoing (traditional Xhosa initiation and circumcision) engage with HIV-related biomedical care and...
'If you are found taking medicine, you will be called names and considered less of a man': young men's engagement with HIV treatment and care during ulwaluko (traditional initiation and circumcision) in the Eastern Cape Province of South Africa.
This paper explores how HIV-positive (young male initiates) undergoing (traditional Xhosa initiation and circumcision) engage with HIV-related biomedical care and treatment. Health-focused life history narratives ( = 36), semi-structured interviews ( = 32) and analysis of health facility files ( = 41) with adolescent boys and young men (ages 13-24) living with HIV, and semi-structured interviews with traditional and biomedical health practitioners ( = 14) were conducted in 2017 and 2018. This research was part of the Mzantsi Wakho study, a longitudinal, mixed methods study of adolescents living with HIV ( = 1060). Findings demonstrate that ulwaluko rules of not engaging with biomedical care and treatment pose a challenge for initiates who are taking chronic medicine. Fears of inadvertent disclosure of their HIV-positive status collide with the pressure to successfully complete ulwaluko in order to be legitimised as men. In response to this dilemma, they engage a variety of strategies - including taking medicine in secret by hiding them, having a trusted person deliver them discretely, and stopping medicine-taking altogether. The three months following ulwaluko also pose a challenge in accessing biomedical treatment and care. In this time of high surveillance, (new men) do not present at health facilities for fear of being thought to have had a botched circumcision or to have contravened 'manhood rules' and left ulwaluko before having healed properly. To get around this, those who continued taking medicine engaged caregiver pick-ups. Beyond suggesting that ulwaluko is a high-risk time for disengagement from biomedical treatment and care, this paper builds on a robust scholarship on the importance of locality and context in gender and health research. It documents the creativity, agency and resilience of initiates and their families as they subvert and re-signify health-related masculine norms.
Topics: Adolescent; Adult; Circumcision, Male; Disclosure; Gender Identity; HIV Infections; Humans; Male; South Africa; Young Adult
PubMed: 33847253
DOI: 10.1080/17290376.2021.1894225 -
Journal of the International... Jan 2022The relevance of the episodic memory in the prediction of brain aging is well known. The Face Name Associative Memory Exam (FNAME) is a valued associative memory measure...
OBJECTIVE
The relevance of the episodic memory in the prediction of brain aging is well known. The Face Name Associative Memory Exam (FNAME) is a valued associative memory measure related to Alzheimer's disease (AD) biomarkers, such as amyloid-β deposition preclinical AD individuals. Previous validation of the Spanish version of the FNAME test (S-FNAME) provided normative data and psychometric characteristics. The study was limited to subjects attending a memory clinic and included a reduced sample with gender inequality distribution. The purpose of this study was to assess S-FNAME psychometric properties and provide normative data in a larger independent sample of cognitively healthy individuals.
METHOD
S-FNAME was administered to 511 cognitively healthy volunteers (242 women, aged 41-65 years) participating in the Barcelona Brain Health Initiative cohort study.
RESULTS
Factor analysis supported construct validity revealing two underlying components: face-name and face-occupation and explaining 95.34% of the total variance, with satisfactory goodness of fit. Correlations between S-FNAME and Rey Auditory-Verbal Learning Test were statistically significant and confirmed its convergent validity. We also found weak correlations with non-memory tests supporting divergent validity. Women showed better scores, and S-FNAME was positively correlated with education and negatively with age. Finally, we generated normative data.
CONCLUSIONS
The S-FNAME test exhibits good psychometric properties, consistent with previous findings, resulting in a valid and reliable tool to assess episodic memory in cognitively healthy middle-aged adults. It is a promising test for the early detection of subtle memory dysfunction associated with abnormal brain aging.
Topics: Adult; Alzheimer Disease; Cohort Studies; Female; Humans; Memory; Middle Aged; Names; Neuropsychological Tests
PubMed: 33749568
DOI: 10.1017/S1355617721000084 -
Ageing Research Reviews Dec 2021Alzheimer's disease (AD) represents a major health and societal issue; there is no treatment to date and the pathophysiological mechanisms underlying this disease are... (Review)
Review
Alzheimer's disease (AD) represents a major health and societal issue; there is no treatment to date and the pathophysiological mechanisms underlying this disease are not well understood. Yet, there is hope that AD risk factors and thus the number of AD cases can be significantly reduced by prevention measures based on lifestyle modifications as targeted by non-pharmacological preventive interventions. So far, these interventions have rarely targeted the psycho-affective risk factors related to depression, stress, anxiety, and feeling of loneliness, which are all prevalent in ageing. This paper presents the hypothesis that the regular practice of mindfulness meditation (MM) and loving-kindness and compassion meditation (LKCM) in the ageing population constitutes a lifestyle that is protective against AD. In this model, these practices can promote cognition, mental health, and well-being by strengthening attention control, metacognitive monitoring, emotion regulation and pro-social capacities. Training these capacities could reduce the risk of AD by upregulating beneficial age-related factors such as cognitive reserve, and down-regulating detrimental age-related factors, such as stress, or depression. As an illustration, we present the Medit-Ageing study (public name Silver Santé Study), an on-going European project that assesses the impact and mechanisms of non-pharmacological interventions including meditation, in the ageing population.
Topics: Aging; Cognition; Empathy; Humans; Meditation; Mindfulness
PubMed: 34718153
DOI: 10.1016/j.arr.2021.101495 -
Journal of Cognitive Neuroscience Dec 2019Rapid identification of a familiar face requires an image-invariant representation of person identity. A varying sample of familiar faces is necessary to disentangle...
Rapid identification of a familiar face requires an image-invariant representation of person identity. A varying sample of familiar faces is necessary to disentangle image-level from person-level processing. We investigated the time course of face identity processing using a multivariate electroencephalography analysis. Participants saw ambient exemplars of celebrity faces that differed in pose, lighting, hairstyle, and so forth. A name prime preceded a face on half of the trials to preactivate person-specific information, whereas a neutral prime was used on the remaining half. This manipulation helped dissociate perceptual- and semantic-based identification. Two time intervals within the post-face onset electroencephalography epoch were sensitive to person identity. The early perceptual phase spanned 110-228 msec and was not modulated by the name prime. The late semantic phase spanned 252-1000 msec and was sensitive to person knowledge activated by the name prime. Within this late phase, the identity response occurred earlier in time (300-600 msec) for the name prime with a scalp topography similar to the FN400 ERP. This may reflect a matching of the person primed in memory with the face on the screen. Following a neutral prime, the identity response occurred later in time (500-800 msec) with a scalp topography similar to the P600f ERP. This may reflect activation of semantic knowledge associated with the identity. Our results suggest that processing of identity begins early (110 msec), with some tolerance to image-level variations, and then progresses in stages sensitive to perceptual and then to semantic features.
Topics: Adult; Discrimination, Psychological; Electroencephalography; Evoked Potentials; Face; Female; Humans; Male; Multivariate Analysis; Names; Pattern Recognition, Visual; Recognition, Psychology; Semantics; Temporal Lobe; Young Adult
PubMed: 31368824
DOI: 10.1162/jocn_a_01453 -
Der Nervenarzt Oct 2022Some 90 years after the beginning of the Nazi regime, the German Neurological Society (DGN) commissioned an investigation into the extent to which persecution,... (Review)
Review
Some 90 years after the beginning of the Nazi regime, the German Neurological Society (DGN) commissioned an investigation into the extent to which persecution, expulsion and extermination during the "Third Reich" also affected neurologists. In total, the biographies of 61 mostly Jewish physicians and scientists, of whom more than 70% were members of the neurological association of the time, could be analyzed. Most of them emigrated, a few remained in Germany or Austria despite persecution, and nine died in the Holocaust or by suicide. The racistically motivated expulsion affected all age groups, especially those who were 30-60 years old in "middle" positions. In close connection with Nazi legislation, three waves of emigration can be distinguished (1933-1934, 1935-1937, 1938-1939) and the clearly preferred destination country was the USA (64.7%). Younger age, knowledge of a universal language, reliable family and academic connections as well as internationally recognized publications, could make it easier to start a career in the country of exile. It was not uncommon for those who were involved in neurological fields before emigration to turn to basic science or psychiatry afterwards. The general "brain-drain"/"brain gain" hypothesis must be expanded by analyses on the biographical microlevel in order to illustrate the difficulties emigrants encountered when trying to start a new career and to publicize a sometimes unsuccessful acculturation. Not a single neurologist returned to Germany and, as far as can be assessed, any compensation, if at all was low. The critical assessment of the racistically motivated persecution between 1933 and 1945 can today be an occasion for the DGN and its members to reflect on collegiality as a value as well as to become more aware of structurally related discrimination and injustice and to counteract it in a timely manner.
Topics: Adult; Emigration and Immigration; Eponyms; Germany; History, 20th Century; Humans; Language; Middle Aged; National Socialism; Neurologists
PubMed: 36197484
DOI: 10.1007/s00115-022-01328-9 -
JAMA Dermatology Feb 2021
Topics: Dermatologists; Dermatology; History, 20th Century; History, 21st Century; Humans; Names
PubMed: 33237302
DOI: 10.1001/jamadermatol.2020.4570 -
Ophthalmic & Physiological Optics : the... May 2021To assess the diversity of leadership bodies of member organisations of the International Council of Ophthalmology (ICO) and the World Council of Optometry (WCO) in...
PURPOSE
To assess the diversity of leadership bodies of member organisations of the International Council of Ophthalmology (ICO) and the World Council of Optometry (WCO) in terms of: (1) the proportion who are women in all world regions, and (2) the proportion who are ethnic minority women and men in Eurocentric high-income regions.
METHODS
We undertook a cross-sectional study of board members and chairs of ICO and WCO member organisations using a desk-based assessment of member organisation websites during February and March 2020. Gender and ethnicity of board members and chairs were collected using a combination of validated algorithmic software and manual assessment, based on names and photographs where available. Gender proportions were calculated across Global Burden of Disease super-regions, and gender and ethnicity proportions in the high-income regions of Australasia, North America and Western Europe.
RESULTS
Globally, approximately one in three board members were women for both ICO (34%) and WCO (35%) members, and one in three ICO (32%) and one in five WCO (22%) chairpersons were women. Women held at least 50% of posts in only three of the 26 (12%) leadership structures assessed; these were based in Latin America and the Caribbean (59% of WCO board positions held by women, and 56% of WCO chairs), and Southeast Asia, East Asia and Oceania (55% of ICO chairs). In the Eurocentric high-income regions, white men held more than half of all board (56%) and chair (58%) positions and white women held a further quarter of positions (26% of board and 27% of chair positions). Ethnic minority women held the fewest number of board (6%) and chair (7%) positions.
CONCLUSIONS
Improvements in gender parity are needed in member organisations of the WCO and ICO across all world regions. In high-income regions, efforts to address inequity at the intersection of gender and ethnicity are also needed. Potential strategies to enable inclusive leadership must be centred on structurally enabled diversity and inclusion goals to support the professional progression of women, and people from ethnic minorities in global optometry and ophthalmology.
Topics: Algorithms; Cross-Sectional Studies; Ethnicity; Female; Global Health; Humans; Leadership; Male; Ophthalmology; Optometry; Retrospective Studies; Societies, Medical
PubMed: 33650712
DOI: 10.1111/opo.12793 -
Quarterly Journal of Experimental... Jan 2021Extending the self-reference effect in memory to the level of social identity, previous research showed that processing information in reference to one's ingroup at...
Extending the self-reference effect in memory to the level of social identity, previous research showed that processing information in reference to one's ingroup at encoding enhances memory for the information (i.e., the group-reference effect). Notably, recent work on the self-reference effect has shown that even simply co-presenting an item with self-relevant vs. other-relevant information (e.g., one's own or another person's name) at encoding can produce an "incidental" self-memory advantage in the absence of any task demand to evaluate the item's self-relevancy. In three experiments, the present study examined whether this incidental self-memory advantage extends to the level of social identity using newly created, minimal groups (Experiments 1 and 2) and pre-existing groups (Experiment 3; one's own or another study major). During encoding, participants judged the location of each target word in relation to a simultaneously presented cue (Ingroup-cue or Outgroup-cue in Experiments 1 and 3; Ingroup-cue, Outgroup-cue, or Neutral-cue in Experiment 2). Consistent across all experiments, a subsequent recognition test revealed a significant memory advantage for words that were presented with the Ingroup-cue. Crucially, this incidental ingroup-memory advantage was driven by ingroup-memory enhancement rather than outgroup-memory suppression relative to memory for words presented with the Neutral-cue (Experiment 2), and was positively correlated with self-reported levels of ingroup identification (i.e., self-investment to one's ingroup; Experiment 3). Taken together, the present findings provide novel evidence that mere incidental associations between one's ingroup and to-be-remembered items in a non-referential, non-evaluative encoding context can produce a memory advantage for the items.
Topics: Group Processes; Humans; Memory; Names; Social Identification
PubMed: 32705946
DOI: 10.1177/1747021820948721 -
Increasing Frequency of Affirmed Name and Pronoun Documentation in a Pediatric Emergency Department.Hospital Pediatrics Nov 2022In a previous study of 204 transgender and gender diverse youth in our region, 44% reported being made to feel uncomfortable in the emergency department (ED) because of...
BACKGROUND AND OBJECTIVES
In a previous study of 204 transgender and gender diverse youth in our region, 44% reported being made to feel uncomfortable in the emergency department (ED) because of their gender identity. The objective of our study was to conduct a 2 year quality improvement project to increase affirmed name and pronoun documentation in the pediatric ED.
METHODS
Using process mapping, we identified 5 key drivers and change ideas. The key driver diagram was updated as interventions were implemented over 3 Plan-Do-Study-Act cycles. Our primary outcome, the percentage of ED visits per month with pronouns documented, was plotted on a run chart with the goal of seeing a 50% increase in form completion from a baseline median of ∼14% over the 2 year study period.
RESULTS
The frequency of pronoun documentation increased from a baseline median of 13.8% to a median of 47.8%. The most significant increase in pronoun documentation occurred in Plan-Do-Study-Act cycle 3, immediately after ED-wide dissemination of a near-miss case and subsequent call for improvement by ED leadership. Roughly 1.7% of all encounters during the study period involved patients whose pronouns were discordant from the sex listed in their electronic health record.
CONCLUSIONS
This quality-improvement project increased the frequency of pronoun documentation in the ED. This has the potential to improve the quality of care provided to transgender and gender diverse youth in the ED setting and identify patients who may benefit from receiving a referral to a pediatric gender clinic for additional support.
Topics: Child; Adolescent; Humans; Female; Male; Gender Identity; Emergency Service, Hospital; Documentation; Quality Improvement; Electronic Health Records
PubMed: 36226552
DOI: 10.1542/hpeds.2022-006818