In search of an audience...

NARCIS (Netherlands)

S. Stremersch (Stefan)

2005-01-01

textabstractFor an academic, finding an audience is critical. However, finding an audience is not always easy for most marketing academics. This inaugural address explores what the challenges are in finding an audience, among fellow scholars, students, public policy, industry, or society in general.

Sleeping with the enemy: Audience

NARCIS (Netherlands)

Marloes Mol; Annika van den Berg; Dr. Joke Hermes

2013-01-01

Audience studies is not the vibrant field it was in its 1980s and early 1990s heyday. Cultural studies today has a more balanced interest in production, audiences and texts. A renewed focus in audience studies on everyday meaning production, identity and relations of power could benefit from recent

In search of the invisble (audiences)

DEFF Research Database (Denmark)

Kaun, Anne; Hartley, Jannie Møller; Juzefovičs, Jānis

2016-01-01

that are literally invisible including practices of lurking in social media environments as well as unintended audiences. The literature review of research of the past ten years on invisible audiences identifies important gaps for both forms of invisible audiences. In conclusion, we suggest more extensive research...... on the diverse groups of invisible audiences on a more structural level, i.e. questions of certain social, political as well as cultural groups are rendered invisible. Furthermore we suggest that studies consider practices of invisible audiences on the micro, experiential level from the perspective of members...

[Reliability of Primary Care computerised medication records].

Science.gov (United States)

García-Molina Sáez, Celia; Urbieta Sanz, Elena; Madrigal de Torres, Manuel; Piñera Salmerón, Pascual; Pérez Cárceles, María D

2016-03-01

To quantify and to evaluate the reliability of Primary Care (PC) computerised medication records of as an information source of patient chronic medications, and to identify associated factors with the presence of discrepancies. A descriptive cross-sectional study. General Referral Hospital in Murcia. Patients admitted to the cardiology-chest diseases unit, during the months of February to April 2013, on home treatment, who agreed to participate in the study. Evaluation of the reliability of Primary Care computerised medication records by analysing the concordance, by identifying discrepancies, between the active medication in these records and that recorded in pharmacist interview with the patient/caregiver. Identification of associated factors with the presence of discrepancies was analysed using a multivariate logistic regression. The study included a total of 308 patients with a mean of 70.9 years (13.0 SD). The concordance of active ingredients was 83.7%, and this decreased to 34.7% when taking the dosage into account. Discrepancies were found in 97.1% of patients. The most frequent discrepancy was omission of frequency (35.6%), commission (drug added unjustifiably) (14.6%), and drug omission (12.7%). Age older than 65 years (1.98 [1.08 to 3.64]), multiple chronic diseases (1.89 [1.04 to 3.42]), and have a narcotic or psychotropic drug prescribed (2.22 [1.16 to 4.24]), were the factors associated with the presence of discrepancies. Primary Care computerised medication records, although of undoubted interest, are not be reliable enough to be used as the sole source of information on patient chronic medications when admitted to hospital. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

Crowdfunding: How audiences promote innovation in journalism

OpenAIRE

Cabrera-Gonzalez, Maria de los Angeles

2014-01-01

With the development of technology and media, the role of the audience has been changing. Thanks to the interactivity of new media, the audience is no longer just a passive receiver. Interactivity allows audiences to comment, vote, share, produce and complete the content of new media. All these new audience capabilities have led to concepts such as prosumers (consumers and producers of content). Consequently, a whole new audience role has emerged. Audiences are now directly promoters of journ...

Flipping the Audience Script: An Activity That Integrates Research and Audience Analysis

Science.gov (United States)

Lam, Chris; Hannah, Mark A.

2016-01-01

This article describes a flipped classroom activity that requires students to integrate research and audience analysis. The activity uses Twitter as a data source. In the activity, students identify a sample, collect customer tweets, and analyze the language of the tweets in an effort to construct knowledge about an audience's values, needs, and…

Youth audience segmentation strategies for smoking-prevention mass media campaigns based on message appeal.

Science.gov (United States)

Flynn, Brian S; Worden, John K; Bunn, Janice Yanushka; Dorwaldt, Anne L; Connolly, Scott W; Ashikaga, Takamaru

2007-08-01

Mass media interventions are among the strategies recommended for youth cigarette smoking prevention, but little is known about optimal methods for reaching diverse youth audiences. Grades 4 through 12 samples of youth from four states (n = 1,230) rated smoking-prevention messages in classroom settings. Similar proportions of African American, Hispanic, and White youth participated. Impact of audience characteristics on message appeal ratings was assessed to provide guidance for audience segmentation strategies. Age had a strong effect on individual message appeal. The effect of gender also was significant. Message ratings were similar among the younger racial/ethnic groups, but differences were found for older African American youth. Lower academic achievement was associated with lower appeal scores for some messages. Age should be a primary consideration in developing and delivering smoking-prevention messages to youth audiences. The unique needs of boys and girls and older African American adolescents should also be considered.

Primary medical care in Irish prisons

OpenAIRE

ALLWRIGHT, SHANE PATRICIA ANN; DARKER, CATHERINE; BARRY, JOSEPH; O'DOWD, THOMAS

2010-01-01

PUBLISHED Background: An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods: This study utilised a mixed methods approach. An independent expert medical evaluator (one of ...

Audience Perceptions of Family Viewing Time

Science.gov (United States)

Fontes, Brian F.; And Others

1977-01-01

Discusses a survey on Family Viewing Time designed to determine audience reactions to program content including violent and sexual content, audience perceptions of the suitability of program offerings for family viewing, and audience viewing habits with respect to Family Viewing Time. (MH)

Using New Media to Reach Broad Audiences

Science.gov (United States)

Gay, P. L.

2008-06-01

The International Year of Astronomy New Media Working Group (IYA NMWG) has a singular mission: To flood the Internet with ways to learn about astronomy, interact with astronomers and astronomy content, and socially network with astronomy. Within each of these areas, we seek to build lasting programs and partnerships that will continue beyond 2009. Our weapon of choice is New Media. It is often easiest to define New Media by what it is not. Television, radio, print and their online redistribution of content are not New Media. Many forms of New Media start as user provided content and content infrastructures that answer that individual's creative whim in a way that is adopted by a broader audience. Classic examples include Blogs and Podcasts. This media is typically distributed through content specific websites and RSS feeds, which allow syndication. RSS aggregators (iTunes has audio and video aggregation abilities) allow subscribers to have content delivered to their computers automatically when they connect to the Internet. RSS technology is also being used in such creative ways as allowing automatically updating Google-maps that show the location of someone with an intelligent GPS system, and in sharing 100 word microblogs from anyone (Twitters) through a single feed. In this poster, we outline how the IYA NMWG plans to use New Media to reach target primary audiences of astronomy enthusiasts, image lovers, and amateur astronomers, as well as secondary audiences, including: science fiction fans, online gamers, and skeptics.

Primary medical care in Irish prisons

OpenAIRE

Barry, Joe M; Darker, Catherine D; Thomas, David E; Allwright, Shane PA; O'Dowd, Tom

2010-01-01

Abstract Background An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT)...

The Imagined Audience on Social Network Sites

Directory of Open Access Journals (Sweden)

Eden Litt

2016-02-01

Full Text Available When people construct and share posts on social network sites like Facebook and Twitter, whom do they imagine as their audience? How do users describe this imagined audience? Do they have a sub-audience in mind (e.g., “friends who like reality television”? Do they share more broadly and abstractly (e.g., “the public”? Do such imaginings fluctuate each time a person posts? Using a mixed-methods approach involving a 2-month-long diary study of 119 diverse American adults and their 1,200 social network site posts, supplemented with follow-up interviews (N = 30, this study explores the imagined audience on social network sites. The findings reveal that even though users often interacted with large diverse audiences as they posted, they coped by envisioning either very broad abstract imagined audiences or more targeted specific imagined audiences composed of personal ties, professional ties, communal ties, and/or phantasmal ties. When people had target imagined audiences in mind, they were most often homogeneous and composed of people’s friends and family. Users’ imaginings typically fluctuated among these audience types as they posted even though the potential audience as per their posts’ privacy settings often did not change. The findings provide a list of audience types, as well as detailed descriptions, examples, and frequencies on which future research can build. With people’s online presence playing an important role for their reputations, these findings provide more insight into for whom people are managing their privacy and whom they have in mind as they share.

Primary medical care and reductions in addiction severity: a prospective cohort study.

Science.gov (United States)

Saitz, Richard; Horton, Nicholas J; Larson, Mary Jo; Winter, Michael; Samet, Jeffrey H

2005-01-01

To assess whether receipt of primary medical care can lead to improved outcomes for adults with addictions. We studied a prospective cohort of adults enrolled in a randomized trial to improve linkage with primary medical care. Subjects at a residential detoxification unit with alcohol, heroin or cocaine as a substance of choice, and no primary medical care were enrolled. Receipt of primary medical care was assessed over 2 years. Outcomes included (1) alcohol severity, (2) drug severity and (3) any substance use. For the 391 subjects, receipt of primary care (> or = 2 visits) was associated with a lower odds of drug use or alcohol intoxication (adjusted odds ratio (AOR) 0.45, 95% confidence interval (CI) 0.29-0.69, 2 d.f. chi(2)P = 0.002). For 248 subjects with alcohol as a substance of choice, alcohol severity was lower in those who received primary care [predicted mean Addiction Severity Index (ASI) alcohol scores for those reporting > or = 2, 1 and 0 visits, respectively, 0.30, 0.26 and 0.34, P = 0.04]. For 300 subjects with heroin or cocaine as a substance of choice, drug severity was lower in those who received primary care (predicted mean ASI drug scores for those reporting > or = 2, 1 and 0 visits, respectively, 0.13, 0.15 and 0.16, P = 0.01). Receipt of primary medical care is associated with improved addiction severity. These results support efforts to link patients with addictions to primary medical care services.

Pharmacist medication reviews to improve safety monitoring in primary care patients.

Science.gov (United States)

Gallimore, Casey E; Sokhal, Dimmy; Zeidler Schreiter, Elizabeth; Margolis, Amanda R

2016-06-01

Patients prescribed psychotropic medications within primary care are at risk of suboptimal monitoring. It is unknown whether pharmacists can improve medication safety through targeted monitoring of at risk populations. Access Community Health Centers implemented a quality improvement pilot project that included pharmacists on an integrated care team to provide medication reviews for patients. Aims were to determine whether inclusion of a pharmacist performing medication reviews within a primary care behavioral health (PCBH) practice is feasible and facilitates safe medication use. Pharmacists performed medication reviews of the electronic health record for patients referred for psychiatry consultation. Reviews were performed 1-3 months following consultation and focused on medications with known suboptimal monitoring rates. Reviews were documented within the EHR and routed to the primary care provider. Primary outcome measures were change in percentage up-to-date on monitoring and AIMS assessment, and at risk of experiencing drug interaction(s) between baseline and 3 months postreview. Secondary outcome was provider opinion of medication reviews collected via electronic survey. Reviews were performed for 144 patients. Three months postreview, percentage up-to-date on recommended monitoring increased 18% (p = .0001), at risk for drug interaction decreased 20% (p improved safety monitoring of psychotropic medications. Results identify key areas for improvement that other clinics considering integration of similar pharmacy services should consider. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Characterizing Health Information for Different Target Audiences.

Science.gov (United States)

Sun, Yueping; Hou, Zhen; Hou, Li; Li, Jiao

2015-01-01

Different groups of audiences in health care: health professionals and health consumers, each have different information needs. Health monographs targeting different audiences are created by leveraging readers' background knowledge. The NCI's Physician Data Query (PDQ®) Cancer Information Summaries provide parallel cancer information and education resources with different target audiences. In this paper, we used targeted audience-specific cancer information PDQs to measure characteristic differences on the element level between audiences. In addition, we compared vocabulary coverage. Results show a significant difference between the professional and patient version of cancer monographs in both content organization and vocabulary. This study provides a new view to assess targeted audience-specific health information, and helps editors to improve the quality and readability of health information.

Teaching audience analysis to the technical student

Science.gov (United States)

Debs, M. B.; Brillhart, L. V.

1981-01-01

Teaching audience analysis, as practiced in a technical writing course for engineering students, is discussed. Audience analysis is described as the task of defining the audience for a particular piece of writing and determining those characteristics of the audience which constrain the writer and effect reception of the message. A mature technical writing style that shows the tension produced when a text is written to be read and understood is considered in terms of audience analysis. Techniques include: (1) conveying to students the concept that a reader with certain expectations exist, (2) team teaching to preserve the context of a given technical discipline, and (3) assigning a technical report that addresses a variety of readers, thus establishing the complexity of audience oriented writing.

An Expanded Conceptual Framework of Medical Students' Primary Care Career Choice.

Science.gov (United States)

Pfarrwaller, Eva; Audétat, Marie-Claude; Sommer, Johanna; Maisonneuve, Hubert; Bischoff, Thomas; Nendaz, Mathieu; Baroffio, Anne; Junod Perron, Noëlle; Haller, Dagmar M

2017-11-01

In many countries, the number of graduating medical students pursuing a primary care career does not meet demand. These countries face primary care physician shortages. Students' career choices have been widely studied, yet many aspects of this process remain unclear. Conceptual models are useful to plan research and educational interventions in such complex systems.The authors developed a framework of primary care career choice in undergraduate medical education, which expands on previously published models. They used a group-based, iterative approach to find the best way to represent the vast array of influences identified in previous studies, including in a recent systematic review of the literature on interventions to increase the proportion of students choosing a primary care career. In their framework, students enter medical school with their personal characteristics and initial interest in primary care. They complete a process of career decision making, which is subject to multiple interacting influences, both within and outside medical school, throughout their medical education. These influences are stratified into four systems-microsystem, mesosystem, exosystem, and macrosystem-which represent different levels of interaction with students' career choices.This expanded framework provides an updated model to help understand the multiple factors that influence medical students' career choices. It offers a guide for the development of new interventions to increase the proportion of students choosing primary care careers and for further research to better understand the variety of processes involved in this decision.

Audience studies 2.0: on the theory, politics and method of qualitative audience research

NARCIS (Netherlands)

Hermes, J.

2009-01-01

Audience research, this paper suggests, is an excellent field to test the claims of Media Studies 2.0. Moreover, 2.0 claims are a good means to review qualitative audience research itself too. Working from a broad strokes analysis of the theory, politics and method of interpretative research with

Primary care careers among recent graduates of research-intensive private and public medical schools.

Science.gov (United States)

Choi, Phillip A; Xu, Shuai; Ayanian, John Z

2013-06-01

Despite a growing need for primary care physicians in the United States, the proportion of medical school graduates pursuing primary care careers has declined over the past decade. To assess the association of medical school research funding with graduates matching in family medicine residencies and practicing primary care. Observational study of United States medical schools. One hundred twenty-one allopathic medical schools. The primary outcomes included the proportion of each school's graduates from 1999 to 2001 who were primary care physicians in 2008, and the proportion of each school's graduates who entered family medicine residencies during 2007 through 2009. The 25 medical schools with the highest levels of research funding from the National Institutes of Health in 2010 were designated as "research-intensive." Among research-intensive medical schools, the 16 private medical schools produced significantly fewer practicing primary care physicians (median 24.1% vs. 33.4%, p schools. In contrast, the nine research-intensive public medical schools produced comparable proportions of graduates pursuing primary care careers (median 36.1% vs. 36.3%, p = 0.87) and matching in family medicine residencies (median 7.4% vs. 10.0%, p = 0.37) relative to the other 66 public medical schools. To meet the health care needs of the US population, research-intensive private medical schools should play a more active role in promoting primary care careers for their students and graduates.

The Disappearing Audience and Reflexive Visibility

Directory of Open Access Journals (Sweden)

Katerina Girginova

2016-08-01

Full Text Available Contrary to popular opinion and some academic writing that celebrates the renewed visibility of new media audiences, this essay argues that they are increasingly going into retreat. To understand how new media audiences “disappear” from view of one another, I borrow from Brighenti’s typology of visibility and develop the idea of “reflexive visibility.” The latter describes the ability to socially orient ourselves in a digital environment through the textual and contextual cues of others—an activity that is of utmost importance not only to researchers wishing to “see” various audiences but also for audiences writ large, wishing to know themselves.

Cultivating Audiences: Taming, Teaching, Transforming

Science.gov (United States)

Nicolucci, Sandra

2010-01-01

Satisfying and successful school concerts require an active, empathic, and cooperative partnership between performers and audience members. As music educators work to prepare artful, dignified, and confident performers, "audiences" for these performers must be cultivated just as purposefully. Concertgoers can be motivated to consume school…

Medication-Assisted Treatment For Opioid Addiction in Opioid Treatment Programs. Treatment Improvement Protocol (TIP) Series 43

Science.gov (United States)

Tinkler, Emily; Vallejos Bartlett, Catalina; Brooks, Margaret; Gilbert, Johnatnan Max; Henderson, Randi; Shuman, Deborah, J.

2005-01-01

TIP 43 provides best-practice guidelines for medication-assisted treatment of opioid addiction in opioid treatment programs (OTPs). The primary intended audience for this volume is substance abuse treatment providers and administrators who work in OTPs. Recommendations in the TIP are based on both an analysis of current research and determinations…

Comparing Four Touch-Based Interaction Techniques for an Image-Based Audience Response System

NARCIS (Netherlands)

Jorritsma, Wiard; Prins, Jonatan T.; van Ooijen, Peter M. A.

2015-01-01

This study aimed to determine the most appropriate touch-based interaction technique for I2Vote, an image-based audience response system for radiology education in which users need to accurately mark a target on a medical image. Four plausible techniques were identified: land-on, take-off,

Primary Headache in Yemen: Prevalence and Common Medications Used

Directory of Open Access Journals (Sweden)

Salah A. Abdo

2014-01-01

Full Text Available Background and Objective. Primary headaches is a major medical concern in certain Arabic countries, for example Oman, Jordan, and Qatar. This study was aimed at increasing understanding of the prevalence of headache in Arabic countries and identifying common medications used for treatment because of the lack of research done in this field in Yemen. Methods. This is a cross-sectional observational study conducted by recruiting case-series of adults and elderly who have primary headache within the age group from 18 to 85 years. 12640 subjects received a simple explanation for the aim of the study as ethical issue. The subjects were allowed to complete a self-conducted screening questionnaire. The data were diagnosed according to the International Headache Society’s diagnostic criteria (2004. Results. The results showed that 76.5% of the primary headache is prevalent at least once per year, 27.1% of the tension type headache (TTH was the maximum percentage of type of headache, and 14.48% of the migraine headache (MH was the minimum percentage. On the other hand, the relationship between the primary headache and age of subjects was statistically significant (P0.05. In addition, 70.15% of the subjects said that headache attacks affected their activity of daily livings (ADL. 62.26% of the subjects used the medications without medical advice regarding their headache. 37.73% of the subjects relied on medical professionals (physicians and pharmacist regarding analgesics use. The most common agent used among the medications was paracetamol (38.4%. Others included ibuprofen, aspirin, diclofenac sodium, naproxen, mefenamic acid, ergotamine and (11.45% were unknown agents. Conclusion. We concluded that absence of health attention from the Yemeni Community and education from the health system in the country regarding analgesics use and their potential risk led to abuse of such medications and could be a reason beyond high prevalence of headache in Yemen.

Captivating Broad Audiences with an Internet-connected Ocean

Science.gov (United States)

Moran, K.; Elliott, L.; Gervais, F.; Juniper, K.; Owens, D.; Pirenne, B.

2012-12-01

NEPTUNE Canada, a network of Ocean Networks Canada and the first deep water cabled ocean observatory, began operations in December 2009. Located offshore Canada's west coast, the network streams data from passive, active, and interactive sensors positioned at five nodes along its 800 km long looped cable to the Internet. This technically advanced system includes a sophisticated data management and archiving system, which enables the collection of real-time physical, chemical, geological, and biological oceanographic data, including video, at resolutions relevant for furthering our understanding of the dynamics of the earth-ocean system. Scientists in Canada and around the world comprise the primary audience for these data, but NEPTUNE Canada is also serving these data to broader audiences including K-16 students and teachers, informal educators, citizen scientists, the press, and the public. Here we present our engagement tools, approaches, and experiences including electronic books, personal phone apps, Internet-served video, social media, mini-observatory systems, print media, live broadcasting from sea, and a citizen scientist portal.NEPTUNE Canada's ibook available on Apple's iBook store.

Keeping Your Audience in Mind: Applying Audience Analysis to the Design of Interactive Score Reports

Science.gov (United States)

Zapata-Rivera, Juan Diego; Katz, Irvin R.

2014-01-01

Score reports have one or more intended audiences: the people who use the reports to make decisions about test takers, including teachers, administrators, parents and test takers. Attention to audience when designing a score report supports assessment validity by increasing the likelihood that score users will interpret and use assessment results…

Moral accounts and membership categorization in primary care medical interviews.

Science.gov (United States)

Dillon, Patrick J

2011-01-01

Although the link between health and morality has been well established, few studies have examined how issues of morality emerge and are addressed in primary care medical encounters. This paper addresses the need to examine morality as it is (re) constructed in everyday health care interactions. A Membership Categorization Analysis of 96 medical interviews reveals how patients orient to particular membership categories and distance themselves from others as a means of accounting (Buttny 1993; Scott and Lyman 1968) for morally questionable health behaviours. More specifically, this paper examines how patients use membership categorizations in order to achieve specific social identity(ies) (Schubert et al. 2009) through two primary strategies: defensive detailing and prioritizing alternative membership categories. Thus, this analysis tracks the emergence of cultural and moral knowledge about social life as it takes place in primary care medical encounters.

Primary non-adherence to prescribed medication in general practice

DEFF Research Database (Denmark)

Linnet, Kristján; Halldórsson, Matthías; Thengilsdóttir, Gudrún

2013-01-01

Primary non-adherence refers to the patient not redeeming a prescribed medication at some point during drug therapy. Research has mainly focused on secondary non-adherence. Prior to this study, the overall rate of primary non-adherence in general practice in Iceland was not known....

Primary medical care in Irish prisons.

Science.gov (United States)

Barry, Joe M; Darker, Catherine D; Thomas, David E; Allwright, Shane P A; O'Dowd, Tom

2010-03-22

An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT) inspected the medical facilities, equipment and relevant custodial areas in eleven of the fourteen prisons within the IPS. Semistructured interviews took place with personnel who had operational responsibility for delivery of prison medical care. Prison doctors completed a questionnaire to elicit issues such as allocation of clinician's time, nurse and administrative support and resources available. There was wide variation in the standard of medical facilities and infrastructure provided across the IPS. The range of medical equipment available was generally below that of the equivalent general practice scheme in the community. There is inequality within the system with regard to the ratio of doctor-contracted time relative to the size of the prison population. There is limited administrative support, with the majority of prisons not having a medical secretary. There are few psychiatric or counselling sessions available. People in prison have a wide range of medical care needs and there is evidence to suggest that these needs are being met inconsistently in Irish prisons.

Socioeconomic disadvantage and primary non-adherence with medication in Sweden.

Science.gov (United States)

Wamala, Sarah; Merlo, Juan; Bostrom, Gunnel; Hogstedt, Christer; Agren, Gunner

2007-06-01

Lack of adherence with pharmacological therapy is a public health concern that compels tremendous costs for the health care system and the community. To analyse the association between socioeconomic disadvantage and primary non-adherence with medication, and to explore possible mediating effects of trust in health care and lifestyle profile. Cross-sectional population-based study based on data from the Swedish national public health surveys 2004-2005. The study comprised 13603 men and 18292 women aged 21-84 years who had any contact with a physician at a hospital or primary care centre. Measures Primary non-adherence with medication based on whether respondents reported that they refrained from purchasing at the pharmacy prescribed medication. Socioeconomic Disadvantage Index was based on four different indicators of economic deprivation. Socioeconomic disadvantage was associated with primary non-adherence with medication independent of long-term illness, risky lifestyle, low education, living alone and low trust for health care. This association increased with older age, particularly among women. Among individuals aged 21-34 years, severe compared with no socioeconomic disadvantage, was associated with two-fold increased odds for non-adherence with medication. The corresponding odds among individuals aged 65-84 years were three-fold increase among elderly men (OR=3.3, 95% CI: 1.4-7.8) and six-fold increase among elderly women (OR=6.2, 95% CI: 2.5-15.3). Yet every seventh elderly woman aged 65-84 years suffered from long-term illness. Results indicate that health policies for 'care on equal terms' in Sweden have been less successful in relation to equitable access to prescribed medication, especially among the elderly.

Towards Broadening the Audience

Science.gov (United States)

Sakimoto, P. J.

2008-06-01

The strand Towards Broadening the Audience was intended to seed thoughtful conversations about building bridges for outreach programs across cultural barriers. Many participants spoke about progress in increasing the diversity of their outreach audiences, but it was new voices from time-honored sources that offered fundamentally new wisdom. From the religious traditions and tensions that mark the Holy Land came the simple concept of bringing unity through teaching the commonalities found in basic concepts of the observed sky. From Mayan traditions, both contemporary and ancient, came the reminder that the sky is intimately connected to all aspects of our lives. Astronomy outreach should therefore be a part of much larger family and community celebrations. Ideas such as these offer renewed hope for major advances in bringing space science outreach to much broader audiences. They tell us about the importance of learning from voices with perspectives different from our own, and of building partnerships based upon genuine cross-cultural understanding and mutual love of the sky.

Audience response-systemer styrker læringsmiljøet

DEFF Research Database (Denmark)

Jensen, Jacob Vad; Østergaard, Doris

2011-01-01

The purpose of this article was to describe the possibilities gained by using an electronic voting system (EVS), the existing evidence to determine whether an EVS affects learning proceeds, challenges in EVS and perspectives for EVS in Danish medical training. Audience Response-Systems (ARS) seem...... suited to enhance participants' activity and attention. The technology as such holds the potential to enhance learning outcome, but changes in the pedagogical method are needed. More studies examining the use of new wireless, mobile voting systems are required....

Preparing Planetary Scientists to Engage Audiences

Science.gov (United States)

Shupla, C. B.; Shaner, A. J.; Hackler, A. S.

2017-12-01

While some planetary scientists have extensive experience sharing their science with audiences, many can benefit from guidance on giving presentations or conducting activities for students. The Lunar and Planetary Institute (LPI) provides resources and trainings to support planetary scientists in their communication efforts. Trainings have included sessions for students and early career scientists at conferences (providing opportunities for them to practice their delivery and receive feedback for their poster and oral presentations), as well as separate communication workshops on how to engage various audiences. LPI has similarly begun coaching planetary scientists to help them prepare their public presentations. LPI is also helping to connect different audiences and their requests for speakers to planetary scientists. Scientists have been key contributors in developing and conducting activities in LPI education and public events. LPI is currently working with scientists to identify and redesign short planetary science activities for scientists to use with different audiences. The activities will be tied to fundamental planetary science concepts, with basic materials and simple modifications to engage different ages and audience size and background. Input from the planetary science community on these efforts is welcome. Current results and resources, as well as future opportunities will be shared.

Videoethnographic approaches to audience research

DEFF Research Database (Denmark)

Wildermuth, Norbert

recordings in doing mediaethnographic audience research. Moreover, I will discuss the use and potentials of hypermedia in presenting the results of ethnographic audience research. Based on recent conceptualisations and theories of hypermodality and multimodal ethnography (Lemke, 2002; Idema, 2003; Dicks......  In my paper I will explore the methodological uses and epistemological consequences of videoethnography in audience studies. With reference to research done on young people and their media appropriations in Recife (Brazil), in December 2005, I will argue for the creative integration of video......'. Finally, considerations regarding a planned hypermediated presentation of my research project in Recife, will be related to the experiences made with video as tool of mediaethnographic investigation and analysis. How the potential of non-sequentiality enshrined in hypermedia applications can...

Dialogues between audience research and production

DEFF Research Database (Denmark)

Redvall, Eva Novrup

2017-01-01

This article offers a historical analysis of the audience testing of television drama from The Danish Broadcasting Corporation (DR) by the in-house DR Media Research Department from the mid-1990s until 2016. The article investigates how the methods for testing have changed from more traditional...... focus groups and surveys to include biometric methods (e.g. skin conductance) to measure audience arousal. While audience testing is often primarily viewed as a quality measurement tool for executives, the article argues that testing can also be a dialogue-based tool offering creative practitioners...

Primary medical care in Irish prisons

Directory of Open Access Journals (Sweden)

Allwright Shane PA

2010-03-01

Full Text Available Abstract Background An industrial dispute between prison doctors and the Irish Prison Service (IPS took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The review took place in 2008 and we report here on the principal findings of that review. Methods This study utilised a mixed methods approach. An independent expert medical evaluator (one of the authors, DT inspected the medical facilities, equipment and relevant custodial areas in eleven of the fourteen prisons within the IPS. Semistructured interviews took place with personnel who had operational responsibility for delivery of prison medical care. Prison doctors completed a questionnaire to elicit issues such as allocation of clinician's time, nurse and administrative support and resources available. Results There was wide variation in the standard of medical facilities and infrastructure provided across the IPS. The range of medical equipment available was generally below that of the equivalent general practice scheme in the community. There is inequality within the system with regard to the ratio of doctor-contracted time relative to the size of the prison population. There is limited administrative support, with the majority of prisons not having a medical secretary. There are few psychiatric or counselling sessions available. Conclusions People in prison have a wide range of medical care needs and there is evidence to suggest that these needs are being met inconsistently in Irish prisons.

Classification Model That Predicts Medical Students' Choices of Primary Care or Non-Primary Care Specialties.

Science.gov (United States)

Fincher, Ruth-Marie E.; And Others

1992-01-01

This study identified factors in graduating medical students' choice of primary versus nonprimary care specialty. Subjects were 509 students at the Medical College of Georgia in 1988-90. Students could be classified by such factors as desire for longitudinal patient care opportunities, monetary rewards, perception of lifestyle, and perception of…

Open Interactivity: A Model for Audience Agency

Directory of Open Access Journals (Sweden)

Charlotte Gould

2018-04-01

Full Text Available Artists have increasingly acknowledged the role of the audience as collaborators both in the construction of meaning (Bathes, 1977, through subjective experience (Dewey, 1934 and in contributing to the creative act by externalising the work. (Duchamp Lucy Lippard identifies 1966-72 as a period where artists turned increasingly towards the audience, representing a "dematerialization of the art object" (Lippard, 1997 through "Happenings" and "Fluxus" movements. Digital media has facilitated this trajectory, implicit in the interactive computer interface (Manovich, 2005, but interactivity per se may offer no more than a series of choices put forward by the artist (Daniels, 2011. Interactivity represents interplay between artist and audience (Dinka, 1996 and is potentially a process of audience empowerment to offer agency, defined as real and creative choice (Browning, 1964. Public screen installation "Peoples Screen" Guangzhou, linking China to Perth Australia (Sermon & Gould, 2015 offered a partnership between artist and audience to co-create content though playful narratives and active engagement in a drama that unfolds using improvisation and play. Initially visitors enjoy observing the self on the screen but audiences quickly start to interact with the environment and other participants. Immersed in play they lose a sense of the self (Callois, 2011 and enter a virtual third space where possibilities for creativity and direction of play are limitless. The self becomes an avatar where the audience can inhabit "the other" thereby exploring alternative realities through ludic play, promoting tolerance and empathy and developing collective memory.

Media Text and Audiences: Discursive Constructions of Fandom

Directory of Open Access Journals (Sweden)

Helena Popović

2011-12-01

Full Text Available This paper presents the research findings obtained from a research project investigating media audiences and their reception of a cult-television (Cult TV text, namely Da Ali G Show. The audience research comprises 18 semi-structured interviews conducted in London (the United Kingdom and in Zagreb (Croatia aimed at establishing how fandom is discursively constructed. The analysis of the interpretive community in two distinct socio-cultural contexts showed that there were more similarities than differences overall. The practices engaged in by the interviewees mostly involved making a conscious effort to regularly watch the primary text as well as to show an interest in the future work of the author. The research showed that interviewees typically engaged in a type of ‘moderate’ fandom, whilst strong emotional attachments were seen as negative, as was intrusiveness into people’s privacy. This indicates a split between the signifier and the signified: the term ‘fan’ was readily adopted by interviewees in describing their relationship to the text; however, the meaning was negotiated and carefully constructed so as to disassociate oneself from the extreme, passionate, irrational connotation that the etymology of the term carries.

Prospects for rebuilding primary care using the patient-centered medical home.

Science.gov (United States)

Landon, Bruce E; Gill, James M; Antonelli, Richard C; Rich, Eugene C

2010-05-01

Existing research suggests that models of enhanced primary care lead to health care systems with better performance. What the research does not show is whether such an approach is feasible or likely to be effective within the U.S. health care system. Many commentators have adopted the model of the patient-centered medical home as policy shorthand to address the reinvention of primary care in the United States. We analyze potential barriers to implementing the medical home model for policy makers and practitioners. Among others, these include developing new payment models, as well as the need for up-front funding to assemble the personnel and infrastructure required by an enhanced non-visit-based primary care practice and methods to facilitate transformation of existing practices to functioning medical homes.

A medical assistant-based program to promote healthy behaviors in primary care.

Science.gov (United States)

Ferrer, Robert L; Mody-Bailey, Priti; Jaén, Carlos Roberto; Gott, Sherrie; Araujo, Sara

2009-01-01

Most primary care patients have at least 1 major behavioral risk: smoking, risky drinking, low physical activity, or unhealthy diet. We studied the effectiveness of a medical assistant-based program to identify and refer patients with risk behaviors to appropriate interventions. We undertook a randomized control trial in a practice-based research network. The trial included 864 adult patients from 6 primary care practices. Medical assistants screened patients for 4 risk behaviors and applied behavior-specific algorithms to link patients with interventions. Primary outcomes were improved risk behaviors on standardized assessments. Secondary outcomes included participation in a behavioral intervention and the program's effect on the medical assistants' workflow and job satisfaction. Follow-up data were available for 55% of participants at a mean of 12 months. The medical assistant referral arm referred a greater proportion of patients than did usual care (67.4 vs 21.8%; P effects on program adoption. Engaging more primary care team members to address risk behaviors improved referral rates. More extensive medical assistant training, changes in practice culture, and sustained behavioral interventions will be necessary to improve risk behavior outcomes.

The Impact of Medical Comorbidities on Primary Total Knee Arthroplasty Reimbursements.

Science.gov (United States)

Sabeh, Karim G; Rosas, Samuel; Buller, Leonard T; Freiberg, Andrew A; Emory, Cynthia L; Roche, Martin W

2018-05-23

Medical comorbidities have been shown to cause an increase in peri-and postoperative complications following total knee arthroplasty (TKA). However, the increase in cost associated with these complications has yet to be determined. Factors that influence cost have been of great interest particularly after the initiation of bundled payment initiatives. In this study, we present and quantify the influence of common medical comorbidities on the cost of care in patients undergoing primary TKA. A retrospective level of evidence III study was performed using the PearlDiver supercomputer to identify patients who underwent primary TKA between 2007 and 2015. Patients were stratified by medical comorbidities and compared using analysis of variance for reimbursements for the day of surgery and over 90 days postoperatively. A cohort of 137,073 US patients was identified as having undergone primary TKA between 2007 and 2015. The mean entire episode-of-care reimbursement was $23,701 (range: $21,294-26,299; standard deviation [SD] $2,611). The highest reimbursements were seen in patients with chronic obstructive pulmonary disease (mean $26,299; SD $3,030), hepatitis C (mean $25,662; SD $2,766), morbid obesity (mean $25,450; SD $2,154), chronic kidney disease (mean $25,131, $3,361), and cirrhosis (mean $24,890; SD $2,547). Medical comorbidities significantly impact reimbursements, and therefore cost, after primary TKA. Comprehensive preoperative optimization for patients with medical comorbidities undergoing TKA is highly recommended and may reduce perioperative complications, improve patient outcome, and ultimately reduce cost. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Watching Dallas Again 1 : Doing Retro Audience Research

NARCIS (Netherlands)

Gilroy, Amanda

2014-01-01

This essay and the audience reception projects it introduces alleviate the desperation of seeking the television audience by recourse to Ien Ang's influential book, Watching Dallas ([1982] 1985). Within the context of a unit on audience research in a master's-level course on media, two groups of

Effective Climate Communication with Difficult Audiences

Science.gov (United States)

Denning, S.

2015-12-01

Climate communication is often fraught with ideological baggage ("noise") that makes it very difficult to connect to audiences. In these cases, it is helpful to use "best practices" known from other fields of communication. Engaging audiences with authenticity, using plain language, respecting cultural and political differences, and a sprinkling of humor can go a long way toward establishing a connection. It's important to avoid common but polarizing tropes from popular media, and often quite helpful to frame climate issues in novel or unexpected ways that cut across entrenched political discourse. Emerging social science research Beyond ideology, climate change is Simple, Serious, and Solvable. Effective communication of these three key ideas can succeed when the science argument is carefully framed to avoid attack of the audience's ethical identity. Simple arguments from common sense and everyday experience are more successful than data. Serious consequences to values that resonate with the audience can be avoided by solutions that don't threaten those values.

Audience and Young Bilingual Writers: Building on Strengths

Science.gov (United States)

Durán, Leah

2017-01-01

This study explored how an audience-focused writing curriculum mediated the literacy development of bilingual Latina/o first-grade students. Drawing on translingual theories of literacy and scholarship describing the role of audience and audience awareness in skilled writing, this study qualitatively documented and analyzed students' writing and…

Medical applications: a database and characterization of apps in Apple iOS and Android platforms.

Science.gov (United States)

Seabrook, Heather J; Stromer, Julie N; Shevkenek, Cole; Bharwani, Aleem; de Grood, Jill; Ghali, William A

2014-08-27

Medical applications (apps) for smart phones and tablet computers are growing in number and are commonly used in healthcare. In this context, there is a need for a diverse community of app users, medical researchers, and app developers to better understand the app landscape. In mid-2012, we undertook an environmental scan and classification of the medical app landscape in the two dominant platforms by searching the medical category of the Apple iTunes and Google Play app download sites. We identified target audiences, functions, costs and content themes using app descriptions and captured these data in a database. We only included apps released or updated between October 1, 2011 and May 31, 2012, with a primary "medical" app store categorization, in English, that contained health or medical content. Our sample of Android apps was limited to the most popular apps in the medical category. Our final sample of Apple iOS (n = 4561) and Android (n = 293) apps illustrate a diverse medical app landscape. The proportion of Apple iOS apps for the public (35%) and for physicians (36%) is similar. Few Apple iOS apps specifically target nurses (3%). Within the Android apps, those targeting the public dominated in our sample (51%). The distribution of app functions is similar in both platforms with reference being the most common function. Most app functions and content themes vary considerably by target audience. Social media apps are more common for patients and the public, while conference apps target physicians. We characterized existing medical apps and illustrated their diversity in terms of target audience, main functions, cost and healthcare topic. The resulting app database is a resource for app users, app developers and health informatics researchers.

Addressing the primary care physician shortage in an evolving medical workforce

Directory of Open Access Journals (Sweden)

Lakhan Shaheen E

2009-05-01

Full Text Available Abstract Background Primary care physicians have been shown to play an important role in the general health of the communities in which they serve. In spite of their importance, however, there has been a decrease in the number of physicians interested in pursuing primary care fields, while the proportion of specialists continues to increase. The prediction of an overall physician shortage only augments this issue in the US, where this uneven distribution is particularly evident. As such, serious effort to increase the number of practicing primary care physicians is both necessary and beneficial for meeting this country's health care needs. Discussion There are several factors at play which contribute to the decrease in the number of practicing physicians in primary specialties. Lifestyle concerns, such as schedule and income, as well as the lack of prestige associated with this field seem to be among the most prevalent reasons cited for the diminishing interest. Multifaceted concerns such as these, however, are difficult to adequately invalidate; doing so would not only require a great deal research, but also a good deal of time – a resource which is in short supply given the current physician shortage being faced. Thus, a more immediate solution may lie in the increased recruitment and continued support of those individuals who are already associated with primary care service. This is particularly relevant given the Association of American Medical College's goal of increasing medical school enrollment by 15% over the next 10 years. Several groups have been shown to be large contributors to primary care in the US. Here, we focus on three such groups: minority students, International Medical Graduates (IMGs and Osteopathic Physicians (DOs. Although these groups are highly diverse individually, they all share the distinction of being underutilized in regard to the current primary care shortages faced. Thus, through more fully accentuating these

Perelman's Universal Audience.

Science.gov (United States)

Ray, John W.

1978-01-01

Examines the concept of the universal audience as the basic factor of Chaim Perelman's rhetorical theory and concludes that it is subject to the same criticism as Rousseau's general will and Kant's categorical imperative. (JMF)

The advertising and children's audience

OpenAIRE

A.S. Teletov; T.Ye. Ivanova

2015-01-01

The aim of article. The article shows that today more and more citizens supply from advertising. Children's perception of the world is radically different from the adults’ perception. Modern advertising industry affects children's audience more and more. The aim of the article is to analyze the impact of advertising on children's audience with further proposals. The results of the analysis. Some social critics believe that advertising provides new information that helps to be more adaptive...

TV Audience Measurement with Big Data.

Science.gov (United States)

Hill, Shawndra

2014-06-01

TV audience measurement involves estimating the number of viewers tuned into a TV show at any given time as well as their demographics. First introduced shortly after commercial television broadcasting began in the late 1940s, audience measurement allowed the business of television to flourish by offering networks a way to quantify the monetary value of TV audiences for advertisers, who pay for the estimated number of eyeballs watching during commercials. The first measurement techniques suffered from multiple limitations because reliable, large-scale data were costly to acquire. Yet despite these limitations, measurement standards remained largely unchanged for decades until devices such as cable boxes, video-on-demand boxes, and cell phones, as well as web apps, Internet browser clicks, web queries, and social media activity, resulted in an explosion of digitally available data. TV viewers now leave digital traces that can be used to track almost every aspect of their daily lives, allowing the potential for large-scale aggregation across data sources for individual users and groups and enabling the tracking of more people on more dimensions for more shows. Data are now more comprehensive, available in real time, and cheaper to acquire, enabling accurate and fine-grained TV audience measurement. In this article, I discuss the evolution of audience measurement and what the recent data explosion means for the TV industry and academic research.

Creating Visual Design and Meaningful Audience Experiences

DEFF Research Database (Denmark)

Steijn, Arthur; Ion Wille, Jakob

2014-01-01

The main purpose of the EU Interreg funded Classical Composition Music and Experience Design project, was to rethink audience experiences and develop knowledge of applied technologies connected to classical music and live concerts. The project and its main objectives was motivated by at least thee...... conditions. The most important being 1) the development in new technology creating new expectations in audiences attending cultural events, including classical concerts, 2) resent decline in audiences attending classical music and 3) a will to strengthen relations between cultural institutions, creative...... businesses and educational institutions in the Øresund region (including the city and surroundings of Malmø and Copenhagen). Therefore the project Classical Composition Music and Experience Design focused on developing new and meaningful audience experiences where live classical music meets new digital...

Language, gay pornography, and audience reception.

Science.gov (United States)

Leap, William L

2011-01-01

Erotic imagery is an important component of gay pornographic cinema, particularly, where work of audience reception is concerned. However, to assume the audience engagement with the films is limited solely to the erotic realm is to underestimate the workings of ideological power in the context and aftermath of reception. For example, the director of the film under discussion here (Men of Israel; Lucas, 2009b) intended to present an erotic celebration of the nation-state. Yet, most viewers ignore the particulars of context in their comments about audience reception, placing the "Israeli" narrative within a broader framework, using transnational rather than film-specific criteria to guide their "reading" of the Israeli-centered narrative. This article uses as its entry point the language that viewers employ when describing their reactions to Men of Israel on a gay video club's Web site; this article shows how the work of audience reception may draw attention to a film's erotic details while invoking social and political messages that completely reframe the film's erotic narrative.

Eliciting Audience's Experience to Improve Interactive Art Installation

DEFF Research Database (Denmark)

Baharin, Hanif; Morrison, Ann

2006-01-01

Designing with the users in mind is one of the widely accepted design practices in the Interaction Design field. On the other hand, it can be said that audience's experience is the heart of an interactive art. Since Interaction Design has shown that user's involvement in the design process can...... be beneficial, it is speculated that involving the audiences in the creative process of developing an interactive art piece can make the artist improve the art in general and the audience's experience in particular. In this paper, the experience of eliciting the experience of the audiences of an interactive art...

Primary care providers and medical homes for individuals with spina bifida.

Science.gov (United States)

Walker, William O

2008-01-01

The contributions of primary care providers to the successful care of children with spina bifida cannot be underestimated. Overcoming systemic barriers to their integration into a comprehensive care system is essential. By providing routine and disability specific care through the structure of a Medical Home, they are often the first line resource and support for individuals and their families. The Medical Home model encourages primary care providers to facilitate discussions on topics as varied as education and employment. Knowledge of specific medical issues unique to this population allows the primary care provider to complement the efforts of other specialty clinics and providers in often neglected areas such as sexual health, obesity and latex sensitization. As individuals with spina bifida live into adulthood, and access to traditional multidisciplinary care models evolves, these skills will take on increasing importance within the scope of providing comprehensive and coordinated care.

Audience noise in concert halls during musical performances

DEFF Research Database (Denmark)

Jeong, Cheol-Ho; Marie, Pierre; Brunskog, Jonas

2012-01-01

functions of the sound pressure levels were obtained in octave bands, which were fitted with three Gaussian distribution curves. The Gaussian distribution curve with the lowest mean value corresponds to a mixture of the technical background noise and audience generated noise, which is named the mixed...... background noise. Finally, the audience noise distribution is extracted by energy subtraction of the technical background noise levels measured in an empty condition from the mixed background noise levels. As a single index, L-90 of the audience noise distribution is named the audience noise level. Empirical...... prediction models were made using the four orchestra concert halls, revealing that the audience noise level is significantly correlated with the technical background noise level. It is therefore concluded that a relaxation of the current background noise recommendations for concert halls is not recommended...

Audience noise in concert halls during musical performances

DEFF Research Database (Denmark)

Marie, Pierre; Jeong, Cheol-Ho; Brunskog, Jonas

2012-01-01

functions of the sound pressure levels were obtained in octave bands, which were fitted with three Gaussian distribution curves. The Gaussian distribution curve with the lowest mean value corresponds to a mixture of the technical background noise and audience generated noise, which is named the mixed...... background noise. Finally, the audience noise distribution is extracted by energy subtraction of the technical background noise levels measured in an empty condition from the mixed background noise levels. As a single index, L90 of the audience noise distribution is named the audience noise level. Empirical...... prediction models were made using the four orchestra concert halls, revealing that the audience noise level is significantly correlated with the technical background noise level. It is therefore concluded that a relaxation of the current background noise recommendations for concert halls is not recommended....

The design of virtual audiences: Noticeable and recognizable behavioral styles

NARCIS (Netherlands)

Kang, N.; Brinkman, W.P.; Birna Van Riemsdijk, M.; Neerincx, M.

2016-01-01

Expressive virtual audiences are used in scientific research, psychotherapy, and training. To create an expressive virtual audience, developers need to know how specific audience behaviors are associated with certain characteristics of an audience, such as attitude, and how well people can recognize

Using films and television shows with a medical theme as a medium to accelerate the spread of medical humanities.

Science.gov (United States)

Chen, Wenting; Qian, Haihong

2017-05-23

People have more visual experiences than ever before, and the same is true for situations in medicine. More mature films and television shows with a medical theme have been available over the past 20 years. In mainland China, the TV series "Angel Heart" has generated a wave of universal concern since it truly depicts the work of health care workers and it reflects the sharp distinction between doctors and patients to a certain extent. Riding this wave, many medical documentaries like The Human World have also been launched in China and have garnered sizable audiences. Such films and television shows with a medical theme strive to depict the lives of ordinary people. When watching these medical documentaries, audiences are able to better comprehend the work of health care workers in light of their life experiences and feelings towards current society. Audiences can gain a profound understanding of the medical humanities through films and television shows with a medical theme. We look forward to more such films and television shows with a medical theme that depict "hospitals-the realest place" on camera. Films and television shows with a medical theme can serve as a storytelling medium to accelerate the spread of medical humanities and to promote harmony among doctors, patients, and the public.

Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods.

Science.gov (United States)

Friedberg, Mark W; Coltin, Kathryn L; Safran, Dana Gelb; Dresser, Marguerite; Schneider, Eric C

2010-06-14

Under current medical home proposals, primary care practices using specific structural capabilities will receive enhanced payments. Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care. Via survey, 308 Massachusetts primary care practices reported their use of 13 structural capabilities commonly included in medical home proposals. Using geocoded US Census data, we constructed racial/ethnic minority and economic disadvantage indices to describe the neighborhood served by each practice. We compared the structural capabilities of "disproportionate-share" practices (those in the most sociodemographically vulnerable quintile on each index) and others. Racial/ethnic disproportionate-share practices were more likely than others to have staff assisting patient self-management (69% vs 55%; P = .003), on-site language interpreters (54% vs 26%; P primary care practices serving sociodemographically vulnerable neighborhoods were more likely than other practices to have structural capabilities commonly included in medical home proposals. Payments tied to these capabilities may aid practices serving vulnerable populations.

Using attachment theory in medical settings: implications for primary care physicians.

Science.gov (United States)

Hooper, Lisa M; Tomek, Sara; Newman, Caroline R

2012-02-01

Mental health researchers, clinicians and clinical psychologists have long considered a good provider-patient relationship to be an important factor for positive treatment outcomes in a range of therapeutic settings. However, primary care physicians have been slow to consider how attachment theory may be used in the context of patient care in medical settings. In the current article, John Bowlby's attachment theory and proposed attachment styles are proffered as a framework to better understand patient behaviors, patient communication styles with physicians and the physician-patient relationship in medical settings. The authors recommend how primary care physicians and other health care providers can translate attachment theory to enhance practice behaviors and health-related communications in medical settings.

Measuring and manipulating audiences : A personal reflection

NARCIS (Netherlands)

Bulterman, Dick C A

2016-01-01

Understanding the emotional reactions of audiences to a wide range of content types is an important area of research. In this article, I provide a personal reflection on various approaches to modeling, quantifying and understanding audience behavior based on a broad range of evaluation techniques.

Teaching Medical Students Basic Neurotransmitter Pharmacology Using Primary Research Resources

Science.gov (United States)

Halliday, Amy C.; Devonshire, Ian M.; Greenfield, Susan A.; Dommett, Eleanor J.

2010-01-01

Teaching pharmacology to medical students has long been seen as a challenge, and one to which a number of innovative approaches have been taken. In this article, we describe and evaluate the use of primary research articles in teaching second-year medical students both in terms of the information learned and the use of the papers themselves. We…

Teaching Audience Adaptation Using Connected Presentations and Teamwork

Science.gov (United States)

Opt, Susan K.

2017-01-01

Courses: Introduction to Communication, Public Speaking, Persuasion, Business Communication. Objective: This activity increases students' understanding of audience adaptation and improves their ability to adapt presentations to specific audiences.

You, too, can be an international medical traveler: Reading medical travel guidebooks

NARCIS (Netherlands)

Ormond, M.E.; Sothern, M.

2012-01-01

Drawing on literature on self-help and travel guide writing, this paper interrogates five international medical travel guidebooks aimed at encouraging American and British audiences to travel abroad to purchase medical care. These guidebooks articulate a three-step self-help “program” to produce a

Sleeping with the enemy: Audience studies and critical literacy

NARCIS (Netherlands)

Hermes, J.; van den Berg, A.; Mol, M.

2013-01-01

Audience studies is not the vibrant field it was in its 1980s and early 1990s heyday. Cultural studies today has a more balanced interest in production, audiences and texts. A renewed focus in audience studies on everyday meaning production, identity and relations of power could benefit from recent

Medical Home Implementation Gaps for Seniors: Perceptions and Experiences of Primary Care Medical Practices.

Science.gov (United States)

Hoff, Timothy; DePuccio, Matthew

2018-07-01

The study objective was to better understand specific implementation gaps for various aspects of patient-centered medical home (PCMH) care delivered to seniors. The study illuminates the physician and staff experience by focusing on how individuals make sense of and respond behaviorally to aspects of PCMH implementation. Qualitative data from 51 in-depth, semi-structured interviews across six different National Committee for Quality Assurance (NCQA)-accredited primary care practices were collected and analyzed. Physicians and staff identified PCMH implementation gaps for their seniors: (a) performing in-depth clinical assessments, (b) identifying seniors' life needs and linking them with community resources, and (c) care management and coordination, in particular self-management support for seniors. Prior experiences trying to perform these aspects of PCMH care for older adults produced collective understandings that led to inaction and avoidance by medical practices around the first two gaps, and proactive behavior that took strategic advantage of external incentives for addressing the third gap. Greater understanding of physician and staff's PCMH implementation experiences, and the learning that accumulates from these experiences, allows for a deeper understanding of how primary care practices choose to enact the medical home model for seniors on an everyday basis.

Watching Dallas again 1: Doing retro audience research

Directory of Open Access Journals (Sweden)

Amanda Gilroy

2015-06-01

Full Text Available This essay and the audience reception projects it introduces alleviate the desperation of seeking the television audience by recourse to Ien Ang's influential book, Watching Dallas ([1982] 1985. Within the context of a unit on audience research in a master's-level course on media, two groups of students explored the possibilities of remixing Ang in the present digital media landscape via informants' comments on the first season of the new series of Dallas (2012–14. Discourses of nostalgia circulate within and around the text, as well as the project itself. Retro audience research generates not only data about the affective memories and critical reflections of informants but also insights into research methods and the production of new nostalgic subjects.

MO-FG-BRB-02: Debater [medical physics education

Energy Technology Data Exchange (ETDEWEB)

Hazle, J. [UT MD Anderson Cancer Center (United States)

2016-06-15

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusion of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.

MO-FG-BRB-03: Debater [medical physics education

Energy Technology Data Exchange (ETDEWEB)

Herman, M. [Mayo Clinic (United States)

2016-06-15

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusion of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.

Qualitative and quantitative outcomes of audience response systems as an educational tool in a plastic surgery residency program.

Science.gov (United States)

Arneja, Jugpal S; Narasimhan, Kailash; Bouwman, David; Bridge, Patrick D

2009-12-01

In-training evaluations in graduate medical education have typically been challenging. Although the majority of standardized examination delivery methods have become computer-based, in-training examinations generally remain pencil-paper-based, if they are performed at all. Audience response systems present a novel way to stimulate and evaluate the resident-learner. The purpose of this study was to assess the outcomes of audience response systems testing as compared with traditional testing in a plastic surgery residency program. A prospective 1-year pilot study of 10 plastic surgery residents was performed using audience response systems-delivered testing for the first half of the academic year and traditional pencil-paper testing for the second half. Examination content was based on monthly "Core Quest" curriculum conferences. Quantitative outcome measures included comparison of pretest and posttest and cumulative test scores of both formats. Qualitative outcomes from the individual participants were obtained by questionnaire. When using the audience response systems format, pretest and posttest mean scores were 67.5 and 82.5 percent, respectively; using traditional pencil-paper format, scores were 56.5 percent and 79.5 percent. A comparison of the cumulative mean audience response systems score (85.0 percent) and traditional pencil-paper score (75.0 percent) revealed statistically significantly higher scores with audience response systems (p = 0.01). Qualitative outcomes revealed increased conference enthusiasm, greater enjoyment of testing, and no user difficulties with the audience response systems technology. The audience response systems modality of in-training evaluation captures participant interest and reinforces material more effectively than traditional pencil-paper testing does. The advantages include a more interactive learning environment, stimulation of class participation, immediate feedback to residents, and immediate tabulation of results for the

Social Audience in Spain: Succesful strategies in national TV

Directory of Open Access Journals (Sweden)

Marta Saavedra Llamas

2015-07-01

Full Text Available This research presents the concept of social audience, as a new narrative space born in the convergence of the TV audience and the user’s conversations in Twitter, and examine strategies of TV programs in Spain with higher social audience. Understand what exactly the social audience is, how does it works or what kind of metrics are made for it, becomes more necessary than ever to deepen into the uses and opportunities facing both the television media and advertisers who choose to invest in a TV space.Through the study of successful cases already implemented is to establish formulas for success that achieve a more active participation of users, transfer from social to traditional audience and the profitable inclusion of brands in this full of possibilities new communication scenario.

Update of strategies to translate evidence from cochrane musculoskeletal group systematic reviews for use by various audiences.

Science.gov (United States)

Rader, Tamara; Pardo Pardo, Jordi; Stacey, Dawn; Ghogomu, Elizabeth; Maxwell, Lara J; Welch, Vivian A; Singh, Jasvinder A; Buchbinder, Rachelle; Légaré, France; Santesso, Nancy; Toupin April, Karine; O'Connor, Annette M; Wells, George A; Winzenberg, Tania M; Johnston, Renea; Tugwell, Peter

2014-02-01

For rheumatology research to have a real influence on health and well-being, evidence must be tailored to inform the decisions of various audiences. The Cochrane Musculoskeletal Group (CMSG), one of 53 groups of the not-for-profit international Cochrane Collaboration, prepares, maintains, and disseminates systematic reviews of treatments for musculoskeletal diseases. While systematic reviews provided by the CMSG fill a major gap in meeting the need for high-quality evidence syntheses, our work does not end at the completion of a review. The term "knowledge translation" (KT) refers to the activities involved in bringing research evidence to various audiences in a useful form so it can be used to support decision making and improve practices. Systematic reviews give careful consideration to research methods and analysis. Because the review is often long and detailed, the clinically relevant results may not be apparent or in the optimal form for use by patients and their healthcare practitioners. This paper describes 10 formats, many of them new, for ways that evidence from Cochrane Reviews can be translated with the intention of meeting the needs of various audiences, including patients and their families, practitioners, policy makers, the press, and members of the public (the "5 Ps"). Current and future knowledge tools include summary of findings tables, patient decision aids, plain language summaries, press releases, clinical scenarios in general medical journals, frequently asked questions (Cochrane Clinical Answers), podcasts, Twitter messages, Journal Club materials, and the use of storytelling and narratives to support continuing medical education. Future plans are outlined to explore ways of improving the influence and usefulness of systematic reviews by providing results in formats suitable to our varied audiences.

Selling Participation to Audiences in China

Directory of Open Access Journals (Sweden)

Kuo Huang

2009-01-01

Full Text Available Media globalization is facilitated by the development of new technologies within a framework of digitization and convergence. Contemporary new media provide networks through which the mingling of media occurs, shaping a “multi-mediacy” age, and a connecting of mediated/mediating venues in a condition of “immediacy”. Additionally, the business of communication has evolved from being the “communication of business” to the “business of business”. Multi-mediacy and immediacy have generated new avenues of profit from media. The paper will draw on Chitty’s theorization on web transactional venues to discuss new ways of farming of revenue from media. Media revenues have in the past and today been drawn from licence fees, media subscriptions and advertising. Today, media networks also sell “participation” to audiences directly by charging for text message voting/gaming, or sell a range of products and services through web-venue based commerce. This paper will undertake case studies to examine the increasing trend of “direct audience payment for participation”. The case studies that will be used are (A the intervention of Chinese Service Providers in reality TV shows and (B E-commerce on the Internet. Monternet (mo[bile I]nternet and Linktone are investigated as Service Providers (SPs and the consumer-to-consumer (C2C website www.taobao.com is studied compared with Eachnet (eBay in China. The paper will also investigate the influences of “direct audience payment for participation” on the quality of media products and communication flow between media and audience and generally discuss the consequences of the “direct audience payment for participation” from the perspective of communication ethics.

Engagement with physics across diverse festival audiences

Science.gov (United States)

Roche, Joseph; Stanley, Jessica; Davis, Nicola

2016-07-01

Science shows provide a method of introducing large public audiences to physics concepts in a nonformal learning environment. While these shows have the potential to provide novel means of educational engagement, it is often difficult to measure that engagement. We present a method of producing an interactive physics show that seeks to provide effective and measurable audience engagement. We share our results from piloting this method at a leading music and arts festival as well as a science festival. This method also facilitated the collection of opinions and feedback directly from the audience which helps explore the benefits and limitations of this type of nonformal engagement in physics education.

When do Logos Talk to their Audience?

DEFF Research Database (Denmark)

Kristensen, Tore; Gabrielsen, Gorm

2015-01-01

This study is based on two experiments where the ability of a new logo to reach and audience is explored. The approach is inspired by cybernetics and is based on measuring the variation of the reception of a logo seen just once. The variation is measured as the combined variation of between...... to the audience. A big variation within-subject means that the individual receives a varied, deep, and nuanced message. The ability to do this rests partly on the ability to activate competences and experiences from the past and thus making sense. The findings are that few logo elements are received by audiences...

[About a new medical primary language].

Science.gov (United States)

Borque, Oscar Valtueña

2007-01-01

The author, Medical Doctor from half a century, because his interest in Art, has studied Art Philosophy and History at the Madrid University. He found among the primary civilizations many pictures and sculptures with illness showed as Art, but not included in the books of History of Medicine. In this paper he shows a palimpsest to demonstrate that the four Mesoamerican cultures, before the arrival of Spaniard, without cultural or artistic influences, pictured a lot of congenital malformations and illness. The author exposes his original point of view to explain these findings.

Rational Wizards: Audience Interpreters in French Television

NARCIS (Netherlands)

Bourdon, Jérôme; Méadel, Cécile

2013-01-01

abstractThis paper will tell the story of the smallgroup of people who, in France, have been in charge of the measurement and theappreciation of the audience of television, and had to invent audience research,to organize it and to communicate its results to "clients" whodepended on it much earlier

Effects of Interactivity between Audience and Urban Advertisement

Directory of Open Access Journals (Sweden)

Mitra Manavirad

2017-10-01

Full Text Available Nowadays, advertisement plays an important and impressive role in our lives and we are witnessing different works in this field. The emergence of new technologies in this field has led to the arrival of a new style of advertising with different interactivity and administrative functions. Interactive advertising is considered as one of the most up to date urban advertising. With regard to the arrival of this new style of advertising and using them in different countries, this research investigates the effectiveness of an advertisement’s interaction with the audiences in urban advertising through a descriptive/analytical approach as well as field study with regard to the type of advertising usage including commercial, promotional, educational, social etc. It is assumed that an interactive advertising confronts the audience with many challenges and makes him from a static and watching audience to an actor and explorer audience. In such advertisements, the audience enters a path with interactivity where the advertisement guides him and audience responses positively to this action; after a simple activity and in some cases, he interacts and communicates with the advertisement just by passing by it. In interactivity advertisements in urban spaces, the artist pays much attention to audience participation for challenges or performing specific activity that will lead to a result. The use of interactive advertising in various forms such as billboards, stands, and advertisements at bus stops and so on has increased in recent years, developed countries, and countries that are more familiar to technologies. These works are considered a new step in the field of urban advertising. This research selects samples of using such creative advertisements, especially in commercial areas in different countries as well as Iran. It considers the producing method, ideation, and effectiveness of each in a specific period as well as their installation and commissioning

In Connecticut: improving patient medication management in primary care.

Science.gov (United States)

Smith, Marie; Giuliano, Margherita R; Starkowski, Michael P

2011-04-01

Medications are a cornerstone of the management of most chronic conditions. However, medication discrepancies and medication-related problems-some of which can cause serious harm-are common. Pharmacists have the expertise to identify, resolve, monitor, and prevent these problems. We present findings from a Centers for Medicare and Medicaid Services demonstration project in Connecticut, in which nine pharmacists worked closely with eighty-eight Medicaid patients from July 2009 through May 2010. The pharmacists identified 917 drug therapy problems and resolved nearly 80 [corrected] percent of them after four encounters. The result was an estimated annual saving of $1,123 per patient on medication claims and $472 per patient on medical, hospital, and emergency department expenses-more than enough to pay for the contracted pharmacist services. We recommend that the Center for Medicare and Medicaid Innovation support the evaluation of pharmacist-provided medication management services in primary care medical homes, accountable care organizations, and community health and care transition teams, as well as research to explore how to enhance team-based care.

1 Aquatic Theatre: Women as Performing Audience Sunday ...

African Journals Online (AJOL)

USER

audience relationship. Keywords: Aquatic theatre, women, performing audience, festival, ... "Fine and Performing Arts" in the book The Land and People of Rivers. State. .... Jefferson as saying in the New York Times that “there is something.

Medical Assistant-based care management for high risk patients in small primary care practices

DEFF Research Database (Denmark)

Freund, Tobias; Peters-Klimm, Frank; Boyd, Cynthia M.

2016-01-01

Background: Patients with multiple chronic conditions are at high risk of potentially avoidable hospital admissions, which may be reduced by care coordination and self-management support. Medical assistants are an increasingly available resource for patient care in primary care practices. Objective......: To determine whether protocol-based care management delivered by medical assistants improves patient care in patients at high risk of future hospitalization in primary care. Design: Two-year cluster randomized clinical trial. Setting: 115 primary care practices in Germany. Patients: 2,076 patients with type 2......, and monitoring delivered by medical assistants with usual care. Measurements: All-cause hospitalizations at 12 months (primary outcome) and quality of life scores (Short Form 12 Health Questionnaire [SF-12] and the Euroqol instrument [EQ-5D]). Results: Included patients had, on average, four co-occurring chronic...

Supervising Family Therapy Trainees in Primary Care Medical Settings: Context Matters

Science.gov (United States)

Edwards, Todd M.; Patterson, Jo Ellen

2006-01-01

The purpose of this article is to identify and describe four essential skills for effective supervision of family therapy trainees in primary care medical settings. The supervision skills described include: (1) Understand medical culture; (2) Locate the trainee in the treatment system; (3) Investigate the biological/health issues; and (4) Be…

‘Looting killed’ the audience: Africanlanguage writing, performance, publishing and the audience

Directory of Open Access Journals (Sweden)

T. J. Selepe

2001-06-01

Full Text Available This article examines the role played by African-language writing, performance and publishing, including critical practice, in the demise of the indigenous audience in African-language literary practice. Using implicit materialism the argument is premised on the developments wrought by the era of Modernism that has lead to a univocal writing of world history, and the era of Postmodernism that has ushered in the era of a multivocal writing of world history. The transition from oral literature to written literature will also be used to advance the argument about the subsequent exclusion of the indigenous African- language audience from literary practice. This exclusion is considered to have a direct bearing on the under-development of African societies. Finally, possible solutions will be sought by revisiting some of the causes that characterize the African language problem as a medium of communication and research.

Toward a Political Economy of ‘Audience Labour’ in the Digital Era

Directory of Open Access Journals (Sweden)

Brice Nixon

2014-09-01

Full Text Available This article contributes to a political economic theory centred on the concept of “audience labour”. First, the previous use of the concept of audience labour is briefly traced and the process of rethinking the concept as the basis of a political economic theory is begun. Second, a theory of the audience labour process is developed, drawing on previous theories of audience activities of cultural consumption as productive activities of signification and adapting Marx’s theory of the human labour process to the audience labour process. Third, a political economy of audience labour is outlined. As a theory of the basic processes through which communicative capital can control and extract value from audience labour, it describes the exploitation of audience labour and accumulation of communicative capital through distribution relationships of rent and interest. Finally, the continuing centrality of audience labour exploitation in the digital era is discussed.

Visualization Mode, Perceived Immediacy and Audience Evaluation of TV News.

Science.gov (United States)

Ksobiech, Kenneth; And Others

1980-01-01

An analysis of audience perceptions of videotaped versus filmed actualities on television newscasts suggested that videotaped actualities were perceived as more immediate than filmed actualities, and that audience evaluation of newscasts using videotaped actualities was higher than audience evaluation of newscasts using filmed actualities. (GT)

Identifying Like-Minded Audiences for Global Warming Public Engagement Campaigns: An Audience Segmentation Analysis and Tool Development

Science.gov (United States)

Maibach, Edward W.; Leiserowitz, Anthony; Roser-Renouf, Connie; Mertz, C. K.

2011-01-01

Background Achieving national reductions in greenhouse gas emissions will require public support for climate and energy policies and changes in population behaviors. Audience segmentation – a process of identifying coherent groups within a population – can be used to improve the effectiveness of public engagement campaigns. Methodology/Principal Findings In Fall 2008, we conducted a nationally representative survey of American adults (n = 2,164) to identify audience segments for global warming public engagement campaigns. By subjecting multiple measures of global warming beliefs, behaviors, policy preferences, and issue engagement to latent class analysis, we identified six distinct segments ranging in size from 7 to 33% of the population. These six segments formed a continuum, from a segment of people who were highly worried, involved and supportive of policy responses (18%), to a segment of people who were completely unconcerned and strongly opposed to policy responses (7%). Three of the segments (totaling 70%) were to varying degrees concerned about global warming and supportive of policy responses, two (totaling 18%) were unsupportive, and one was largely disengaged (12%), having paid little attention to the issue. Certain behaviors and policy preferences varied greatly across these audiences, while others did not. Using discriminant analysis, we subsequently developed 36-item and 15-item instruments that can be used to categorize respondents with 91% and 84% accuracy, respectively. Conclusions/Significance In late 2008, Americans supported a broad range of policies and personal actions to reduce global warming, although there was wide variation among the six identified audiences. To enhance the impact of campaigns, government agencies, non-profit organizations, and businesses seeking to engage the public can selectively target one or more of these audiences rather than address an undifferentiated general population. Our screening instruments are

Identifying like-minded audiences for global warming public engagement campaigns: an audience segmentation analysis and tool development.

Directory of Open Access Journals (Sweden)

Edward W Maibach

2011-03-01

Full Text Available Achieving national reductions in greenhouse gas emissions will require public support for climate and energy policies and changes in population behaviors. Audience segmentation--a process of identifying coherent groups within a population--can be used to improve the effectiveness of public engagement campaigns.In Fall 2008, we conducted a nationally representative survey of American adults (n = 2,164 to identify audience segments for global warming public engagement campaigns. By subjecting multiple measures of global warming beliefs, behaviors, policy preferences, and issue engagement to latent class analysis, we identified six distinct segments ranging in size from 7 to 33% of the population. These six segments formed a continuum, from a segment of people who were highly worried, involved and supportive of policy responses (18%, to a segment of people who were completely unconcerned and strongly opposed to policy responses (7%. Three of the segments (totaling 70% were to varying degrees concerned about global warming and supportive of policy responses, two (totaling 18% were unsupportive, and one was largely disengaged (12%, having paid little attention to the issue. Certain behaviors and policy preferences varied greatly across these audiences, while others did not. Using discriminant analysis, we subsequently developed 36-item and 15-item instruments that can be used to categorize respondents with 91% and 84% accuracy, respectively.In late 2008, Americans supported a broad range of policies and personal actions to reduce global warming, although there was wide variation among the six identified audiences. To enhance the impact of campaigns, government agencies, non-profit organizations, and businesses seeking to engage the public can selectively target one or more of these audiences rather than address an undifferentiated general population. Our screening instruments are available to assist in that process.

Identifying like-minded audiences for global warming public engagement campaigns: an audience segmentation analysis and tool development.

Science.gov (United States)

Maibach, Edward W; Leiserowitz, Anthony; Roser-Renouf, Connie; Mertz, C K

2011-03-10

Achieving national reductions in greenhouse gas emissions will require public support for climate and energy policies and changes in population behaviors. Audience segmentation--a process of identifying coherent groups within a population--can be used to improve the effectiveness of public engagement campaigns. In Fall 2008, we conducted a nationally representative survey of American adults (n = 2,164) to identify audience segments for global warming public engagement campaigns. By subjecting multiple measures of global warming beliefs, behaviors, policy preferences, and issue engagement to latent class analysis, we identified six distinct segments ranging in size from 7 to 33% of the population. These six segments formed a continuum, from a segment of people who were highly worried, involved and supportive of policy responses (18%), to a segment of people who were completely unconcerned and strongly opposed to policy responses (7%). Three of the segments (totaling 70%) were to varying degrees concerned about global warming and supportive of policy responses, two (totaling 18%) were unsupportive, and one was largely disengaged (12%), having paid little attention to the issue. Certain behaviors and policy preferences varied greatly across these audiences, while others did not. Using discriminant analysis, we subsequently developed 36-item and 15-item instruments that can be used to categorize respondents with 91% and 84% accuracy, respectively. In late 2008, Americans supported a broad range of policies and personal actions to reduce global warming, although there was wide variation among the six identified audiences. To enhance the impact of campaigns, government agencies, non-profit organizations, and businesses seeking to engage the public can selectively target one or more of these audiences rather than address an undifferentiated general population. Our screening instruments are available to assist in that process.

MO-FG-BRB-01: Debater [medical physics education

Energy Technology Data Exchange (ETDEWEB)

Bayouth, J. [University of Wisconsin (United States)

2016-06-15

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusion of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.

The Disappearing Audience and Reflexive Visibility

OpenAIRE

Katerina Girginova

2016-01-01

Contrary to popular opinion and some academic writing that celebrates the renewed visibility of new media audiences, this essay argues that they are increasingly going into retreat. To understand how new media audiences “disappear” from view of one another, I borrow from Brighenti’s typology of visibility and develop the idea of “reflexive visibility.” The latter describes the ability to socially orient ourselves in a digital environment through the textual and contextual cues of others—an ac...

Medication adherence and blood pressure control amongst adults with primary hypertension attending a tertiary hospital primary care clinic in Eastern Nigeria

Science.gov (United States)

Ofoedu, John N.; Njoku, Patrick U.; Amadi, Agwu N.; Godswill-Uko, Ezinne U.

2013-01-01

Abstract Background As the case detection rates of hypertension increase in adult Nigerians, achieving target blood pressure (BP) control has become an important management challenge. Objectives To describe medication adherence and BP control amongst adult Nigerians with primary hypertension attending a primary care clinic of a tertiary hospital in a resource-poor environment in Eastern Nigeria. Methods A cross-sectional study was carried out in 140 adult patients with primary hypertension who have been on treatment for at least 6 months at the primary care clinic of Federal Medical Centre, Umuahia. A patient was said to have achieved goal BP control if the BP was < 140 per 90 mmHg. Adherence was assessed in the previous 30 days using a pretested researcher-administered questionnaire on 30 days of self-reported therapy. Adherence was graded using an ordinal scoring system of 0–4; an adherent patient was one who scored 4 points in the previous 30 days. Reasons for non-adherence were documented. Results Adherence to medication and BP control rates were 42.9% and 35.0% respectively. BP control was significantly associated with medication adherence (p = 0.03), antihypertensive medication duration ≥3 years (p = 0.042), and taking ≥ one form of antihypertensive medication (p = 0.04). BP at the recruitment visit was significantly higher than at the end of the study (p = 0.036). The most common reason for non-adherence was forgetfulness (p = 0.046). Conclusions The rate of BP control amongst the study population was low, which may be connected with low medication adherence. This study urges consideration of factors relating to adherence alongside other factors driving goal BP control.

Medication adherence and blood pressure control amongst adults with primary hypertension attending a tertiary hospital primary care clinic in Eastern Nigeria

Directory of Open Access Journals (Sweden)

Gabriel UP. Iloh

2013-02-01

Full Text Available Background: As the case detection rates of hypertension increase in adult Nigerians, achieving target blood pressure (BP control has become an important management challenge.Objectives: To describe medication adherence and BP control amongst adult Nigerians with primary hypertension attending a primary care clinic of a tertiary hospital in a resource-poor environment in Eastern Nigeria.Methods: A cross-sectional study was carried out in 140 adult patients with primary hypertension who have been on treatment for at least 6 months at the primary care clinic of Federal Medical Centre, Umuahia. A patient was said to have achieved goal BP control if the BP was < 140 per 90 mmHg. Adherence was assessed in the previous 30 days using a pretested researcher-administered questionnaire on 30 days of self-reported therapy. Adherence was graded using an ordinal scoring system of 0–4; an adherent patient was one who scored 4 points in the previous 30 days. Reasons for non-adherence were documented.Results: Adherence to medication and BP control rates were 42.9% and 35.0% respectively. BP control was significantly associated with medication adherence (p = 0.03, antihypertensive medication duration ≥3 years (p = 0.042, and taking ≥ one form of antihypertensive medication (p = 0.04. BP at the recruitment visit was significantly higher than at the end of the study (p = 0.036. The most common reason for non-adherence was forgetfulness (p = 0.046. Conclusion: The rate of BP control amongst the study population was low, which may be connected with low medication adherence. This study urges consideration of factors relating to adherence alongside other factors driving goal BP control.

Audience Research for the Performing Arts: Romanian Music Festival

Directory of Open Access Journals (Sweden)

Florin G. LUCHIAN

2014-04-01

Full Text Available The purpose of this study is to examine the strategic marketing tools (instruments such as segmentation and targeting for a better understanding of current and potential audiences of classical music festivals. Arts administrators need to locate and address the audience segmentation, enhancing communication with audiences of all segments. The marketing strategies for music festivals should include improving music festival branding as well as developing diverse programs and engaging with the community on multiple levels. The study incorporates a literature review of the recent sociological research dealing with the consumption of arts products and a case study approach on the fifteenth edition of Romanian Music Festival in Iași, involving an audience survey. The research can be used as a tool to inform marketing and audience development plans for the organisers of Romanian Music Festival and other arts organisations. It also contains insights that organisations might find useful in the development of an arts activity itself.

Audiences, museums and the English middle class

Directory of Open Access Journals (Sweden)

Brian Longhurst

2004-07-01

Full Text Available The increasingly accepted way to analyse any media product is to consider production, text and audience processes. In a deceptively simple way, a television programme, for example, can be examined in the institutional, social and political context in which it is produced and with respect to the organizational framework that provides its immediate production environment. Second, its textual structures and strategies can be analysed using different approaches, such as structuralism or (in certain respects content analysis. Third, the way in which the audience understands (or decodes the text can be considered, as can the makeup of the audience, in terms of standard factors such as class, gender, age, ethnicity and so on. There are many variations on this sort of approach. This paper starts from such a premise. It suggests that in addition to the well formulated approaches to the study of the museum that focus generally on the institutional and wider social context for museums, or on specific museums and the processes that occur within them, or on the much studied strategies for display and narration of texts, the audiences for museums are also important.

Audience Insights: Communicating to Teens (Aged 12-17)

Science.gov (United States)

Centers for Disease Control and Prevention, 2009

2009-01-01

CDC's Marketing and Communication Strategy Branch (MCSB) in the National Center for Health Marketings Division of Health Communication and Marketing divides audiences into segments with similar needs, preferences, and characteristics and provides CDC programs with audience-specific information, marketing expertise, and communication planning. To…

From 'folkism' to performance: a new scenic strategy for audience ...

African Journals Online (AJOL)

The performances of plays based on 'Folkism' are not accessible to the general audience due to the kind of staging techniques used for the performances of these plays. Instead of attaining total audience integration, the audience is alienated and estranged because of a natural gulf that exists in the proscenium theatre.

Audience reaction movie trailers and the Paranormal Activity franchise

OpenAIRE

Alexander Swanson

2015-01-01

This article addresses the concept and growing practice of audience reaction movie trailers, specifically for films in the horror genre. Popularized by the Paranormal Activity series of films, these trailers primarily utilize green night-vision video footage of a movie theater audience reacting to the film being advertised, yet also consist of webcam recordings of screaming fans, documentary-style B-roll footage of audiences filing into preview screenings with high levels of anticipation, and...

Medical overuse and quaternary prevention in primary care - A qualitative study with general practitioners.

Science.gov (United States)

Alber, Kathrin; Kuehlein, Thomas; Schedlbauer, Angela; Schaffer, Susann

2017-12-08

Medical overuse is a topic of growing interest in health care systems and especially in primary care. It comprises both over investigation and overtreatment. Quaternary prevention strategies aim at protecting patients from unnecessary or harmful medicine. The objective of this study was to gain a deeper understanding of relevant aspects of medical overuse in primary care from the perspective of German general practitioners (GPs). We focused on the scope, consequences and drivers of medical overuse and strategies to reduce it (=quaternary prevention). We used the qualitative Grounded Theory approach. Theoretical sampling was carried out to recruit GPs in Bavaria, Germany. We accessed the field of research through GPs with academic affiliation, recommendations by interview partners and personal contacts. They differed in terms of primary care experience, gender, region, work experience abroad, academic affiliation, type of specialist training, practice organisation and position. Qualitative in-depth face-to-face interviews with a semi-structured interview guide were conducted (n = 13). The interviews were audiotaped and transcribed verbatim. Data analysis was carried out using open and axial coding. GPs defined medical overuse as unnecessary investigations and treatment that lack patient benefit or bear the potential to cause harm. They observed that medical overuse takes place in all three German reimbursement categories: statutory health insurance, private insurance and individual health services (direct payment). GPs criticised the poor acceptance of gate-keeping in German primary care. They referred to a low-threshold referral policy and direct patient access to outpatient secondary care, leading to specialist treatment without clear medical indication. The GPs described various direct drivers of medical overuse within their direct area of influence. They also emphasised indirect drivers related to system or societal processes. The proposed strategies for

LAIX-score : a design framework for live audience interaction management systems

OpenAIRE

Kuikkaniemi, Kai

2017-01-01

This study focuses on computer-supported live audience interaction. In conventional lectures audience interacts explicitly with the performer for example by waving hand and asking question directly or clapping hands. For decades, non digital audience response systems have enabled simple multiple option audience interaction patterns. Modern mobile personal computing devices, digital projectors, wireless networks and real time software platforms enable creation of new kinds of interaction patte...

Contemporary Medical Management of Primary Hyperparathyroidism: A Systematic Review

Directory of Open Access Journals (Sweden)

Julius Simoni Leere

2017-04-01

Full Text Available IntroductionPrimary hyperparathyroidism is increasingly an asymptomatic disease at diagnosis, but the recognized guidelines for management are based on evidence obtained from studies on patients with symptomatic disease, and surgery is not always indicated. Other patients are unable to undergo surgery, and thus a medical treatment is warranted. This systematic review provides an overview of the existing literature on contemporary pharmaceutical options available for the medical management of primary hyperparathyroidism.MethodsDatabases of medical literature were searched for articles including terms for primary hyperparathyroidism and each of the included drugs. Data on s-calcium, s-parathyroid hormone, bone turnover markers, bone mineral density (BMD and hard endpoints were extracted and tabulated, and level of evidence was determined. Changes in s-calcium were estimated and a meta-regression analysis was performed.ResultsThe 1,999 articles were screened for eligibility and 54 were included in the review. Weighted mean changes calculated for each drug in s-total calcium (mean change from baseline ± SEM were pamidronate (0.31 ± 0.034 mmol/l; alendronate (0.07 ± 0.05 mmol/l; clodronate (0.20 ± 0.040 mmol/l; mixed bisphosphonates (0.16 ± 0.049 mmol/l; and cinacalcet (0.37 ± 0.013 mmol/l. The meta-analysis revealed a significant decrease of effect on s-calcium with time for the bisphosphonates (Coef. −0.049 ± 0.023, p = 0.035, while cinacalcet proved to maintain its effect on s-calcium over time. Bisphosphonates improved BMD while cinacalcet had no effect.DiscussionThe included studies demonstrate advantages and drawbacks of the available pharmaceutical options that can prove helpful in the clinical setting. The great variation in how primary hyperparathyroidism is manifested requires that management should rely on an individual evaluation when counseling patients. Combining resorptive agents with

Antidepressant medication use for primary care patients with and without medical comorbidities: a national electronic health record (EHR) network study.

Science.gov (United States)

Gill, James M; Klinkman, Michael S; Chen, Ying Xia

2010-01-01

Because comorbid depression can complicate medical conditions (eg, diabetes), physicians may treat depression more aggressively in patients who have these conditions. This study examined whether primary care physicians prescribe antidepressant medications more often and in higher doses for persons with medical comorbidities. This secondary data analysis of electronic health record data was conducted in the Centricity Health Care User Research Network (CHURN), a national network of ambulatory practices that use a common outpatient electronic health record. Participants included 209 family medicine and general internal medicine providers in 40 primary care CHURN offices in 17 US states. Patients included adults with a new episode of depression that had been diagnosed during the period October 2006 through July 2007 (n = 1513). Prescription of antidepressant medication and doses of antidepressant medication were compared for patients with and without 6 comorbid conditions: diabetes, coronary heart disease, congestive heart failure, cerebrovascular disease, chronic obstructive pulmonary disease, and cancer. 20.7% of patients had at least one medical comorbidity whereas 5.8% had multiple comorbidities. Overall, 77% of depressed patients were prescribed antidepressant medication. After controlling for age and sex, patients with multiple comorbidities were less likely to be prescribed medication (adjusted odds ratio, 0.58; 95% CI, 0.35-0.96), but there was no significant difference by individual comorbidities. Patients with cerebrovascular disease were less likely to be prescribed a full dose of medication (adjusted odds ratio, 0.26; 95% CI, 0.08-0.88), but there were no differences for other comorbidities or for multiple comorbidities, and there was no difference for any comorbidities in the prescription of minimally effective doses. Patients with new episodes of depression who present to a primary care practice are not treated more aggressively if they have medical

Audience as analyst: Dennis Potter's The Singing Detective.

Science.gov (United States)

Jeffrey, W

1997-06-01

Author Dennis Potter has written an exceptional psychoanalytically informed television series in The Singing Detective. Potter succeeds by echewing the usual portrayal of psychoanalysis in cinema and television as a therapy which the viewer observes but instead creates, by means of the content and structure of the series, a production that forces the audience into a role of analyst. The story of the current life and the childhood of the protagonist, Philip Marlow, has depth and context which allows the audience to examine the personality of Marlow, including character pathology and traits, sexuality, fantasy, dreams, and delusions from several metapsychological viewpoints. Potter allows the audience to use the dynamic, genetic, topographic, and, most unusual in drama, structural viewpoints. The audience can experience aspects of an analyst's experience, including the process of formulating and evaluating over time analytic hypotheses and coping with emotional reactions to the material which at times has transferencelike qualities.

Rational Wizards: Audience Interpreters in French Television

Directory of Open Access Journals (Sweden)

Jérôme Bourdon

2013-12-01

Full Text Available This paper will tell the story of the smallgroup of people who, in France, have been in charge of the measurement and theappreciation of the audience of television, and had to invent audience research,to organize it and to communicate its results to "clients" whodepended on it much earlier than usually assumed: television managers andprofessionals, public authorities, and, last but not least, advertisers. The paper will explore both change andcontinuity. First, change: the professional origin and training of measurerschanged much over the years. In the early days, they could have an almostliterary profile. The first person in charge of the audience at the RadioTélévision Française was a teacher of philosophy. His followers had a formationin sociology and semiology. They all insisted on the fact that they were not"simply" measurers, and also worried about appreciation, quality,culture. They always figures did produce figures, but rarely only about thenumber of people present in front of the screen, mostly about satisfaction,appreciation, preferences for given genres, viewing habits. As there was onlyone channel – until 1964, with the number of TV sets rising sharply, ratings,in the modern sense, were not critical.Things started to change gradually. In 1974,the public broadcasting corporation was divided into several companies,including three competing channels. The service in charge of measuring audiencewas put under the direct authority of the Prime Minister. Audience figuresplayed a part in the distribution of resources, not only advertising but throughthe license fee sharing. However, the law also provided a clause about an indexof quality, which never functioned satisfactorily, although the service incharge of audiences put much effort into it. In 1985, around the time of deregulation,change came. From outside, this was translated into the rise of daily,detailed, fast produced figures of the audience through audimeters, thenpeoplemeters

The Motion Picture Audience: A Neglected Aspect of Film Research.

Science.gov (United States)

Austin, Bruce A.

There has been little valid and reliable research of the motion picture audience. Specific reasons for the movie industry's own inattention to audience research include the early popularity of films and the fact that since the industry does not sell advertising it does not need to account for its audience size and preferences. Some researchers…

Audience reaction movie trailers and the Paranormal Activity franchise

Directory of Open Access Journals (Sweden)

Alexander Swanson

2015-03-01

Full Text Available This article addresses the concept and growing practice of audience reaction movie trailers, specifically for films in the horror genre. Popularized by the Paranormal Activity series of films, these trailers primarily utilize green night-vision video footage of a movie theater audience reacting to the film being advertised, yet also consist of webcam recordings of screaming fans, documentary-style B-roll footage of audiences filing into preview screenings with high levels of anticipation, and close-up shots of spectator facial expressions, accompanied by no footage whatsoever from the film being advertised. In analyzing these audience-centric promotional paratexts, my aim is to reveal them as attempting to sell and legitimize the experiential, communal, and social qualities of the theatrical movie viewing experience while at the same time calling for increased fan investment in both physical and online spaces. Through the analysis of audience reaction trailers, this article hopes to both join and engender conversations about horror fan participation, the nature of anticipatory texts as manipulative, and the current state of horror gimmickry in the form of the promotional paratext.

MO-FG-BRB-00: AAPM Presidential Debate [medical physics education

Energy Technology Data Exchange (ETDEWEB)

NONE

2016-06-15

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusion of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.

MO-FG-BRB-04: Debater [Medical physics education

Energy Technology Data Exchange (ETDEWEB)

Seibert, J. [UC Davis Medical Center (United States)

2016-06-15

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusion of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.

VCR Use and the Concept of Audience Activity.

Science.gov (United States)

Levy, Mark R.

1987-01-01

Examines the audience experience with home video cassette recorders (VCRs) from the perspective of the active audience concept. Finds the orientation of Israeli VCR owners to VCRs is selective, somewhat involved, and generally productive of gratifications. Also finds the kinds and levels of activities associated with VCR use are moderately…

Museum Accessibility: Combining Audience Research and Staff Training

Science.gov (United States)

Levent, Nina; Reich, Christine

2013-01-01

This article discusses an audience-informed professional development model that combines audience research focus groups and staff training that includes interaction and direct feedback from visitors, in this case, visitors with low vision. There are two critical components to this model: one is that museums' programming decisions are informed by…

Medical Students' Personal Qualities and Values as Correlates of Primary Care Interest

Science.gov (United States)

Borges, Nicole J.; Jones, Bonnie J.

2004-01-01

Medical schools must use selection methods that validly measure applicants' noncognitive qualities, but primary-care (PC) schools have a particular need. This study correlated entering students' personality and values scores with their professed interest in PC. 93 medical students completed instruments assessing personality (16PF & PSP), values,…

Doctor-patient interaction in Finnish primary health care as perceived by first year medical students

Directory of Open Access Journals (Sweden)

Mäntyselkä Pekka

2005-09-01

Full Text Available Abstract Background In Finland, public health care is the responsibility of primary health care centres, which render a wide range of community level preventive, curative and rehabilitative medical care. Since 1990's, medical studies have involved early familiarization of medical students with general practice from the beginning of the studies, as this pre-clinical familiarisation helps medical students understand patients as human beings, recognise the importance of the doctor-patient relationship and identify practicing general practitioners (GPs as role models for their professional development. Focused on doctor-patient relationship, we analysed the reports of 2002 first year medical students in the University of Kuopio. The students observed GPs' work during their 2-day visit to primary health care centres. Methods We analysed systematically the texts of 127 written reports of 2002, which represents 95.5% of the 133 first year pre-clinical medical students reports. The reports of 2003 (N = 118 and 2004 (N = 130 were used as reference material. Results Majority of the students reported GPs as positive role models. Some students reported GPs' poor attitudes, which they, however, regarded as a learning opportunity. Students generally observed a great variety of responsibilities in general practice, and expressed admiration for the skills and abilities required. They appreciated the GPs' interest in patients concerns. GPs' communication styles were found to vary considerably. Students reported some factors disturbing the consultation session, such as the GP staring at the computer screen and other team members entering the room. Working with marginalized groups, the chronically and terminally ill, and dying patients was seen as an area for development in the busy Finnish primary health care centres. Conclusion During the analysis, we discovered that medical students' perceptions in this study are in line with the previous findings about the

The child audience from TV professionals' viewpoints

OpenAIRE

Pereira, Sara

2010-01-01

This paper aims to discuss the viewpoints of a range of television professionals regarding young audiences - how they define children, how they see this special kind of audience, including its needs and interests, and how they view the role of television in children's lives. Focusing on these ideas, our goal is to understand how they translate into decisions about the format and content of schedules, programming, production, marketing campaigns, regulation measures and also res...

Use of communication tool within electronic medical record to improve primary nonadherence.

Science.gov (United States)

Kerner, Daniel E; Knezevich, Emily L

The primary objective of this study was to determine if an online reminder decreased the rate of primary nonadherence for antihypertensive medications in patients seen in 2 primary care clinics in Omaha, NE. The secondary objectives were to determine if patients receiving the intervention achieved lower blood pressure values at follow-up visits and to determine if the intervention decreased the number of days between prescribing and prescription pick-up. A report was generated in an electronic health record to identify patients prescribed a new antihypertensive medication from a physician at one of the primary care clinics. Patients that failed to pick up this new prescription from the pharmacy within 7 days were sent an electronic reminder via an online patient portal. A baseline comparator group was created with the use of retrospective chart reviews for the 6 months before prospective data collection. Primary nonadherence rate and blood pressure values at follow-up visits were compared between the prospective and baseline comparator groups. The primary nonadherence rate decreased from 65.5% to 22.2% when comparing the baseline and prospective groups, respectively. The mean days to prescription pick-up decreased from 24.5 to 12.56 in the baseline and prospective groups. The prospective group showed a larger decrease in systolic blood pressure (17.33 mm Hg vs. 0.75 mm Hg) and diastolic blood pressure (6.56 mm Hg vs. 2.25 mm Hg) compared with the baseline group. An online reminder through the electronic medical record appears to improve patient primary nonadherence, number of days between prescribing and prescription pick-up, and blood pressure measurements at follow-up visits. This research shows that an online reminder may be a valuable tool to improve patient primary adherence and health outcomes. Further research is needed with the use of a larger sample population to support any hypotheses about the effectiveness of the intervention. Copyright © 2017 American

Left ventricular remodelling in chronic primary mitral regurgitation: implications for medical therapy.

Science.gov (United States)

McCutcheon, Keir; Manga, Pravin

Surgical repair or replacement of the mitral valve is currently the only recommended therapy for severe primary mitral regurgitation. The chronic elevation of wall stress caused by the resulting volume overload leads to structural remodelling of the muscular, vascular and extracellular matrix components of the myocardium. These changes are initially compensatory but in the long term have detrimental effects, which ultimately result in heart failure. Understanding the changes that occur in the myocardium due to volume overload at the molecular and cellular level may lead to medical interventions, which potentially could delay or prevent the adverse left ventricular remodelling associated with primary mitral regurgitation. The pathophysiological changes involved in left ventricular remodelling in response to chronic primary mitral regurgitation and the evidence for potential medical therapy, in particular beta-adrenergic blockers, are the focus of this review.

Media brand loyalty through online audience integration?

OpenAIRE

Lischka, Juliane A

2015-01-01

This chapter discusses the question whether audience members become loyal toward a media brand when sharing, liking or commenting on online media content – or are loyal readers more inclined to write comments on online articles or to like and share them? The aim is to answer this chicken-egg causality dilemma on the audience integration-loyalty relation on a theoretical basis. Therefore, the concept of attitude-behavior consistency, the theory of reasoned action, involvement theory, uses and ...

Cost of Transformation among Primary Care Practices Participating in a Medical Home Pilot.

Science.gov (United States)

Martsolf, Grant R; Kandrack, Ryan; Gabbay, Robert A; Friedberg, Mark W

2016-07-01

Medical home initiatives encourage primary care practices to invest in new structural capabilities such as patient registries and information technology, but little is known about the costs of these investments. To estimate costs of transformation incurred by primary care practices participating in a medical home pilot. We interviewed practice leaders in order to identify changes practices had undertaken due to medical home transformation. Based on the principles of activity-based costing, we estimated the costs of additional personnel and other investments associated with these changes. The Pennsylvania Chronic Care Initiative (PACCI), a statewide multi-payer medical home pilot. Twelve practices that participated in the PACCI. One-time and ongoing yearly costs attributed to medical home transformation. Practices incurred median one-time transformation-associated costs of $30,991 per practice (range, $7694 to $117,810), equivalent to $9814 per clinician ($1497 to $57,476) and $8 per patient ($1 to $30). Median ongoing yearly costs associated with transformation were $147,573 per practice (range, $83,829 to $346,603), equivalent to $64,768 per clinician ($18,585 to $93,856) and $30 per patient ($8 to $136). Care management activities accounted for over 60% of practices' transformation-associated costs. Per-clinician and per-patient transformation costs were greater for small and independent practices than for large and system-affiliated practices. Error in interviewee recall could affect estimates. Transformation costs in other medical home interventions may be different. The costs of medical home transformation vary widely, creating potential financial challenges for primary care practices-especially those that are small and independent. Tailored subsidies from payers may help practices make these investments. Agency for Healthcare Research and Quality.

Use of antihypertensive medications and diagnostic tests among privately insured adolescents and young adults with primary versus secondary hypertension.

Science.gov (United States)

Yoon, Esther Y; Cohn, Lisa; Freed, Gary; Rocchini, Albert; Kershaw, David; Ascione, Frank; Clark, Sarah

2014-07-01

To compare the use of antihypertensive medications and diagnostic tests among adolescents and young adults with primary versus secondary hypertension. We conducted retrospective cohort analysis of claims data for adolescents and young adults (12-21 years of age) with ≥3 years of insurance coverage (≥11 months/year) in a large private managed care plan during 2003-2009 with diagnosis of primary hypertension or secondary hypertension. We examined their use of antihypertensive medications and identified demographic characteristics and the presence of obesity-related comorbidities. For the subset receiving antihypertensive medications, we examined their diagnostic test use (echocardiograms, renal ultrasounds, and electrocardiograms). The study sample included 1,232 adolescents and young adults; 84% had primary hypertension and 16% had secondary hypertension. The overall prevalence rate of hypertension was 2.6%. One quarter (28%) with primary hypertension had one or more antihypertensive medications, whereas 65% with secondary hypertension had one or more antihypertensive medications. Leading prescribers of antihypertensives for subjects with primary hypertension were primary care physicians (80%), whereas antihypertensive medications were equally prescribed by primary care physicians (43%) and sub-specialists (37%) for subjects with secondary hypertension. The predominant hypertension diagnosis among adolescents and young adults is primary hypertension. Antihypertensive medication use was higher among those with secondary hypertension compared with those with primary hypertension. Further study is needed to determine treatment effectiveness and patient outcomes associated with differential treatment patterns used for adolescents and young adults with primary versus secondary hypertension. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Journal "Kas Jauns": audience uses and gratifications

OpenAIRE

Mehtijeva, Jekaterina

2012-01-01

The goal of barchelors work „Journal "Kas Jauns": audience uses and gratifications” is to analize and define what are the main readers needs and to what extenct these needs are being satisfied. As well as to define readers habits In the theoretical part the definition of audience is provided as well, as breakdown of the main readers expectations in respect of the theory of media uses and gratification. In order to appropriately analyze the theory behind these Academic thesis the magazine "...

Shared reality in intergroup communication: Increasing the epistemic authority of an out-group audience.

Science.gov (United States)

Echterhoff, Gerald; Kopietz, René; Higgins, E Tory

2017-06-01

Communicators typically tune messages to their audience's attitude. Such audience tuning biases communicators' memory for the topic toward the audience's attitude to the extent that they create a shared reality with the audience. To investigate shared reality in intergroup communication, we first established that a reduced memory bias after tuning messages to an out-group (vs. in-group) audience is a subtle index of communicators' denial of shared reality to that out-group audience (Experiments 1a and 1b). We then examined whether the audience-tuning memory bias might emerge when the out-group audience's epistemic authority is enhanced, either by increasing epistemic expertise concerning the communication topic or by creating epistemic consensus among members of a multiperson out-group audience. In Experiment 2, when Germans communicated to a Turkish audience with an attitude about a Turkish (vs. German) target, the audience-tuning memory bias appeared. In Experiment 3, when the audience of German communicators consisted of 3 Turks who all held the same attitude toward the target, the memory bias again appeared. The association between message valence and memory valence was consistently higher when the audience's epistemic authority was high (vs. low). An integrative analysis across all studies also suggested that the memory bias increases with increasing strength of epistemic inputs (epistemic expertise, epistemic consensus, and audience-tuned message production). The findings suggest novel ways of overcoming intergroup biases in intergroup relations. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Mediated co-construction of museums and audiences on Facebook

DEFF Research Database (Denmark)

Gronemann, Sigurd Trolle; Kristiansen, Erik; Drotner, Kirsten

2015-01-01

This article asks how we should research museum communication with audiences through social media. We argue that museums and audiences co-construct one another on social media, and we explore how particular modes of communication and discursive genres serve to generate mutual online positionings...

Use of Internet audience measurement data to gauge market share for online health information services.

Science.gov (United States)

Wood, Fred B; Benson, Dennis; LaCroix, Eve-Marie; Siegel, Elliot R; Fariss, Susan

2005-07-01

The transition to a largely Internet and Web-based environment for dissemination of health information has changed the health information landscape and the framework for evaluation of such activities. A multidimensional evaluative approach is needed. This paper discusses one important dimension of Web evaluation-usage data. In particular, we discuss the collection and analysis of external data on website usage in order to develop a better understanding of the health information (and related US government information) market space, and to estimate the market share or relative levels of usage for National Library of Medicine (NLM) and National Institutes of Health (NIH) websites compared to other health information providers. The primary method presented is Internet audience measurement based on Web usage by external panels of users and assembled by private vendors-in this case, comScore. A secondary method discussed is Web usage based on Web log software data. The principle metrics for both methods are unique visitors and total pages downloaded per month. NLM websites (primarily MedlinePlus and PubMed) account for 55% to 80% of total NIH website usage depending on the metric used. In turn, NIH.gov top-level domain usage (inclusive of NLM) ranks second only behind WebMD in the US domestic home health information market and ranks first on a global basis. NIH.gov consistently ranks among the top three or four US government top-level domains based on global Web usage. On a site-specific basis, the top health information websites in terms of global usage appear to be WebMD, MSN Health, PubMed, Yahoo! Health, AOL Health, and MedlinePlus. Based on MedlinePlus Web log data and external Internet audience measurement data, the three most heavily used cancer-centric websites appear to be www.cancer.gov (National Cancer Institute), www.cancer.org (American Cancer Society), and www.breastcancer.org (non-profit organization). Internet audience measurement has proven useful to NLM

Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.

Science.gov (United States)

Tudor Car, Lorainne; Papachristou, Nikolaos; Gallagher, Joseph; Samra, Rajvinder; Wazny, Kerri; El-Khatib, Mona; Bull, Adrian; Majeed, Azeem; Aylin, Paul; Atun, Rifat; Rudan, Igor; Car, Josip; Bell, Helen; Vincent, Charles; Franklin, Bryony Dean

2016-11-16

Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and solutions to, medication error in primary care. We used a novel priority-setting method for identifying and ranking patient safety problems and solutions called PRIORITIZE. We invited 500 North West London primary care clinicians to complete an open-ended questionnaire to identify three main problems and solutions relating to medication error in primary care. 113 clinicians submitted responses, which we thematically synthesized into a composite list of 48 distinct problems and 45 solutions. A group of 57 clinicians randomly selected from the initial cohort scored these and an overall ranking was derived. The agreement between the clinicians' scores was presented using the average expert agreement (AEA). The study was conducted between September 2013 and November 2014. The top three problems were incomplete reconciliation of medication during patient 'hand-overs', inadequate patient education about their medication use and poor discharge summaries. The highest ranked solutions included development of a standardized discharge summary template, reduction of unnecessary prescribing, and minimisation of polypharmacy. Overall, better communication between the healthcare provider and patient, quality assurance approaches during medication prescribing and monitoring, and patient education on how to use their medication were considered the top priorities. The highest ranked suggestions received the strongest agreement among the clinicians, i.e. the highest AEA score. Clinicians identified a range of suggestions for better medication management, quality assurance procedures and patient education. According to clinicians, medication errors can be largely prevented with feasible and affordable interventions. PRIORITIZE is a new, convenient, systematic, and replicable method

How Communication Goals Determine when Audience Tuning Biases Memory

Science.gov (United States)

Echterhoff, Gerald; Higgins, E. Tory; Kopietz, Rene; Groll, Stephan

2008-01-01

After tuning their message to suit their audience's attitude, communicators' own memories for the original information (e.g., a target person's behaviors) often reflect the biased view expressed in their message--producing an audience-congruent memory bias. Exploring the motivational circumstances of message production, the authors investigated…

Mental health care roles of non-medical primary health and social care services.

Science.gov (United States)

Mitchell, Penny

2009-02-01

Changes in patterns of delivery of mental health care over several decades are putting pressure on primary health and social care services to increase their involvement. Mental health policy in countries like the UK, Australia and New Zealand recognises the need for these services to make a greater contribution and calls for increased intersectoral collaboration. In Australia, most investment to date has focused on the development and integration of specialist mental health services and primary medical care, and evaluation research suggests some progress. Substantial inadequacies remain, however, in the comprehensiveness and continuity of care received by people affected by mental health problems, particularly in relation to social and psychosocial interventions. Very little research has examined the nature of the roles that non-medical primary health and social care services actually or potentially play in mental health care. Lack of information about these roles could have inhibited development of service improvement initiatives targeting these services. The present paper reports the results of an exploratory study that examined the mental health care roles of 41 diverse non-medical primary health and social care services in the state of Victoria, Australia. Data were collected in 2004 using a purposive sampling strategy. A novel method of surveying providers was employed whereby respondents within each agency worked as a group to complete a structured survey that collected quantitative and qualitative data simultaneously. This paper reports results of quantitative analyses including a tentative principal components analysis that examined the structure of roles. Non-medical primary health and social care services are currently performing a wide variety of mental health care roles and they aspire to increase their involvement in this work. However, these providers do not favour approaches involving selective targeting of clients with mental disorders.

Passive Audience or Who Select Beyond Media? A Comparative Study in Communication Texts & Theories

OpenAIRE

Mahdi Mohsenian Rad; Amir Abdolreza Sepanji

2011-01-01

The present article is to study the characteristics and general nature of audience and is described it as "Audience phantasm" in developing countries. It firstly notes that there will be consequences such as audience distancing themselves from local and official media if policy makers and media officials' imaginations of audiences become far from related bare facts have happened in the era of global media and the nature of audiences. Knowing and analyzing the image of audiences presented in n...

Audience and the Use of Minority Languages on Twitter

NARCIS (Netherlands)

Nguyen, Dong-Phuong; Trieschnigg, Rudolf Berend; Cornips, Leonie

On Twitter, many users tweet in more than one language. In this study, we examine the use of two Dutch minority languages. Users can engage with different audiences and by analyzing different types of tweets, we find that characteristics of the audience influence whether a minority language is used.

Physical Activity in the Mass Media: An Audience Perspective

Science.gov (United States)

Smith, Ben J.; Bonfiglioli, Catriona M. F.

2015-01-01

Physical activity's role in promoting health is highlighted in public health campaigns, news and current affairs, reality television and other programs. An investigation of audience exposure, beliefs and reactions to media portrayals of physical activity offers insights into the salience and influence of this communication. An audience reception…

Imagining Rural Audiences in Remote Western Australia

Directory of Open Access Journals (Sweden)

Lelia Green

2010-06-01

Full Text Available In 1979, Australia’s then-Communication Minister Tony Staley commented that the introduction of satellite communications to the bush would “dispel the dis-tance – mental as well as geographical – between urban and regional dwellers, between the haves and the have-nots in a communication society” (Staley 1979: 2225, 2228-9. In saying this, Staley imagined a marginalised and disadvantaged audience of “have-nots”, paying for their isolation in terms of their mental dis-tance from the networked communications of the core. This paper uses ethnographic audience studies surveys and interviews (1986-9 to examine the validity of Staley’s imaginations in terms of four communication technologies: the telephone, broadcast radio, 2-way radio and the satellite. The notion of a mental difference is highly problematic for the remote audience. Inso-far as a perception of lack and of difference is accepted, it is taken to reflect the perspective and the product of the urban policy-maker. Far from accepting the “distance” promulgated from the core, remote audiences see such statements as indicating an ignorance of the complexity and sophistica-tion of communications in an environment where the stakes are higher and the options fewer. This is not to say that remote people were not keen to acquire satel-lite services – they were – it is to say that when they imagined such services it was in terms of equity and interconnections, rather than the “dispelling of distance”.

The influence of international medical electives on career preference for primary care and rural practice.

Science.gov (United States)

Law, Iain R; Walters, Lucie

2015-11-11

Previous studies have demonstrated a correlation between medical students who undertake international medical electives (IMEs) in resource poor settings and their reported career preference for primary care in underserved areas such as rural practice. This study examines whether a similar correlation exists in the Australian medical school context. Data was extracted from the Medical Schools Outcomes Database (MSOD) of Australian medical students that completed commencing student and exit questionnaires between 2006 and 2011. Student responses were categorized according to preferred training program and preferred region of practice at commencement. The reported preferences at exit of students completing IMEs in low and middle income countries (LMIC) were compared to those completing electives in high income countries (HIC). The effect of elective experience for students expressing a preference for primary care at commencement was non-significant, with 40.32 % of LMIC and 42.11 % of HIC students maintaining a preference for primary care. Similarly there were no significant changes following LMIC electives for students expressing a preference for specialist training at commencement with 11.81 % of LMIC and 10.23 % of HIC students preferring primary care at exit. The effect of elective experience for students expressing a preference for rural practice at commencement was non-significant, with 41.51 % of LMIC and 49.09 % of HIC students preferring rural practice at exit. Similarly there were no significant changes following LMIC electives for students expressing a preference for urban practice at commencement, with 7.84 % of LMIC and 6.70 % of HIC students preferring rural practice at exit. This study did not demonstrate an association between elective experience in resource poor settings and a preference for primary care or rural practice. This suggests that the previously observed correlation between LMIC electives and interest in primary care in

A retrospective analysis of the relationship between medical student debt and primary care practice in the United States.

Science.gov (United States)

Phillips, Julie P; Petterson, Stephen M; Bazemore, Andrew W; Phillips, Robert L

2014-01-01

We undertook a study to reexamine the relationship between educational debt and primary care practice, accounting for the potentially confounding effect of medical student socioeconomic status. We performed retrospective multivariate analyses of data from 136,232 physicians who graduated from allopathic US medical schools between 1988 and 2000, obtained from the American Association of Medical Colleges Graduate Questionnaire, the American Medical Association Physician Masterfile, and other sources. Need-based loans were used as markers for socioeconomic status of physicians' families of origin. We examined 2 outcomes: primary care practice and family medicine practice in 2010. Physicians who graduated from public schools were most likely to practice primary care and family medicine at graduating educational debt levels of $50,000 to $100,000 (2010 dollars; P practice persisted when physicians from different socioeconomic status groups, as approximated by loan type, were examined separately. At higher debt, graduates' odds of practicing primary care or family medicine declined. In contrast, private school graduates were not less likely to practice primary care or family medicine as debt levels increased. High educational debt deters graduates of public medical schools from choosing primary care, but does not appear to influence private school graduates in the same way. Students from relatively lower income families are more strongly influenced by debt. Reducing debt of selected medical students may be effective in promoting a larger primary care physician workforce. © 2014 Annals of Family Medicine, Inc.

Primary health eye care: evaluation of the competence of medical ...

African Journals Online (AJOL)

2009-10-17

Oct 17, 2009 ... The ability of fifth-year medical students to perform fundoscopy on ... Keywords: primary health eye care; teaching fundoscopy; essential basic ... treatment is implemented at an early stage in the disease.3-5. Such screening and early treatment can reduce the risk of ... Students with a refractive error were.

[Analysis of foods advertised to childhood audience on chilean television].

Science.gov (United States)

González-Hidalgo, Catalina

2017-01-01

To examine food advertising aimed at childhood's audience broadcast on Chilean television. Cross-sectional study. Food advertising broadcast by 4 open signal TV channels was recorded for 12 hours daily on twelve days randomly selected. Notices were classified according to food groups and level of processing. The frequency of food advertisement aimed to childhood audience was compared with those for adults. Nutrient profile of foods advertised was described. In 144 hours of recording appeared 530 food advertisement; 53.2% were aimed to childhood audience. The most advertised foods were sugary dairy (28.4%), sweetened beverages (25.5%), and sweetened cereals (17.7%). Of the foods advertised to childhood audience, 75% exceeds the criterion for free sugars. Chilean television advertises ultra-processed foods that exceed the limits of free sugars.

Methods of Speakers\\' Effects on the Audience

Directory of Open Access Journals (Sweden)

فریبا حسینی

2010-09-01

Full Text Available Methods of Speakers' Effects on the Audience    Nasrollah Shameli *   Fariba Hosayni **     Abstract   This article is focused on four issues. The first issue is related to the speaker's external appearance including the beauty of face, the power of his voice, moves and signals by hand, the stick and eyebrow as well as the height. Such characteristics could have an important effect on the audience. The second issue is related to internal features of the speaker. These include the ethics of the preacher , his/her piety and intention on the speakers based on their personalities, habits and emotions, knowledge and culture, and speed of learning. The third issue is concerned with the appearance of the lecture. Words should be clear enough as well as being mixed with Quranic verses, poetry and proverbs. The final issue is related to the content. It is argued that the subject of the talk should be in accordance with the level of understanding of listeners as well as being new and interesting for them.   3 - A phenomenon rhetoric: It was noted in this section How to give words and phrases so that these words and phrases are clear, correct, mixed in parables, governance and Quranic verses, and appropriate their meaning.   4 - the content of Oratory : It was noted in this section to the topic of Oratory and say that the Oratory should be the theme commensurate with the minds of audiences and also should mean that agree with the case may be, then I say: that the rhetoric if the theme was innovative and new is affecting more and more on the audience.     Key words : Oratory , Preacher , Audience, Influence of speech     * Associate Professor, Department of Arabic Language and Literature, University of Isfahan E-mail: Dr-Nasrolla Shameli@Yahoo.com   * * M.A. in Arabic Language and Literature from Isfahan University E-mail: faribahosayni@yahoo.com

How sequestration cuts affect primary care physicians and graduate medical education.

Science.gov (United States)

Chauhan, Bindiya; Coffin, Janis

2013-01-01

On April 1, 2013, sequestration cuts went into effect impacting Medicare physician payments, graduate medical education, and many other healthcare agencies. The cuts range from 2% to 5%, affecting various departments and organizations. There is already a shortage of primary care physicians in general, not including rural or underserved areas, with limited grants for advanced training. The sequestration cuts negatively impact the future of many primary care physicians and hinder the care many Americans will receive over time.

Projecting the voice: observations of audience behaviours in ICT-mediated contemporary opera

Science.gov (United States)

Lin, Yu-Wei; Williams, Alan E.

2014-07-01

This paper examines how audiences experience live opera performance and the behaviours they exhibit during live-streaming of the performance. It aims to contribute to our understanding of how audiences, who increasingly inhabit an environment saturated with digital media, respond to contemporary opera performance. Based on a comparative study of audience experiences and behaviours during a live opera performance and the streamed opera screening, we investigate whether digital mediation affects audience appreciation, and whether streaming live opera means the same thing to an audience as the unmediated performance. We firstly outline the conception, design and performance of a contemporary opera and its simultaneous streaming to nearby digital screens. Then, we report the evaluation of the project as measured by a mix of qualitative and quantitative methods during the rehearsals, the live performance and the screening. As one of the few social studies of contemporary classical music in Britain, our study of opera audience behaviours sheds light on the challenges and opportunities afforded by digital technologies for opera companies. Understanding how audiences appreciate digital operas offers practical advice on how theatres and opera companies could respond to new forms of digital activities.

Message Design and Audience Engagement with Tobacco Prevention Posts on Social Media.

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Strekalova, Yulia A; Damiani, Rachel E

2018-06-01

Understanding the appropriate medium to communicate health promotion messages is vital for improving personal and societal health. As increasingly more people utilize social media for health information, public health practitioners use these platforms to engage an existing audience in health promotion messages. In this study, the relational framing theory was used as a lens for studying how message framing may influence social media audience engagement. Specifically, we assessed how posts from Tobacco Free Florida's Facebook page were framed as either dominant-submissive or affiliate-disaffiliate to an implied audience of either smokers, nonsmokers, active quitters, or a mixed audience, and the extent to which a direct call for engagement, in terms of a request to comment, like, or share the post, was used for audience engagement. A three-way interaction for the level of engagement through comments was significant, F(3217) = 7.11, p social media. Implied audiences of Tobacco Free Florida's posts included smokers, those who are trying to quit, and nonsmokers as health promotion can be targeted at the individual's health, social support infrastructure, or the well-being of the society, and implications for strategic message design and audience targeting are discussed.

Studying Rhetorical Audiences – a Call for Qualitative Reception Studies in Argumentation and Rhetoric

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Jens Elmelund Kjeldsen

2016-07-01

Full Text Available In rhetoric and argumentation research studies of empirical audiences are rare. Most studies are speaker- or text focussed. However, new media and new forms of communication make it harder to distinguish between speaker and audience. The active involvement of users and audiences is more important than ever before. Therefore, this paper argues that rhetorical research should reconsider the understanding, conceptualization and examination of the rhetorical audience. From mostly understanding audiences as theoretical constructions that are examined textually and speculatively, we should give more attention to empirical explorations of actual audiences and users.

Medication incidents in primary care medicine: a prospective study in the Swiss Sentinel Surveillance Network (Sentinella).

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Gnädinger, Markus; Conen, Dieter; Herzig, Lilli; Puhan, Milo A; Staehelin, Alfred; Zoller, Marco; Ceschi, Alessandro

2017-07-26

To describe the type, frequency, seasonal and regional distribution of medication incidents in primary care in Switzerland and to elucidate possible risk factors for medication incidents. Prospective surveillance study. Swiss primary healthcare, Swiss Sentinel Surveillance Network. Patients with drug treatment who experienced any erroneous event related to the medication process and interfering with normal treatment course, as judged by their physician. The 180 physicians in the study were general practitioners or paediatricians participating in the Swiss Federal Sentinel reporting system in 2015. Primary: medication incidents; secondary: potential risk factors like age, gender, polymedication, morbidity, care-dependency, previous hospitalisation. The mean rates of detected medication incidents were 2.07 per general practitioner per year (46.5 per 1 00 000 contacts) and 0.15 per paediatrician per year (2.8 per 1 00 000 contacts), respectively. The following factors were associated with medication incidents (OR, 95% CI): higher age 1.004 per year (1.001; 1.006), care by community nurse 1.458 (1.025; 2.073) and care by an institution 1.802 (1.399; 2.323), chronic conditions 1.052 (1.029; 1.075) per condition, medications 1.052 (1.030; 1.074) per medication, as well as Thurgau Morbidity Index for stage 4: 1.292 (1.004; 1.662), stage 5: 1.420 (1.078; 1.868) and stage 6: 1.680 (1.178; 2.396), respectively. Most cases were linked to an incorrect dosage for a given patient, while prescription of an erroneous medication was the second most common error. Medication incidents are common in adult primary care, whereas they rarely occur in paediatrics. Older and multimorbid patients are at a particularly high risk for medication incidents. Reasons for medication incidents are diverse but often seem to be linked to communication problems. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No

A systematic review of the effect of different models of after-hours primary medical care services on clinical outcome, medical workload, and patient and GP satisfaction.

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Leibowitz, Ruth; Day, Susan; Dunt, David

2003-06-01

The organization of after-hours primary medical care services is changing in many countries. Increasing demand, economic considerations and changes in doctors' attitudes are fueling these changes. Information for policy makers in this field is needed. However, a comprehensive review of the international literature that compares the effects of one model of after-hours care with another is lacking. The aim of this study was to carry out a systematic review of the international literature to determine what evidence exists about the effect of different models of out-of-hours primary medical care service on outcome. Original studies and systematic reviews written since 1976 on the subject of 'after-hours primary medical care services' were identified. Databases searched were Medline/Premedline, CINAHL, HealthSTAR, Current Contents, Cochrane Reviews, DARE, EBM Reviews and EconLit. For each paper where the optimal design would have been an interventional study, the 'level' of evidence was assessed as described in the National Health and Medical Research Council Handbook. 'Comparative' studies (levels I, II, III and IV pre-/post-test studies) were included in this review. Six main models of after-hours primary care services (not mutually exclusive) were identified: practice-based services, deputizing services, emergency departments, co-operatives, primary care centres, and telephone triage and advice services. Outcomes were divided into the following categories: clinical outcomes, medical workload, and patient and GP satisfaction. The results indicate that the introduction of a telephone triage and advice service for after-hours primary medical care may reduce the immediate medical workload. Deputizing services increase immediate medical workload because of the low use of telephone advice and the high home visiting rate. Co-operatives, which use telephone triage and primary care centres and have a low home visiting rate, reduce immediate medical workload. There is little

AIDS education for a low literate audience in Zambia.

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Msimuko, A K

1988-04-01

A workshop funded by the USA Program for Appropriate Technology in Health (PATH) was an effort by Zambia toward prevention and control of AIDS. The lack of educational materials about AIDS for a low-literate audience was the major problem addressed by the workshop. Other problems include the lack of collaborative effort in the development of materials on AIDS, and the lack of skills needed in the development of such materials in Zambia. 1 of the objectives of the workshop was to launch the Planned Parenthood Association of Zambia's (PPAZ) materials development project. The scope of this project includes the production of educational materials on AIDS for low-literate audiences and a counseling handbook for family planning workers. Print materials should be simply written, using words, idioms, and graphics that are familiar to the target audience. Other workshop objectives included the establishment of collaborative relationships between organizations involved in existing AIDS educational activities in Zambia, and the development of practical skills needed to produce print materials. Education was identified as the most important strategy for the prevention and control of AIDS, and PPAZ should be the executing agency of the print materials project. Audience research, using focus group techniques, focus group discussions, behavioral messages, and pretesting of messages, should be the most effective means of reaching targeted audiences. PPAZ is contracted by PATH to begin development of educational materials, and 2 committees have formed to implement the project and to establish interagency collaboration. Audience research was begun between January and March of 1988, focusing on people's beliefs, practices, and ideas about AIDS. The final phase of the project will be the printing, distribution, and use of the AIDS materials and the training of family planning field workers in the proper use of these materials.

Visual Peoplemeter: A Vision-based Television Audience Measurement System

Directory of Open Access Journals (Sweden)

SKELIN, A. K.

2014-11-01

Full Text Available Visual peoplemeter is a vision-based measurement system that objectively evaluates the attentive behavior for TV audience rating, thus offering solution to some of drawbacks of current manual logging peoplemeters. In this paper, some limitations of current audience measurement system are reviewed and a novel vision-based system aiming at passive metering of viewers is prototyped. The system uses camera mounted on a television as a sensing modality and applies advanced computer vision algorithms to detect and track a person, and to recognize attentional states. Feasibility of the system is evaluated on a secondary dataset. The results show that the proposed system can analyze viewer's attentive behavior, therefore enabling passive estimates of relevant audience measurement categories.

Communicative Informatics: An Active and Creative Audience Framework of Social Media

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Linda M. Gallant

2011-09-01

Full Text Available Communicative informatics reflects the interactive complexity of web-based communication and a paradigm shift away from mass communication. Three discursive spheres (database and information systems, human computer interaction, and active audiences work together to control online communication openness and its consequences for post-mass media society’s public common. This has implications for communication freedom, creativity, and constraints in an information-based society. Four propositions shed light on how online audience activity is encouraged by and imperative to corporate interests; how audience creativity can create, accept, or reject messages; how the online audience is monitored; and how online rhetoric can produce or inhibit public commons. Evidence shows that social media’s corporate interests can be at odds with online privacy and citizen communication. This tension is explored with a unique focus on rhetoric, argument, and the communication between audience members and Internet-based corporate media by way of digitized communication feedback loops.

Effects of Exposure to Advertisements on Audience Impressions

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Hasegawa, Hiroshi; Sato, Mie; Kasuga, Masao; Nagao, Yoshihide; Shono, Toru; Norose, Yuka; Oku, Ritsuya; Nogami, Akira; Miyazawa, Yoshitaka

This study investigated effects of listening and/or watching commercial-messages (CMs) on audience impressions. We carried out experiments of TV advertisements presentation in conditions of audio only, video only, and audio-video. As results, we confirmed the following two effects: image-multiple effect, that is, the audience brings to mind various images that are not directly expressed in the content, and marking-up effect, that is, the audience concentrates on some images that are directly expressed in the content. The image-multiple effect, in particular, strongly appeared under the audio only condition. Next, we investigated changes in the following seven subjective responses; usage image, experience, familiarity, exclusiveness, feeling at home, affection, and willingness to buy, after exposure to advertisements under conditions of audio only and audio-video. As a result, noting that the image-multiple effect became stronger as the evaluation scores of the responses increased.

Implementing change in primary care practices using electronic medical records: a conceptual framework.

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Nemeth, Lynne S; Feifer, Chris; Stuart, Gail W; Ornstein, Steven M

2008-01-16

Implementing change in primary care is difficult, and little practical guidance is available to assist small primary care practices. Methods to structure care and develop new roles are often needed to implement an evidence-based practice that improves care. This study explored the process of change used to implement clinical guidelines for primary and secondary prevention of cardiovascular disease in primary care practices that used a common electronic medical record (EMR). Multiple conceptual frameworks informed the design of this study designed to explain the complex phenomena of implementing change in primary care practice. Qualitative methods were used to examine the processes of change that practice members used to implement the guidelines. Purposive sampling in eight primary care practices within the Practice Partner Research Network-Translating Researching into Practice (PPRNet-TRIP II) clinical trial yielded 28 staff members and clinicians who were interviewed regarding how change in practice occurred while implementing clinical guidelines for primary and secondary prevention of cardiovascular disease and strokes. A conceptual framework for implementing clinical guidelines into primary care practice was developed through this research. Seven concepts and their relationships were modelled within this framework: leaders setting a vision with clear goals for staff to embrace; involving the team to enable the goals and vision for the practice to be achieved; enhancing communication systems to reinforce goals for patient care; developing the team to enable the staff to contribute toward practice improvement; taking small steps, encouraging practices' tests of small changes in practice; assimilating the electronic medical record to maximize clinical effectiveness, enhancing practices' use of the electronic tool they have invested in for patient care improvement; and providing feedback within a culture of improvement, leading to an iterative cycle of goal setting

Communicating with the crowd: speakers use abstract messages when addressing larger audiences.

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Joshi, Priyanka D; Wakslak, Cheryl J

2014-02-01

Audience characteristics often shape communicators' message framing. Drawing from construal level theory, we suggest that when speaking to many individuals, communicators frame messages in terms of superordinate characteristics that focus attention on the essence of the message. On the other hand, when communicating with a single individual, communicators increasingly describe events and actions in terms of their concrete details. Using different communication tasks and measures of construal, we show that speakers communicating with many individuals, compared with 1 person, describe events more abstractly (Study 1), describe themselves as more trait-like (Study 2), and use more desirability-related persuasive messages (Study 3). Furthermore, speakers' motivation to communicate with their audience moderates their tendency to frame messages based on audience size (Studies 3 and 4). This audience-size abstraction effect is eliminated when a large audience is described as homogeneous, suggesting that people use abstract construal strategically in order to connect across a disparate group of individuals (Study 5). Finally, we show that participants' experienced fluency in communication is influenced by the match between message abstraction and audience size (Study 6).

The potential impact of the next influenza pandemic on a national primary care medical workforce

OpenAIRE

Wilson, Nick; Baker, Michael; Crampton, Peter; Mansoor, Osman

2005-01-01

Abstract Background Another influenza pandemic is all but inevitable. We estimated its potential impact on the primary care medical workforce in New Zealand, so that planning could mitigate the disruption from the pandemic and similar challenges. Methods The model in the "FluAid" software (Centers for Disease Control and Prevention, CDC, Atlanta) was applied to the New Zealand primary care medical workforce (i.e., general practitioners). Results At its peak (week 4) the pandemic would lead to...

Mental health message appeals and audience engagement: Evidence from Australia.

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Yap, Jo En; Zubcevic-Basic, Nives; Johnson, Lester W; Lodewyckx, Michaela A

2017-09-07

Social media platforms are increasingly used to disseminate social marketing messages about mental health and wellbeing. This study presents a range of message appeals used in social media enabled mental health promotion and stigma reduction messages. Furthermore, it examines the relationship between the type of message appeals and audience engagement. A content analysis of 65 organisation-generated YouTube videos about depression and anxiety and stigma reduction was conducted. The most utilised message appeal was Sorrow, followed by Affiliation, Ease/Convenience, Hope, Humour, Guilt/Shame, Heroic/Successful, and Fear. Multiple regression analysis was used to examine the relationship between the type of message appeals and audience engagement in terms of the number of likes, comments, and shares. The analysis revealed that Sorrow is the most useful message appeal for generating audience comments. However, Sorrow is negatively associated with the number of likes and shares. The results suggest that mental health promotion messages may engage a larger audience through Affiliation and Hope as they have a positive impact on the number of shares. This could, in effect, turn audiences into vocal advocates for mental health promotion and stigma reduction messages. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Reframing "The Italian": Questions of Audience Address in Early Cinema.

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Keil, Charlie

1990-01-01

Analyzes "The Italian" (1915), an early "immigrant" film, examining its problematic relation to questions of working-class and middle-class audience composition. Shows how this film reveals that the creation of narratives suitable for diverse audiences requires continuous readjustment of an adequate mode of address. (MM)

Immersive Learning: Realism, Authenticity & Audience

OpenAIRE

Livingstone, Daniel

2016-01-01

For almost 20 years the Digital Design Studio has been exploring and applying virtual reality for a wide range of industrial, commercial and educational applications. Drawing from a range of recent projects, we explore the complex relationships between realism, authenticity and audience for effective engagement and education in immersive learning.

To Crowdfund Research, Scientists Must Build an Audience for Their Work.

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Byrnes, Jarrett E K; Ranganathan, Jai; Walker, Barbara L E; Faulkes, Zen

2014-01-01

As rates of traditional sources of scientific funding decline, scientists have become increasingly interested in crowdfunding as a means of bringing in new money for research. In fields where crowdfunding has become a major venue for fundraising such as the arts and technology, building an audience for one's work is key for successful crowdfunding. For science, to what extent does audience building, via engagement and outreach, increase a scientist's abilities to bring in money via crowdfunding? Here we report on an analysis of the #SciFund Challenge, a crowdfunding experiment in which 159 scientists attempted to crowdfund their research. Using data gathered from a survey of participants, internet metrics, and logs of project donations, we find that public engagement is the key to crowdfunding success. Building an audience or "fanbase" and actively engaging with that audience as well as seeking to broaden the reach of one's audience indirectly increases levels of funding. Audience size and effort interact to bring in more people to view a scientist's project proposal, leading to funding. We discuss how projects capable of raising levels of funds commensurate with traditional funding agencies will need to incorporate direct involvement of the public with science. We suggest that if scientists and research institutions wish to tap this new source of funds, they will need to encourage and reward activities that allow scientists to engage with the public.

Characterizing and reaching high-risk drinkers using audience segmentation.

Science.gov (United States)

Moss, Howard B; Kirby, Susan D; Donodeo, Fred

2009-08-01

Market or audience segmentation is widely used in social marketing efforts to help planners identify segments of a population to target for tailored program interventions. Market-based segments are typically defined by behaviors, attitudes, knowledge, opinions, or lifestyles. They are more helpful to health communication and marketing planning than epidemiologically defined groups because market-based segments are similar in respect to how they behave or might react to marketing and communication efforts. However, market segmentation has rarely been used in alcohol research. As an illustration of its utility, we employed commercial data that describes the sociodemographic characteristics of high-risk drinkers as an audience segment, including where they tend to live, lifestyles, interests, consumer behaviors, alcohol consumption behaviors, other health-related behaviors, and cultural values. Such information can be extremely valuable in targeting and planning public health campaigns, targeted mailings, prevention interventions, and research efforts. We described the results of a segmentation analysis of those individuals who self-reported to consume 5 or more drinks per drinking episode at least twice in the last 30 days. The study used the proprietary PRIZM (Claritas, Inc., San Diego, CA) audience segmentation database merged with the Center for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) database. The top 10 of the 66 PRIZM audience segments for this risky drinking pattern are described. For five of these segments we provided additional in-depth details about consumer behavior and the estimates of the market areas where these risky drinkers resided. The top 10 audience segments (PRIZM clusters) most likely to engage in high-risk drinking are described. The cluster with the highest concentration of binge-drinking behavior is referred to as the "Cyber Millenials." This cluster is characterized as "the nation's tech

The Knowledge Capsules: Very Short Films on Earth Science for Mainstream Audiences

Science.gov (United States)

Kerlow, Isaac

2015-04-01

The Knowledge Capsules are outreach and communication videos that present practical science research to mainstream audiences and take viewers on a journey into different aspects of Earth science and natural hazards. The innovative shorts are the result of an interdisciplinary development and production process. They include a combination of interviews, visualizations of scientific research, and documentation of fieldwork. They encapsulate research insights about volcanoes, tsunamis, and climate change in Southeast Asia. These short films were actively distributed free-of-charge during 2012-2014 and all of them are available online. The paper provides an overview of the motivations, process and accomplished results. Our approach for producing the Knowledge Capsules includes: an engaging mix of information and a fresh delivery style, a style suitable for a primary audience of non-scientists, a simple but experientially rich production style, Diagrams and animations based on the scientists' visuals, and a running time between five and twenty minutes. The completed Knowledge Capsules include: "Coastal Science" on Coastal Hazards, "The Ratu River Expedition" on Structural Geology, "Forensic Volcano Petrology by Fidel Costa, Volcano Petrology, "A Tale of Two Tsunamis" on Tsunami Stratigraphy, "Unlocking Climate Secrets" on Marine Geochemistry, and "Earth Girl 2: A Casual Strategy Game to Prepare for the Tsunami" on Natural Hazards and Science Outreach.

Cui narro haec ? Augustine and his Manichaean audience: A re ...

African Journals Online (AJOL)

Augustine and his Manichaean audience: A re-reading of the first three books of the Confessions. ... The issue of intended audience in the first three books of Augustine's Confessions is investigated in light of the presence of terms and phrases that may have had special connotations for potential Manichaean readers.

Moving toward a United States strategic plan in primary care informatics: a White Paper of the Primary Care Informatics Working Group, American Medical Informatics Association

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David Little

2003-06-01

Full Text Available The Primary Care Informatics Working Group (PCIWG of the American Medical Informatics Association (AMIA has identified the absence of a national strategy for primary care informatics. Under PCIWG leadership, major national and international societies have come together to create the National Alliance for Primary Care Informatics (NAPCI, to promote a connection between the informatics community and the organisations that support primary care. The PCIWG clinical practice subcommittee has recognised the necessity of a global needs assessment, and proposed work in point-of-care technology, clinical vocabularies, and ambulatory electronic medical record development. Educational needs include a consensus statement on informatics competencies, recommendations for curriculum and teaching methods, and methodologies to evaluate their effectiveness. The research subcommittee seeks to define a primary care informatics research agenda, and to support and disseminate informatics research throughout the primary care community. The AMIA board of directors has enthusiastically endorsed the conceptual basis for this White Paper.

Social accountability of medical schools and academic primary care training in Latin America: principles but not practice.

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Puschel, Klaus; Rojas, Paulina; Erazo, Alvaro; Thompson, Beti; Lopez, Jorge; Barros, Jorge

2014-08-01

Latin America has one of the highest rates of health disparities in the world and is experiencing a steep increase in its number of medical schools. It is not clear if medical school authorities consider social responsibility, defined as the institutional commitment to contribute to the improvement of community well-being, as a priority and if there are any organizational strategies that could reduce health disparities. To study the significance and relevance of social responsibility in the academic training of medical schools in Latin America. The study combined a qualitative thematic literature review of three databases with a quantitative design based on a sample of nine Latin American and non-Latin American countries. The thematic analysis showed high agreement among academic groups on considering medical schools as 'moral agents', part of a 'social contract' and with an institutional responsibility to reduce health disparities mainly through the implementation of strong academic primary care programs. The quantitative analysis showed a significant association between higher development of academic primary care programs and lower level of health disparities by country (P = 0.028). However, the data showed that most Latin American medical schools did not prioritize graduate primary care training. The study shows a discrepancy between the importance given to social responsibility and academic primary care training in Latin America and the practices implemented by medical schools. It highlights the need to refocus medical education policies in the region. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

To Crowdfund Research, Scientists Must Build an Audience for Their Work.

Directory of Open Access Journals (Sweden)

Jarrett E K Byrnes

Full Text Available As rates of traditional sources of scientific funding decline, scientists have become increasingly interested in crowdfunding as a means of bringing in new money for research. In fields where crowdfunding has become a major venue for fundraising such as the arts and technology, building an audience for one's work is key for successful crowdfunding. For science, to what extent does audience building, via engagement and outreach, increase a scientist's abilities to bring in money via crowdfunding? Here we report on an analysis of the #SciFund Challenge, a crowdfunding experiment in which 159 scientists attempted to crowdfund their research. Using data gathered from a survey of participants, internet metrics, and logs of project donations, we find that public engagement is the key to crowdfunding success. Building an audience or "fanbase" and actively engaging with that audience as well as seeking to broaden the reach of one's audience indirectly increases levels of funding. Audience size and effort interact to bring in more people to view a scientist's project proposal, leading to funding. We discuss how projects capable of raising levels of funds commensurate with traditional funding agencies will need to incorporate direct involvement of the public with science. We suggest that if scientists and research institutions wish to tap this new source of funds, they will need to encourage and reward activities that allow scientists to engage with the public.

Quiz gaming competitions for undergraduate medical students ...

African Journals Online (AJOL)

Quiz gaming competitions for undergraduate medical students: Questioning the MediQuiz. ... an audience Studies have shown that such quiz games promote active learning, and provide motivational impetus. ... AJOL African Journals Online.

How Less Alienation Creates More Exploitation? Audience Labour on Social Network Sites.

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Eran Fisher

2012-05-01

Full Text Available Abstract: The notion of audience labour has been an important contribution to Marxist political economy of the media. It revised the traditional political economy analysis, which focused on media ownership, by suggesting that media was also a site of production, constituting particular relations of production. Such analysis highlighted the active role of audience in the creation of media value as both commodities and workers, thus pointing to audience exploitation. Recently, in light of paradigmatic transformations in the media environment – particularly the emergence of Web 2.0 and social network sites – there has been a renewed interest in such analysis, and a reexamination of audience exploitation. Focusing on Facebook as a case-study, this article examines audience labour on social network sites along two Marxist themes – exploitation and alienation. It argues for a historical shift in the link between exploitation and alienation of audience labour, concurrent with the shift from mass media to social media. In the mass media, the capacity for exploitation of audience labour was quite limited while the alienation that such work created was high. In contrast, social media allows for the expansion and intensification of exploitation. Simultaneously, audience labour on social media – because it involves communication and sociability – also ameliorates alienation by allowing self-expression, authenticity, and relations with others. Moreover, the article argues that the political economy of social network sites is founded on a dialectical link between exploitation and alienation: in order to be de-alienated, Facebook users must communicate and socialize, thus exacerbating their exploitation. And vice-versa, in order for Facebook to exploit the work of its users, it must contribute to their de-alienation.

Narrative Writing in Digital Formats: Interpreting the Impact of Audience

Directory of Open Access Journals (Sweden)

Lawrence Joshua Fahey

2015-12-01

Full Text Available Digital writing has enabled students to write for a variety of authentic audiences, both in and out of the classroom. As they consider audience, students shoulder a cognitive burden that they must juggle in addition to the task of composition. At the same time, writing provides students with opportunities to craft and express their identities. The ways that identity formation and cognitive load intersect may be particularly complex in digital, online writing environments, as students gain the ability to share and receive feedback from global and local audiences. In this counterbalanced experimental study, 86 seventh- and eighth-grade students responded to two narrative prompts. One prompt was written for the teacher and the other was written for the teacher and peers in an online forum. We examined student writing fluency, mechanical errors, academic word use, and setting. Students were found to be more likely to set narratives in private settings when writing for an audience that included peers. We discuss this finding from cognitive and sociocultural perspectives and how it might inform networked communication research.

An Audience for the Aliens

Science.gov (United States)

Bryer, Theo

2013-01-01

This account of the making and sharing of self-authored digital videos in a Year 5 classroom focuses on the way that the children appear to be influenced by their awareness of audience. Drawing on evidence of video observation, written and moving image texts produced by the children and semi-structured interviews with them, I examine the factors…

Nature and frequency of exchanges on medications during primary care encounters.

Science.gov (United States)

Richard, Claude; Lussier, Marie-Thérèse

2006-12-01

To describe the exchanges, related to discussion of all medications during primary care medical consultations. Descriptive study of audio recordings of 422 medical encounters. Coding was done with MEDICODE, a validated instrument developed to analyse verbal exchanges on medications. The unit of analysis is the medication. An average of 3.9 medications (S.D.=2.8; range 1-21) are discussed per interview and 4.2 themes are broached for each drug (S.D.=2.6; range 1-17). "Active Discussed", "Represcribed" and "Newly Prescribed" drugs account for 43.1, 16.3 and 10.6%, respectively of all medications discussed. Themes most often discussed are Name, Instructions, Observed Main Effect, Class, Reasons for Taking the Drug, General Use of the Medication, Expected Effect on Symptoms, Form of the Medication, Indications Another Consultation Needed, and Alternative Medication. The least often discussed themes include clinically significant ones such as Possible Adverse Effects, Observed Adverse Effects, Expression of Attitudes and Emotions with regard to the medication, Compliance and Warnings. The average number of themes discussed differed between medications that were prescribed during the encounter, either New prescriptions or Represcribed drugs, compared to medications that were only discussed during the encounter. Our results show that medication discussions are heterogeneous and vary with the status of the medication and the theme. Also, the nature and extent of the discussions about medications do not support the shared-decision making model. Though it is too soon to make specific recommendations about discussions on medications, it seems clear that information-sharing about medications during medical encounters is a process that extends beyond any single encounter. Although communication skills are now part of most medical curriculums, there is an obvious need to put forth the concept of patient medication knowledge-building over multiple physician-patient encounters and

Team-based primary care: The medical assistant perspective.

Science.gov (United States)

Sheridan, Bethany; Chien, Alyna T; Peters, Antoinette S; Rosenthal, Meredith B; Brooks, Joanna Veazey; Singer, Sara J

Team-based care has the potential to improve primary care quality and efficiency. In this model, medical assistants (MAs) take a more central role in patient care and population health management. MAs' traditionally low status may give them a unique view on changing organizational dynamics and teamwork. However, little empirical work exists on how team-based organizational designs affect the experiences of low-status health care workers like MAs. The aim of this study was to describe how team-based primary care affects the experiences of MAs. A secondary aim was to explore variation in these experiences. In late 2014, the authors interviewed 30 MAs from nine primary care practices transitioning to team-based care. Interviews addressed job responsibilities, teamwork, implementation, job satisfaction, and learning. Data were analyzed using a thematic networks approach. Interviews also included closed-ended questions about workload and job satisfaction. Most MAs reported both a higher workload (73%) and a greater job satisfaction (86%) under team-based primary care. Interview data surfaced four mechanisms for these results, which suggested more fulfilling work and greater respect for the MA role: (a) relationships with colleagues, (b) involvement with patients, (c) sense of control, and (d) sense of efficacy. Facilitators and barriers to these positive changes also emerged. Team-based care can provide low-status health care workers with more fulfilling work and strengthen relationships across status lines. The extent of this positive impact may depend on supporting factors at the organization, team, and individual worker levels. To maximize the benefits of team-based care, primary care leaders should recognize the larger role that MAs play under this model and support them as increasingly valuable team members. Contingent on organizational conditions, practices may find MAs who are willing to manage the increased workload that often accompanies team-based care.

The patient-centered medical home neighbor: A primary care physician's view.

Science.gov (United States)

Sinsky, Christine A

2011-01-04

The American College of Physicians' position paper on the patient-centered medical home neighbor (PCMH-N) extends the work of the patient-centered medical home (PCMH) as a means of improving the delivery of health care. Recognizing that the PCMH does not exist in isolation, the PCMH-N concept outlines expectations for comanagement, communication, and care coordination and broadens responsibility for safe, effective, and efficient care beyond primary care to include physicians of all specialties. As such, it is a fitting follow-up to the PCMH and moves further down the road toward improved care for complex patients. Yet, there is more work to be done. Truly transforming the U.S. health care system around personalized medical homes embedded in highly functional medical neighborhoods will require better staffing models; more robust electronic information tools; aligned incentives for quality and efficiency within payment and regulatory policies; and a culture of greater engagement of patients, their families, and communities.

World Wide Web Homepages: An Examination of Content and Audience.

Science.gov (United States)

Reynolds, Betty; And Others

This paper shows how the content of a World Wide Web page is selected and how an examination of the intended audience influences content. Examples from the New Mexico Tech (NMT) Library homepage show what sources are selected and what level of detail is appropriate for the intended audience. Six fundamental functions of libraries and information…

How Less Alienation Creates More Exploitation? Audience Labour on Social Network Sites.

OpenAIRE

Eran Fisher

2012-01-01

Abstract: The notion of audience labour has been an important contribution to Marxist political economy of the media. It revised the traditional political economy analysis, which focused on media ownership, by suggesting that media was also a site of production, constituting particular relations of production. Such analysis highlighted the active role of audience in the creation of media value as both commodities and workers, thus pointing to audience exploitation. Recently, in light of parad...

Towards Biometric Assessment of Audience Affect

DEFF Research Database (Denmark)

Lyng Wieland, Jakob; Larsen, Lars Bo; Laursen, Jeanette Kølbæk

2016-01-01

This paper investigates how reliable affective responses can be obtained using objective biometric measures for media audience research. We use Galvanic Skin Response (GSR) to detect sixteen respondents’ arousal levels and as an objective measure to show how self- reporting disrupts the experience...

Characterizing and Reaching High-Risk Drinkers Using Audience Segmentation

Science.gov (United States)

Moss, Howard B.; Kirby, Susan D.; Donodeo, Fred

2010-01-01

Background Market or audience segmentation is widely used in social marketing efforts to help planners identify segments of a population to target for tailored program interventions. Market-based segments are typically defined by behaviors, attitudes, knowledge, opinions, or lifestyles. They are more helpful to health communication and marketing planning than epidemiologically-defined groups because market-based segments are similar in respect to how they behave or might react to marketing and communication efforts. However, market segmentation has rarely been used in alcohol research. As an illustration of its utility, we employed commercial data that describes the sociodemographic characteristics of high-risk drinkers as an audience segment; where they tend to live, lifestyles, interests, consumer behaviors, alcohol consumption behaviors, other health-related behaviors, and cultural values. Such information can be extremely valuable in targeting and planning public health campaigns, targeted mailings, prevention interventions and research efforts. Methods We describe the results of a segmentation analysis of those individuals who self-report consuming five or more drinks per drinking episode at least twice in the last 30-days. The study used the proprietary PRIZM™ audience segmentation database merged with Center for Disease Control and Prevention's (CDC) Behavioral Risk Factor Surveillance System (BRFSS) database. The top ten of the 66 PRIZM™ audience segments for this risky drinking pattern are described. For five of these segments we provide additional in-depth details about consumer behavior and the estimates of the market areas where these risky drinkers reside. Results The top ten audience segments (PRIZM clusters) most likely to engage in high-risk drinking are described. The cluster with the highest concentration of binge drinking behavior is referred to as the “Cyber Millenials.” This cluster is characterized as “the nation's tech-savvy singles

The science of science outreach: methods to maximise audience engagement

Science.gov (United States)

Adamson, Kathryn; Lane, Timothy

2016-04-01

Effective public engagement relies on a clear understanding of public audiences; their existing knowledge base and their learning preferences. Scientific content that is effective in academic spheres is not necessarily popular in the public domain. This may be due to content (e.g. beginner level to advanced terminology); presentation style (graphical, text, multimedia); audience demographic (children to adults); and entertainment value. Over the last few years, there has been a major expansion in the quantity and quality of science outreach material. For scientists, the production of outreach material, in any form, is the first giant leap to disseminating their knowledge to broader audiences. However, there is also a need to evaluate the performance of outreach material, so that its content and delivery style can be tailored and maximised for the target audience. We examine the Google Analytics data for climate science outreach website Climatica over a 12 month period in 2015. The site publishes regular posts, which take the form of short written articles, graphics, videos, or teaching resources, on all aspects of climate science. The site is publicised via social media including Twitter and Facebook. In particular, we assess website performance, in terms of website visits and post engagement. These are examined in the context of: post topic, post style, social media engagement, and the timing of post publication/advertisement. The findings of this investigation are used to explore audience preferences and mechanisms for future post development to maximise the use of this web resource.

Audience Perception of Effective Communication in Nigerian Paintings

Directory of Open Access Journals (Sweden)

Johnson Adelani Abodunrin

2017-01-01

Full Text Available Artists in Nigeria perceived effective communication differently irrespective of the socio-economic status.Communication effectiveness depends largely on the understanding of the message being passed between a sender and a receiver. Painting has been used over time to express emotion and feeling to the perceiving audience. The study is audience’s perception of communication in Nigeria painting and how it varies with the socio-economic characteristics such as age, education, gender, and being professional artist or art lovers. Questionnaires were distributed and administered to examine how the status of the art audience makes or mars effective communication in painting. The inferential statistics that were employed include “chi-square test” to test the relationship between different variables. The data were taken in ordinal form using Likert’s scale, and transformed into interval data. This was done by attaching statistical weights to the responses in the order of importance which were summed up for the parametric testing. Findings show that gender factor has nothing to do with the understanding of paintings. Also, the level of education obtained by the audience does not have much to do with understanding of contemporary Nigerian painting but a better exposure to the issue concerning the stylistic development of Nigerian painting. Art practitioners must adequately be guided on stylistic trend in painting, art education should be more intensified in educational curriculum in Nigeria. The paper concludes that audience requires a better exposure to the issues concerning the stylistic development of Nigerian painting for effective communication to take place.

Health anxiety and medical utilization: The moderating effect of age among patients in primary care.

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Fergus, Thomas A; Griggs, Jackson O; Cunningham, Scott C; Kelley, Lance P

2017-10-01

Health anxiety is commonly seen in medical clinics and is related to the overutilization of primary care services, but existing studies have not yet considered the possible moderating effect of age. We examined if age moderated the association between health anxiety and medical utilization. A secondary aim was to examine potential racial/ethnic differences in health anxiety. An ethnoracially diverse group of patients (N=533) seeking treatment from a primary care clinic completed a self-report measure of health anxiety. Three indices of medical utilization were assessed using medical records, including the number of: (a) clinic visits over the past two years, (b) current medications, and (c) lab tests over the past two years. Age moderated the effect of health anxiety on multiple indices of medical utilization. Supplemental analyses found that the moderating effect of age was specific to a somatic/body preoccupation, rather than health worry, dimension of health anxiety. Mean-level differences in health anxiety were either not supported (health anxiety composite, somatic/body preoccupation) or were small in magnitude (health worry) among self-identifying Black, Latino, and White participants. Results indicate that assessing for health anxiety could be particularly important for older adult patients who frequently seek out medical services. Copyright © 2017 Elsevier Ltd. All rights reserved.

The influence of professional development on informal science educators' engagement of preschool-age audiences in science practices

Science.gov (United States)

Crowl, Michele

There is little research on professional development for informal science educators (ISEs). One particular area that ISEs need support in is how to engage preschool-age audiences in science practices. This study is part of a NSF-funded project, My Sky Tonight (MST), which looked at how to support ISEs in facilitating astronomy-themed activities with preschool-age audiences. This dissertation focuses on the influence of a six-week, online professional development workshop designed for ISEs working with preschool-age audiences. I used three primary sources of data: pre/post interviews and a video analysis task from data of 16 participants, as well as observations of implementation from a subset of seven participants who agreed to participate further. I developed and used the Phenomena-driven Practices of Science (PEPS) Framework as an analysis tool for identifying engagement in science practices. Findings from this study show that ISEs identified affective goals and rarely goals that reflect science practice engagement for their preschool-age audiences. They maintained these initial goals after the professional development workshop. ISEs describe the ways in which they engage children in science using primarily science practice-related words, but these descriptions did not show full use of science practices according to the PEPS framework. When observed implementing science activities with their preschool audiences, the ISEs demonstrated a variety of forms of science engagement, but only a few used science practices in ways consistent with the PEPS framework. Engagement in the professional development workshop did not result in a transition in the ways ISEs talk about and implement science with young children. While the write-ups for MST activities were not written in a way that supported engagement in science practices, a subset of MST activities were designed with it in mind. The professional development workshop included little time focusing on how ISEs could

The American Jazz Music Audience.

Science.gov (United States)

Horowitz, Harold

This publication reports the findings of research carried out in recognition of the need for an in-depth analysis of the U.S. jazz music audience in order to identify and assess ways to shape the future of jazz as part of the "Survey of Public Participation in The Arts" conducted in 1982. The research problem was to learn the size,…

Audience development and its blind spot

DEFF Research Database (Denmark)

Lindelof, Anja Mølle

2015-01-01

The term ‘audience development’ addresses current dilemmas in publicly funded arts institutions. It is increasingly deployed in cultural policies and insti- tutional practices in the Nordic countries, and the article provides a critical dis- cussion of the term. The article argues that the discou...

Primary health care in the South African context – medical students ...

African Journals Online (AJOL)

Background Both the South African Department of Health and the University of Cape Town (UCT) have committed to the primary health care (PHC) approach, which is best captured in the Declaration of Alma Ata. If medical students are to be trained in the PHC approach, it is important that they not only have a good ...

Do questions help? The impact of audience response systems on medical student learning: a randomised controlled trial.

Science.gov (United States)

Mains, Tyler E; Cofrancesco, Joseph; Milner, Stephen M; Shah, Nina G; Goldberg, Harry

2015-07-01

Audience response systems (ARSs) are electronic devices that allow educators to pose questions during lectures and receive immediate feedback on student knowledge. The current literature on the effectiveness of ARSs is contradictory, and their impact on student learning remains unclear. This randomised controlled trial was designed to isolate the impact of ARSs on student learning and students' perception of ARSs during a lecture. First-year medical student volunteers at Johns Hopkins were randomly assigned to either (i) watch a recorded lecture on an unfamiliar topic in which three ARS questions were embedded or (ii) watch the same lecture without the ARS questions. Immediately after the lecture on 5 June 2012, and again 2 weeks later, both groups were asked to complete a questionnaire to assess their knowledge of the lecture content and satisfaction with the learning experience. 92 students participated. The mean (95% CI) initial knowledge assessment score was 7.63 (7.17 to 8.09) for the ARS group (N=45) and 6.39 (5.81 to 6.97) for the control group (N=47), p=0.001. Similarly, the second knowledge assessment mean score was 6.95 (6.38 to 7.52) for the ARS group and 5.88 (5.29 to 6.47) for the control group, p=0.001. The ARS group also reported higher levels of engagement and enjoyment. Embedding three ARS questions within a 30 min lecture increased students' knowledge immediately after the lecture and 2 weeks later. We hypothesise that this increase was due to forced information retrieval by students during the learning process, a form of the testing effect. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

The Role of Medical Informatics in Primary Care Education

Directory of Open Access Journals (Sweden)

PJ McCullagh

2000-02-01

Full Text Available This paper investigates the ability of a group of Primary Care professionals to acquire appropriate document retrieval skills, so that they can apply evidence based health care techniques to their various Primary Care roles. The participants, most of whom had little prior experience of the Internet, were enrolled on a two-year part-time Postgraduate Diploma / MSc in Primary Care. As part of the course, they took a compulsory 12-week module in Medical Informatics. A specific task was set: to find appropriate information on Meningococcal Meningitis and Public Health, by using National Library of Medicine's PUBMED bibliographic retrieval system and other unspecified Internet sources. A supplementary piece of coursework required the group to become information providers by providing tutorials on the world wide web. Analysis of the reports showed that the participants were able to learn and use the information tools successfully and that appropriate skills can be transferred in a short time. Overall nine were positive as to the benefits of the evidence-based approach contributing to local health care, with nine expressing mixed views and two having more negative opinions.

Bodies or organisms? Medical encounter as a control apparatus at a primary care centre in Barcelona

Directory of Open Access Journals (Sweden)

Alejandro Zaballos Samper

2013-07-01

Full Text Available Medical practice is driven by technology, discourses, and knowledge about health and illness. This has resulted in its gaining a dominating position in power relations achieved by means of diagnosis, medicalization, and habit and conduct creation and maintenance. Interaction at primary care centres is built on mainstream biomedical views of both the medical discourse and the social practices related to health, illness and the human body. Moreover, it is also rooted on the ideologies conveyed by those social concepts, which in turn, permeate interaction all through with power relations. The present paper takes ethnographic data and in-depth interviews as a departing point to analyse how diagnosis, medicalization, and biopolicies for health prevention and improvement carried out in primary care centres in Barcelona make up a control apparatus. Furthermore, this essay also explores how the apparatus is developed in the medical encounter and turns the body into an organism.

Alcohol and tobacco advertising in black and general audience newspapers: targeting with message cues?

Science.gov (United States)

Cohen, Elisia L; Caburnay, Charlene A; Rodgers, Shelly

2011-07-01

This study content analyzed 928 tobacco- and alcohol-related advertisements from a 3-year national sample of Black (n = 24) and general audience (n = 11) newspapers from 24 U.S. cities. The authors compared the frequency of tobacco and alcohol product and control advertising in Black versus general audience newspapers, as well as the presence of 5 message cues: model ethnicity, presence of health official, referral to resources, personal behavior mobilization, and localization. Results within health issues show that Black newspapers had more alcohol product advertising than did general audience newspapers. In contrast, Black newspapers had less alcohol and tobacco control advertising than general audience newspapers. Black newspapers' tobacco/alcohol product advertisements had more African American models than did general audience newspapers' tobacco/alcohol advertising, whereas general audience newspapers' tobacco control advertisements were significantly more likely to feature public health officials than ads in Black newspapers. Fewer message cues such as personal behavior mobilization, referral to resources, and localization were present in Black versus general audience newspapers. Results suggest that Black newspapers may have greater dependency than do general audience newspapers on these risk-related advertisements that target African American consumers. Given the current advertising environment, public health initiatives are needed to counter unhealthy alcohol product advertising messages that target vulnerable populations.

Learning from Primary Health Care Centers in Nepal: reflective writings on experiential learning of third year Nepalese medical students

OpenAIRE

Dhital, Rolina; Subedi, Madhusudan; Prasai, Neeti; Shrestha, Karun; Malla, Milan; Upadhyay, Shambhu

2015-01-01

Background Medical education can play important role in cultivating the willingness among the medical students to work in underprivileged areas after their graduation. Experiential learning through early exposure to primary health care centers could help students better understand the opportunities and challenges of such settings. However, the information on the real experiences and reflections of medical students on the rural primary health care settings from low-income countries like Nepal ...

Children's drawings of significant figures for a peer or an adult audience

OpenAIRE

Burkitt, Esther; Watling, Dawn; Murray, Lucy

2011-01-01

The present study assessed if children would present different information in their drawings of emotion eliciting stimuli when they believed that an adult or a child audience would view their drawings. Seventy-five 6-year-olds (44 boys and 31 girls) were allocated to three groups: the reference group, the child audience group and the adult audience group. All children completed a drawing session where they first drew a neutral uncharacterised figure, followed by drawings of a sad and a happy ...

Impact of an Extension Social Media Tool Kit on Audience Engagement

Science.gov (United States)

Garcia, Aileen S.; Dev, Dipti; McGinnis, Colin M.; Thomas, Tyler

2018-01-01

Extension professionals can improve their use of social media as channels for extending programmatic efforts by maximizing target audience reach and engagement. We describe how implementation of a tool kit highlighting best practices for using social media improved Extension professionals' efforts to engage target audience members via social…

Improving care planning and coordination for service users with medical co-morbidity transitioning between tertiary medical and primary care services.

Science.gov (United States)

Cranwell, K; Polacsek, M; McCann, T V

2017-08-01

WHAT IS KNOWN ON THE SUBJECT?: Mental health service users with medical co-morbidity frequently experience difficulties accessing and receiving appropriate treatment in emergency departments. Service users frequently experience fragmented care planning and coordinating between tertiary medical and primary care services. Little is known about mental health nurses' perspectives about how to address these problems. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Emergency department clinicians' poor communication and negative attitudes have adverse effects on service users and the quality of care they receive. The findings contribute to the international evidence about mental health nurses' perspectives of service users feeling confused and frustrated in this situation, and improving coordination and continuity of care, facilitating transitions and increasing family and caregiver participation. Intervention studies are needed to evaluate if adoption of these measures leads to sustainable improvements in care planning and coordination, and how service users with medical co-morbidity are treated in emergency departments in particular. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Effective planning and coordination of care are essential to enable smooth transitions between tertiary medical (emergency departments in particular) and primary care services for service users with medical co-morbidity. Ongoing professional development education and support is needed for emergency department clinicians. There is also a need to develop an organized and systemic approach to improving service users' experience in emergency departments. Introduction Mental health service users with medical co-morbidity frequently experience difficulties accessing appropriate treatment in medical hospitals, and often there is poor collaboration within and between services. Little is known about mental health nurses' perspectives on how to address these problems. Aim To explore mental health nurses

Know your audience: public perception of geology from anecdote to evidence

Science.gov (United States)

Gibson, Hazel

2015-04-01

One of the basic strategies of science communication is to 'know your audience' (Nerlich et al, 2010), yet often scientists are communicating to a distant and diffuse audience that cannot be seen or directly engaged with. Both traditional written reports and emerging online media provide limited or no opportunity to engage audiences in dialogues with the communicator that can convey the public's own levels of knowledge. In those circumstances it becomes almost impossible to know your audience. For geoscientists, this decoupling from the intended audience is made more problematic when conveying new technical issues such as carbon capture and storage or deep geological disposal of radioactive waste, which are rooted in the unfamiliar subsurface (Sharma et al, 2007; Ashworth et al, 2009). Those geologists who have engaged with the public in these novel realms often have fashioned informal ways to overcome their audience's geological unfamiliarity based on the trial-and-error of personal experience, but such anecdotal lessons are rarely applicable to wider communities of practice. In recent years, however, our ad hoc intuitive ideas about how to comprehend public perceptions of geology have gained rigour from evidence-based theory (Singleton et al, 2009). This presentation highlights one example of this, using an ongoing study into the public understanding of the geological subsurface in south west England. Results from a combination of interviews and questionnaires were assessed using the established psychological technique: 'mental models' (Morgan et al, 2002). The work demonstrates how a mixed method approach can move geoscience communication beyond casual assumptions and individual rules of thumb to a more robust scientific way of thinking.

Three Concentric Circles: Young Chinese English Learners' Perceptions of Purposeful Audiences

Science.gov (United States)

Liu, Jack Jinghui

2015-01-01

English learners have more access to communicate with different purposeful audiences across the Three Concentric Circles of English (Kachu, 1985): the Inner Circle, the Outer Circle and the Expanding Circle. However, young language learners' purposeful audience as a focus of communication has not been emphasized as much as other linguistic…

Defining Audience Segments for Extension Programming Using Reported Water Conservation Practices

Science.gov (United States)

Monaghan, Paul; Ott, Emily; Wilber, Wendy; Gouldthorpe, Jessica; Racevskis, Laila

2013-01-01

A tool from social marketing can help Extension agents understand distinct audience segments among their constituents. Defining targeted audiences for Extension programming is a first step to influencing behavior change among the public. An online survey was conducted using an Extension email list for urban households receiving a monthly lawn and…

The Spatiotemporal Dynamics of Digital News Audiences

DEFF Research Database (Denmark)

Peters, Chris

2016-01-01

of changing the socially-situated affordances of news use. Having sketched these contours, the chapter then highlights analytical challenges for understanding and conceptualizing the new interrelations between digital news content, production, and consumption, grounding this analysis with theoretical insights...... that emphasize the significance of spatiotemporal dynamics. The emphasis here is on the interrelations and mobilities of digital news audiences, based on a recognition of the productive impacts of media use while being careful to note the limitations of a paradigm shift that points solely to the possibilities...... generated by the ubiquitous presence of media in our everyday lives. Aspects of interaction and personalization beget by new media technologies certainly shape the possibilities, practices and power audiences have to choose news wherever, whenever, and however they want. However, this simultaneously...

Experiences of faculty and students using an audience response system in the classroom.

Science.gov (United States)

Thomas, Christine M; Monturo, Cheryl; Conroy, Katherine

2011-07-01

The advent of innovative technologies, such as the audience response system, provides an opportunity to engage students and enhance learning. Based on their experiences, three nursing faculty evaluated the use of an audience response system in four distinct nursing courses through the use of informal survey results. When using the audience response system, the faculty experienced an increased perception of student attentiveness and engagement, high level of class attendance, and enhanced learning. Faculty feelings were mixed concerning the burden in adapting to increased classroom time and increased preparation time. Students' perception of the value of audience response system use was mostly positive, except when responses were included as part of the grade. The majority of the students indicated that use of the audience response system enhanced learning and was a helpful learning method when used with NCLEX-style questions. Overall, faculty believed that the benefits of student engagement and enhanced learning outweighed the burdens of incorporating this new technology in the classroom.

Sensemaking and the co-production of safety: a qualitative study of primary medical care patients.

Science.gov (United States)

Rhodes, Penny; McDonald, Ruth; Campbell, Stephen; Daker-White, Gavin; Sanders, Caroline

2016-02-01

This study explores the ways in which patients make sense of 'safety' in the context of primary medical care. Drawing on qualitative interviews with primary care patients, we reveal patients' conceptualisation of safety as fluid, contingent, multi-dimensional, and negotiated. Participant accounts drew attention to a largely invisible and inaccessible (but taken for granted) architecture of safety, the importance of psycho-social as well as physical dimensions and the interactions between them, informal strategies for negotiating safety, and the moral dimension of safety. Participants reported being proactive in taking action to protect themselves from potential harm. The somewhat routinised and predictable nature of the primary medical care consultation, which is very different from 'one off' inpatient spells, meant that patients were not passive recipients of care. Instead they had a stock of accumulated knowledge and experience to inform their actions. In addition to highlighting the differences and similarities between hospital and primary care settings, the study suggests that a broad conceptualisation of patient safety is required, which encompasses the safety concerns of patients in primary care settings. © 2015 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL.

Movies: the Audience Favorites

Directory of Open Access Journals (Sweden)

Alexander Fedorov

2016-10-01

Full Text Available Modern screen art over its success to the use of folklore, myth, synthesis of the natural and supernatural, and a consistent orientation toward the most popular plot schemes. Their metaphorical appeal is not to the rational but to the emotional, through identification with the magic power of heroes and standardization of ideas, situations, characters and so on in compensation for dreams not realized in life, there are illusions – happy endings. In movies, TV shows, and music videos' rhythmic organization, viewers' feelings are influenced as much by the order of changing shots as by the content of productions. On the basis of the foregoing, it can be concluded that the media texts of popular culture obliged to a variety of factors for its success. These include: reliance on folklore and mythological sources, constancy metaphors, focus on consistent implementation of the most persistent plot schemes, the synthesis of the natural and the supernatural, the appeal not to rational and emotional, through the identification of (imaginary transformation in of active characters merge with the atmosphere, the aura of works, “magic power” of heroes, standardization (replication, unification, adaptation ideas, situations, characters, etc., mosaic, seriality, the compensation (of the cherished illusion, but not come true desires, the happy ending, the use of such rhythmic organization movies, TV shows, clips, where the feeling of the audience with the content of the frame affects the order of their shift; intuitive guessing subconscious audience interests, etc.

Patients' perspectives on the medical primary-secondary care interface: systematic review and synthesis of qualitative research.

Science.gov (United States)

Sampson, Rod; Cooper, Jamie; Barbour, Rosaline; Polson, Rob; Wilson, Philip

2015-10-15

To synthesise the published literature on the patient experience of the medical primary-secondary care interface and to determine priorities for future work in this field aimed at improving clinical outcomes. Systematic review and metaethnographic synthesis of primary studies that used qualitative methods to explore patients' perspectives of the medical primary-secondary care interface. International primary-secondary care interface. EMBASE, MEDLINE, CINAHL Plus with Full text, PsycINFO, Psychology and Behavioural Sciences Collection, Health Business Elite, Biomedica Reference Collection: Comprehensive Library, Information Science & Technology Abstracts, eBook Collection, Web of Science Core Collection: Citation Indexes and Social Sciences Citation Index, and grey literature. Studies were eligible for inclusion if they were full research papers employing qualitative methodology to explore patients' perspectives of the medical primary-secondary care interface. The 7-step metaethnographic approach described by Noblit and Hare, which involves cross-interpretation between studies while preserving the context of the primary data. The search identified 690 articles, of which 39 were selected for full-text review. 20 articles were included in the systematic review that encompassed a total of 689 patients from 10 countries. 4 important areas specific to the primary-secondary care interface from the patients' perspective emerged: barriers to care, communication, coordination, and 'relationships and personal value'. Patients should be the focus of any transfer of care between primary and secondary systems. From their perspective, areas for improvement may be classified into four domains that should usefully guide future work aimed at improving quality at this important interface. PROSPERO CRD42014009486. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Implementation of Patient-Centered Medical Homes in Adult Primary Care Practices.

Science.gov (United States)

Alexander, Jeffrey A; Markovitz, Amanda R; Paustian, Michael L; Wise, Christopher G; El Reda, Darline K; Green, Lee A; Fetters, Michael D

2015-08-01

There has been relatively little empirical evidence about the effects of patient-centered medical home (PCMH) implementation on patient-related outcomes and costs. Using a longitudinal design and a large study group of 2,218 Michigan adult primary care practices, our study examined the following research questions: Is the level of, and change in, implementation of PCMH associated with medical surgical cost, preventive services utilization, and quality of care in the following year? Results indicated that both level and amount of change in practice implementation of PCMH are independently and positively associated with measures of quality of care and use of preventive services, after controlling for a variety of practice, patient cohort, and practice environmental characteristics. Results also indicate that lower overall medical and surgical costs are associated with higher levels of PCMH implementation, although change in PCMH implementation did not achieve statistical significance. © The Author(s) 2015.

Predicting Audience Location on the Basis of the k-Nearest Neighbor Multilabel Classification

Directory of Open Access Journals (Sweden)

Haitao Wu

2014-01-01

Full Text Available Understanding audience location information in online social networks is important in designing recommendation systems, improving information dissemination, and so on. In this paper, we focus on predicting the location distribution of audiences on YouTube. And we transform this problem to a multilabel classification problem, while we find there exist three problems when the classical k-nearest neighbor based algorithm for multilabel classification (ML-kNN is used to predict location distribution. Firstly, the feature weights are not considered in measuring the similarity degree. Secondly, it consumes considerable computing time in finding similar items by traversing all the training set. Thirdly, the goal of ML-kNN is to find relevant labels for every sample which is different from audience location prediction. To solve these problems, we propose the methods of measuring similarity based on weight, quickly finding similar items, and ranking a specific number of labels. On the basis of these methods and the ML-kNN, the k-nearest neighbor based model for audience location prediction (AL-kNN is proposed for predicting audience location. The experiments based on massive YouTube data show that the proposed model can more accurately predict the location of YouTube video audience than the ML-kNN, MLNB, and Rank-SVM methods.

WHAT DOES LESBIAN AUDIENCE LIKE?

Directory of Open Access Journals (Sweden)

Adriana Ibiti

2013-04-01

Full Text Available This paper seeks to identify the mechanisms that define the pleasure (taste and disgust (disgust of the lesbian audience in receiving audiovisual set in lesbian communities. After viewing two stories constructed from the series The  L Word, 25 lesbians WERE interviewed in depth. Next, we conducted a qualitative content anaLysis of the interviews. The results are discussed from the theories of Entertainment (Media Psychology.

Enhanced risk prediction model for emergency department use and hospitalizations in patients in a primary care medical home.

Science.gov (United States)

Takahashi, Paul Y; Heien, Herbert C; Sangaralingham, Lindsey R; Shah, Nilay D; Naessens, James M

2016-07-01

With the advent of healthcare payment reform, identifying high-risk populations has become more important to providers. Existing risk-prediction models often focus on chronic conditions. This study sought to better understand other factors to improve identification of the highest risk population. A retrospective cohort study of a paneled primary care population utilizing 2010 data to calibrate a risk prediction model of hospital and emergency department (ED) use in 2011. Data were randomly split into development and validation data sets. We compared the enhanced model containing the additional risk predictors with the Minnesota medical tiering model. The study was conducted in the primary care practice of an integrated delivery system at an academic medical center in Rochester, Minnesota. The study focus was primary care medical home patients in 2010 and 2011 (n = 84,752), with the primary outcome of subsequent hospitalization or ED visit. A total of 42,384 individuals derived the enhanced risk-prediction model and 42,368 individuals validated the model. Predictors included Adjusted Clinical Groups-based Minnesota medical tiering, patient demographics, insurance status, and prior year healthcare utilization. Additional variables included specific mental and medical conditions, use of high-risk medications, and body mass index. The area under the curve in the enhanced model was 0.705 (95% CI, 0.698-0.712) compared with 0.662 (95% CI, 0.656-0.669) in the Minnesota medical tiering-only model. New high-risk patients in the enhanced model were more likely to have lack of health insurance, presence of Medicaid, diagnosed depression, and prior ED utilization. An enhanced model including additional healthcare-related factors improved the prediction of risk of hospitalization or ED visit.

Troubling complicity: audience ethnography, male porn viewers and feminist critique

OpenAIRE

Vörös , Florian

2015-01-01

International audience; This article offers a self-reflexive account of an audience reception study conducted in Paris, France, examining gay, bisexual and heterosexual cisgender men's everyday (and everynight) uses of pornography. The study explores the gender dynamics at work in practices such as surfing, watching, reimagining and discussing pornography, based on in-depth interviews with 34 viewers, combined with the replication of their online sexual meanderings; this positions me as a vie...

Availability, cost, and prescription patterns of antihypertensive medications in primary health care in China: a nationwide cross-sectional survey.

Science.gov (United States)

Su, Meng; Zhang, Qiuli; Bai, Xueke; Wu, Chaoqun; Li, Yetong; Mossialos, Elias; Mensah, George A; Masoudi, Frederick A; Lu, Jiapeng; Li, Xi; Salas-Vega, Sebastian; Zhang, Anwen; Lu, Yuan; Nasir, Khurram; Krumholz, Harlan M; Jiang, Lixin

2017-12-09

Around 200 million adults in China have hypertension, but few are treated or achieve adequate control of their blood pressure. Available and affordable medications are important for successfully controlling hypertension, but little is known about current patterns of access to, and use of, antihypertensive medications in Chinese primary health care. We used data from a nationwide cross-sectional survey (the China Patient-Centered Evaluative Assessment of Cardiac Events Million Persons Project primary health care survey), which was undertaken between November, 2016 and May, 2017, to assess the availability, cost, and prescription patterns of 62 antihypertensive medications at primary health-care sites across 31 Chinese provinces. We surveyed 203 community health centres, 401 community health stations, 284 township health centres, and 2474 village clinics to assess variation in availability, cost, and prescription by economic region and type of site. We also assessed the use of high-value medications, defined as guideline-recommended and low-cost. We also examined the association of medication cost with availability and prescription patterns. Our study sample included 3362 primary health-care sites and around 1 million people (613 638 people at 2758 rural sites and 478 393 people at 604 urban sites). Of the 3362 sites, 8·1% (95% CI 7·2-9·1) stocked no antihypertensive medications and 33·8% (32·2-35·4) stocked all four classes that were routinely used. Village clinics and sites in the western region of China had the lowest availability. Only 32·7% (32·2-33·3) of all sites stocked high-value medications, and few high-value medications were prescribed (11·2% [10·9-11·6] of all prescription records). High-cost medications were more likely to be prescribed than low-cost alternatives. China has marked deficiencies in the availability, cost, and prescription of antihypertensive medications. High-value medications are not preferentially used. Future efforts to

The Harvard Medical School Academic Innovations Collaborative: transforming primary care practice and education.

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Bitton, Asaf; Ellner, Andrew; Pabo, Erika; Stout, Somava; Sugarman, Jonathan R; Sevin, Cory; Goodell, Kristen; Bassett, Jill S; Phillips, Russell S

2014-09-01

Academic medical centers (AMCs) need new approaches to delivering higher-quality care at lower costs, and engaging trainees in the work of high-functioning primary care practices. In 2012, the Harvard Medical School Center for Primary Care, in partnership with with local AMCs, established an Academic Innovations Collaborative (AIC) with the goal of transforming primary care education and practice. This novel two-year learning collaborative consisted of hospital- and community-based primary care teaching practices, committed to building highly functional teams, managing populations, and engaging patients. The AIC built on models developed by Qualis Health and the Institute for Healthcare Improvement, optimized for the local AMC context. Foundational elements included leadership engagement and development, application of rapid-cycle process improvement, and the creation of teams to care for defined patient populations. Nineteen practices across six AMCs participated, with nearly 260,000 patients and 450 resident learners. The collaborative offered three 1.5-day learning sessions each year featuring shared learning, practice coaches, and improvement measures, along with monthly data reporting, webinars, and site visits. Validated self-reports by transformation teams showed that practices made substantial improvement across all areas of change. Important factors for success included leadership development, practice-level resources, and engaging patients and trainees. The AIC model shows promise as a path for AMCs to catalyze health system transformation through primary care improvement. In addition to further evaluating the impact of practice transformation, expansion will require support from AMCs and payers, and the application of similar approaches on a broader scale.

The Affective Audience in Professional E-sport

DEFF Research Database (Denmark)

Gommesen, Niels Jørgen

2012-01-01

This master’s thesis investigates the members of the audience in professional e-sport. Through a wide range of examples it shows that players, spectators and various nonhuman actors are nested together in assemblages. It states that human-nonhuman actors in ‘co-creation’ constitute the game play...... and consumers of the game play. My ethnographic studies draw from a multifaceted approach counting visual ethnography, participant observations and interviews of 35 dedicated spectators and fans, situated at two professional e-sports competitions, the largest digital festival in the world, Dreamhack in Sweden......, and the Intel Extreme Masters - The World Championships in Germany. I conclude that people in the audience, are sharing their experiences not only with one another, but also with the players, as they actively embody themselves in the game playing event. Throughout this work I exemplify that spectators are often...

The potential impact of the next influenza pandemic on a national primary care medical workforce.

Science.gov (United States)

Wilson, Nick; Baker, Michael; Crampton, Peter; Mansoor, Osman

2005-08-11

Another influenza pandemic is all but inevitable. We estimated its potential impact on the primary care medical workforce in New Zealand, so that planning could mitigate the disruption from the pandemic and similar challenges. The model in the "FluAid" software (Centers for Disease Control and Prevention, CDC, Atlanta) was applied to the New Zealand primary care medical workforce (i.e., general practitioners). At its peak (week 4) the pandemic would lead to 1.2% to 2.7% loss of medical work time, using conservative baseline assumptions. Most workdays (88%) would be lost due to illness, followed by hospitalisation (8%), and then premature death (4%). Inputs for a "more severe" scenario included greater health effects and time spent caring for sick relatives. For this scenario, 9% of medical workdays would be lost in the peak week, and 3% over a more compressed six-week period of the first pandemic wave. As with the base case, most (64%) of lost workdays would be due to illness, followed by caring for others (31%), hospitalisation (4%), and then premature death (1%). Preparedness planning for future influenza pandemics must consider the impact on this medical workforce and incorporate strategies to minimise this impact, including infection control measures, well-designed protocols, and improved health sector surge capacity.

Request for HIV serology in primary care: A survey of medical and nursing professionals.

Science.gov (United States)

Pichiule-Castañeda, Myrian; Domínguez-Berjón, M Felicitas; Esteban-Vasallo, María D; García-Riolobos, Carmen; Álvarez-Castillo, M Carmen; Astray-Mochales, Jenaro

2018-01-15

In the Community of Madrid there is 42.7% late HIV diagnosis. Primary care is the gateway to the health system and the frequency of serological tests requested by these professionals is unknown. The objectives were to establish the frequency of requests for HIV serology by medical and nursing primary care professionals in the Community of Madrid and the factors associated with these requests. An 'on-line' survey was conducted, asking professionals who participated in the evaluation study of strategies to promote early diagnosis of HIV in primary care in the Community of Madrid (ESTVIH) about the number of HIV-serology tests requested in the last 12 months. The association between HIV-serology requesting and the sociodemographic and clinical practice characteristics of the professionals was quantified using adjusted odds ratios (aOR) according to logistic regression. 264 surveys (59.5% physicians). Eighty-two point two percent of medical and 18.7% of nursing professionals reported requesting at least one HIV-serology in the last 12 months (median: 15 and 2 HIV-serology request, respectively). The doctors associated the request with: being male (aOR: 2.95; 95% CI: 0.82-10.56), being trained in pre-post HIV test counselling (aOR: 2.42; 95% CI: 0.84-6.93) and the nurses with: age (13 years; aOR: 3.02; 95% CI: 1.07-8.52). It is necessary to promote HIV testing and training in pre-post HIV test counselling for medical and nursing professionals in primary care centres. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

A Reception Analysis on the Youth Audiences of TV Series in Marivan

Directory of Open Access Journals (Sweden)

Omid Karimi

2014-03-01

Full Text Available The aim of this article is to describe the role of foreign media as the agitators of popular culture. For that with reception analysis it’s pay to describe decoding of youth audiences about this series. Globalization theory and Reception in Communication theory are formed the theoretical system of current article. The methodology in this research is qualitative one, and two techniques as in-depth interview and observation are used for data collection. The results show different people based on individual features, social and cultural backgrounds have inclination toward special characters and identify with them. This inclination so far the audience fallow the series because of his/her favorite character. Also there is a great compatibility between audience backgrounds and their receptions. A number of audience have criticized the series and point out the negative consequences on its society. However, seeing the series continue; really they prefer watching series enjoying to risks of it.

Characteristics associated with purchasing antidepressant or antianxiety medications through primary care in Israel.

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Ayalon, Liat; Gross, Revital; Yaari, Aviv; Feldhamer, Elan; Balicer, Ran; Goldfracht, Margalit

2011-09-01

This study analyzed the role of patient and physician characteristics associated with the purchase of antidepressant or antianxiety medications in Israel, a country that has a universal health care system. A national sample of 30,000 primary care patients over the age of 22 was randomly drawn from the registry of the largest health care fund in Israel. Data concerning medication purchase between January and December 2006 were extracted. Physician and patient characteristics were merged with Israel's unique identification number. Multilevel analysis was conducted to identify patient- and physician-level predictors of medication purchase. Overall, 19% (N = 4,762) of the sample purchased antidepressant or antianxiety medications. Individuals with greater general medical and psychiatric comorbidity were more likely to purchase antidepressant or antianxiety medications. Older adults, women, those of higher socioeconomic status, and immigrants (with the exception of Jews born in Asia or Africa) were also more likely to purchase medications. Arabs and Jews born in Asia and Africa were less likely to purchase medications even after all other variables were accounted for. Physician characteristics were minimally associated with the purchase of medications. The findings demonstrate that despite universal health care access, there were variations by population groups. Educational efforts should target patients as well as physicians.

Medical curricula and preventing childhood obesity: pooling the resources of medical students and primary care to inform curricula.

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Wylie, Ann; Furmedge, Daniel S; Appleton, Amber; Toop, Helen; Coats, Tom

2009-03-01

The study aimed to firstly provide a small self-selecting group of medical students with the opportunity to explore current approaches and opportunities addressing the prevention of childhood obesity and, secondly, to consider what aspects could be part of the taught curriculum. Medical students in their third and fourth year were invited to self-design special study modules (SSMs) exploring interventions and processes addressing the growing concern about childhood obesity. One student looked at the role of the primary care teams, two looked at community-based opportunities to improve physical activity in urban areas where there is significant deprivation and one student explored the complex role of the media as a social determinant of dietary patterns and sedentary behaviour. Primary care health professionals questioned their role in regard to raising the topic of obesity in the consultation and had limited awareness of current NICE guidelines and local interventions for referral. Local authority physical activity programmes have an important role in preventing and tackling obesity and although the media are regulated, there is limited impact on reducing obesity. Conversely, the influence of the media is complex and enables medical students and teachers to be aware of some of the social determinants influencing health-related behaviour. About a third of UK GP practices have some role in medical undergraduate education. It will therefore be inevitable that students will encounter GPs working with prevention and management of childhood obesity, however limited, and this will increasingly be part of the teaching agenda, whether formal and planned or opportunistic. Curricula could include being familiar with the evidence that informs NICE guidelines, observing these guidelines being implemented and their limitations, awareness of local schemes for referral to prevent or treat obesity and the influence of wider determinants on diet and physical activity behaviour

Audiences for the Theory of Multiple Intelligences

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Gardner, Howard

2004-01-01

In his closing comments, Howard Gardner discusses the various audiences that have emerged over the years for the theory of multiple intelligences. Under that rubric, he places the various papers in this issue and speculates about future lines of work on MI theory.

'You're in FunDzaland': Pre-service teachers (reimagine audience on a creative writing course

Directory of Open Access Journals (Sweden)

Belinda Mendelowitz

2016-07-01

Full Text Available This study explores how collaborative writing for a digital platform can enable students to (re imagine audience. Although in the context of process writing peer feedback is foreground, in practice, its effectiveness is uneven. The digital revolution offers new opportunities for alternative peer feedback through collaborative writing and re-imagining self and other in the process. This study examines data from a creative writing course in which pre-service teachers wrote collaborative short stories for the FunDza digital site and individual reflective essays about the process. The study’s research questions are the following: (1 what were the affordances of this multilayered audience for engaging the students’ imaginations? (2 How did this process of (reimagining audience impact on students’ conceptions of themselves as writers? The data set comprised 16 collaboratively authored stories (published on the site and 34 individual reflective essays. Six of the latter were selected for detailed analysis. Hence, the data for this study encompass detailed analysis of two groups’ reflective essays on the process of writing their stories. These groups were selected because they exemplified contrasting collaborative, imaginative writing processes. Group 1 was familiar with the FunDza audience and context, while Group 2 struggled to imagine it. Thematic content analysis was used for analysis. Each essay was read first in relation to the entire data set, then in relation to the other reflections in the author’s group. The combination of gearing stories towards the FunDza audience and writing stories collaboratively created two sets of audiences that writers needed to hold in mind simultaneously. Analysis indicates that both audiences challenged students to make imaginative leaps into the minds of an unfamiliar audience, deepening their understanding of the writing process. It also highlights students’ mastery of writing discourses and increasing

Predictors of Medication Adherence and Blood Pressure Control among Saudi Hypertensive Patients Attending Primary Care Clinics: A Cross-Sectional Study.

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Sarah M Khayyat

Full Text Available To assess the level of medication adherence and to investigate predictors of medication adherence and blood pressure control among hypertensive patients attending primary healthcare clinics in Makkah, Saudi Arabia.Hypertensive patients meeting the eligibility criteria were recruited from eight primary care clinics between January and May 2016 for this study. The patients completed Arabic version of Morisky Medication Adherence Scale (MMAS-8, an eight-item validated, self-reported measure to assess medication adherence. A structured data collection form was used to record patients' sociodemographic, medical and medication data.Two hundred and four patients, of which 71.6% were females, participated in the study. Patients' mean age was 59.1 (SD 12.2. The mean number of medication used by patients was 4.4 (SD 1.89. More than half (110; 54% of the patients were non-adherent to their medications (MMAS score 65 years (OR 2.0 [95% CI: 1.0-4.2; P = 0.04], and being diabetic (OR 0.25 [95% CI: 0.1-0.6; P = 0.04] were found to be independent predictors of medication adherence.Medication adherence is alarmingly low among hypertensive patients attending primary care clinics in Saudi Arabia which may partly explain observed poor blood pressure control. There is a clear need to educate patients about the importance of medication adherence and its impact on improving clinical outcomes. Future research should identify barriers to medication adherence among Saudi hypertensive patients.

Primary Care Physician Perspectives about Antipsychotics and Other Medications for Symptoms of Dementia.

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Kerns, J William; Winter, Jonathan D; Winter, Katherine M; Boyd, Terry; Etz, Rebecca S

2018-01-01

Guidelines, policies, and warnings have been applied to reduce the use of medications for behavioral and psychological symptoms of dementia (BPSD). Because of rare dangerous side effects, antipsychotics have been singled out in these efforts. However, antipsychotics are still prescribed "off label" to hundreds of thousands of seniors residing in nursing homes and communities. Our objective was to evaluate how and why primary-care physicians (PCPs) employ nonpharmacologic strategies and drugs for BPSD. Semi-structured interviews analyzed via template, immersion and crystallization, and thematic development of 26 PCPs (16 family practice, 10 general internal medicine) in full time primary-care practice for at least 3 years in Northwestern Virginia. PCPs described 4 major themes regarding BPSD management: (1) nonpharmacologic methods have substantial barriers; (2) medication use is not constrained by those barriers and is perceived as easy, efficacious, reasonably safe, and appropriate; (3) pharmacologic policies decrease the use of targeted medications, including antipsychotics, but also have unintended consequences such as increased use of alternative risky medications; and (4) PCPs need practical evidence-based guidelines for all aspects of BPSD management. PCPs continue to prescribe medications because they meet patient-oriented goals and because PCPs perceive drugs, including antipsychotics and their alternatives, to be more effective and less dangerous than evidence suggests. To optimally treat BPSD, PCPs need supportive verified prescribing guidelines and access to nonpharmacologic modalities that are as affordable, available, and efficacious as drugs; these require and deserve significant additional research and payer support. Community PCPs should be included in BPSD policy and guideline development. © Copyright 2018 by the American Board of Family Medicine.

Using narratives and storytelling to communicate science with nonexpert audiences.

Science.gov (United States)

Dahlstrom, Michael F

2014-09-16

Although storytelling often has negative connotations within science, narrative formats of communication should not be disregarded when communicating science to nonexpert audiences. Narratives offer increased comprehension, interest, and engagement. Nonexperts get most of their science information from mass media content, which is itself already biased toward narrative formats. Narratives are also intrinsically persuasive, which offers science communicators tactics for persuading otherwise resistant audiences, although such use also raises ethical considerations. Future intersections of narrative research with ongoing discussions in science communication are introduced.

F*** Yeah Fluid Dynamics: On science outreach and appealing to broad audiences

Science.gov (United States)

Sharp, Nicole

2015-11-01

Sharing scientific research with general audiences is important for scientists both in terms of educating the public and in pursuing funding opportunities. But it's not always apparent how to make a big splash. Over the past five years, fluid dynamics outreach blog FYFD has published more than 1300 articles and gained an audience of over 215,000 readers. The site appeals to a wide spectrum of readers in both age and field of study. This talk will utilize five years' worth of site content and reader feedback to examine what makes science appealing to general audiences and suggest methods researchers can use to shape their work's broader impact.

Challenges to the Israeli healthcare system: attracting medical students to primary care and to the periphery.

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Weissman, Charles; Zisk-Rony, Rachel Yaffa; Avidan, Alexander; Elchalal, Uriel; Tandeter, Howard

2018-05-29

The greatest challenges facing healthcare systems include ensuring a sufficient supply of primary care physicians and physicians willing to work in rural or peripheral areas. Especially challenging is enticing young physicians to practice primary care in rural/peripheral areas. Identifying medical students interested in primary care and in residencies in Israel's periphery should aid the healthcare leadership. It may be particularly important to do so during the clinical years, as this is the stage at which many future physicians begin to crystallize their specialty and location preferences. Questionnaires, distributed to 6 consecutive 5th-year classes of the Hebrew University - Hadassah School of Medicine, from 2010 to 2016, elicited information on criteria for choosing a career specialty, criteria for choosing a residency program and whether one-time monetary grants authorized in the 2011 physicians' union contract would attract students to residencies in the periphery. Completed questionnaires were returned by 511 of 740 (69%) students. Ninety-eight (19%) were interested in a primary care residency, 184 (36%) were unsure and 229 (45%) were not interested. Students interested in primary care were significantly less interested in specialties that perform procedures/surgeries and in joining a medical school faculty, while being more inclined towards specialties dealing with social problems, controllable lifestyles and working limited hours. The percentage of students interested in primary care was stable during the study period. Forty-eight of the students indicated interest in residencies in the country's periphery, and 42% of them were also interested in primary care residencies. Overall, only 3.7% of students were interested in both a primary care residency and a residency in the periphery. Thirty percent of the students indicated that the monetary incentives tempted them to consider a residency in the periphery. Fifty-three percent of these students reported

A meta-ethnography of organisational culture in primary care medical practice.

Science.gov (United States)

Grant, Suzanne; Guthrie, Bruce; Entwistle, Vikki; Williams, Brian

2014-01-01

Over the past decade, there has been growing international interest in shaping local organisational cultures in primary healthcare. However, the contextual relevance of extant culture assessment instruments to the primary care context has been questioned. The aim of this paper is to derive a new contextually appropriate understanding of the key dimensions of primary care medical practice organisational culture and their inter-relationship through a synthesis of published qualitative research. A systematic search of six electronic databases followed by a synthesis using techniques of meta-ethnography involving translation and re-interpretation. A total of 16 papers were included in the meta-ethnography from the UK, the USA, Canada, Australia and New Zealand that fell into two related groups: those focused on practice organisational characteristics and narratives of practice individuality; and those focused on sub-practice variation across professional, managerial and administrative lines. It was found that primary care organisational culture was characterised by four key dimensions, i.e. responsiveness, team hierarchy, care philosophy and communication. These dimensions are multi-level and inter-professional in nature, spanning both practice and sub-practice levels. The research contributes to organisational culture theory development. The four new cultural dimensions provide a synthesized conceptual framework for researchers to evaluate and understand primary care cultural and sub-cultural levels. The synthesised cultural dimensions present a framework for practitioners to understand and change organisational culture in primary care teams. The research uses an innovative research methodology to synthesise the existing qualitative research and is one of the first to develop systematically a qualitative conceptual framing of primary care organisational culture.

Implementing a Psychotherapy Service for Medically Unexplained Symptoms in a Primary Care Setting

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Angela Cooper

2017-11-01

Full Text Available Medically unexplained symptoms (MUS are known to be costly, complex to manage and inadequately addressed in primary care settings. In many cases, there are unresolved psychological and emotional processes underlying these symptoms, leaving traditional medical approaches insufficient. This paper details the implementation of an evidence-based, emotion-focused psychotherapy service for MUS across two family medicine clinics. The theory and evidence-base for using Intensive Short-Term Dynamic Psychotherapy (ISTDP with MUS is presented along with the key service components of assessment, treatment, education and research. Preliminary outcome indicators showed diverse benefits. Patients reported significantly decreased somatic symptoms in the Patient Health Questionnaire-15 (d = 0.4. A statistically significant (23% decrease in family physicians’ visits was found in the 6 months after attending the MUS service compared to the 6 months prior. Both patients and primary care clinicians reported a high degree of satisfaction with the service. Whilst further research is needed, these findings suggest that a direct psychology service maintained within the family practice clinic may assist patient and clinician function while reducing healthcare utilization. Challenges and further service developments are discussed, including the potential benefits of re-branding the service to become a ‘Primary Care Psychological Consultation and Treatment Service’.

Implementing a Psychotherapy Service for Medically Unexplained Symptoms in a Primary Care Setting.

Science.gov (United States)

Cooper, Angela; Abbass, Allan; Town, Joel

2017-11-29

Medically unexplained symptoms (MUS) are known to be costly, complex to manage and inadequately addressed in primary care settings. In many cases, there are unresolved psychological and emotional processes underlying these symptoms, leaving traditional medical approaches insufficient. This paper details the implementation of an evidence-based, emotion-focused psychotherapy service for MUS across two family medicine clinics. The theory and evidence-base for using Intensive Short-Term Dynamic Psychotherapy (ISTDP) with MUS is presented along with the key service components of assessment, treatment, education and research. Preliminary outcome indicators showed diverse benefits. Patients reported significantly decreased somatic symptoms in the Patient Health Questionnaire-15 ( d = 0.4). A statistically significant (23%) decrease in family physicians' visits was found in the 6 months after attending the MUS service compared to the 6 months prior. Both patients and primary care clinicians reported a high degree of satisfaction with the service. Whilst further research is needed, these findings suggest that a direct psychology service maintained within the family practice clinic may assist patient and clinician function while reducing healthcare utilization. Challenges and further service developments are discussed, including the potential benefits of re-branding the service to become a 'Primary Care Psychological Consultation and Treatment Service'.

Improving medication safety in primary care. A review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care

NARCIS (Netherlands)

Lainer, M.; Vogele, A.; Wensing, M.; Sonnichsen, A.

2015-01-01

BACKGROUND: Drug treatment is an important clinical process in primary care that is associated with risk of error and adverse events. OBJECTIVE: To review currently available research evidence on the topic and to develop a framework, which can help to guide improvement of medication safety. METHODS:

The Social Nature of Argumentative Practices: The Philosophy of Argument and Audience Reception

OpenAIRE

Paula Olmos

2018-01-01

Abstract: This article reviews Christopher W. Tindale’s The Philosophy of Argument and Audience Reception (Cambridge, 2015). Résumé: Cet article est une critique de The Philosophy of Argument and Audience Reception (Cambridge, 2015) de Christopher W. Tindale.

Using narratives and storytelling to communicate science with nonexpert audiences

Science.gov (United States)

Dahlstrom, Michael F.

2014-01-01

Although storytelling often has negative connotations within science, narrative formats of communication should not be disregarded when communicating science to nonexpert audiences. Narratives offer increased comprehension, interest, and engagement. Nonexperts get most of their science information from mass media content, which is itself already biased toward narrative formats. Narratives are also intrinsically persuasive, which offers science communicators tactics for persuading otherwise resistant audiences, although such use also raises ethical considerations. Future intersections of narrative research with ongoing discussions in science communication are introduced. PMID:25225368

Stepping into others’ shoes: a cognitive perspective on target audience orientation in written translation

OpenAIRE

Apfelthaler, Matthias

2014-01-01

This paper suggests what might allow translators to orient themselves towards their target audience in the translation process. To shed light on translators’ ability to put themselves into their target audience’s shoes, I adopt a cognitive perspective by drawing on current findings from psychology, cognitive science and neuroscience. I depart from the notion of target audience as applied to written translation. Aspects to this concept and the terminology of audience in translation studies are...

Audiences as citizens

DEFF Research Database (Denmark)

Schrøder, Kim Christian

2013-01-01

This chapter traces the insights about citizenship offered by audience reception research since its inception in the 1980s, through a theoretical and analytical portrait of five historical stages of reception research about mediated citizenship: (1) hegemonic citizenship; (2) monitorial citizenship......; (3) popular citizenship; (4) participatory citizenship; and (5) ubiquitous citizenship. Maintaining a strong empirical commitment throughout, mostly to the findings of qualitative research, the chapter also reports substantially from recent and ongoing reception research into the ways in which...... the news media – and popular and entertainment media in a broader sense – may serve as resources for a political and cultural citizenship that is anchored in everyday life. The five stages of reception research, conceptualized as scientific paradigms, are modeled into a historical typology that synthesizes...

The potential impact of the next influenza pandemic on a national primary care medical workforce

Directory of Open Access Journals (Sweden)

Crampton Peter

2005-08-01

Full Text Available Abstract Background Another influenza pandemic is all but inevitable. We estimated its potential impact on the primary care medical workforce in New Zealand, so that planning could mitigate the disruption from the pandemic and similar challenges. Methods The model in the "FluAid" software (Centers for Disease Control and Prevention, CDC, Atlanta was applied to the New Zealand primary care medical workforce (i.e., general practitioners. Results At its peak (week 4 the pandemic would lead to 1.2% to 2.7% loss of medical work time, using conservative baseline assumptions. Most workdays (88% would be lost due to illness, followed by hospitalisation (8%, and then premature death (4%. Inputs for a "more severe" scenario included greater health effects and time spent caring for sick relatives. For this scenario, 9% of medical workdays would be lost in the peak week, and 3% over a more compressed six-week period of the first pandemic wave. As with the base case, most (64% of lost workdays would be due to illness, followed by caring for others (31%, hospitalisation (4%, and then premature death (1%. Conclusion Preparedness planning for future influenza pandemics must consider the impact on this medical workforce and incorporate strategies to minimise this impact, including infection control measures, well-designed protocols, and improved health sector surge capacity.

Trailer-targeting a potential audience

OpenAIRE

Brůnová, Lada

2013-01-01

How can movie production companies speak to their potential audience thru movie trailers? Which means do they use and what is the public reception? How does a viewer interpret a movie trailer? What can we learn about viewers from movie trailers? This thesis is offering all the answers to questions mentioned above in two different parts - in the first part the concepts of movie trailers are introduced and explained, the second part analyses the outcomes of a research which studies the affects ...

Using Social Media Sentiment Analysis to Understand Audiences

DEFF Research Database (Denmark)

McGuire, Mark; Kampf, Constance Elizabeth

2015-01-01

approach for contextually understanding social media posts. The human interaction step in ad-hoc corpus analysis is central to this methodology as it provides a means to ask critical questions of the content curated through the ad-hoc corpus directly. Results of ad-hoc corpus analysis from this critical......Social media communication is changing the opportunities for technical communicators to really understand audiences when these audiences are active about issues on social media platforms. Through applying ad-hoc corpus building processes to create word lists relevant to specific organizational...... projects, technical communicators can listen to their external users and identify areas of importance with greater accuracy. While other methods of sentiment analysis look for a solution that leads to artificial intelligence in the program, this paper identifies the present needs of a human interaction...

Systematic review on the primary and secondary reporting of the prevalence of ghostwriting in the medical literature

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Stretton, Serina

2014-01-01

Background Ghostwriting of industry-sponsored articles is unethical and is perceived to be common practice. Objective To systematically review how evidence for the prevalence of ghostwriting is reported in the medical literature. Data sources MEDLINE via PubMed 1966+, EMBASE 1966+, The Cochrane Library 1988+, Medical Writing 1998+, The American Medical Writers Association (AMWA) Journal 1986+, Council of Science Editors Annual Meetings 2007+, and the Peer Review Congress 1994+ were searched electronically (23 May 2013) using the search terms ghostwrit*, ghostauthor*, ghost AND writ*, ghost AND author*. Eligibility criteria All publication types were considered; only publications reporting a numerical estimate of possible ghostwriting prevalence were included. Data extraction Two independent reviewers screened the publications; discrepancies were resolved by consensus. Data to be collected included a numerical estimate of the prevalence of possible ghostwriting (primary outcome measure), definitions of ghostwriting reported, source of the reported prevalence, publication type and year, study design and sample population. Results Of the 848 publications retrieved and screened for eligibility, 48 reported numerical estimates for the prevalence of possible ghostwriting. Sixteen primary publications reported findings from cross-sectional surveys or descriptive analyses of published articles; 32 secondary publications cited published or unpublished evidence. Estimates on the prevalence of possible ghostwriting in primary and secondary publications varied markedly. Primary estimates were not suitable for meta-analysis because of the various definitions of ghostwriting used, study designs and types of populations or samples. Secondary estimates were not always reported or cited correctly or appropriately. Conclusions Evidence for the prevalence of ghostwriting in the medical literature is limited and can be outdated, misleading or mistaken. Researchers should not inflate

Children's Drawings of Significant Figures for a Peer or an Adult Audience

Science.gov (United States)

Burkitt, Esther; Watling, Dawn; Murray, Lucy

2011-01-01

The present study assessed if children would present different information in their drawings of emotion eliciting stimuli when they believed that an adult or a child audience would view their drawings. Seventy-five 6-year-olds (44 boys and 31 girls) were allocated to three groups: the reference group, the child audience group and the adult…

Audiences, Journalists, and Forms of Capital in the Online Journalistic Field

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Edson C. Tandoc Jr.

2016-04-01

Full Text Available This study found divergence in how online journalists and student-audiences rated articles with varying popularity, as measured by audience metrics, and quality, as operationalized by winning a journalistic award. The findings revealed that while metrics and awards did not matter for young online news audiences, they were important for online journalists. But even among journalists, the importance of metrics and awards varied depending on whether the journalists were evaluating stories or their peers. For online journalists, popular stories were more newsworthy than those that were not. Awards did not influence their judgment of newsworthiness. But when evaluating the authors of the articles, online journalists rated authors of articles that won awards more favorably than authors of articles without awards. The popularity of stories did not matter in their evaluation of the authors.

Complicating Audience: A Critical Communication Pedagogy Commitment

Science.gov (United States)

Young, Joshua E.; Potter, David J.

2018-01-01

Courses: This activity is designed specifically for public-speaking courses, but it could be used in the general introductory communication course. It also holds potential for use in persuasion, argumentation, or strategic communication courses. Objectives: This activity helps students understand audience as a more complicated concept--one that…

The Audience of One: In Weakness, Strength.

Science.gov (United States)

Seymour, Thom

1981-01-01

Two approaches to the teaching of composition at the college level have evolved: concern with correctness and concern with expression. If the place of the audience in written communication is emphasized, it will be easier to make students see the difference between self-expression and self-indulgence. (MLW)

Are medical marijuana users different from recreational users? The view from primary care.

Science.gov (United States)

Roy-Byrne, Peter; Maynard, Charles; Bumgardner, Kristin; Krupski, Antoinette; Dunn, Chris; West, Imara I; Donovan, Dennis; Atkins, David C; Ries, Richard

2015-10-01

Marijuana is currently approved for medical use in 23 states. Both clinicians and the lay public have questioned whether users of marijuana for medical purposes are different from users of marijuana for recreational purposes. This study examined similarities and differences in important clinical characteristics between users of medical marijuana and users of recreational marijuana. The sample consisted of 868 adult primary care patients in Washington State, who reported use of medical marijuana (n = 131), recreational marijuana (n = 525), or drugs other than marijuana (n = 212). Retention was over 87% at 3-, 6-, 9-, and 12-month assessments. The majority of medical, psychiatric, substance use, and service utilization characteristic comparisons were not significant. However, medical marijuana users had significantly more medical problems, a significantly larger proportion reported >15 days medical problems in the past month, and significantly smaller proportions reported no pain and no mobility limitations (p marijuana users also had significantly lower drug problem severity, lower alcohol problem severity, and significantly larger proportions reported using marijuana alone and concomitant opioid use only (p marijuana with at least two additional substances (48% vs. 58%, respectively, p = .05). Although our results suggest that there are few distinct differences between medical and recreational users of marijuana, the differences observed, while mostly very small in effect size (marijuana to relieve symptoms and distress associated with medical illness. © American Academy of Addiction Psychiatry.

Systems Analysis and Design: Know Your Audience

Science.gov (United States)

Reinicke, Bryan A.

2012-01-01

Systems analysis and design (SAD) classes are required in both Information Systems and Accounting programs, but these audiences have very different needs for these skills. This article will review the requirements for SAD within each of these disciplines and compare and contrast the different requirements for teaching systems analysis and design…

Audience in the Service of Learning: How Kids Negotiate Attention in an Online Community of Interactive Media Designers

Science.gov (United States)

Brennan, Karen

2016-01-01

Audience can serve as powerful motivation in learning--and network technologies have the potential to greatly broaden audience for the processes and products of learning. But these new opportunities for audience are accompanied by new challenges. In this paper, we examine and problematize the notion and role of audience in learning by presenting a…

Conditioning audience patronage using subject matters in ...

African Journals Online (AJOL)

Conditioning audience patronage using subject matters in Nollywood films: the example of 30 days in Atlanta. ... Abstract. Films are subject-based and when producers set out to communicate their viewpoints, some do it flamboyantly while others take the subtle path. Unlike live theatre before it, the possibility of a virile spiral ...

Expanding the Audience for the Performing Arts.

Science.gov (United States)

Andreasen, Alan R.

Becoming involved in the arts is a process that involves movement through several stages, from disinterest to active attendance at and enthusiasm for performing arts events. Since target consumers at any time will differ in their placement on this continuum, marketing programs to expand arts audiences must first identify where each target segment…

Engagement with Physics across Diverse Festival Audiences

Science.gov (United States)

Roche, Joseph; Stanley, Jessica; Davis, Nicola

2016-01-01

Science shows provide a method of introducing large public audiences to physics concepts in a nonformal learning environment. While these shows have the potential to provide novel means of educational engagement, it is often difficult to measure that engagement. We present a method of producing an interactive physics show that seeks to provide…

The influence of an audience response system on knowledge retention: an application to resident education.

Science.gov (United States)

Pradhan, Archana; Sparano, Dina; Ananth, Cande V

2005-11-01

The purpose of the study was to compare delivery methods of lecture material regarding contraceptive options by either traditional or interactive lecture style with the use of an audience response system with obstetrics and gynecology residents. A prospective, randomized controlled trial that included 17 obstetrics and gynecology residents was conducted. Group differences and comparison of pre/posttest scores to evaluate efficacy of lecture styles were performed with the Student t test. Each participant completed an evaluation to assess usefulness of the audience response system. Residents who received audience response system interactive lectures showed a 21% improvement between pretest and posttest scores; residents who received the standard lecture demonstrated a 2% improvement (P = .018). The evaluation survey showed that 82% of residents thought that the audience response system was a helpful learning aid. The results of this randomized controlled trial demonstrate the effectiveness of audience response system for knowledge retention, which suggests that it may be an efficient teaching tool for residency education.

Factors Associated With Medication-Overuse Headache in Patients Seeking Treatment for Primary Headache.

Science.gov (United States)

Peck, Kelly R; Roland, Malcolm M; Smitherman, Todd A

2018-03-09

Although risk factors for medication-overuse headache have been identified within the general population, most studies have neglected clinical samples. The present study examined the relative and combined associations of these factors with medication-overuse headache in a sample of US adults seeking treatment for primary headache disorders. Treatment-seeking headache patients provided data on demographics, headache variables, psychiatric variables, use of headache medications, and use of other prescription medications and substances. A classification tree selection strategy was utilized within this cross-sectional study to differentiate between those with and without medication-overuse headache, and a final multivariable model assessed their combined utility. Forty-three of 164 participants (26.2%) met diagnostic criteria for medication-overuse headache. Relative to non-medication-overuse headache participants, participants with medication-overuse headache reported greater headache-related disability (odds ratio = 1.09, 95% confidence interval = 1.01-1.18), escape and avoidance responses indicative of fear of pain (odds ratio = 1.07, 95% confidence interval = 1.00-1.15), and use of combination medications for headache (odds ratio = 3.10, 95% confidence interval = 1.51-6.36). The final multivariable model differentiated well between the 2 groups (area under the receiver operating characteristic curve = .78; 95% confidence interval = .71-.86). Items that assess headache-related disability, use of combination medications, and fear of pain help identify patients who are currently overusing acute headache medications and may serve as indicators of treatment progress. Future studies should apply similar analytic approaches longitudinally to identify headache sufferers at risk for medication-overuse headache prior to headache progression. © 2018 American Headache Society.

Discourse swings in understanding audiences:

DEFF Research Database (Denmark)

Reinhard, CarrieLynn D.

Traditional discourses of the relationship between media producers and consumers have been challenged as of late in post-industrialized countries.  The blurring of established consumer/producer identities due to changes in the mediascape, forecasted for decades, has changed how both academics......’s cooptation of these consumers, conceptualizing the people who engage with their media products as a combination of the previous two, or "audience-as-pusher".  This paper is an account of this discourse swing through the description of case studies that demonstrate the utilization of interactive marketing...

Mirror Your Audience's Attitude: A Global Profile.

Science.gov (United States)

Meussling, Vonne

Recent advertising research has suggested that to gain initial entry into and retain continual success with a targeted audience of consumers, it is wise to mirror the attitudes and desires of those consumers. This has proven effective in the United States, where companies such as Chevrolet, Levi Strauss, and Coca-Cola have successfully catered to…

Professional, structural and organisational interventions in primary care for reducing medication errors.

Science.gov (United States)

Khalil, Hanan; Bell, Brian; Chambers, Helen; Sheikh, Aziz; Avery, Anthony J

2017-10-04

Medication-related adverse events in primary care represent an important cause of hospital admissions and mortality. Adverse events could result from people experiencing adverse drug reactions (not usually preventable) or could be due to medication errors (usually preventable). To determine the effectiveness of professional, organisational and structural interventions compared to standard care to reduce preventable medication errors by primary healthcare professionals that lead to hospital admissions, emergency department visits, and mortality in adults. We searched CENTRAL, MEDLINE, Embase, three other databases, and two trial registries on 4 October 2016, together with reference checking, citation searching and contact with study authors to identify additional studies. We also searched several sources of grey literature. We included randomised trials in which healthcare professionals provided community-based medical services. We also included interventions in outpatient clinics attached to a hospital where people are seen by healthcare professionals but are not admitted to hospital. We only included interventions that aimed to reduce medication errors leading to hospital admissions, emergency department visits, or mortality. We included all participants, irrespective of age, who were prescribed medication by a primary healthcare professional. Three review authors independently extracted data. Each of the outcomes (hospital admissions, emergency department visits, and mortality), are reported in natural units (i.e. number of participants with an event per total number of participants at follow-up). We presented all outcomes as risk ratios (RRs) with 95% confidence intervals (CIs). We used the GRADE tool to assess the certainty of evidence. We included 30 studies (169,969 participants) in the review addressing various interventions to prevent medication errors; four studies addressed professional interventions (8266 participants) and 26 studies described

Applicative Research on Psychological Demand of Audience and the TAXI for People

Directory of Open Access Journals (Sweden)

Zhang Caixia

2015-01-01

Full Text Available Whether TAXI for People from Beijing traffic channel, the only special program customized for taxi driver in Beijing, knows about the psychological feature of the certain taxi group is an important factor that affects the development of program. Based on demand theory of psychology, this article uses the questionnaire method to find out the psychological feature and lifestyle of audience, and discusses the degree to the TAXI for People which meets the psychological demand of taxi driver audience by analysis on the program content. It is said from the research that the TAXI for People basically meets the psychological demand from taxi drivers. However, this program shall focus more on their basic needs and provide the opportunity for the audience to participate in the program and activity.

Playback Theatre as a tool to enhance communication in medical education

Directory of Open Access Journals (Sweden)

Ramiro Salas

2013-12-01

Full Text Available Playback Theatre (PT is an improvisational form of theatre in which a group of actors “play back” real life stories told by audience members. In PT, a conductor elicits moments, feelings and stories from audience members, and conducts mini-interviews with those who volunteer a moment of their lives to be re-enacted or “played” for the audience. A musician plays music according to the theme of each story, and 4-5 actors listen to the interview and perform the story that has just been told. PT has been used in a large number of settings as a tool to share stories in an artistic manner. Despite its similarities to psychodrama, PT does not claim to be a form of therapy.We offered two PT performances to first year medical students at Baylor College of Medicine in Houston, Texas, to bring the students a safe and fun environment, conducive to sharing feelings and moments related to being a medical student. Through the moments and stories shared by students, we conclude that there is an enormous need in this population for opportunities to communicate the many emotions associated with medical school and with healthcare-related personal experiences, such as anxiety, pride, or anger. PT proved a powerful tool to help students communicate.

Sciencetogo.Org: Using Humor to Engage a Public Audience with the Serious Issue of Climate Change

Science.gov (United States)

Lustick, D. S.; Lohmeier, J.; Chen, R. F.; Rabkin, D.; Wilson, R.

2014-12-01

A team of educators, scientists, and communication experts from multiple universities as well as a Science museum will report on the impact of ScienceToGo.org, which is an Out of Home Multi-Media (OHMM) exhibit targeting adults riding a major subway system. The campaign's goal is to design, implement, and study the efficacy of an OHMM model for free choice science learning about our changing climate. Subway riders represent a diverse and captive audience with most of them spending an average of one hour a day in the subway system. Through the use of specially designed OHMM such as train placards, platform posters, and virtual resources the campaign engages a potential audience of 500,000 riders/day with opportunities to learn climate change science informally. The primary goal of the ScienceToGo.org campaign is to engage, entertain, and educate the adult subway riding community in major U.S. city about climate change as a real, relevant, and solvable local challenge. A naturalistic quasi-experimental inquiry employing a mixed methodology approach best describes our research design with half of the subway system exposed to the project signage (experimental group) and the other half not being exposed to the project signage (control group). To identify possible outcomes, data was collected in the several forms: survey, analytic data associated with website, social media, web app, focus groups, and observations. This campaign is an example of how an individual's daily routine may be enhanced with an informal science learning opportunity. We see an urgent need to improve both the public's engagement with climate change science and to the profile of climate change science in formal education settings. The campaign makes deliberate use of humor and fun to engage a public and diverse audience with the serious issue of climate change. The research that will be presented will reveal some of the strengths and weaknesses of this strategy when communicating science to a diverse

Evaluating risk communication: examining target audience perceptions about four presentation formats for fish consumption health advisory information.

Science.gov (United States)

Connelly, N A; Knuth, B A

1998-10-01

Information format can influence the extent to which target audiences understand and respond to risk-related information. This study examined four elements of risk information presentation format. Using printed materials, we examined target audience perceptions about: (a) reading level; (b) use of diagrams vs. text; (c) commanding versus cajoling tone; and (d) use of qualitative vs. quantitative information presented in a risk ladder. We used the risk communication topic of human health concerns related to eating noncommercial Great Lakes fish affected by chemical contaminants. Results from the comparisons of specific communication formats indicated that multiple formats are required to meet the needs of a significant percent of anglers for three of the four format types examined. Advisory text should be reviewed to ensure the reading level is geared to abilities of the target audience. For many audiences, a combination of qualitative and quantitative information, and a combination of diagrams and text may be most effective. For most audiences, a cajoling rather than commanding tone better provides them with the information they need to make a decision about fish consumption. Segmenting audiences regarding information needs and communication formats may help clarify which approaches to take with each audience.

National awareness campaign to prevent medication-overuse headache in Denmark

DEFF Research Database (Denmark)

Carlsen, Louise Ninett; Westergaard, Maria Lurenda; Bisgaard, Mette

2018-01-01

a four-month medication-overuse headache awareness campaign in 2016. Target groups were the general public, general practitioners, and pharmacists. Key messages were: Overuse of pain-medication can worsen headaches; pain-medication should be used rationally; and medication-overuse headache is treatable...... were distributed. Two radio interviews were conducted. A television broadcast about headache reached an audience of 520,000. Forty articles were published in print media. Information was accessible at 32 reputable websites and five online news agencies. Three scientific papers were published...

Science and sociability: women as audience at the British Association for the Advancement of Science, 1831-1901.

Science.gov (United States)

Higgitt, Rebekah; Withers, Charles W J

2008-03-01

This essay recovers the experiences of women at the meetings of the British Association for the Advancement of Science (BAAS) from its founding in 1831 to the end of the Victorian era. It aims to add to research on women in science by reconsidering the traditional role of women as consumers rather than producers of knowledge and to that on science popularization by focusing on audience experience rather than on the aims and strategies of popularizers. The essay argues that, in various ways, the ubiquitous and visible female audience came to define the BAAS audience and "the public" for science more generally. The women who swelled the BAAS audiences were accepted as a social element within the meetings even as they were regarded critically as scientific participants. Portrayed as passive and nonscientific, women allowed the male scientific elites to distance themselves from their audiences. Arguing from diary and other evidence, we present examples that complicate existing notions of audiences for science as necessarily active.

Expanding the Reach of the Interview in Audience and Reception Research

DEFF Research Database (Denmark)

Mathieu, David; Brites, Maria José

2014-01-01

This chapter discusses the interview method in relation to context, a central notion in audience studies. Through a critique of the traditional conception of the interview method as a question-answer model, the chapter suggests two different articulations of the interview method in the framework...... of a contextual inquiry: the performative and participatory models of interview. These models are presented in their original theoretical, methodological and empirical contexts and then highlighted along four methodological considerations that help position audience research towards the challenges of a contextual...

Multimedia Astronomy Communication: Effectively Communicate Astronomy to the Desired Audience

Science.gov (United States)

Star Cartier, Kimberly Michelle; Wright, Jason

2017-01-01

A fundamental aspect of our jobs as scientists is communicating our work to others. In this, the field of astronomy holds the double-edged sword of ubiquitous fascination: the topic has been of interest to nearly the entire global population at some point in their lives, yet the learning curve is steep within any subfield and rife with difficult-to-synthesize details. Compounding this issue is the ever-expanding array of methods to reach people in today's Communications Era. Each communication medium has its own strengths and weaknesses, is appropriate in different situations, and requires its own specific skillset in order to maximize its functionality. Despite this, little attention is given to training astronomers in effective communication techniques, often relying on newcomers to simply pick up the ability by mimicking others and assuming that a firm grasp on the subject matter will make up for deficiencies in communication theory. This can restrict astronomers to a narrow set of communication methods, harming both the communicators and the audience who may struggle to access the information through those media.Whether writing a research paper to academic peers or giving an astronomy talk to a pubic audience, successfully communicating a scientific message requires more than just an expert grasp on the topic. A communicator must understand the makeup and prior knowledge of the desired audience, be able to break down the salient points of the topic into pieces that audience can digest, select and maximize upon a medium to deliver the message, and frame the message in a way that hooks the audience and compels further interest. In this work we synthesize the requirements of effective astronomy communication into a few key questions that every communicator needs to answer. We then discuss some of the most common media currently used to communicate astronomy, give both effective and poor examples of utilizing these media to communicate astronomy, and provide key

Systematic review on the primary and secondary reporting of the prevalence of ghostwriting in the medical literature.

Science.gov (United States)

Stretton, Serina

2014-07-14

Ghostwriting of industry-sponsored articles is unethical and is perceived to be common practice. To systematically review how evidence for the prevalence of ghostwriting is reported in the medical literature. MEDLINE via PubMed 1966+, EMBASE 1966+, The Cochrane Library 1988+, Medical Writing 1998+, The American Medical Writers Association (AMWA) Journal 1986+, Council of Science Editors Annual Meetings 2007+, and the Peer Review Congress 1994+ were searched electronically (23 May 2013) using the search terms ghostwrit*, ghostauthor*, ghost AND writ*, ghost AND author*. All publication types were considered; only publications reporting a numerical estimate of possible ghostwriting prevalence were included. Two independent reviewers screened the publications; discrepancies were resolved by consensus. Data to be collected included a numerical estimate of the prevalence of possible ghostwriting (primary outcome measure), definitions of ghostwriting reported, source of the reported prevalence, publication type and year, study design and sample population. Of the 848 publications retrieved and screened for eligibility, 48 reported numerical estimates for the prevalence of possible ghostwriting. Sixteen primary publications reported findings from cross-sectional surveys or descriptive analyses of published articles; 32 secondary publications cited published or unpublished evidence. Estimates on the prevalence of possible ghostwriting in primary and secondary publications varied markedly. Primary estimates were not suitable for meta-analysis because of the various definitions of ghostwriting used, study designs and types of populations or samples. Secondary estimates were not always reported or cited correctly or appropriately. Evidence for the prevalence of ghostwriting in the medical literature is limited and can be outdated, misleading or mistaken. Researchers should not inflate estimates using non-standard definitions of ghostwriting nor conflate ghostwriting with

Audience Perception of the Portrayal of Women in Television ...

African Journals Online (AJOL)

Audience Perception of the Portrayal of Women in Television Advertising. ... AFRREV LALIGENS: An International Journal of Language, Literature and Gender ... The survey research design was adopted, employing the questionnaire as an ...

Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review

Directory of Open Access Journals (Sweden)

Olson Matthew D

2012-08-01

Full Text Available Abstract Background Medical records that do not accurately reflect the patient’s current medication list are an open invitation to errors and may compromise patient safety. Methods This cross-sectional study compares primary care provider (PCP medication lists and pharmacy claims for 100 patients seen in 8 primary care practices and examines the association of congruence with demographic, clinical, and practice characteristics. Medication list congruence was measured as agreement of pharmacy claims with the entire PCP chart, including current medication list, visit notes, and correspondence sections. Results Congruence between pharmacy claims and the PCP chart was 65%. Congruence was associated with large chronic disease burden, frequent PCP visits, group practice, and patient age ≥45 years. Conclusion Agreement of medication lists between the PCP chart and pharmacy records is low. Medication documentation was more accurate among patients who have more chronic conditions, those who have frequent PCP visits, those whose practice has multiple providers, and those at least 45 years of age. Improved congruence among patients with multiple chronic conditions and in group practices may reflect more frequent visits and reviews by providers.

Introduction : The Places and Spaces of News Audiences

NARCIS (Netherlands)

Peters, Chris

2014-01-01

This special issue on the places and spaces of news audiences presents an initial attempt to do this; to see how the everyday digital geographies of contemporary media, communication, and information flows intersect with the everywhere “lived” geographies of individuals, and how this impacts

Developing and delivering food systems training programs for 21st century audiences

Directory of Open Access Journals (Sweden)

Troy Hahn

2016-04-01

Full Text Available Expectations for training programmes today are very different from expectations for training programmes in the past, because today’s audiences are not only multigenerational, but the younger generations learn in distinctly different ways from older, more traditional audiences. To meet the needs of these multigenerational audiences, the Auburn University Food Systems Institute (AUFSI has developed on-demand, online courses that offer a variety of ways for learners to interact with training materials. For example, a typical course may offer not only traditional text, but audio, video, simulations, and more. In addition, AUFSI has developed supporting educational tools such as interactive virtual tours and video games. This approach to creating courses is a response to the  different levels of experiences of the generations as well as different expectations of how materials should be delivered. In order to be effective, training materials need to be designed to appeal to this multigenerational audience. Traditionalists (born before 1946 prefer face-to-face training programmes. Baby Boomers (born 1946-1964 are more accepting of technology. Generations X (born 1965-1980, Y (born 1981- 2000 and C (born after 2000, however, expect to receive training at their convenience, to have it delivered electronically, and to be entertained as well as educated.

How much importance do we give to target audiences in article writing?

Science.gov (United States)

Nedjat, Sima; Nedjat, Saharnaz; Gholami, Jaleh; Ashoorkhani, Mahnaz; Maleki, Katayoun; Hejrie, Soroush Mortaz; Majdzadeh, Reza

2010-01-01

Writing papers can be used as a means to convey a message. Knowledge transfer is also about conveying the right message to the right target audience. The aim of this study was to determine the proportion of articles that had mentioned a clear message and the target audience in the abstract and the article as a whole, and also to examine their association with different determinant factors. Articles published from 2001 to 2006 that were based on clinical and health system research conducted on Iranian populations and on maternal care, diabetes and tuberculosis were searched systematically in domestic and international databases. Eventually checklists (Additional file 1) were completed for 795 articles. Overall, 98.5% of articles had a clear message, whereas 12.5% had addressed the direct target audience. Presence of a clear message in formatted abstracts were seen 3.6 times more (CI95%: 1.5-8.7) than in articles without formatted abstracts (p = 0.005). Addressing of the direct target audience was seen twice as much in health system research articles as compared to clinical studies, odds ratio was 2.3 (CI95%: 1.47-3.48, p<0.001). Creating a format for journal abstracts seems to be an effective intervention for presenting the message in articles.

Digital TV, advertising and audience

Directory of Open Access Journals (Sweden)

Ângelo Cruz

2011-04-01

Full Text Available This article aims to analyze the advertisingsegment and their relationship with the development process of the digital television. We intent to observe the new perspectives of production and consumption of media. Among other things, that involves the issues of interactivity, the exhaustion of the traditional media models, and the relationship of the new media with the audience, considering the analysis of the tripod: digital television, advertising and audience. In Brazil, with the implementation of the Brazilian System of Digital Television (SBTVD, the problem takes bigger proportions, as a consequence of the possibility to issue and track down the digital content consumed. That happens as a consequence of the consumer ability to watch the program withor without the commercial break. At the current model of television, the public is the legitimizing factor: the broadcasters issues the public a ention asan instrument to obtain pecuniary rewarding of theadvertisers. That model constitutes itself as the main funding source of the channels and networks. On the one hand, digital television represents an advantage at the quality of picture and audio, multiplying the capacity to transmit television signals and to transport new features and services. On the other hand, it seems impossible to transform this industry without some reaction. The many interests involved constitute the main cause of that scenario: the agents interested in advertising are those concerned with the role of ideology, the support of capitalism and the industrial culture. Considering all these questions, it seems almost impossible to produce deep chances,contrary to the interests involved.

Exposure of medical students to pharmaceutical marketing in primary care settings: frequent and influential.

Science.gov (United States)

Sarikaya, Ozlem; Civaner, Murat; Vatansever, Kevser

2009-12-01

It is known that interaction between pharmaceutical companies and medical professionals may lead to corruption of professional values, irrational use of medicine, and negative effects on the patient-physician relationship. Medical students frequently interact with pharmaceutical company representatives and increasingly accept their gifts. Considering the move toward early clinical encounters and community-based education, which expose students early to pharmaceutical representatives, the influence of those gifts is becoming a matter of concern. This study examines the frequency and influence of student exposure to drug marketing in primary care settings, as well as student perceptions of physician-pharmaceutical company relationships. This was a two-phase study consisting of qualitative research followed by a cross-sectional survey. Clinical experience logbooks of 280 second-year students in one school were analysed, and the themes that emerged were used to develop a survey that was administered to 308 third-year students from two medical schools. Survey results showed a 91.2% exposure to any type of marketing, and 56.8% of students were exposed to all classes of marketing methods studied. Deliberate targeting of students by pharmaceutical representatives, in particular, was correlated with being less sensitive to the negative effects of and having positive opinions about interactions with pharmaceutical companies. The vast majority of students are exposed to drug marketing in primary care settings, and may become more vulnerable to that strategy. Considering that medical students are vulnerable and are targeted deliberately by pharmaceutical companies, interventions aimed at developing skills in the rational use of medicines and in strategies for coping with drug marketing should be devised.

The communication effects of audience situation and message framing on smoking cessation

OpenAIRE

Yang, Dong-jenn

2013-01-01

This study examined the communication effects of smoking cessation by using message framing (positive messages/negative messages) and audience situation (smoker/nonsmoker and high/low self-efficacy). The study used 207 valid homogeneous subjects and a between-subject experiment method was employed for analyses. The results showed that the communication effects were influenced by the interactive effects of message framing and audience situation, and for smokers, positive messages have a more s...

Journalists and Audience in Bulgarian Online Media – the New Roles

Directory of Open Access Journals (Sweden)

Ivaylo Yoshkov

2015-09-01

Full Text Available The present paper analyses the changes in the traditional roles of journalists and audience in some of the most popular web sites of Bulgarian traditional media. It examines the levels of interactivity and personalization which enable the audience to create and share its own texts, recordings, news emissions, and also to set its own agenda and take part in the gatekeeping process, etc. The paper defines the status of Bulgarian “citizen journalism”, making the conclusion that the audience’s new role has some similarities with the traditional journalists’ role

Audience awareness and use of Mobile Authentication Service ...

African Journals Online (AJOL)

Audience awareness and use of Mobile Authentication Service (MAS) in identifying fake and substandard drugs in Nigeria. ... Based on the research findings, this study therefore recommends an increased level of awareness through a multi-media approach, improved network services, as well as getting all drug ...

Effective Engagement of Hostile Audiences on Climate Change

Science.gov (United States)

Denning, A.

2011-12-01

In 2010 and 2011, I gave invited presentations of mainstream climate science to large conferences dismissive of climate change organized by the HEartland Institute. In this presentation I review some of the common objections raised by such audiences and outline effective strategies to rebut them in public venues or the media. Respectful engagement on a human level is much more effective than appeals from authority, scientific consensus, or numerical models. Starting from a base of agreement on basic facts helps establish a basis of trust, which is then nurtured through personal anecdotes and humor. The basic science of climate change is presented in a non-confrontational way with frequent use of examples from everyday life to explain physical principles. Although a hard core of hostile individuals may not be swayed by such an approach, my experience was that this type of engagement can be very effective with ordinary people. I strongly encourage more climate scientists to work with public audiences and the media.

Disseminating relevant health information to underserved audiences: implications of the Digital Divide Pilot Projects.

Science.gov (United States)

Kreps, Gary L

2005-10-01

This paper examines the influence of the digital divide on disparities in health outcomes for vulnerable populations, identifying implications for medical and public libraries. The paper describes the results of the Digital Divide Pilot Projects demonstration research programs funded by the National Cancer Institute to test new strategies for disseminating relevant health information to underserved and at-risk audiences. The Digital Divide Pilot Projects field-tested innovative systemic strategies for helping underserved populations access and utilize relevant health information to make informed health-related decisions about seeking appropriate health care and support, resisting avoidable and significant health risks, and promoting their own health. The paper builds on the Digital Divide Pilot Projects by identifying implications for developing health communication strategies that libraries can adopt to provide digital health information to vulnerable populations.

Focusing the EarthScope for a broader audience: Advancing geoscience education with interactive kiosks

Science.gov (United States)

Smith-Konter, B. R.; Solis, T.

2012-12-01

A primary objective of the EarthScope Education and Outreach program is to transform technical science into teachable products for a technologically thriving generation. One of the most challenging milestones of scientific research, however, is often the translation of a technical result into a clear teachable moment that is accessible to a broader audience. As 4D multimedia now dominate most aspects of our social environment, science "teaching" now also requires intervention of visualization technology and animation to portray research results in an inviting and stimulating manner. Following the Incorporated Research Institutions for Seismology (IRIS)'s lead in developing interactive Earth science kiosk multimedia (bundled in a free product called Active Earth), we have made a major effort to construct and install customized EarthScope-themed touch screen kiosks in local communities. These kiosks are helping to educate a broader audience about EarthScope's unique instrumentation and observations using interactive animations, games, and virtual field trips. We are also developing new kiosk content that reflect career stories showcasing the personal journeys of EarthScope scientists. To truly bring the interactive aspect of our EarthScope kiosk media into the classroom, we have collaborated with local teachers to develop a one-page EarthScope TerraMap activity worksheet that guides students through kiosk content. These activities are shaping a new pathway for how teachers teach and students learn about planet Earth and its fantastic EarthScope - one click (and touch) at a time.

OnlineTED.com--a novel web-based audience response system for higher education. A pilot study to evaluate user acceptance.

Science.gov (United States)

Kühbeck, Felizian; Engelhardt, Stefan; Sarikas, Antonio

2014-01-01

Audience response (AR) systems are increasingly used in undergraduate medical education. However, high costs and complexity of conventional AR systems often limit their use. Here we present a novel AR system that is platform independent and does not require hardware clickers or additional software to be installed. "OnlineTED" was developed at Technische Universität München (TUM) based on Hypertext Preprocessor (PHP) with a My Structured Query Language (MySQL)-database as server- and Javascript as client-side programming languages. "OnlineTED" enables lecturers to create and manage question sets online and start polls in-class via a web-browser. Students can participate in the polls with any internet-enabled device (smartphones, tablet-PCs or laptops). A paper-based survey was conducted with undergraduate medical students and lecturers at TUM to compare "OnlineTED" with conventional AR systems using clickers. "OnlineTED" received above-average evaluation results by both students and lecturers at TUM and was seen on par or superior to conventional AR systems. The survey results indicated that up to 80% of students at TUM own an internet-enabled device (smartphone or tablet-PC) for participation in web-based AR technologies. "OnlineTED" is a novel web-based and platform-independent AR system for higher education that was well received by students and lecturers. As a non-commercial alternative to conventional AR systems it may foster interactive teaching in undergraduate education, in particular with large audiences.

Engaging Audiences in Planetary Science Through Visualizations

Science.gov (United States)

Shupla, C. B.; Mason, T.; Peticolas, L. M.; Hauck, K.

2017-12-01

One way to share compelling stories is through visuals. The Lunar and Planetary Institute (LPI), in collaboration with Laboratory for Atmospheric and Space Physics (LASP) and Space Science Laboratory at the University of California, Berkeley, has been working with planetary scientists to reach and engage audiences in their research through the use of visualizations. We will share how images and animations have been used in multiple mediums, including the planetarium, Science on a Sphere, the hyperwall, and within apps. Our objectives are to provide a tool that planetary scientists can use to tell their stories, as well as to increase audience awareness of and interest in planetary science. While scientists are involved in the selection of topics and the development of the visuals, LPI and partners seek to increase the planetary science community's awareness of these resources and their ability to incorporate them into their own public engagement efforts. This presentation will share our own resources and efforts, as well as the input received from scientists on how education and public engagement teams can best assist them in developing and using these resources, and disseminating them to both scientists and to informal science education venues.

Radiation physics for medical physicists

CERN Document Server

Podgorsak, Ervin B

2006-01-01

This book summarizes the radiation physics knowledge that professionals working in medical physics need to master for efficient and safe dealings with ionizing radiation. It contains eight chapters, each chapter covering a specific group of subjects related to radiation physics and is intended as a textbook for a course in radiation physics in medical-physics graduate programs. However, the book may also be of interest to the large number of professionals, not only medical physicists, who in their daily occupations deal with various aspects of medical physics and find a need to improve their understanding of radiation physics. The main target audience for this book is graduate students studying for M.Sc. and Ph.D. degrees in medical physics, who have to possess the necessary physics and mathematics background knowledge to be able to follow and master the complete textbook. Medical residents, technology students and biomedical engineering students may find certain sections too challenging or esoteric, yet they...

Collaboration potentials in micro and macro politics of audience creativity

DEFF Research Database (Denmark)

Brites, Maria José; Chimirri, Niklas Alexander; Amaral, Inês

2017-01-01

In our stakeholder consultation following up on trends concerning the micro and macropolitics of audience action, we explore the potential impact of audiences’ micro-participation and connection to macro-actions. We address this issue taking into consideration intrinsic continuities and discontin...... and discontinuities between academia and the stakeholders’ perspectives. Our findings continue to emphasise the • (dis)connections between micro and macro actions • a technological appeal for action • collaboration potentials between academia and other stakeholders.......In our stakeholder consultation following up on trends concerning the micro and macropolitics of audience action, we explore the potential impact of audiences’ micro-participation and connection to macro-actions. We address this issue taking into consideration intrinsic continuities...

Infrared and Visible links for medical Body Sensor Networks

OpenAIRE

Lebas , C; Sahuguede , S; Julien-Vergonjanne , A; Combeau , P; Aveneau , L

2018-01-01

International audience; — Our previous studies focused on channel simulation and performance evaluation of optical wireless links for medical body sensor networks. This allowed us to increase our expertise in this field and to propose here a full optical wireless bidirectional system named as LiFi communication system for medical monitoring applications. The full duplex bidirectional communication is based on an infrared uplink and visible downlink. The studied scenario considers a patient we...

Audience Research in American Broadcasting: The Early Years.

Science.gov (United States)

Hurwitz, Donald

The basic arrangements and practices of American broadcast audience research and measurement were established during the first decade (1920-29) of the field's existence, and were motivated by commercial and competing institutional concerns within the broader context of evolving forms of imagination and expression. A review of the evidence found in…

Randomised controlled trial of counseling sessions, antidepressant medication, and combined treatment for major depression in primary care setting

International Nuclear Information System (INIS)

Mossa, Samir Y.; Al-Sayed, H.; Malik, Mariam A.; Al-Hageri, S.; Al-Shaar, I.

2006-01-01

The study was made to determine whether counseling sessions using Egan's model combined with antidepressant medication is more effective than either treatment alone in the management of major depression in primary care. Patient aged 18 years and above with major depression on the research diagnostic criteria - a score of 13 or more on the 17 items. Hamilton rating scale for depression and a minimum duration of 4 weeks. Counseling sessions based on Egan's Model by research family physician or antidepressant medication or combination of both was performed. Hamilton rating scale for depression, Beck depression inventory, clinical interview schedule, and modified social adjustment schedule were used and assessed at 6 , 12 and 52 weeks. Patients in all groups showed a clear improvement after 12 weeks. The combination of counseling sessions and antidepressant medication is more effective than either treatment alone. Counseling sessions used by a trained family physician is an effective treatment for depressive disorders in primary care. The combination of this treatment with antidepressant medication is more effective than either treatment alone. (author)

Among the Authentic Audience: Young Adults' Perceptions and Responses to Youth as Scientists

Science.gov (United States)

Patchen, Amie K.

2017-01-01

Lifelong science learning is important for making informed decisions on science topics, and there is a need to engage broader and more diverse audiences with science. One opportunity for engagement occurs when students share science topics with a public audience. Research indicates this interaction can have benefits for students, but little is…

Audience reach of science on television in 10 European countries: An analysis of people-meter data.

Science.gov (United States)

Lehmkuhl, Markus; Boyadjieva, Pepka; Cunningham, Yvonne; Karamanidou, Christina; Mörä, Tuomo

2016-02-01

Beginning with a differentiation of science programmes into five different editorial concepts, this article explores the audience reach of science on television in 10 European countries with a special emphasis on young audiences aged between 14 and 29 years. In relation to the share of this age group in the entire population, science programmes in all countries reach a considerably smaller proportion of younger viewers. Specific preferences for science content on television do not seem to be relevant in explaining aggregated viewing behaviours especially of young audiences. Unlike all other segments, the young science viewer segment is almost intangible as an aggregated group, as a definable segment of a mass audience that can be targeted by science programme makers. © The Author(s) 2014.

Are health journalists' practices tied to their perceptions of audience? An attribution and expectancy-value approach.

Science.gov (United States)

Hinnant, Amanda; Len-Ríos, María E; Oh, Hyun Jee

2012-01-01

This study examines a national survey of U.S. health journalists (N = 774) to ascertain how journalists' perceptions of audience use of health news shapes their journalistic practices. We establish a framework through attribution theory and expectancy-value theory for how journalists choose to fulfill their roles as providers of health information. Using these theoretical lenses, we look at whether health journalists' audience orientation is associated with their use of accessibility-oriented or credibility-focused practices. Our findings show that, overall, journalists believe readers are individually responsible for their health outcomes and that journalists focus on providing accessibility-oriented information when they feel their audience's ability to understand information may be compromised. Journalists' beliefs about audience behavior are associated with their attitudes toward communication practices.

A comparison of two methods to assess audience-induced changes in male mate choice

Institute of Scientific and Technical Information of China (English)

Madlen ZIEGE; Carmen HENNIGE-SCHULZ; Frauke MUECKSCH; David BIERBACH; Ralph TIEDEMANN; Bruno STREIT; Martin PLATH

2012-01-01

Multidirectional communicative interactions in social networks can have a profound effect on mate choice behavior.Male Atlantic molly Poecilia mexicana exhibit weaker mating preferences when an audience male is presented.This could be a male strategy to reduce sperm competition risk:interacting more equally with different females may be advantageous because rivals might copy mate choice decisions.In line with this hypothesis,a previous study found males to show a strong audience effect when being observed while exercising mate choice,but not when the rival was presented only before the choice tests.Audience effects on mate choice decisions have been quantified in poeciliid fishes using association preference designs,but it remains unknown if patterns found from measuring association times translate into actual mating behavior.Thus,we createl five audience treatments simulating different forms of perceived sperm competition risk and determined focal males' mating preferences by scoring pre-mating (nipping) and mating behavior (gonopodial thrusting).Nipping did not reflect the pattern that was found when association preferences were measured,while a very similar pattern was uncovered in thrusting behavior.The strongest response was observed when the audience could eavesdrop on the focal male's behavior.A reduction in the strength of focal males' preferences was also seen after the rival male had an opportunity to mate with the focal male's preferred mate.In comparison,the reduction of mating preferences in response to an audience was greater when measuring association times than actual mating behavior.While measuring direct sexual interactions between the focal male and both stimulus females not only the male's motivational state is reflected but also females' behavior such as avoidance of male sexual harassment [Current Zoology 58 (1):84-94,2012].

A comparison of two methods to assess audience-induced changes in male mate choice

Directory of Open Access Journals (Sweden)

Madlen ZIEGE, Carmen HENNIGE-SCHULZ, Frauke MUECKSCH,David BIERBACH, Ralph TIEDEMANN, Bruno STREIT, Martin PLATH

2012-02-01

Full Text Available Multidirectional communicative interactions in social networks can have a profound effect on mate choice behavior. Male Atlantic molly Poecilia mexicana exhibit weaker mating preferences when an audience male is presented. This could be a male strategy to reduce sperm competition risk: interacting more equally with different females may be advantageous because rivals might copy mate choice decisions. In line with this hypothesis, a previous study found males to show a strong audience effect when being observed while exercising mate choice, but not when the rival was presented only before the choice tests. Audience effects on mate choice decisions have been quantified in poeciliid fishes using association preference designs, but it remains unknown if patterns found from measuring association times translate into actual mating behavior. Thus, we created five audience treatments simulating different forms of perceived sperm competition risk and determined focal males’ mating preferences by scoring pre-mating (nipping and mating behavior (gonopodial thrusting. Nipping did not reflect the pattern that was found when association preferences were measured, while a very similar pattern was uncovered in thrusting behavior. The strongest response was observed when the audience could eavesdrop on the focal male’s behavior. A reduction in the strength of focal males’ preferences was also seen after the rival male had an opportunity to mate with the focal male’s preferred mate. In comparison, the reduction of mating preferences in response to an audience was greater when measuring association times than actual mating behavior. While measuring direct sexual interactions between the focal male and both stimulus females not only the male’s motivational state is reflected but also females’ behavior such as avoidance of male sexual harassment [Current Zoology 58 (1: 84–94, 2012].

[Relationship among weblog authors' target audience, contents, and types of interpersonal communication].

Science.gov (United States)

Miura, Asako; Matsumura, Naohiro; Kitayama, Satoshi

2008-12-01

Weblogs are one of the most popular personal websites in Japan, where entries are made in journal style and displayed in reverse chronological order. This study examined the relationship between weblog authors' target audience (i.e., orientation) and the actual situations depicted in their weblogs by combining a questionnaire survey of the authors with an analysis of their weblog content data. Based on a questionnaire survey of 736 Japanese weblog authors, their target audience was divided into four clusters: (a) general public, (b) self, (c) self and offline friends, and (d) various others. To assess the actual situations depicted in their weblogs, the amount of happy and unhappy emotional expression in their writing and the frequency of interpersonal communication (comments, bookmarks, and trackbacks) were calculated from their log data. The results suggested that weblog authors wrote different types of content and used different types of communication depending on their audience, whereas the weblog content itself still showed the diary-like characteristic of personal daily-life records.

Renewing Audience Response in Study of Medieval Literature.

Science.gov (United States)

Harrington, David V.

Although modern readers often find the interpretation of medieval literature difficult, they should be encouraged to use their imagination to resolve the dilemmas they encounter. Often, these are the same issues with which medieval audiences had to wrestle and which the poets intended to raise. W. Iser's and H. R. Jauss's principles of…

The Effects of Target Audience on Social Tagging

Science.gov (United States)

Alsarhan, Hesham

2013-01-01

Online social bookmarking systems allow users to assign tags (i.e., keywords) to represent the content of resources. Research on the effects of target audience on social tagging suggests that taggers select different tags for themselves, their community (e.g., family, friends, colleagues), and the general public (Panke & Gaiser, 2009; Pu &…

Adolescent audience segmentation on alcohol attitudes : A further exploration

NARCIS (Netherlands)

Janssen, M.M.; Mathijssen, J.J.P.; van Bon, M.J.H.; van Oers, J.A.M.; Garretsen, H.F.L.

2015-01-01

Introduction: In an earlier audience segmentation study, Dutch adolescents aged 12–18 years were segmented into five alcohol attitudes segments: ordinaries, high spirits, consciously sobers, ordinary sobers and socials. The current study explores several aspects of alcohol consumption and leisure

Medical School Outcomes, Primary Care Specialty Choice, and Practice in Medically Underserved Areas by Physician Alumni of MEDPREP, a Postbaccalaureate Premedical Program for Underrepresented and Disadvantaged Students.

Science.gov (United States)

Metz, Anneke M

2017-01-01

Minorities continue to be underrepresented as physicians in medicine, and the United States currently has a number of medically underserved communities. MEDPREP, a postbaccalaureate medical school preparatory program for socioeconomically disadvantaged or underrepresented in medicine students, has a stated mission to increase the numbers of physicians from minority or disadvantaged backgrounds and physicians working with underserved populations. This study aims to determine how MEDPREP enhances U.S. physician diversity and practice within underserved communities. MEDPREP recruits disadvantaged and underrepresented in medicine students to complete a 2-year academic enhancement program that includes science coursework, standardized test preparation, study/time management training, and emphasis on professional development. Five hundred twenty-five disadvantaged or underrepresented students over 15 years completed MEDPREP and were tracked through entry into medical practice. MEDPREP accepts up to 36 students per year, with two thirds coming from the Midwest region and another 20% from nearby states in the South. Students complete science, test preparation, academic enhancement, and professionalism coursework taught predominantly by MEDPREP faculty on the Southern Illinois University Carbondale campus. Students apply broadly to medical schools in the region and nation but are also offered direct entry into our School of Medicine upon meeting articulation program requirements. Seventy-nine percent of students completing MEDPREP became practicing physicians. Fifty-eight percent attended public medical schools, and 62% attended medical schools in the Midwest. Fifty-three percent of program alumni chose primary care specialties compared to 34% of U.S. physicians, and MEDPREP alumni were 2.7 times more likely to work in medically underserved areas than physicians nationally. MEDPREP increases the number of disadvantaged and underrepresented students entering and graduating

Characteristics of medication advertisements found in US women?s fashion magazines

OpenAIRE

Mongiovi, Jennifer; Clarke Hillyer, Grace; Basch, Corey H.; Ethan, Danna; Hammond, Rodney

2016-01-01

Background: Although prescriptions are dispensed at discretion of medical professionals, many pharmaceutical companies use direct-to-consumer (DTC) advertising to increase sales. Over-the-counter (OTC) medications are similarly marketed. Methods: We examined the content of advertisements in 38 issues of 9 popular US women’s fashion magazines. We evaluated target audience, health condition, product availability, message appeal, target to females, and mention of potential...

Use of an electronic medical record improves the quality of urban pediatric primary care.

Science.gov (United States)

Adams, William G; Mann, Adriana M; Bauchner, Howard

2003-03-01

To evaluate the quality of pediatric primary care, including preventive services, before and after the introduction of an electronic medical record (EMR) developed for use in an urban pediatric primary care center. A pre-postintervention analysis was used in the study. The intervention was a pediatric EMR. Routine health care maintenance visits for children eye-to-eye contact with patients was reduced, and 4 of 7 reported that use of the system increased the duration of visits (mean: 9.3 minutes longer). All users recommended continued use of the system. Use of the EMR in this study was associated with improved quality of care. This experience suggests that EMRs can be successfully used in busy urban pediatric primary care centers and, as recommended by the Institute of Medicine, must play a central role in the redesign of the US health care system.

Using Audience Response Technology to provide formative feedback on pharmacology performance for non-medical prescribing students--a preliminary evaluation.

Science.gov (United States)

Mostyn, Alison; Meade, Oonagh; Lymn, Joanne S

2012-11-13

The use of anonymous audience response technology (ART) to actively engage students in classroom learning has been evaluated positively across multiple settings. To date, however, there has been no empirical evaluation of the use of individualised ART handsets and formative feedback of ART scores. The present study investigates student perceptions of such a system and the relationship between formative feedback results and exam performance. Four successive cohorts of Non-Medical Prescribing students (n=107) had access to the individualised ART system and three of these groups (n=72) completed a questionnaire about their perceptions of using ART. Semi-structured interviews were carried out with a purposive sample of seven students who achieved a range of scores on the formative feedback. Using data from all four cohorts of students, the relationship between mean ART scores and summative pharmacology exam score was examined using a non-parametric correlation. Questionnaire and interview data suggested that the use of ART enhanced the classroom environment, motivated students and promoted learning. Questionnaire data demonstrated that students found the formative feedback helpful for identifying their learning needs (95.6%), guiding their independent study (86.8%), and as a revision tool (88.3%). Interviewees particularly valued the objectivity of the individualised feedback which helped them to self-manage their learning. Interviewees' initial anxiety about revealing their level of pharmacology knowledge to the lecturer and to themselves reduced over time as students focused on the learning benefits associated with the feedback.A significant positive correlation was found between students' formative feedback scores and their summative pharmacology exam scores (Spearman's rho = 0.71, N=107, p<.01). Despite initial anxiety about the use of individualised ART units, students rated the helpfulness of the individualised handsets and personalised formative feedback highly

Using Audience Response Technology to provide formative feedback on pharmacology performance for non-medical prescribing students - a preliminary evaluation

Directory of Open Access Journals (Sweden)

Mostyn Alison

2012-11-01

Full Text Available Abstract Background The use of anonymous audience response technology (ART to actively engage students in classroom learning has been evaluated positively across multiple settings. To date, however, there has been no empirical evaluation of the use of individualised ART handsets and formative feedback of ART scores. The present study investigates student perceptions of such a system and the relationship between formative feedback results and exam performance. Methods Four successive cohorts of Non-Medical Prescribing students (n=107 had access to the individualised ART system and three of these groups (n=72 completed a questionnaire about their perceptions of using ART. Semi-structured interviews were carried out with a purposive sample of seven students who achieved a range of scores on the formative feedback. Using data from all four cohorts of students, the relationship between mean ART scores and summative pharmacology exam score was examined using a non-parametric correlation. Results Questionnaire and interview data suggested that the use of ART enhanced the classroom environment, motivated students and promoted learning. Questionnaire data demonstrated that students found the formative feedback helpful for identifying their learning needs (95.6%, guiding their independent study (86.8%, and as a revision tool (88.3%. Interviewees particularly valued the objectivity of the individualised feedback which helped them to self-manage their learning. Interviewees’ initial anxiety about revealing their level of pharmacology knowledge to the lecturer and to themselves reduced over time as students focused on the learning benefits associated with the feedback. A significant positive correlation was found between students’ formative feedback scores and their summative pharmacology exam scores (Spearman’s rho = 0.71, N=107, p Conclusions Despite initial anxiety about the use of individualised ART units, students rated the helpfulness of the

Using Audience Response Technology to provide formative feedback on pharmacology performance for non-medical prescribing students - a preliminary evaluation

Science.gov (United States)

2012-01-01

Background The use of anonymous audience response technology (ART) to actively engage students in classroom learning has been evaluated positively across multiple settings. To date, however, there has been no empirical evaluation of the use of individualised ART handsets and formative feedback of ART scores. The present study investigates student perceptions of such a system and the relationship between formative feedback results and exam performance. Methods Four successive cohorts of Non-Medical Prescribing students (n=107) had access to the individualised ART system and three of these groups (n=72) completed a questionnaire about their perceptions of using ART. Semi-structured interviews were carried out with a purposive sample of seven students who achieved a range of scores on the formative feedback. Using data from all four cohorts of students, the relationship between mean ART scores and summative pharmacology exam score was examined using a non-parametric correlation. Results Questionnaire and interview data suggested that the use of ART enhanced the classroom environment, motivated students and promoted learning. Questionnaire data demonstrated that students found the formative feedback helpful for identifying their learning needs (95.6%), guiding their independent study (86.8%), and as a revision tool (88.3%). Interviewees particularly valued the objectivity of the individualised feedback which helped them to self-manage their learning. Interviewees’ initial anxiety about revealing their level of pharmacology knowledge to the lecturer and to themselves reduced over time as students focused on the learning benefits associated with the feedback. A significant positive correlation was found between students’ formative feedback scores and their summative pharmacology exam scores (Spearman’s rho = 0.71, N=107, pstudents rated the helpfulness of the individualised handsets and personalised formative feedback highly. The significant correlation between ART

GO/NO-GO - When is medical hazard mitigation acceptable for launch?

Science.gov (United States)

Hamilton, Douglas R.; Polk, James D.

2005-01-01

Medical support of spaceflight missions is composed of complex tasks and decisions that dedicated to maintaining the health and performance of the crew and the completion of mission objectives. Spacecraft represent one of the most complex vehicles built by humans, and are built to very rigorous design specifications. In the course of a Flight Readiness Review (FRR) or a mission itself, the flight surgeon must be able to understand the impact of hazards and risks that may not be completely mitigated by design alone. Some hazards are not mitigated because they are never actually identified. When a hazard is identified, it must be reduced or waivered. Hazards that cannot be designed out of the vehicle or mission, are usually mitigated through other means to bring the residual risk to an acceptable level. This is possible in most engineered systems because failure modes are usually predictable and analysis can include taking these systems to failure. Medical support of space missions is complicated by the inability of flight surgeons to provide "exact" hazard and risk numbers to the NASA engineering community. Taking humans to failure is not an option. Furthermore, medical dogma is mostly comprised of "medical prevention" strategies that mitigate risk by examining the behaviour of a cohort of humans similar to astronauts. Unfortunately, this approach does not lend itself well for predicting the effect of a hazard in the unique environment of space. This presentation will discuss how Medical Operations uses an evidence-based approach to decide if hazard mitigation strategies are adequate to reduce mission risk to acceptable levels. Case studies to be discussed will include: 1. Risk of electrocution risk during EVA 2. Risk of cardiac event risk during long and short duration missions 3. Degraded cabin environmental monitoring on the ISS. Learning Objectives 1.) The audience will understand the challenges of mitigating medical risk caused by nominal and off

Policy Levers Key for Primary Health Care Organizations to Support Primary Care Practices in Meeting Medical Home Expectations: Comparing Leading States to the Australian Experience.

Science.gov (United States)

Takach, Mary

2016-10-01

Several countries with highly ranked delivery systems have implemented locally-based, publicly-funded primary health care organizations (PHCOs) as vehicles to strengthen their primary care foundations. In the United States, state governments have started down a similar pathway with models that share similarities with international PHCOs. The objective of this study was to determine if these kinds of organizations were working with primary care practices to improve their ability to provide comprehensive, coordinated, and accessible patient-centered care that met quality, safety, and efficiency outcomes-all core attributes of a medical home. This qualitative study looked at 4 different PHCO models-3 from the United States and 1 from Australia-with similar objectives and scope. Primary and secondary data included semi-structured interviews with 26 PHCOs and a review of government documents. The study found that the 4 PHCO models were engaging practices to meet a number of medical home expectations, but the US PHCOs were more uniform in efforts to work with practices and focused on arranging services to meet the needs of complex patients. There was significant variation in level of effort between the Australian PHCOs. These differences can be explained through the state governments' selection of payment models and use of data frameworks to support collaboration and incentivize performance of both PHCOs and practices. These findings offer policy lessons to inform health reform efforts under way to better capitalize on the potential of PHCOs to support a high-functioning primary health foundation as an essential component to a reformed health system.

Disseminating relevant health information to underserved audiences: implications of the Digital Divide Pilot Projects*

Science.gov (United States)

Kreps, Gary L.

2005-01-01

Objective: This paper examines the influence of the digital divide on disparities in health outcomes for vulnerable populations, identifying implications for medical and public libraries. Method: The paper describes the results of the Digital Divide Pilot Projects demonstration research programs funded by the National Cancer Institute to test new strategies for disseminating relevant health information to underserved and at-risk audiences. Results: The Digital Divide Pilot Projects field-tested innovative systemic strategies for helping underserved populations access and utilize relevant health information to make informed health-related decisions about seeking appropriate health care and support, resisting avoidable and significant health risks, and promoting their own health. Implications: The paper builds on the Digital Divide Pilot Projects by identifying implications for developing health communication strategies that libraries can adopt to provide digital health information to vulnerable populations. PMID:16239960

Using support vector machine ensembles for target audience classification on Twitter.

Science.gov (United States)

Lo, Siaw Ling; Chiong, Raymond; Cornforth, David

2015-01-01

The vast amount and diversity of the content shared on social media can pose a challenge for any business wanting to use it to identify potential customers. In this paper, our aim is to investigate the use of both unsupervised and supervised learning methods for target audience classification on Twitter with minimal annotation efforts. Topic domains were automatically discovered from contents shared by followers of an account owner using Twitter Latent Dirichlet Allocation (LDA). A Support Vector Machine (SVM) ensemble was then trained using contents from different account owners of the various topic domains identified by Twitter LDA. Experimental results show that the methods presented are able to successfully identify a target audience with high accuracy. In addition, we show that using a statistical inference approach such as bootstrapping in over-sampling, instead of using random sampling, to construct training datasets can achieve a better classifier in an SVM ensemble. We conclude that such an ensemble system can take advantage of data diversity, which enables real-world applications for differentiating prospective customers from the general audience, leading to business advantage in the crowded social media space.

Using support vector machine ensembles for target audience classification on Twitter.

Directory of Open Access Journals (Sweden)

Siaw Ling Lo

Full Text Available The vast amount and diversity of the content shared on social media can pose a challenge for any business wanting to use it to identify potential customers. In this paper, our aim is to investigate the use of both unsupervised and supervised learning methods for target audience classification on Twitter with minimal annotation efforts. Topic domains were automatically discovered from contents shared by followers of an account owner using Twitter Latent Dirichlet Allocation (LDA. A Support Vector Machine (SVM ensemble was then trained using contents from different account owners of the various topic domains identified by Twitter LDA. Experimental results show that the methods presented are able to successfully identify a target audience with high accuracy. In addition, we show that using a statistical inference approach such as bootstrapping in over-sampling, instead of using random sampling, to construct training datasets can achieve a better classifier in an SVM ensemble. We conclude that such an ensemble system can take advantage of data diversity, which enables real-world applications for differentiating prospective customers from the general audience, leading to business advantage in the crowded social media space.

Still ‘Watching’ TV? The Consumption of TV Fiction by Engaged Audiences

Directory of Open Access Journals (Sweden)

Alexander Dhoest

2016-07-01

Full Text Available There is no denying that television, as a medium and an institution, has drastically changed in the age of digitization and convergence. For audiences, this has not only opened up multiple opportunities to watch television content at other times and on other devices, but also to interact with its cross-media extensions. However, while much has been written about the new opportunities for audience engagement, we do not know much about the actual adoption of new technologies nor the motivations underlying such uses. Therefore, this paper draws on empirical audience research to address the key question: how do viewers engage with contemporary TV fiction? Through empirical audience research, using various qualitative research methods, three different aspects of the reception of cross-media TV fiction will be discussed: (1 how do viewers watch the TV episodes of contemporary TV fiction?, (2 how do viewers engage with the cross-media extensions of TV fiction?, and (3 how do viewers experience the social dimensions of contemporary TV fiction? We focus on a particular group, that of 'engaged' viewers, who are actively involved by personalizing their viewing practices, by communicating about it, by consuming cross-media elements of TV fiction, or producing TV fiction-related content. Our findings suggest that even this group does not make full use of all the available technological opportunities to personalize TV viewing, and that the classical TV text, linear viewing, and the social aspect of viewing remain of key importance.

Depression, patient characteristics, and attachment style: correlates and mediators of medication treatment adherence in a racially diverse primary care sample.

Science.gov (United States)

Hooper, Lisa M; Tomek, Sara; Roter, Debra; Carson, Kathryn A; Mugoya, George; Cooper, Lisa A

2016-03-01

The depth and breadth of problems related to depressive symptomatology and optimal treatment outcomes, including medication treatment adherence, have long been documented in the literature. Missing are clear explanations as to what factors and patient characteristics may account for lack of medication treatment adherence. The two objectives of the current study were to examine the predictive strength of depression, patient characteristics, and patient attachment style regarding medication treatment adherence and to consider the extent to which attachment styles mediate the relation between depression and medication treatment adherence. Participants in the present study were 237 racially diverse American primary care patients with a diagnosis of hypertension who were participants in a clinical trial. Depression, patient characteristics, attachment style, and medication treatment adherence were assessed. Partly consistent with our four hypotheses, the following results were found: (a) Black American, younger, never married, and poorer patients had lower medication treatment adherence (b) depression was significantly associated with lower self-reported medication adherence; (c) insecure-dismissing attachment style was related to lower medication adherence; and (d) insecure-dismissing attachment style mediates the relation between depression and medication treatment adherence by exacerbating the negative association. Physicians and other primary care providers should consider how depressive symptomatology, patient characteristics, and attachment style may inform the treatment plans they put forward and the extent to which patients may adhere to those treatment plans.

Podcasting as a novel way to communicate with medical school applicants.

Science.gov (United States)

Ferguson, Benjamin D; Bister, Mary K; Krapec, Joni N

2014-09-01

Podcasting in medical education is becoming more widely used and may be a useful tool for communicating with applicants to medical school. Given recent trends in the popularity of podcasting and mobile media, we created a podcast to communicate more effectively with applicants to our medical school as well as with the broader premedical community. The purpose of this study was to characterize the listening habits and motivations of our audience and compare the podcast's benefits to those of other resources. We additionally sought to understand patterns by which our podcast was consumed by a premedical audience. We surveyed medical school applicants who interviewed at the University of Chicago Pritzker School of Medicine for matriculation in 2013. Forty-one percent of those surveyed had listened to the podcast prior to their interview. Only 12 % of listeners accessed the podcast using a mobile device. Ninety-two percent of listeners felt that it faithfully represented the medical school, and 81 % felt that listening would encourage the decision to matriculate. A majority of listeners responded that the podcast was more helpful than other traditional resources. This is the first use of podcasting in medical school admissions and represents a novel way to communicate with prospective students. Our findings demonstrate that podcasting can be an effective tool for communicating with applicants to medical school and highlight its usefulness in recruitment. This method of communication could be adopted by other medical schools to enhance the ways in which they inform their own prospective medical students.

Looking for the audiences: The effect of using partial counterprogramming and a friendlier style of news presentation

Directory of Open Access Journals (Sweden)

Rodrigo Uribe

2011-12-01

Full Text Available In the context of a natural experiment, this study explores the effect on audiences as a result of a change in the style of the newscasts (friendlier delivery and in the scheduling strategy (partial counterprogramming, which have not been reported by the previous literature. Two dependent variables are examined in this paper: Audience size and loyalty. Findings demonstrate the significant role of partial counterprogramming in changing both the total size of the audience and loyalty in all of the socio-demographic segments studied. Finally, audience program loyalty decreases when friendlier format elements are used. Results are discussed in terms of their implications for media management theory and the broadcasting industry.

Primary Headache Disorders- Part 2: Tension-type headache and medication overuse headache.

Science.gov (United States)

Jay, Gary W; Barkin, Robert L

2017-12-01

In Part 2 of Primary Headache disorders, we discuss the fourth Primary Headache Disorder, Tension-Type Headache (TTHA). We are again using the ICHD-III (Beta) definitions of such headaches, taking into consideration episodic and chronic TTHA, as well as the presence or absence of pericranial muscle tenderness. We discuss the pathophysiology and pharmacotherapeutic treatment of TTHA, and the aspects of the Myofascial Pain Syndrome that enhance and help the development of TTHA. We then discuss Medication Overuse Headache (MOH), itself a Secondary headache disorder, but one that is extremely important as it assists with the chronification of both migraine and TTHA. Finally we discuss how to manage and treat those patients with MOH. Chronic migraine, which is TTHA, Migraine as well as, in many patients, MOH, is discussed along with the treatment of this multifaceted disorder. Copyright © 2017 Elsevier Inc. All rights reserved.

Three Italian practitioners seeking a more popular audience for Shakespeare

Directory of Open Access Journals (Sweden)

Margaret Rose

2017-11-01

Full Text Available My contribution, "Seeking a More Popular Audience for Shakespeare in Italy", starts by pinpointing the differences between Italy and the UK in the history of the staging of Shakespeare's plays and goes on to provide a brief account of the evolution of Shakespeare productions in Italy from the 1950s until the present. In the aftermath of World War Two, the so-called critical direction (regia critica introduced a very different approach to the staging of Shakespeare. Directors, such a Giorgio Strehler and Luigi Squarzina, by commissioning new Italian translations that were philologically close to the originals, put the complete plays onstage, often for the first time. In a long career at Milan's Piccolo Teatro, spanning from the late 1940s until his death in 1997, Strehler succeeded in attracting a more mixed audience for Shakespeare than ever before. In the new millennium, his aims have been taken further by more recent practitioners. The final part of the contribution focuses on three contemporary Italian directors, Marco Ghelardi, Riccardo Mallus and Massimo Navone, who seek to bring Shakespeare to more popular audiences. In a bid to energise the Bard's work, they deploy strategies, such as reducing and rewriting the play, interactive staging techniques and tend to choose site specific venues rather than regular theatres.

Accounting for graduate medical education production of primary care physicians and general surgeons: timing of measurement matters.

Science.gov (United States)

Petterson, Stephen; Burke, Matthew; Phillips, Robert; Teevan, Bridget

2011-05-01

Legislation proposed in 2009 to expand GME set institutional primary care and general surgery production eligibility thresholds at 25% at entry into training. The authors measured institutions' production of primary care physicians and general surgeons on completion of first residency versus two to four years after graduation to inform debate and explore residency expansion and physician workforce implications. Production of primary care physicians and general surgeons was assessed by retrospective analysis of the 2009 American Medical Association Masterfile, which includes physicians' training institution, residency specialty, and year of completion for up to six training experiences. The authors measured production rates for each institution based on physicians completing their first residency during 2005-2007 in family or internal medicine, pediatrics, or general surgery. They then reassessed rates to account for those who completed additional training. They compared these rates with proposed expansion eligibility thresholds and current workforce needs. Of 116,004 physicians completing their first residency, 54,245 (46.8%) were in primary care and general surgery. Of 683 training institutions, 586 met the 25% threshold for expansion eligibility. At two to four years out, only 29,963 physicians (25.8%) remained in primary care or general surgery, and 135 institutions lost eligibility. A 35% threshold eliminated 314 institutions collectively training 93,774 residents (80.8%). Residency expansion thresholds that do not account for production at least two to four years after completion of first residency overestimate eligibility. The overall primary care production rate from GME will not sustain the current physician workforce composition. Copyright © by the Association of American medical Colleges.

Bringing in the target audience in bystander social marketing materials for communities: suggestions for practitioners.

Science.gov (United States)

Potter, Sharyn J; Stapleton, Jane G

2011-06-01

The Know Your Power™ social marketing campaign images model active bystander behaviors that target audience members can use in situations where sexual and relationship violence and stalking are occurring, have occurred, or have the potential to occur. In this practitioner note, we describe strategies that we have used to engage target audience members in the development of the social marketing campaign that we hope can be used by practitioners. We give examples from the development and evaluation of the Know Your Power(TM) social marketing campaign that used focus group and other types of feedback from the target audience to inform the direction of the campaign.

Pervasive Public Figure Status and Local or Topical Fame in Light of Evolving Media Audiences.

Science.gov (United States)

Bunker, Matthew D.; Tobin, Charles D.

1998-01-01

Contributes to journalistic legal scholarship and theory by examining the development of "public figure" status in defamation law, with particular attention to public figures who may have achieved notoriety among less than a national audience. Argues that trends in media and audience fragmentation warrant extensions of current doctrine based on…

A Taxonomy of Pre/Post Performance Behaviors for Speakers and Audiences in the Basic Course.

Science.gov (United States)

Alexander, Bryant Keith

Noting that introductory public speaking and performance studies classes are often met with great anxiety and trepidation, this paper describes and categorizes the necessary student and audience behaviors at three levels of involvement: 1) pre-performance, 2) post-performance, and 3) audience participation. Teachers can show students how to apply…

Predictors of Horror Film Attendance and Appeal: An Analysis of the Audience for Frightening Films.

Science.gov (United States)

Tamborini, Ron; Stiff, James

1987-01-01

Analyzes the appeal of horror films. Develops a model that finds that important factors in the horror film's appeal are the audience's desire to experience the satisfying resolutions and to see the destruction usually found in these films and the sensation-seeking personality traits of audience members for these films. (NKA)

SU-A-BRA-04: Incorporating Active Learning Into Medical Physics Education

Energy Technology Data Exchange (ETDEWEB)

Burmeister, J. [Wayne State University School of Medicine, Detroit, MI (United States)

2016-06-15

learning techniques into a traditional medical physics classroom course. I will describe these techniques and how they were implemented as well as student performance before and after implementation. Student feedback indicated that these course changes improved their ability to actively assimilate the course content, thus improving their understanding of the material. Shahid Naqvi - My talk will focus on ways to help students visualize crucial concepts that lie at the core of radiation physics. Although particle tracks generated by Monte Carlo simulations have served as an indispensable visualization tool, students often struggle to resolve the underlying physics from a simultaneous jumble of tracks. We can clarify the physics by “coding” the tracks, e.g., by coloring the tracks according to their “starting” or “crossing” regions. The regionally-coded tracks when overlaid with dose distributions help the students see the elusive connection between dose, kerma and electronic disequilibrium. Tracks coded according to local energy or energy-loss rate can illustrate the need for stopping power corrections in electron beams and explain the Bragg peak in a proton beam. Coding tracks according to parent interaction type and order can clarify the often misunderstood distinction between primary and scatter dose. The students can thus see the “whole” simultaneously with the “sum of the parts,” which enhances their physical insight and creates a sustainable foundation for further learning. After the presentations the speakers and moderator will be open to questions and discussion with the audience members. Learning Objectives: Be able to explain Project-Based Learning and how can it be incorporated into a Medical Physics classroom. Be able to explain Flipped Learning and how can it be incorporated into a Medical Physics classroom. Be able to explain active-learning strategies for the teaching of Medical Physics. Be able to explain how Monte Carlo simulations can

SU-A-BRA-04: Incorporating Active Learning Into Medical Physics Education

International Nuclear Information System (INIS)

Burmeister, J.

2016-01-01

learning techniques into a traditional medical physics classroom course. I will describe these techniques and how they were implemented as well as student performance before and after implementation. Student feedback indicated that these course changes improved their ability to actively assimilate the course content, thus improving their understanding of the material. Shahid Naqvi - My talk will focus on ways to help students visualize crucial concepts that lie at the core of radiation physics. Although particle tracks generated by Monte Carlo simulations have served as an indispensable visualization tool, students often struggle to resolve the underlying physics from a simultaneous jumble of tracks. We can clarify the physics by “coding” the tracks, e.g., by coloring the tracks according to their “starting” or “crossing” regions. The regionally-coded tracks when overlaid with dose distributions help the students see the elusive connection between dose, kerma and electronic disequilibrium. Tracks coded according to local energy or energy-loss rate can illustrate the need for stopping power corrections in electron beams and explain the Bragg peak in a proton beam. Coding tracks according to parent interaction type and order can clarify the often misunderstood distinction between primary and scatter dose. The students can thus see the “whole” simultaneously with the “sum of the parts,” which enhances their physical insight and creates a sustainable foundation for further learning. After the presentations the speakers and moderator will be open to questions and discussion with the audience members. Learning Objectives: Be able to explain Project-Based Learning and how can it be incorporated into a Medical Physics classroom. Be able to explain Flipped Learning and how can it be incorporated into a Medical Physics classroom. Be able to explain active-learning strategies for the teaching of Medical Physics. Be able to explain how Monte Carlo simulations can

The Conversations About Cancer (CAC) project: assessing feasibility and audience impacts from viewing The Cancer Play.

Science.gov (United States)

Beach, Wayne A; Buller, Mary K; Dozier, David M; Buller, David B; Gutzmer, Kyle

2014-01-01

Basic communication research has identified a major social problem: communicating about cancer from diagnosis through death of a loved one. Over the past decade, an award-winning investigation into how family members talk through cancer on the telephone, based on a corpus of 61 phone calls over a period of 13 months, has been transformed into a theatrical production entitled The Cancer Play. All dialogue in the play is drawn from naturally occurring (transcribed) interactions between family members as they navigate their way through the trials, tribulations, hopes, and triumphs of a cancer journey. This dramatic performance explicitly acknowledges the power of the arts as an exceptional learning tool for extending empirical research, exploring ordinary family life, and exposing the often taken-for-granted conceptions of health and illness. In this study, a Phase I STTR project funded by the National Cancer Institute (NCI), we assess the feasibility of educating and impacting cancer patients, family members, and medical professionals who viewed the play as a live performance and through DVD screenings. Pre- and postperformance questionnaires were administered to solicit audience feedback. Pre-post change scores demonstrate overwhelming and positive impacts for changing opinions about the perceived importance, and attributed significance, of family communication in the midst of cancer. Paired-sample t-tests were conducted on five factor-analyzed indices/indicators-two indices of opinions about cancer and family communication, two indices measuring the importance of key communication activities, and the self-efficacy indicator-and all factors improved significantly (<.001). Informal talkback sessions were also held following the viewings, and selected audience members participated in focus groups. Talkback and focus-group sessions generated equally strong, support responses. Implications of the Phase I study are being applied in Phase II, a currently funded effort to

Teaching leadership: the medical student society model.

Science.gov (United States)

Matthews, Jacob H; Morley, Gabriella L; Crossley, Eleanor; Bhanderi, Shivam

2018-04-01

All health care professionals in the UK are expected to have the medical leadership and management (MLM) skills necessary for improving patient care, as stipulated by the UK General Medical Council (GMC). Newly graduated doctors reported insufficient knowledge about leadership and quality improvement skills, despite all UK medical schools reporting that MLM is taught within their curriculum. A medical student society organised a series of extracurricular educational events focusing on leadership topics. The society recognised that the events needed to be useful and interesting to attract audiences. Therefore, clinical leaders in exciting fields were invited to talk about their experiences and case studies of personal leadership challenges. The emphasis on personal stories, from respected leaders, was a deliberate strategy to attract students and enhance learning. Evaluation data were collected from the audiences to improve the quality of the events and to support a business case for an intercalated degree in MLM. When leadership and management concepts are taught through personal stories, students find it interesting and are prepared to give up their leisure time to engage with the subject. Students appear to recognise the importance of MLM knowledge to their future careers, and are able to organise their own, and their peers', learning and development. Organising these events and collecting feedback can provide students with opportunities to practise leadership, management and quality improvement skills. These extracurricular events, delivered through a student society, allow for subjects to be discussed in more depth and can complement an already crowded undergraduate curriculum. Newly graduated doctors reported insufficient knowledge about leadership and quality improvement skills. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Qualitative Audience Research: Toward an Integrative Approach to Reception.

Science.gov (United States)

Jensen, Klaus Bruhn

1987-01-01

Analyzes research about the mass communication audience and describes a theoretical and methodological framework for further empirical studies. Discusses the (1) explanatory value of qualitative research; (2) social and cultural implications of the reception process, with special reference to television; and (3) applications and social relevance…

You Are The One I Want to Communicate With! Relational Motives Driving Audience-Tuning Effects on Memory

OpenAIRE

Pierucci, Sabrina; Klein, Olivier; Carnaghi, Andrea

2011-01-01

We investigated the role of relational motives in the saying-is-believing effect (Higgins & Rholes, 1978). Building on shared reality theory, we expected this effect to be most likely when communicators were motivated to get along with the audience. In the current study, participants were asked to describe an ambiguous target to an audience who either liked or disliked the target. The audience had been previously evaluated as a desirable vs. undesirable communication partner. Only participant...

Feasibility of a self-administered survey to identify primary care patients at risk of medication-related problems

Directory of Open Access Journals (Sweden)

Makowsky MJ

2014-02-01

Full Text Available Mark J Makowsky,1 Andrew J Cave,2 Scot H Simpson1 1Faculty of Pharmacy and Pharmaceutical Sciences, 2Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada Background and objectives: Pharmacists working in primary care clinics are well positioned to help optimize medication management of community-dwelling patients who are at high risk of experiencing medication-related problems. However, it is often difficult to identify these patients. Our objective was to test the feasibility of a self-administered patient survey, to facilitate identification of patients at high risk of medication-related problems in a family medicine clinic. Methods: We conducted a cross-sectional, paper-based survey at the University of Alberta Hospital Family Medicine Clinic in Edmonton, Alberta, which serves approximately 7,000 patients, with 25,000 consultations per year. Adult patients attending the clinic were invited to complete a ten-item questionnaire, adapted from previously validated surveys, while waiting to be seen by the physician. Outcomes of interest included: time to complete the questionnaire, staff feedback regarding impact on workflow, and the proportion of patients who reported three or more risk factors for medication-related problems. Results: The questionnaire took less than 5 minutes to complete, according to the patient's report on the last page of the questionnaire. The median age (and interquartile range of respondents was 57 (45–69 years; 59% were women; 47% reported being in very good or excellent health; 43 respondents of 100 had three or more risk factors, and met the definition for being at high risk of a medication-related problem. Conclusions: Distribution of a self-administered questionnaire did not disrupt patients, or the clinic workflow, and identified an important proportion of patients at high risk of medication-related problems. Keywords: screening tool, pharmacists, primary

Translation and Audience: Edgar Allen Poe’s “The Gold-Bug”

Directory of Open Access Journals (Sweden)

Clayton Tyler McKee

2017-10-01

Full Text Available This study intends to explore how the intended audience of a translation shapes the techniques used by the translators of the same text in order to convey the same message in a different manner. Focusing on two translations of a work done by Edgar Allen Poe, this work demonstrates how the translator shapes a translation to its audience, whether it is a pedagogical purpose or a literary one. In nineteenth century France, translations of Edgar Allan Poe began appearing in newspapers and journals catching the attention of well-known authors, such as Charles Baudelaire. While many academics, such as Wallaert and Bonnefoy, have compared Baudelaire’s translations and language choice to the original works and other translators working in the intellectual arena, the translation of “The Gold-Bug” in a young women’s magazine has not been included in the conversation. Twenty-two years before Baudelaire translates “The Gold-Bug,” originally published in English in 1843, Le magasin de desmoiselles offered a version of “Le scarabée d’or” which differed greatly in style from the version Baudelaire would provide. Comparing the two versions of the story through Schleiermacher’s theory on moving the text and Nida’s theory of equivalencies demonstrates how methods of translation fit for specific audiences in terms of a text’s foreignization and domestication. Le magasin strove to educate young bourgeoisie women à l’aristocrat while Baudelaire found inspiration in Poe’s work which would influence other movements in France. These purposes led to two translations that educate readers on foreign authors also allowing a view into how audience has influenced the translation of Poe for the French public.

Internet-based ICRP resource for healthcare providers on the risks and benefits of medical imaging that uses ionising radiation.

Science.gov (United States)

Demeter, S; Applegate, K E; Perez, M

2016-06-01

The purpose of the International Commission on Radiological Protection (ICRP) Committee 3 Working Party was to update the 2001 web-based module 'Radiation and your patient: a guide for medical practitioners' from ICRP. The key elements of this task were: to clearly identify the target audience (such as healthcare providers with an emphasis on primary care); to review other reputable sources of information; and to succinctly publish the contribution made by ICRP to the various topics. A 'question-and-answer' format addressing practical topics was adopted. These topics included benefits and risks of imaging using ionising radiation in common medical situations, as well as pertaining to specific populations such as pregnant, breast-feeding, and paediatric patients. In general, the benefits of medical imaging and related procedures far outweigh the potential risks associated with ionising radiation exposure. However, it is still important to ensure that the examinations are clinically justified, that the procedure is optimised to deliver the lowest dose commensurate with the medical purpose, and that consideration is given to diagnostic reference levels for particular classes of examinations. © The International Society for Prosthetics and Orthotics.

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use.

Science.gov (United States)

Jones, Audrey L; Cochran, Susan D; Leibowitz, Arleen; Wells, Kenneth B; Kominski, Gerald; Mays, Vickie M

2015-12-01

The benefits of the patient-centered medical home (PCMH) over and above that of a usual source of medical care have yet to be determined, particularly for adults with mental health disorders. To examine qualities of a usual provider that align with PCMH goals of access, comprehensiveness, and patient-centered care, and to determine whether PCMH qualities in a usual provider are associated with the use of mental health services (MHS). Using national data from the Medical Expenditure Panel Survey, we conducted a lagged cross-sectional study of MHS use subsequent to participant reports of psychological distress and usual provider and practice characteristics. A total of 2,358 adults, aged 18-64 years, met the criteria for serious psychological distress and reported on their usual provider and practice characteristics. We defined "usual provider" as a primary care provider/practice, and "PCMH provider" as a usual provider that delivered accessible, comprehensive, patient-centered care as determined by patient self-reporting. The dependent variable, MHS, included self-reported mental health visits to a primary care provider or mental health specialist, counseling, and psychiatric medication treatment over a period of 1 year. Participants with a usual provider were significantly more likely than those with no usual provider to have experienced a primary care mental health visit (marginal effect [ME] = 8.5, 95 % CI = 3.2-13.8) and to have received psychiatric medication (ME = 15.5, 95 % CI = 9.4-21.5). Participants with a PCMH were additionally more likely than those with no usual provider to visit a mental health specialist (ME = 7.6, 95 % CI = 0.7-14.4) and receive mental health counseling (ME = 8.5, 95 % CI = 1.5-15.6). Among those who reported having had any type of mental health visit, participants with a PCMH were more likely to have received mental health counseling than those with only a usual provider (ME = 10.0, 95 % CI�

Examining LGBTQ-Based Literature Intended for Primary and Intermediate Elementary Students

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Bickford, John H., III

2018-01-01

This content analysis research examined how lesbian, gay, bisexual, transsexual, transgender, and queer (LGBTQ) individuals and issues are represented in elementary-level trade books. The data pool included every LGBTQ-based trade book with intended audiences of primary (grades K-2) and intermediate (grades 3-5) elementary students. Trade books…

Medical Information & Technology: Rapidly Expanding Vast Horizons

Science.gov (United States)

Sahni, Anil K.

2012-12-01

During ÑMedical Council Of India?, Platinum Jubilee Year (1933-2008) Celebrations, In Year 2008, Several Scientific Meeting/Seminar/Symposium, On Various Topics Of Contemporary Importance And Relevance In The Field Of ÑMedical Education And Ethics?, Were Organized, By Different Medical Colleges At Various Local, State, National Levels. The Present Discussion, Is An Comprehensive Summary Of Various Different Aspects of ìMedical Information Communication Technologyî, Especially UseFul For The Audience Stratum Group Of Those Amateur Medical & Paramedical Staff, With No Previous Work Experience Knowledge Of Computronics Applications. Outlining The, i.Administration Applications: Medical Records Etc, ii. Clinical Applications: Pros pective Scope Of TeleMedicine Applicabilities Etc iii. Other Applications: Efforts To Augment Improvement Of Medical Education, Medical Presentations, Medical Education And Research Etc. ÑMedical Trancription? & Related Recent Study Fields e.g ÑModern Pharmaceuticals?,ÑBio-Engineering?, ÑBio-Mechanics?, ÑBio-Technology? Etc., Along With Important Aspects Of Computers-General Considerations, Computer Ergonomics Assembled To Summarize, The AwareNess Regarding Basic Fundamentals Of Medical Computronics & Its Practically SuccessFul Utilities.

Engaging the d/Deaf Audience in Museums: A Case Study at the Calouste Gulbenkian Museum

Science.gov (United States)

Martins, Patrícia Roque

2016-01-01

This article addresses ways that museums can strengthen programming for d/Deaf audiences. Through the development and study of a tour for a d/Deaf audience conducted through signing and oral translation at the Calouste Gulbenkian Museum in Lisbon (Portugal), the author examines issues of language, identity and inclusion. She argues that the use of…

TV FOR CHILDREN : How the Swedish Public Service Television Imagines a Child Audience

OpenAIRE

Pettersson, Åsa

2013-01-01

The study explores how the Swedish public service TV institution imagines a child audience in a societal context where the broadcasting landscape hastransformed greatly over the past thirty years and where TV is seen to  constitute both risks and benefits for children. The concept of TV for children is established to broaden the scope for studying what has been broadcast for a child audience on public service TV. The empirical material consists of both broadcasting policy documents and an ext...

Tangible air: An interactive installation for visualising audience engagement

NARCIS (Netherlands)

T. Röggla (Tom); C. Wang (Chen); L. Pérez Romero (Lilia); A.J. Jansen (Jack); P.S. Cesar Garcia (Pablo Santiago)

2017-01-01

textabstractThis article presents an end-to-end system for capturing physiological sensor data and visualising it on a real-time graphic dashboard and as part of an art installation. More specifically, it describes an event where the level of engagement of the audience was measured by means of

Audience Perception of Television Animated Cartoons as Tool for ...

African Journals Online (AJOL)

This study investigated audience perception of television animated cartoons as tool for political communication. The specific objectives of the study were: to find out the frequency of exposure to television animated cartoons between males and females; to find out the frequency of exposure to television animated cartoons ...

Scientific Criticism? A Critical Approach to the Resistive Audience.

Science.gov (United States)

Ruddock, Andy

1998-01-01

Contends that critical audience research has resisted "scientific" discourses that appear positivist. States that recent research begins to show the same errors as earlier positivist style--re-emergence of debates on political economy and cultural imperialism are aimed at overturning what are seen as orthodoxies of opposition and…

Let's Talk About Water: Film as a Resource to Engage Audiences Around Earth Science Issues

Science.gov (United States)

Clark, E.; Hooper, R. P.; Lilienfeld, L.

2017-12-01

Connecting a diverse audience to science can be challenging. Scientists generally publish their findings in ways that are not easily accessible to audiences outside of the science community and translating findings for wider consumption requires a mindful balance of generalization and accuracy. In response to these communication challenges, the Consortium of Universities for the Advancement of Hydrologic Science, Inc. (CUAHSI) developed the Let's Talk About Water (LTAW) program as a formula for hosting successful events for Earth Science education. The program uses film as a bridge to open a discussion between scientists and the audience. In this setting, films are powerful educational tools because they use storytelling to engage audiences emotionally, which creates relatable, teachable moments. Originally designed to bring awareness to water issues, the formula can easily be applied to increase literacy on climate change and other critical Earth Science issues facing society. This presentation will discuss the LTAW event formula and the resources that CUAHSI has available to support event organizers in the development of their own LTAW events.

The Effect of Combination of Video Feedback and Audience Feedback on Social Anxiety: Preliminary Findings.

Science.gov (United States)

Chen, Junwen; Mak, Rebecca; Fujita, Satoko

2015-09-01

Although video feedback (VF) is shown to improve appraisals of social performance in socially anxious individuals, its impact on state anxiety during a social situation is mixed. The current study investigated the effect of combined video feedback and audience feedback (AF) on self-perceptions of performance and bodily sensations as well as state anxiety pertaining to a speech task. Forty-one socially anxious students were randomly allocated to combined video feedback with audience feedback (VF + AF), video feedback only (VF), audience feedback only (AF), or a control condition. Following a 3-min speech, participants in the VF + AF, VF, and AF conditions watched the videotape of their speech with cognitive preparation in the presence of three confederates who served as audience, and/or received feedback from the confederates, while the control group watched their videotaped speech without cognitive preparation. Both VF + AF and AF conditions improved distorted appraisal of performance and bodily sensations as well as state anxiety. The clinical implications of these findings are discussed. © The Author(s) 2015.

Information and communication on risks related to medications and proper use of medications for healthcare professionals and the general public: precautionary principle, risk management, communication during and in the absence of crisis situations.

Science.gov (United States)

Molimard, Mathieu; Bernaud, Corine; Lechat, Philippe; Bejan-Angoulvant, Theodora; Benattia, Cherif; Benkritly, Amel; Braunstein, David; Cabut, Sandrine; David, Nadine; Fourrier-Réglat, Annie; Gallet, Benoit; Gersberg, Marta; Goni, Sylvia; Jolliet, Pascale; Lamarque-Garnier, Véronique; Le Jeunne, Claire; Leurs, Irina; Liard, François; Malbezin, Muriel; Micallef, Joelle; Nguon, Marina

2014-01-01

Recent drug crises have highlighted the complexity, benefits and risks of medication communication. The difficulty of this communication is due to the diversity of the sources of information and the target audience, the credibility of spokespersons, the difficulty to communicate on scientific uncertainties and the precautionary principle, which is influenced by variable perceptions and tolerances of the risk. Globally, there is a lack of training in risk management with a tendency of modern society to refuse even the slightest risk. Communication on medications is subject to regulatory or legal requirements, often uses tools and messages that are not adapted to the target audience and is often based on a poor knowledge of communication techniques. In order to improve this situation, the available information must be coordinated by reinforcing the unique medication information website and by coordinating communication between authorities by means of a single spokesperson. A particular effort must be made in the field of training in the proper use and risk of medications for both the general population and patients but also for healthcare professionals, by setting up a unified academic on-line teaching platform for continuing medical education on medications and their proper use. © 2014 Société Française de Pharmacologie et de Thérapeutique.

An Experimental Test of the Roles of Audience Involvement and Message Frame in Shaping Public Reactions to Celebrity Illness Disclosures.

Science.gov (United States)

Myrick, Jessica Gall

2018-04-13

Much research has investigated what happens when celebrities disclose an illness (via media) to the public. While audience involvement (i.e., identification and parasocial relationships) is often the proposed mechanism linking illness disclosures with audience behavior change, survey designs have prevented researchers from understanding if audience involvement prior to the illness disclosure actually predicts post-disclosure emotions, cognitions, and behaviors. Rooted in previous work on audience involvement as well as the Extended Parallel Process Model, the present study uses a national online experiment (N = 1,068) to test how pre-disclosure audience involvement may initiate post-disclosure effects for the message context of skin cancer. The data demonstrate that pre-disclosure audience involvement as well as the celebrity's framing of the disclosure can shape emotional responses (i.e., fear and hope), and that cognitive perceptions of the illness itself also influence behavioral intentions.

Designing virtual audiences for fear of public speaking training - an observation study on realistic nonverbal behavior.

Science.gov (United States)

Poeschl, Sandra; Doering, Nicola

2012-01-01

Virtual Reality technology offers great possibilities for Cognitive Behavioral Therapy of fear of public speaking: Clients can be exposed to virtual fear-triggering stimuli (exposure) and are able to role-play in virtual environments, training social skills to overcome their fear. Usually, prototypical audience behavior (neutral, social and anti-social) serves as stimulus in virtual training sessions, although there is significant lack of theoretical basis on typical audience behavior. The study presented deals with the design of a realistic virtual presentation scenario. An audience (consisting of n=18 men and women) in an undergraduate seminar was observed during three frontal lecture sessions. Behavior frequency of four nonverbal dimensions (eye contact, facial expression, gesture, and posture) was rated by means of a quantitative content analysis. Results show audience behavior patterns which seem to be typical in frontal lecture contexts, like friendly and neutral face expressions. Additionally, combined and even synchronized behavioral patterns between participants who sit next to each other (like turning to the neighbor and start talking) were registered. The gathered data serve as empirical design basis for a virtual audience to be used in virtual training applications that stimulate the experiences of the participants in a realistic manner, thereby improving the experienced presence in the training application.

The third person in the room: frequency, role, and influence of companions during primary care medical encounters.

Science.gov (United States)

Schilling, Lisa M; Scatena, Lisa; Steiner, John F; Albertson, Gail A; Lin, C T; Cyran, Lisa; Ware, Lindsay; Anderson, Robert J

2002-08-01

We wanted to characterize patient accompaniment to medical encounters and to explore the rationale and influence of the companion on the primary care medical encounter. This was a descriptive study. Academic general internal medicine physicians, patients, and patient companions participated. We measured the frequency of waiting and examination room companions, the reasons for accompaniment, the influence on the encounter, and the overall helpfulness of the companion as assessed by patients and companions. We also determined the physicianamprsquos assessment of the companionamprsquos influence, helpfulness, and behavior during the encounter. Companions were in the examination room for 16% of visits; 93% were family members. The rationales for waiting and examination room companions were to help with transportation, provide emotional support, and provide company. Examination room companions helped communicate concerns to the physician, remember the physicianamprsquos advice, make decisions, and communicate their own concerns to the physician. Patients believed that examination room companions influenced 75% of medical encounters, mainly by improving communication between physician and patient. Physicians agreed that examination room companions favorably influenced physician and patient understanding (60% and 46% of encounters, respectively). Patients indicated that waiting and examination room companions were very helpful for 71% and 83% of visits, respectively. Companions frequently accompany patients to their primary care medical encounters. They are often family members, and they assume important roles in enhancing patient and physician understanding.

Medical Yoga for Patients with Stress-Related Symptoms and Diagnoses in Primary Health Care: A Randomized Controlled Trial

Directory of Open Access Journals (Sweden)

Monica Köhn

2013-01-01

Full Text Available An increasing number of patients are suffering from stress-related symptoms and diagnoses. The purpose of this study was to evaluate the medical yoga treatment in patients with stress-related symptoms and diagnoses in primary health care. A randomized controlled study was performed at a primary health care centre in Sweden from March to June, 2011. Patients were randomly allocated to a control group receiving standard care or a yoga group treated with medical yoga for 1 hour, once a week, over a 12-week period in addition to the standard care. A total of 37 men and women, mean age of 53±12 years were included. General stress level (measured using Perceived Stress Scale (PSS, burnout (Shirom-Melamed Burnout Questionnaire (SMBQ, anxiety and depression (Hospital Anxiety and Depression Scale (HADS, insomnia severity (Insomnia Severity Index (ISI, pain (visual analogue scale (VAS, and overall health status (Euro Quality of Life VAS (EQ-VAS were measured before and after 12 weeks. Patients assigned to the Yoga group showed significantly greater improvements on measures of general stress level (P<0.000, anxiety (P<0.019, and overall health status (P<0.018 compared to controls. Treatment with medical yoga is effective in reducing levels of stress and anxiety in patients with stress-related symptoms in primary health care.

Medical yoga for patients with stress-related symptoms and diagnoses in primary health care: a randomized controlled trial.

Science.gov (United States)

Köhn, Monica; Persson Lundholm, Ulla; Bryngelsson, Ing-Liss; Anderzén-Carlsson, Agneta; Westerdahl, Elisabeth

2013-01-01

An increasing number of patients are suffering from stress-related symptoms and diagnoses. The purpose of this study was to evaluate the medical yoga treatment in patients with stress-related symptoms and diagnoses in primary health care. A randomized controlled study was performed at a primary health care centre in Sweden from March to June, 2011. Patients were randomly allocated to a control group receiving standard care or a yoga group treated with medical yoga for 1 hour, once a week, over a 12-week period in addition to the standard care. A total of 37 men and women, mean age of 53 ± 12 years were included. General stress level (measured using Perceived Stress Scale (PSS)), burnout (Shirom-Melamed Burnout Questionnaire (SMBQ)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), insomnia severity (Insomnia Severity Index (ISI)), pain (visual analogue scale (VAS)), and overall health status (Euro Quality of Life VAS (EQ-VAS)) were measured before and after 12 weeks. Patients assigned to the Yoga group showed significantly greater improvements on measures of general stress level (P < 0.000), anxiety (P < 0.019), and overall health status (P < 0.018) compared to controls. Treatment with medical yoga is effective in reducing levels of stress and anxiety in patients with stress-related symptoms in primary health care.

Allies and Competitors as Enscripted Audiences in Scientific Writing.

Science.gov (United States)

Perry, Susan

A set of much examined scientific papers which specifically portray a controversial topic and also manifest ally-peer and competitor-peer enscripted audiences are those written by James Watson and Francis Crick concerning their discovery of the structure of deoxyribose nucleic acid (DNA). The theoretical perspective of an ally-peer and…

Tangible air : An Interactive Installation for Visualising Audience Engagement

NARCIS (Netherlands)

Röggla, Thomas; Wang, Chen; Perez Romero, Lilia; Jansen, Jack; Cesar Garcia, P.S.

2017-01-01

This article presents an end-to-end system for capturing physiological sensor data and visualising it on a real-time graphic dashboard and as part of an art installation. More specifically, it describes an event where the level of engagement of the audience was measured by means of Galvanic Skin

Argumentative reasoning and taxonomic analysis for the identification of medical errors

OpenAIRE

Doumbouya , Mamadou Bilo; Kamsu-Foguem , Bernard; Kenfack , Hugues; Foguem , Clovis

2015-01-01

International audience; Telemedicine consists of the use of information and communication technologies (ICTs) in the practice of medicine. The massive digitalisation of the society is changing the behaviour of ordinary people even in medical sectors. The impact of digitisation is also having impacts on teleexpertise, where a medical professional can remotely ask some advices through the use of ICTs to provide treatment to a patient in critical conditions in remote environment. However, someti...

Prevalence and management of patients using medication targeting obstructive lung disease: A cross-sectional study in primary healthcare in Greenland

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Dorte Ejg Jarbøl

2013-02-01

Full Text Available Objective. The aim of this study was to estimate the prevalent use of drugs targeting obstructive lung diseases among adults aged 50 or above in Greenland and to assess the use of spirometry testing among these medication users. Study design. Observational cross-sectional study based on reviews of electronic medical records. Methods. The study was performed in the 6 largest primary healthcare clinics in Greenland, representing approximately 67.0% of the population in Greenland. Adults aged 50 years or above, who had at least one electronically prescribed drug targeting obstructive lung diseases within a 15-month time interval, were identified. We assessed whether a spirometry test was registered in their medical records within previous 2- and 4-year periods. Results. A total of 565 persons were identified. This corresponds to a prevalent medication use of 6.1% (565/9,023 among adults aged 50 years or above. Among these medication users, 14.1% (80/565 had a spirometry test performed within 2 years. Within the 4-year period this increased to 17.9% (101/565. Conclusion. The use of medication targeting obstructive lung diseases in Greenland among adults aged 50 years or above is common. However, spirometry testing among medication users is low and interventions aiming to increase focus on spirometry testing should be integrated in the primary healthcare system.

Decreasing the dispatch time of medical reports sent from hospital to primary care with Lean Six Sigma.

Science.gov (United States)

Basta, Yara L; Zwetsloot, Inez M; Klinkenbijl, Jean H G; Rohof, Thomas; Monster, Mathijs M C; Fockens, Paul; Tytgat, Kristien M A J

2016-10-01

Timely communication is important to ensure high-quality health care. To facilitate this, the Gastro Intestinal Oncology Center Amsterdam (GIOCA) stipulated to dispatch medical reports on the day of the patient's visit. However, with the increasing number of patients, administrative processes at GIOCA were under pressure, and this standard was not met for the majority of patients. The aim and objective of this study was to dispatch 90% of medical reports on the day of the patient's visit by improving the logistic process. To assess the main causes for a prolonged dispatch time and to design improvements actions, the roadmap offered by Lean Six Sigma (LSS) was used, consisting of five phases: Define, Measure, Analyze, Improve and Control (DMAIC roadmap). Initially, 12.3% of the reports were dispatched on the day of the patient's visit. Three causes for a prolonged dispatch time were identified: (1) determining which doctors involved with treatment would compose the report; (2) the reports composed by a senior resident had to be reviewed by a medical specialist; and (3) a medical specialist had to authorize the administration to dispatch the reports. To circumvent these causes, a digital form was implemented in the electronic medical record that could be completed during the multidisciplinary team meeting. After implementation, 90.6% of the reports were dispatched on the day of the visit. The dispatch time of reports sent from hospital to primary care can be significantly reduced using Lean Six Sigma, improving the communication between hospital and primary care. © 2016 John Wiley & Sons, Ltd.

OnlineTED.com − a novel web-based audience response system for higher education. A pilot study to evaluate user acceptance

Science.gov (United States)

Kühbeck, Felizian; Engelhardt, Stefan; Sarikas, Antonio

2014-01-01

Background and aim: Audience response (AR) systems are increasingly used in undergraduate medical education. However, high costs and complexity of conventional AR systems often limit their use. Here we present a novel AR system that is platform independent and does not require hardware clickers or additional software to be installed. Methods and results: “OnlineTED” was developed at Technische Universität München (TUM) based on Hypertext Preprocessor (PHP) with a My Structured Query Language (MySQL)-database as server- and Javascript as client-side programming languages. “OnlineTED” enables lecturers to create and manage question sets online and start polls in-class via a web-browser. Students can participate in the polls with any internet-enabled device (smartphones, tablet-PCs or laptops). A paper-based survey was conducted with undergraduate medical students and lecturers at TUM to compare "OnlineTED" with conventional AR systems using clickers. "OnlineTED" received above-average evaluation results by both students and lecturers at TUM and was seen on par or superior to conventional AR systems. The survey results indicated that up to 80% of students at TUM own an internet-enabled device (smartphone or tablet-PC) for participation in web-based AR technologies. Summary and Conclusion: “OnlineTED” is a novel web-based and platform-independent AR system for higher education that was well received by students and lecturers. As a non-commercial alternative to conventional AR systems it may foster interactive teaching in undergraduate education, in particular with large audiences. PMID:24575156

OnlineTED.com − a novel web-based audience response system for higher education. A pilot study to evaluate user acceptance

Directory of Open Access Journals (Sweden)

Kühbeck, Felizian

2014-02-01

Full Text Available [english] Background and aim: Audience response (AR systems are increasingly used in undergraduate medical education. However, high costs and complexity of conventional AR systems often limit their use. Here we present a novel AR system that is platform independent and does not require hardware clickers or additional software to be installed.Methods and results: “OnlineTED” was developed at Technische Universität München (TUM based on Hypertext Preprocessor (PHP with a My Structured Query Language (MySQL-database as server- and Javascript as client-side programming languages. “OnlineTED” enables lecturers to create and manage question sets online and start polls in-class via a web-browser. Students can participate in the polls with any internet-enabled device (smartphones, tablet-PCs or laptops. A paper-based survey was conducted with undergraduate medical students and lecturers at TUM to compare "OnlineTED" with conventional AR systems using clickers. "OnlineTED" received above-average evaluation results by both students and lecturers at TUM and was seen on par or superior to conventional AR systems. The survey results indicated that up to 80% of students at TUM own an internet-enabled device (smartphone or tablet-PC for participation in web-based AR technologies.Summary and Conclusion: “OnlineTED” is a novel web-based and platform-independent AR system for higher education that was well received by students and lecturers. As a non-commercial alternative to conventional AR systems it may foster interactive teaching in undergraduate education, in particular with large audiences.

{SW}ARMED: Captive Portals, Mobile Devices, and Audience Participation in Multi-User Music Performance

OpenAIRE

Hindle, Abram

2013-01-01

Audience participation in computer music has long been limited byresources such as sensor technology or the material goods necessary toshare such an instrument. A recent paradigm is to take advantageof the incredible popularity of the smart-phone, a pocket sizedcomputer, and other mobile devices, to provide the audience aninterface into a computer music instrument. In this paper we discuss amethod of sharing a computer music instrument's interface with anaudience to allow them to interact via...

Cascaded Window Memoization for Medical Imaging

OpenAIRE

Khalvati , Farzad; Kianpour , Mehdi; Tizhoosh , Hamid ,

2011-01-01

Part 12: Medical Applications of ANN and Ethics of AI; International audience; Window Memoization is a performance improvement technique for image processing algorithms. It is based on removing computational redundancy in an algorithm applied to a single image, which is inherited from data redundancy in the image. The technique employs a fuzzy reuse mechanism to eliminate unnecessary computations. This paper extends the window memoization technique such that in addition to exploiting the data...

Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients.

Science.gov (United States)

Foley, Perry; Steinberg, Dori; Levine, Erica; Askew, Sandy; Batch, Bryan C; Puleo, Elaine M; Svetkey, Laura P; Bosworth, Hayden B; DeVries, Abigail; Miranda, Heather; Bennett, Gary G

2016-05-01

Obesity continues to disproportionately affect medically vulnerable populations. Digital health interventions may be effective for delivering obesity treatment in low-resource primary care settings. Track is a 12-month randomized controlled trial of a digital health weight loss intervention in a community health center system. Participants are 351 obese men and women aged 21 to 65years with an obesity-related comorbidity. Track participants are randomized to usual primary care or to a 12-month intervention consisting of algorithm-generated tailored behavior change goals, self-monitoring via mobile technologies, daily self-weighing using a network-connected scale, skills training materials, 18 counseling phone calls with a Track coach, and primary care provider counseling. Participants are followed over 12months, with study visits at baseline, 6, and 12months. Anthropometric data, blood pressure, fasting lipids, glucose and HbA1C and self-administered surveys are collected. Follow-up data will be collected from the medical record at 24months. Participants are 68% female and on average 50.7years old with a mean BMI of 35.9kg/m(2). Participants are mainly black (54%) or white (33%); 12.5% are Hispanic. Participants are mostly employed and low-income. Over 20% of the sample has hypertension, diabetes and hyperlipidemia. Almost 27% of participants currently smoke and almost 20% score above the clinical threshold for depression. Track utilizes an innovative, digital health approach to reduce obesity and chronic disease risk among medically vulnerable adults in the primary care setting. Baseline characteristics reflect a socioeconomically disadvantaged, high-risk patient population in need of evidence-based obesity treatment. Copyright © 2016 Elsevier Inc. All rights reserved.

Working with invalid boundary conditions: lessons from the field for communicating about climate change with public audiences

Science.gov (United States)

Gunther, A.

2015-12-01

There is an ongoing need to communicate with public audiences about climate science, current and projected impacts, the importance of reducing greenhouse gas emissions, and the requirement to prepare for changes that are likely unavoidable. It is essential that scientists are engaged and active in this effort. Scientists can be more effective communicators about climate change to non-scientific audiences if we recognize that some of the normal "boundary conditions" under which we operate do not need to apply. From how we are trained to how we think about our audience, there are some specific skills and practices that allow us to be more effective communicators. The author will review concepts for making our communication more effective based upon his experience from over 60 presentations about climate change to public audiences. These include expressing how your knowledge makes you feel, anticipating (and accepting) questions unconstrained by physics, respecting beliefs and values while separating them from evidence, and using the history of climate science to provide a compelling narrative. Proper attention to presentation structure (particularly an opening statement), speaking techniques for audience engagement, and effective use of presentation software are also important.

Role of an audience response system in didactic attendance and assessment.

Science.gov (United States)

Stoneking, Lisa R; Grall, Kristi H; Min, Alice; Dreifuss, Bradley; Spear Ellinwood, Karen C

2014-06-01

The Residency Review Committee for Emergency Medicine mandates conference participation, but tracking attendance is difficult and fraught with errors. Feedback on didactic sessions, if not collected in real time, is challenging to obtain. We assessed whether an audience response system (ARS) would (1) encourage residents to arrive on time for lectures, and (2) increase anonymous real-time audience feedback. The ARS (Poll Everywhere) provided date/time-stamped responses to polls from residents, including a question to verify attendance and questions to gather immediate, anonymous postconference evaluations. Fisher exact test was used to calculate proportions. The proportion of residents who completed evaluations prior to the institution of the ARS was 8.75, and it was 59.42 after (P didactic sessions.

Visual communication materials for rural audiences: re-orienting artists and copy-writers.

Science.gov (United States)

Chen, P

1989-01-01

An agency of the Indian government cooperated with a United Nations Children Fund to produce posters for the child survival and development program in India. To make the posters and other visual communications more effective a workshop was planned for the artists, visualizers, and copywriters. Previous experience had shown that some visual materials were not always oriented to the local contexts and villages often misinterpreted the messages of these materials. The 12 day workshop was designed to assist artists to better understand the audiences needs. there had been little pretesting of art work for health communication and no consideration of the visual literacy of the audience. The first project in the workshop consisted of artists and copywriters visiting villages to pretest posters presently in circulation. After some reservations they quickly found that the villagers perception of the posters was entirely different than the message being conveyed. By going back and getting the villagers perceptions of common sights related to maternal and child health, the artist could better prepare communication materials. They also collected basic sociological data at each village. New posters were then prepared with the help of inputs from midwives, nurses, and other health care workers. By pretesting these materials again they were able to clarify the messages, and repeated testing showed the posters were more understandable. The participants in the workshop found that visual communications materials demand proper understanding of the subject matter and the audience. Pretesting of materials is necessary before production, and changes should be made to reflect the local culture and surroundings. Posters for rural illiterate audiences should have the minimum written text needed and visual literacy must be assessed.

Rural-to-Urban Migrants' Experiences with Primary Care under Different Types of Medical Institutions in Guangzhou, China.

Directory of Open Access Journals (Sweden)

Jiazhi Zeng

Full Text Available China is facing the unprecedented challenge of rapidly increasing rural-to-urban migration. Migrants are in a vulnerable state when they attempt to access to primary care services. This study was designed to explore rural-to-urban migrants' experiences in primary care, comparing their quality of primary care experiences under different types of medical institutions in Guangzhou, China.The study employed a cross-sectional survey of 736 rural-to-urban migrants in Guangzhou, China in 2014. A validated Chinese version of Primary Care Assessment Tool--Adult Short Version (PCAT-AS, representing 10 primary care domains was used to collect information on migrants' quality of primary care experiences. These domains include first contact (utilization, first contact (accessibility, ongoing care, coordination (referrals, coordination (information systems, comprehensiveness (services available, comprehensiveness (services provided, family-centeredness, community orientation and culturally competent. These measures were used to assess the quality of primary care performance as reported from patients' perspective. Analysis of covariance was conducted for comparison on PCAT scores among migrants accessing primary care in tertiary hospitals, municipal hospitals, community health centers/community health stations, and township health centers/rural health stations. Multiple linear regression models were used to explore factors associated with PCAT total scores.After adjustments were made, migrants accessing primary care in tertiary hospitals (25.49 reported the highest PCAT total scores, followed by municipal hospitals (25.02, community health centers/community health stations (24.24, and township health centers/rural health stations (24.18. Tertiary hospital users reported significantly better performance in first contact (utilization, first contact (accessibility, coordination (information system, comprehensiveness (service available, and cultural competence

A model for training medical student innovators: the Harvard Medical School Center for Primary Care Abundance Agents of Change program.

Science.gov (United States)

Duong, David B; Sullivan, Erin E; Minter-Jordan, Myechia; Giesen, Lindsay; Ellner, Andrew L

2016-01-01

In 2013, the Harvard Medical School Center for Primary Care established the Abundance Agents of Change (AoC) program to promote interprofessional learning and innovation, increase partnership between 15 academic and community health centers (CHCs) in Boston's most under-served communities, and increase medical student interest in primary care careers. The AoC is modeled in the form of a 'grants challenge', offering $20,000 to interprofessional student teams to develop an innovative solution that addresses a healthcare delivery need identified by CHCs. The program's initial two years were characterized by a four-stage process which included working with CHCs and crafting a request for proposals, forming interprofessional 20 student teams comprising students from across and outside of Harvard University, training students using a systems-based innovation curriculum, and performing program evaluation. Our evaluation data from cohorts 1 and 2 of the AoC program demonstrate that we succeeded in training students as innovators and members of interprofessional teams. We also learned valuable lessons regarding creating better alignment with CHC priorities, extending the program cycle from 12 to 18 months, and changing the way funding is disbursed to 25 students, which will be incorporated in later versions of the program. Based on our experience and evaluation data, we believe that this program is a replicable way to train students as innovators and members of interprofessional teams to address the current complex healthcare environment.

The African filmmaker and content of African films: a study of the perspectives of the Nigerian film audience

OpenAIRE

Ganivu Olalekan Akashoro

2011-01-01

This paper attempts to appraise African filmmaking and the content of African films from a Nigerian film audience perspective. The study specifically explores the disposition of the audience towards contemporary African filmmaking for home video and cinema entertainment as well as the content of African films. The study used a qualitative questionnaire to determine the perspectives of residents in Lagos as members of the Nigerian film audience. The study found the perception of the content of...

UNDERSTANDING OUR AUDIENCE: MESSAGES FROM CONCEPT TO COMPLETION

OpenAIRE

Tharwat EL-Sakran

2018-01-01

The United Arab Emirates (UAE) is a business hub for a great number of multinational and international companies that conduct daily communication activities in English, which has made efficient and audience sensitive written communication an essential requirement in today’s workplace. With computer-mediated communication (CMC) taking over face-to-face communication, this has created an essential need for students to learn efficient and appropriate communication styles pertinent to communicati...

Teamwork and delegation in medical homes: primary care staff perspectives in the Veterans Health Administration.

Science.gov (United States)

True, Gala; Stewart, Greg L; Lampman, Michelle; Pelak, Mary; Solimeo, Samantha L

2014-07-01

The patient-centered medical home (PCMH) relies on a team approach to patient care. For organizations engaged in transitioning to a PCMH model, identifying and providing the resources needed to promote team functioning is essential. To describe team-level resources required to support PCMH team functioning within the Veterans Health Administration (VHA), and provide insight into how the presence or absence of these resources facilitates or impedes within-team delegation. Semi-structured interviews with members of pilot teams engaged in PCMH implementation in 77 primary care clinics serving over 300,000 patients across two VHA regions covering the Mid-Atlantic and Midwest United States. A purposive sample of 101 core members of pilot teams, including 32 primary care providers, 42 registered nurse care managers, 15 clinical associates, and 12 clerical associates. Investigators from two evaluation sites interviewed frontline primary care staff separately, and then collaborated on joint analysis of parallel data to develop a broad, comprehensive understanding of global themes impacting team functioning and within-team delegation. We describe four themes key to understanding how resources at the team level supported ability of primary care staff to work as effective, engaged teams. Team-based task delegation was facilitated by demarcated boundaries and collective identity; shared goals and sense of purpose; mature and open communication characterized by psychological safety; and ongoing, intentional role negotiation. Our findings provide a framework for organizations to identify assets already in place to support team functioning, as well as areas in need of improvement. For teams struggling to make practice changes, our results indicate key areas where they may benefit from future support. In addition, this research sheds light on how variation in medical home implementation and outcomes may be associated with variation in team-based task delegation.

Word of mouth and physician referrals still drive health care provider choice.

Science.gov (United States)

Tu, Ha T; Lauer, Johanna R

2008-12-01

Sponsors of health care price and quality transparency initiatives often identify all consumers as their target audiences, but the true audiences for these programs are much more limited. In 2007, only 11 percent of American adults looked for a new primary care physician, 28 percent needed a new specialist physician and 16 percent underwent a medical procedure at a new facility, according to a new national study by the Center for Studying Health System Change (HSC). Among consumers who found a new provider, few engaged in active shopping or considered price or quality information--especially when choosing specialists or facilities for medical procedures. When selecting new primary care physicians, half of all consumers relied on word-of-mouth recommendations from friends and relatives, but many also used doctor recommendations (38%) and health plan information (35%), and nearly two in five used multiple information sources when choosing a primary care physician. However, when choosing specialists and facilities for medical procedures, most consumers relied exclusively on physician referrals. Use of online provider information was low, ranging from 3 percent for consumers undergoing procedures to 7 percent for consumers choosing new specialists to 11 percent for consumers choosing new primary care physicians

Timing of malaria messages for target audience on radio airwaves.

Science.gov (United States)

Batwala, Vincent; Magnussen, Pascal; Mirembe, Justine; Mulogo, Edgar; Nuwaha, Fred

2012-08-20

Due to the limitations of face-to-face communication to teach families how to manage, control and prevent malaria, national and local malaria programmes try to reach people through the radio. However, information regarding the timing of radio messages for the target audiences is lacking. Within a large-scale trial (Clinicaltrials.gov: NCT00565071), data regarding the time at which people listen to the radio was collected from 1,628 consenting outpatients (and caregivers for minors) attending six rural government primary level health care centres in Bushenyi and Iganga districts of Uganda from February to July 2011. The majority of households, 1,099 (67.5%) owned a radio. The majority, 1,221 (86.3%), participants had heard about malaria from the radio. Some participants started listening to the radio at about 06.00 East African local time (EAT). The peak hours at which people listen to the radio are 12.00-14.00 and 18.00-23.00 local time. The median time of listening to the radio by men is 20.00 (inter-quartile range (IQR): 18.30-21.00) and women 19.30 (IQR: 13.00-20.30). Planners of malaria radio interventions need to broadcast their messages within the two peak EAT of 12.00-14.00 and 18.00-23.00.

Consider Clicking In: Using Audience Response Systems to Spark Discussion

Science.gov (United States)

Barbour, Joshua B.

2013-01-01

Audience response systems, also known as clickers, hold much promise for use in the communication classroom. Yet potential benefits notwithstanding, implementing new technology in the classroom also offers challenges for faculty who must master it themselves while managing students' learning. Successful clicker implementation, like the…

The Importance of Audience and Agency for Representation: A Case Study of an Urban Youth Media Community.

Science.gov (United States)

Charmaraman, Linda

2010-01-01

PURPOSE: Urban youths' agency to represent their realities through media has been largely unexplored in the youth development literature. In this qualitative case study of an after-school youth media program in the Bay Area, expressions of youth agency and the role of audiences are explored during the process of producing videos for public consumption. METHODOLOGY: As participant observer of 14 ethnically diverse youth participants aged between 15 and 18 years over 18 months, I documented (a) the kind of agencies participants engaged in and (b) the impact of live and imagined future audiences on youths' creative processes. Analyses of field notes, semi-structured interviews, and media projects were conducted using thematic analysis to inductively generate emerging categories. FINDINGS: Themes included an agentive sense of self-efficacy, commitment, and responsibility, as well as perceived contributions to local audiences and an emerging collective identity. The youth demonstrated their increased sense of a social or civic duty to realistically represent youth of color to familiar and unfamiliar audiences. IMPLICATIONS: This case study demonstrated how one youth media organization fostered agency through youth authorship, production, distribution, and local community dialogue. By documenting the impact of audiences from conception to public reception, this study provides valuable insight into the agentive process of publicly "performing" a commitment to complete a social change video project. CONTRIBUTION: This chapter underscores the value of performance within youth development programs and the critical component of audiences as one form of authentic assessment in order to foster individual and collective agency.

Study protocol: Brief intervention for medication overuse headache - A double-blinded cluster randomised parallel controlled trial in primary care

Directory of Open Access Journals (Sweden)

Kristoffersen Espen

2012-08-01

Full Text Available Abstract Background Chronic headache (headache ≥ 15 days/month for at least 3 months affects 2–5% of the general population. Medication overuse contributes to the problem. Medication-overuse headache (MOH can be identified by using the Severity of Dependence Scale (SDS. A “brief intervention” scheme (BI has previously been used for detoxification from drug and alcohol overuse in other settings. Short, unstructured, individualised simple information may also be enough to detoxify a large portion of those with MOH. We have adapted the structured (BI scheme to be used for MOH in primary care. Methods/Design A double-blinded cluster randomised parallel controlled trial (RCT of BI vs. business as usual. Intervention will be performed in primary care by GPs trained in BI. Patients with MOH will be identified through a simple screening questionnaire sent to patients on the GPs lists. The BI method involves an approach for identifying patients with high likelihood of MOH using simple questions about headache frequency and the SDS score. Feedback is given to the individual patient on his/her score and consequences this might have regarding the individual risk of medication overuse contributing to their headache. Finally, advice is given regarding measures to be taken, how the patient should proceed and the possible gains for the patient. The participating patients complete a headache diary and receive a clinical interview and neurological examination by a GP experienced in headache diagnostics three months after the intervention. Primary outcomes are number of headache days and number of medication days per month at 3 months. Secondary outcomes include proportions with 25 and 50% improvement at 3 months and maintenance of improvement and quality of life after 12 months. Discussion There is a need for evidence-based and cost-effective strategies for treatment of MOH but so far no consensus has been reached regarding an optimal medication

Can donated media placements reach intended audiences?

Science.gov (United States)

Cooper, Crystale Purvis; Gelb, Cynthia A; Chu, Jennifer; Polonec, Lindsey

2013-09-01

Donated media placements for public service announcements (PSAs) can be difficult to secure, and may not always reach intended audiences. Strategies used by the Centers for Disease Control and Prevention's (CDC) Screen for Life: National Colorectal Cancer Action Campaign (SFL) to obtain donated media placements include producing a diverse mix of high-quality PSAs, co-branding with state and tribal health agencies, securing celebrity involvement, monitoring media trends to identify new distribution opportunities, and strategically timing the release of PSAs. To investigate open-ended recall of PSAs promoting colorectal cancer screening, CDC conducted 12 focus groups in three U.S. cities with men and women either nearing age 50 years, when screening is recommended to begin, or aged 50-75 years who were not in compliance with screening guidelines. In most focus groups, multiple participants recalled exposure to PSAs promoting colorectal cancer screening, and most of these individuals reported having seen SFL PSAs on television, in transit stations, or on the sides of public buses. Some participants reported exposure to SFL PSAs without prompting from the moderator, as they explained how they learned about the disease. Several participants reported learning key campaign messages from PSAs, including that colorectal cancer screening should begin at age 50 years and screening can find polyps so they can be removed before becoming cancerous. Donated media placements can reach and educate mass audiences, including millions of U.S. adults who have not been screened appropriately for colorectal cancer.

Impact of Interventions to Increase the Proportion of Medical Students Choosing a Primary Care Career: A Systematic Review.

Science.gov (United States)

Pfarrwaller, Eva; Sommer, Johanna; Chung, Christopher; Maisonneuve, Hubert; Nendaz, Mathieu; Junod Perron, Noëlle; Haller, Dagmar M

2015-09-01

Increasing the attractiveness of primary care careers is a key step in addressing the growing shortage of primary care physicians. The purpose of this review was to (1) identify interventions aimed at increasing the proportion of undergraduate medical students choosing a primary care specialty, (2) describe the characteristics of these interventions, (3) assess the quality of the studies, and (4) compare the findings to those of a previous literature review within a global context. We searched MEDLINE, EMBASE, ERIC, CINAHL, PsycINFO, The Cochrane Library, and Dissertations & Theses A&I for articles published between 1993 and February 20, 2015. We included quantitative and qualitative studies reporting on primary care specialty choice outcomes of interventions in the undergraduate medical curriculum, without geographic restrictions. Data extracted included study characteristics, intervention details, and relevant outcomes. Studies were assessed for quality and strength of findings using a five-point scale. The review included 72 articles reporting on 66 different interventions. Longitudinal programs were the only intervention consistently associated with an increased proportion of students choosing primary care. Successful interventions were characterized by diverse teaching formats, student selection, and good-quality teaching. Study quality had not improved since recommendations were published in 1995. Many studies used cross-sectional designs and non-validated surveys, did not include control groups, and were not based on a theory or conceptual framework. Our review supports the value of longitudinal, multifaceted, primary care programs to increase the proportion of students choosing primary care specialties. Isolated modules or clerkships did not appear to be effective. Our results are in line with the conclusions from previous reviews and add an international perspective, but the evidence is limited by the overall low methodological quality of the included

The relation between social anxiety and audience perception: examining Clark and Wells' (1995) model among adolescents.

Science.gov (United States)

Blöte, Anke W; Miers, Anne C; Heyne, David A; Clark, David M; Westenberg, P Michiel

2014-09-01

Clark and Wells' cognitive model of social anxiety proposes that socially anxious individuals have negative expectations of performance prior to a social event, focus their attention predominantly on themselves and on their negative self-evaluations during an event, and use this negative self-processing to infer that other people are judging them harshly. The present study tested these propositions. The study used a community sample of 161 adolescents aged 14-18 years. The participants gave a speech in front of a pre-recorded audience acting neutrally, and participants were aware that the projected audience was pre-recorded. As expected, participants with higher levels of social anxiety had more negative performance expectations, higher self-focused attention, and more negative perceptions of the audience. Negative performance expectations and self-focused attention were found to mediate the relationship between social anxiety and audience perception. The findings support Clark and Wells' cognitive model of social anxiety, which poses that socially anxious individuals have distorted perceptions of the responses of other people because their perceptions are coloured by their negative thoughts and feelings.

Virtual diplomacy: an analysis of the structure of the target audiences

Directory of Open Access Journals (Sweden)

V. V. Verbytska

2016-03-01

Full Text Available In the context of the global information society the communication processes, especially at the international level, become more important.  The effectiveness of communication depends primarily on its focus, i.e. on defining clearly the target audience which it should focus on. Virtual diplomacy, as a kind of political communication at the international level, is no exception.  The novelty, rapid development and dissemination of this phenomenon require profound analysis and elaboration of effective utilization strategies, including studying its recipients and target audiences. Purpose: identification, structuring and analysis of the recipients of virtual diplomacy as the audiences of international political communication. The study uses such research methods, as system analysis, structural functionalism, dialectics and synergy, comparison, critical analysis. Main results of the research: 1. The study examined the specifics of political communication in the context of the development of the global information society at the international level. 2. It also analyzed the recipients of virtual diplomacy as a kind of political communication at the international level. 3. The study highlighted the key target groups in the global Internet network based on the tasks performed by virtual diplomacy. 4. It proved the effectiveness of cooperation with each target group in the framework of virtual diplomacy. 5. It described the specifics of the work with each target group in the context of virtual diplomacy. Practical implications: The article may be useful for writing scientific theoretical studies, tests, essays and term papers, for designing special courses in universities in the sphere of international relations and international information. It can also be a guide for the authorities carrying out diplomatic activities and international information cooperation. Findings: In the context of the establishment of the global information society political

Playing for a Virtual Audience: The Impact of a Social Factor on Gestures, Sounds and Expressive Intents

Directory of Open Access Journals (Sweden)

Simon Schaerlaeken

2017-12-01

Full Text Available Can we measure the impact of the presence of an audience on musicians’ performances? By exploring both acoustic and motion features for performances in Immersive Virtual Environments (IVEs, this study highlights the impact of the presence of a virtual audience on both the performance and the perception of authenticity and emotional intensity by listeners. Gestures and sounds produced were impacted differently when musicians performed at different expressive intents. The social factor made features converge towards values related to a habitual way of playing regardless of the expressive intent. This could be due to musicians’ habits to perform in a certain way in front of a crowd. On the listeners’ side, when comparing different expressive conditions, only one congruent condition (projected expressive intent in front of an audience boosted the participants’ ratings for both authenticity and emotional intensity. At different values for kinetic energy and metrical centroid, stimuli recorded with an audience showed a different distribution of ratings, challenging the ecological validity of artificially created expressive intents. Finally, this study highlights the use of IVEs as a research tool and a training assistant for musicians who are eager to learn how to cope with their anxiety in front of an audience.

Audience segmentation to promote lifestyle for cancer prevention in the Korean community.

Science.gov (United States)

Jo, Heui-Sug; Jung, Su-Mi

2011-01-01

This study was designed to segment the audience group of '10 lifestyle for cancer prevention' based on demographic characteristics and the level of knowledge about each guideline for cancer prevention among the community in South Korea. Participants were chosen through stratified random sampling according to the age and gender distribution of Gangwon province in South Korea. A telephone survey was conducted from 6 to 15 calls among 2,025 persons on October 2008. A total of 1,687 persons completed the survey (response rate: 83.3%). Survey items were composed of socio-demographic characteristics such as age, gender, income, education, and residence area and the knowledge level of '10 guidelines for cancer prevention', developed by 'Korean Ministry of Health and Welfare' and covering smoking cessation, appropriate drinking, condom use, and regular physical activity and so on. We selected the priority needed to promote awareness and segmented the audience group based on the demographic characteristics, homogeneous with respect to the knowledge level using Answer Tree 3.0 with CHAID as a data mining algorithm. The results of analysis showed that each guideline of ' 10 lifestyle for cancer prevention' had its own segmented subgroup characterized by each demographic. Especially, residence area, city or county, and ages were the first split on the perceived level of knowledge and these findings suggested that segmentation of audiences for targeting is needed to deliver more effective education of patients and community people. In developing the strategy for effective education, the method of social marketing using the decision tree analysis could be a useful and appropriate tool. The study findings demonstrate the potential value of using more sophisticated strategies of designing and providing health information based on audience segmentation.

The Hubble Frontier Fields: Engaging Multiple Audiences in Exploring the Cosmic Frontier

Science.gov (United States)

Lawton, Brandon L.; Smith, Denise A.; Summers, Frank; Ryer, Holly; Slivinski, Carolyn; Lotz, Jennifer M.

2017-06-01

The Hubble Frontier Fields is a multi-cycle program of six deep-field observations of strong-lensing galaxy clusters taken in parallel with six deep “blank fields.” The three-year long collaborative program began in late 2013 and is led by observations from NASA’s Great Observatories. The observations, now complete, allow astronomers to look deeper into the universe than ever before, and potentially uncover galaxies that are as much as 100 times fainter than what the telescopes can typically observe. The Frontier Fields science program is ideal for informing audiences about scientific advances and topics in STEM. The study of galaxy properties, statistics, optics, and Einstein’s theory of general relativity naturally leverages off of the science returns of the Frontier Fields program. As a result, the Space Telescope Science Institute’s Office of Public Outreach (OPO) has engaged multiple audiences over the past three years to follow the progress of the Frontier Fields.For over two decades, the STScI outreach program has sought to bring the wonders of the universe to the public and engage audiences in the adventure of scientific discovery. In addition, we are leveraging the reach of the new NASA’s Universe of Learning education program to bring the science of the Frontier Fields to informal education audiences. The main underpinnings of the STScI outreach program and the Universe of Learning education program are scientist-educator development teams, partnerships, and an embedded program evaluation component. OPO is leveraging the infrastructure of these education and outreach programs to bring the Frontier Fields science program to the education community and the public in a cost-effective way.This talk will feature highlights over the past three years of the program. We will highlight OPO’s strategies and infrastructure that allows for the quick delivery of groundbreaking science to the education community and public.

Food in film : a study on audience reception

OpenAIRE

Civelek, Ece Simin

2012-01-01

Ankara : The Department of Communication and Design, İhsan Doğramacı Bilkent University, 2012. Thesis (Master's) -- Bilkent University, 2012. Includes bibliographical references leaves 140-149. This study intends to analyze audience reception of foodstuff and related practices in films. In the study foodstuff and related practices are taken into consideration as a powerful semiotic system and in that respect are evaluated as an important property of filmic narration. Study e...

Audience reactions and receptivity to HIV prevention message concepts for people living with HIV.

Science.gov (United States)

Uhrig, Jennifer D; Bann, Carla M; Wasserman, Jill; Guenther-Grey, Carolyn; Eroğlu, Doğan

2010-04-01

This study measured audience reactions and receptivity to five draft HIV prevention messages developed for people living with HIV (PLWH) to inform future HIV message choice and audience targeting decisions. Our premise was that message concepts that receive wide audience appeal constitute a strong starting point for designing future HIV prevention messages, program activities, and health communication and marketing campaigns for PLWH. The majority of participants indicated agreement with evaluative statements that expressed favorable attitudes toward all five of the message concepts we evaluated. Participants gave the lowest approval to the message promoting sero-sorting. Sociodemographic characteristics played less of a role in predicting differences in message perceptions than attitudes, beliefs and sexual behavior. The general appeal for these messages is encouraging given that messages were expressed in plain text without the support of other creative elements that are commonly used in message execution. These results confirm the utility of systematic efforts to generate and screen message concepts prior to large-scale testing.

The Audiences in View of the Changes in Cyber Journalism

Directory of Open Access Journals (Sweden)

Dr. José Ignacio Armentia Vizuete

2006-01-01

Full Text Available Newspaper in Internet have suffered in the last years a series of changes, in the way towards the acquisition of some own characteristics differentiated with regard to the printed dailys. This evolution also has had his reflex in the audiences. Today Internet isn’t an elitist product and is available for the majority of the population. Nevertheless, the way of measuring the above mentioned audiences constitutes one of the hanging questions for the cybermedia, unlike what it happens in other three big informative supports: press, radio and television, where measurements of reference for each one of the supports exist. As it is exposed in this article, we have a great disparity between the data and methods of measurement of organisms and companies like EGM, OJD, Alexa and others, on the Internet. This text is based on a research about the evolution of the cyberjournalism in Spain financed by the University of the Basque Country.

Knowledge of primary health care and career choice at primary health care settings among final year medical students - challenges to human resources for health in Vietnam.

Science.gov (United States)

Giang, Kim Bao; Minh, Hoang Van; Hien, Nguyen Van; Ngoc, Nguyen Minh; Hinh, Nguyen Duc

2015-01-01

There is a shortage of medical doctors in primary health care (PHC) settings in Vietnam. Evidence about the knowledge medical students have about PHC and their career decision-making is important for making policy in human resources for health. The objective of this study was to analyse knowledge and attitudes about PHC among medical students in their final year and their choice to work in PHC after graduation. A cross-sectional study was conducted among 400 final year general medical students from Hanoi Medical University. Self-administered interviews were conducted. Key variables were knowledge, awareness of the importance of PHC and PHC career choices. Descriptive and analytic statistics were performed. Students had essential knowledge of the concept and elements of PHC and were well aware of its importance. However, only one-third to one half of them valued PHC with regard to their professional development or management opportunities. Less than 1% of students would work at commune or district health facilities after graduation. This study evidences challenges related to increasing the number of medical doctors working in PHC settings. Immediate and effective interventions are needed to make PHC settings more attractive and to encourage medical graduates to start and continue a career in PHC.

Availability and structure of primary medical care services and population health and health care indicators in England

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Adams Geoffrey

2004-06-01

Full Text Available Abstract Background It has been proposed that greater availability of primary medical care practitioners (GPs contributes to better population health. We evaluated whether measures of the supply and structure of primary medical services are associated with health and health care indicators after adjusting for confounding. Methods Data for the supply and structure of primary medical services and the characteristics of registered patients were analysed for 99 health authorities in England in 1999. Health and health care indicators as dependent variables included standardised mortality ratios (SMR, standardised hospital admission rates, and conceptions under the age of 18 years. Linear regression analyses were adjusted for Townsend score, proportion of ethnic minorities and proportion of social class IV/ V. Results Higher proportions of registered rural patients and patients ≥ 75 years were associated with lower Townsend deprivation scores, with larger partnership sizes and with better health outcomes. A unit increase in partnership size was associated with a 4.2 (95% confidence interval 1.7 to 6.7 unit decrease in SMR for all-cause mortality at 15–64 years (P = 0.001. A 10% increase in single-handed practices was associated with a 1.5 (0.2 to 2.9 unit increase in SMR (P = 0.027. After additional adjustment for percent of rural and elderly patients, partnership size and proportion of single-handed practices, GP supply was not associated with SMR (-2.8, -6.9 to 1.3, P = 0.183. Conclusions After adjusting for confounding with health needs of populations, mortality is weakly associated with the degree of organisation of practices as represented by the partnership size but not with the supply of GPs.

Improvements in primary care skills and knowledge with a vocational training program: a medical student's perspective

Directory of Open Access Journals (Sweden)

Ghosh A

2017-09-01

Full Text Available Anita Ghosh, Diya Kapila, Trisha Ghosh  Faculty of Medicine, Imperial College London, Kensington, London, UK We read with great interest, the article by Djalali et al evaluating the impact of a training program during residency, targeted toward primary care.1 This resonated with us from a medical student’s perspective as we are fortunate enough to have a similar program at medical school. Although the article states that future career choices are more likely to be determined during residency, we believe that this can be nurtured earlier through knowledge and early exposure.  View the original paper by Djalali and colleagues. 

Hyperboles not turning to metaphors : How to explain audience cooperativeness?

NARCIS (Netherlands)

van den Hoven, P.J.

2016-01-01

We observe that an audience attempts to interpret the relation between a source domain and a target domain as a hyperbole before interpreting it as a metaphor. It could also first try a metaphorical reading or attempt several possible readings and successively select the relevant outcome. But it

Communicating Ocean Sciences to Informal Audiences (COSIA): Interim Evaluation Report

Science.gov (United States)

St. John, Mark; Phillips, Michelle; Smith, Anita; Castori, Pam

2009-01-01

Communicating Ocean Sciences to Informal Audiences (COSIA) is a National Science Foundation (NSF)-funded project consisting of seven long-term three-way partnerships between the Lawrence Hall of Science (LHS) and an informal science education institution (ISEI) partnered with an institution of higher education (IHE). Together, educators from the…

Communicating Ocean Sciences to Informal Audiences (COSIA): Final Evaluation Report

Science.gov (United States)

Phillips, Michelle; St. John, Mark

2010-01-01

Communicating Ocean Sciences to Informal Audiences (COSIA) is a National Science Foundation (NSF)-funded project consisting of six three-way partnerships between the Lawrence Hall of Science (LHS) and an informal science education institution (ISEI) partnered with an institution of higher education (IHE). Together, educators from the ISEI (often…

Using Audience Segmentation to Tailor Residential Irrigation Water Conservation Programs

Science.gov (United States)

Warner, Laura A.; Chaudhary, Anil Kumar; Rumble, Joy N.; Lamm, Alexa J.; Momol, Esen

2017-01-01

Today's complex issues require technical expertise as well as the application of innovative social science techniques within Extension contexts. Researchers have suggested that a social science approach will play a critical role in water conservation, and people who use home landscape irrigation comprise a critical target audience for agriculture…

Benefits, challenges, and best practices for involving audiences in the development of interactive coastal risk communication tools: Professional communicators' experiences

Science.gov (United States)

Stephens, S. H.; DeLorme, D.

2017-12-01

To make scientific information useful and usable to audiences, communicators must understand audience needs, expectations, and future applications. This presentation synthesizes benefits, challenges, and best practices resulting from a qualitative social science interview study of nine professionals on their experiences developing interactive visualization tools for communicating about coastal environmental risks. Online interactive risk visualization tools, such as flooding maps, are used to provide scientific information about the impacts of coastal hazards. These tools have a wide range of audiences and purposes, including time-sensitive emergency communication, infrastructure and natural resource planning, and simply starting a community conversation about risks. Thus, the science, purposes, and audiences of these tools require a multifaceted communication strategy. In order to make these tools useable and accepted by their audiences, many professional development teams solicit target end-user input or incorporate formal user-centered design into the development process. This presentation will share results of seven interviews with developers of U.S. interactive coastal risk communication tools, ranging from state-level to international in scope. Specific techniques and procedures for audience input that were used in these projects will be discussed, including ad-hoc conversations with users, iterative usability testing with project stakeholder groups, and other participatory mechanisms. The presentation will then focus on benefits, challenges, and recommendations for best practice that the interviewees disclosed about including audiences in their development projects. Presentation attendees will gain an understanding of different procedures and techniques that professionals employ to involve end-users in risk tool development projects, as well as important considerations and recommendations for effectively involving audiences in science communication design.

Treatment of Advanced Glaucoma Study: a multicentre randomised controlled trial comparing primary medical treatment with primary trabeculectomy for people with newly diagnosed advanced glaucoma-study protocol.

Science.gov (United States)

King, Anthony J; Fernie, Gordon; Azuara-Blanco, Augusto; Burr, Jennifer M; Garway-Heath, Ted; Sparrow, John M; Vale, Luke; Hudson, Jemma; MacLennan, Graeme; McDonald, Alison; Barton, Keith; Norrie, John

2017-10-26

Presentation with advanced glaucoma is the major risk factor for lifetime blindness. Effective intervention at diagnosis is expected to minimise risk of further visual loss in this group of patients. To compare clinical and cost-effectiveness of primary medical management compared with primary surgery for people presenting with advanced open-angle glaucoma (OAG). Design : A prospective, pragmatic multicentre randomised controlled trial (RCT). Twenty-seven UK hospital eye services. Four hundred and forty patients presenting with advanced OAG, according to the Hodapp-Parish-Anderson classification of visual field loss. Participants will be randomised to medical treatment or augmented trabeculectomy (1:1 allocation minimised by centre and presence of advanced disease in both eyes). The primary outcome is vision-related quality of life measured by the National Eye Institute-Visual Function Questionnaire-25 at 24 months. Secondary outcomes include generic EQ-5D-5L, Health Utility Index-3 and glaucoma-related health status (Glaucoma Utility Index), patient experience, visual field measured by mean deviation value, logarithm of the mean angle of resolution visual acuity, intraocular pressure, adverse events, standards for driving and eligibility for blind certification. Incremental cost per quality-adjusted life-year (QALY) based on EQ-5D-5L and glaucoma profile instrument will be estimated. The study will report the comparative effectiveness and cost-effectiveness of medical treatment against augmented trabeculectomy in patients presenting with advanced glaucoma in terms of patient-reported health and visual function, clinical outcomes and incremental cost per QALY at 2 years. Treatment of Advanced Glaucoma Study will be the first RCT reporting outcomes from the perspective of those with advanced glaucoma. ISRCTN56878850, Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial

The increased cost of medical services for people diagnosed with primary open-angle glaucoma: a decision analytic approach.

Science.gov (United States)

Kymes, Steven M; Plotzke, Michael R; Li, Jim Z; Nichol, Michael B; Wu, Joanne; Fain, Joel

2010-07-01

Glaucoma accounts for more than 11% of all cases of blindness in the United States, but there have been few studies of economic impact. We examine incremental cost of primary open-angle glaucoma considering both visual and nonvisual medical costs over a lifetime of glaucoma. A decision analytic approach taking the payor's perspective with microsimulation estimation. We constructed a Markov model to replicate health events over the remaining lifetime of someone newly diagnosed with glaucoma. Costs of this group were compared with those estimated for a control group without glaucoma. The cost of management of glaucoma (including medications) before the onset of visual impairment was not considered. The model was populated with probability data estimated from Medicare claims data (1999 through 2005). Cost of nonocular medications and nursing home use was estimated from California Medicare claims, and all other costs were estimated from Medicare claims data. We found modest differences in the incidence of comorbid conditions and health service use between people with glaucoma and the control group. Over their expected lifetime, the cost of care for people with primary open-angle glaucoma was higher than that of people without primary open-angle glaucoma by $1688 or approximately $137 per year. Among Medicare beneficiaries, glaucoma diagnosis not found to be associated with significant risk of comorbidities before development of visual impairment. Further study is necessary to consider the impact of glaucoma on quality of life, as well as aspects of physical and visual function not captured in this claims-based analysis. 2010 Elsevier Inc. All rights reserved.

How to become a competent medical writer?

Directory of Open Access Journals (Sweden)

Suhasini Sharma

2010-01-01

Full Text Available Medical writing involves writing scientific documents of different types which include regulatory and research-related documents, disease or drug-related educational and promotional literature, publication articles like journal manuscripts and abstracts, content for healthcare websites, health-related magazines or news articles. The scientific information in these documents needs to be presented to suit the level of understanding of the target audience, namely, patients or general public, physicians or the regulators. Medical writers require an understanding of the medical concepts and terminology, knowledge of relevant guidelines as regards the structure and contents of specific documents, and good writing skills. They also need to be familiar with searching medical literature, understanding and presenting research data, the document review process, and editing and publishing requirements. Many resources are now available for medical writers to get the required training in the science and art of medical writing, and upgrade their knowledge and skills on an ongoing basis. The demand for medical writing is growing steadily in pharmaceutical and healthcare communication market. Medical writers can work independently or be employed as full time professionals. Life sciences graduates can consider medical writing as a valuable career option.

Shared Medical Appointments: A Portal for Nutrition and Culinary Education in Primary Care—A Pilot Feasibility Project

Science.gov (United States)

Hauser, Michelle E.; Burgess, Jonathan D.; Eisenberg, David M.

2015-01-01

Introduction: Diseases linked to obesity such as cardiovascular disease, diabetes, degenerative joint disease, gastroesophageal reflux, and sleep apnea constitute a large portion of primary care visits. Patients with these conditions often lack knowledge, skills, and support needed to maintain health. Shared medical appointments (SMAs) that include culinary skills and nutrition education offer a novel, cost-effective way to address these diseases in primary care. Methods: Adult patients in a primary care practice at a large academic hospital in Boston, Massachusetts, who had at least 1 cardiovascular risk factor were invited to participate in SMAs that included cooking demonstrations and teaching about nutrition in addition to medical management of their conditions. Sessions were conducted by a physician and an assistant in a conference room of a traditional primary care practice as part of a pilot feasibility project. Results: Seventy patients, contributing a total of 156 patient visits, attended 17 nutrition-focused SMAs over a 4-year period. Patients were surveyed after each visit and indicated that they enjoyed the SMAs, would consider alternating SMAs with traditional one-on-one visits, and would recommend SMAs to others. Half would pay out of pocket or a higher copay to attend SMAs. Financially, the practice broke even compared with traditional one-onone office visits. Conclusion: In this feasibility study, chronic disease SMAs conducted with a culinary/nutrition focus were feasible, cost-effective, and well received by patients. Follow-up studies are needed to evaluate short- and long-term outcomes of this SMA model on obesity-related diseases. PMID:26665019

Shared Medical Appointments: A Portal for Nutrition and Culinary Education in Primary Care-A Pilot Feasibility Project.

Science.gov (United States)

Delichatsios, Helen K; Hauser, Michelle E; Burgess, Jonathan D; Eisenberg, David M

2015-11-01

Diseases linked to obesity such as cardiovascular disease, diabetes, degenerative joint disease, gastroesophageal reflux, and sleep apnea constitute a large portion of primary care visits. Patients with these conditions often lack knowledge, skills, and support needed to maintain health. Shared medical appointments (SMAs) that include culinary skills and nutrition education offer a novel, cost-effective way to address these diseases in primary care. Adult patients in a primary care practice at a large academic hospital in Boston, Massachusetts, who had at least 1 cardiovascular risk factor were invited to participate in SMAs that included cooking demonstrations and teaching about nutrition in addition to medical management of their conditions. Sessions were conducted by a physician and an assistant in a conference room of a traditional primary care practice as part of a pilot feasibility project. Seventy patients, contributing a total of 156 patient visits, attended 17 nutrition-focused SMAs over a 4-year period. Patients were surveyed after each visit and indicated that they enjoyed the SMAs, would consider alternating SMAs with traditional one-on-one visits, and would recommend SMAs to others. Half would pay out of pocket or a higher copay to attend SMAs. Financially, the practice broke even compared with traditional one-onone office visits. In this feasibility study, chronic disease SMAs conducted with a culinary/nutrition focus were feasible, cost-effective, and well received by patients. Follow-up studies are needed to evaluate short- and long-term outcomes of this SMA model on obesity-related diseases.

The relation between social anxiety and audience perception: Examining Clark and Wells’ (1995) model among adolescents

Science.gov (United States)

Blöte, Anke W.; Miers, Anne C.; Heyne, David A.; Clark, David M.; Westenberg, P. Michiel

2016-01-01

Background Clark and Wells’ (1995; Clark, 2001) cognitive model of social anxiety proposes that socially anxious individuals have negative expectations of performance prior to a social event, focus their attention predominantly on themselves and on their negative self-evaluations during an event, and use this negative self processing to infer that other people are judging them harshly. Aims The present study tested these propositions. Method The study used a community sample of 161 adolescents aged 14-18 years. The participants gave a speech in front of a pre-recorded audience acting neutrally, and participants were aware that the projected audience was pre-recorded. Results As expected, participants with higher levels of social anxiety had more negative performance expectations, higher self-focused attention, and more negative perceptions of the audience. Negative performance expectations and self-focused attention were found to mediate the relationship between social anxiety and audience perception. Conclusion The findings support Clark and Wells’ cognitive model of social anxiety which poses that socially anxious individuals have distorted perceptions of the responses of other people because their perceptions are colored by their negative thoughts and feelings. PMID:23635882

Diode laser trans - scleral cyclo - ablation as a primary surgical treatment for primary open - angle glaucoma after maximum tolerated medical therapy

International Nuclear Information System (INIS)

Mahmood, K.; Khan, M.T.; Butt, J.B.Y.

2011-01-01

The incidence rate and prevalence of glaucoma in Pakistan is similar to that of other dark - colored population countries. Primary trabeculectomy is still a preferred surgical approach. Diode laser is widely accepted as the therapy of choice in severe glaucoma cases. The purpose of this study was to deter-mine the role of Diode Laser Transscleral Cyclo-ablation as a primary surgical treatment option in Primary Open Angle Glaucoma after maximum tolerated medical therapy. This quasi - experimental study was con-ducted at Layton Rahmatullah Benevolent Trust Free Eye Care and Cancer Hospital, Lahore. Sixty patients fulfilling the inclusion criteria were selected from the Glaucoma unit for this study. 25 - 30 burns of Diode Laser were applied to 270 degrees avoiding 3 and 9 O clock positions, 1.5 mm posterior to the limbus. Laser was set at duration of 1 second and power between 1000 and 1500 mw. Patients were followed up for a period of one year. Results: Out of a total of 60 eyes with mean age 52.73 +- 7.40 years, 36 (60%) were male and 24 (40%) were female. The mean pre-operative Intra Ocular Pressure IOP was 41.0 +- 7.0 mmHg (The pre-operative IOP ranged from 28 mmHg to 60 mmHg). The mean post-operative IOP was 18.97 mmHg on day one, 16.75 mmHg at 1 week, 15.68 mmHg at 1 month, 15.00 mmHg at 6 months and by the end of a year it was about 14.15 mmHg (The post-operative IOP ranged from 6 mmHg to 52 mmHg). There was a significant drop of more than 50% of post-operative IOP as compared to pre-operative IOP. Conclusion: Diode Laser Transscleral Cycloablation is a practical, rapid, well - tolerated procedure that provides a significant lowering of intraocular pressure with few complications and can considered as alternative treatment in POAG if medical therapy fails. (author)

Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?

Directory of Open Access Journals (Sweden)

Jaworski M

2017-07-01

Full Text Available Mariusz Jaworski,1 Marta Rzadkiewicz,1 Miroslawa Adamus,1 Joanna Chylinska,1 Magdalena Lazarewicz,1 Gørill Haugan,2 Monica Lillefjell,3 Geir Arild Espnes,2 Dorota Wlodarczyk1 1Department of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland; 2Department of Public Health and Nursing, 3Department of Neuromedicine and Movement Science, NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway Introduction: There is evidence that meeting patients’ expectations toward health care correlates with involvement in the treatment they receive. The most important patient expectations concern certain types of information: explanation of disease and treatment, health promotion, and improvement in quality of life. Other demands include proper rapport and emotional support. The aim of this paper was to examine different patient groups over the age of 50 years and their expectations toward medical visits, evaluated before a visit and after the visit.Patients and methods: The study group consisted of 4,921 primary health-care patients. The patients received self-administered questionnaires that they filled in before and after the appointment with the doctor. Interviews with patients were conducted individually by specially trained interviewers. The PRACTA Patient Expectations Scale was used to measure the appointment-related expectations of the patients.Results: We observed differences related to age in patients’ expectations before medical visits regarding the following factors: disease explanation, treatment explanation, quality of life, rapport, and emotional support. The same differences were not observed on health promotion. Evaluation of patients’ appointment-related experiences after the visit showed that there were significant differences between the age-groups regarding all types of expectations included in the study. Differences between previsit and

Reusability of coded data in the primary care electronic medical record : A dynamic cohort study concerning cancer diagnoses

NARCIS (Netherlands)

Sollie, Annet; Sijmons, Rolf H.; Helsper, Charles W.; Numans, Mattijs E.

Objectives: To assess quality and reusability of coded cancer diagnoses in routine primary care data. To identify factors that influence data quality and areas for improvement. Methods: A dynamic cohort study in a Dutch network database containing 250,000 anonymized electronic medical records (EMRs)

Creating a Library of Climate Change Education Resources for Audiences in the Southeast United States

Science.gov (United States)

Carroll, J.; McNeal, K. S.; Williams, C. C.; Paz, J. O.; Cho, H. "; Nair, U. S.; Geroux, J.; Guthrie, C.; Wright, K.; Hill, J.

2011-12-01

The Climate Literacy Partnership in the Southeast (CLiPSE) is a part of the Climate Change Education Program supported by the National Science Foundation (http://CLiPSE-project.org). The established CLiPSE partnership is dedicated to improving climate literacy in the southeast and promoting scientifically accurate, formal educational resources for the K-12 classroom audience, as well as informal educational resources for audiences such as agriculture, education, leisure, and religious organizations, to name a few. The CLiPSE project has been successful in creating partnerships with the National Geographic Alliances, Departments of Education, and Mississippi Environmental Education Alliance, among others, to determine an effective strategic plan for reaching K-12 audiences. One goal in the strategic plan is to create a catalog of climate change education resources that are aligned to state standards in the SE. Eighty-seven resources from the Climate Literacy and Energy Awareness Network (http://cleanet.org) have been aligned with the state education standards for grades six through twelve in the southeast, beginning with science in Mississippi and expanding to include science and math in the remaining SE states. The criteria for aligning the existing resources includes: matching key terms, topics, and lesson activities with the content strands and essential skills included in the state science framework. By developing a searchable database containing climate resources already aligned with state standards, CLiPSE will have made these resources more appealing to educators in the SE, increasing the likelihood of resources being implemented in the classroom. The CLiPSE Climate Science Team has also created an inventory of scientifically sound, informal resources, which will be available for dispersion to appropriate audiences and communities. Cataloged resources, both formal and informal, grouped by a variety of means, to include audience, grade level, and resource

Online Health Monitoring using Facebook Advertisement Audience Estimates in the United States: Evaluation Study

Science.gov (United States)

Weber, Ingmar; Fernandez-Luque, Luis

2018-01-01

Background Facebook, the most popular social network with over one billion daily users, provides rich opportunities for its use in the health domain. Though much of Facebook’s data are not available to outsiders, the company provides a tool for estimating the audience of Facebook advertisements, which includes aggregated information on the demographics and interests, such as weight loss or dieting, of Facebook users. This paper explores the potential uses of Facebook ad audience estimates for eHealth by studying the following: (1) for what type of health conditions prevalence estimates can be obtained via social media and (2) what type of marker interests are useful in obtaining such estimates, which can then be used for recruitment within online health interventions. Objective The objective of this study was to understand the limitations and capabilities of using Facebook ad audience estimates for public health monitoring and as a recruitment tool for eHealth interventions. Methods We use the Facebook Marketing application programming interface to correlate estimated sizes of audiences having health-related interests with public health data. Using several study cases, we identify both potential benefits and challenges in using this tool. Results We find several limitations in using Facebook ad audience estimates, for example, using placebo interest estimates to control for background level of user activity on the platform. Some Facebook interests such as plus-size clothing show encouraging levels of correlation (r=.74) across the 50 US states; however, we also sometimes find substantial correlations with the placebo interests such as r=.68 between interest in Technology and Obesity prevalence. Furthermore, we find demographic-specific peculiarities in the interests on health-related topics. Conclusions Facebook’s advertising platform provides aggregate data for more than 190 million US adults. We show how disease-specific marker interests can be used to model

Briefing Products - Tools for Communicating Technical Issues to a Non-Technical Audience

International Nuclear Information System (INIS)

Clark, Harvey; Foster, Kevin T.

2011-01-01

Briefing Products are a new NARAC/IMAAC product line designed to communicate the consequences of a radiological, nuclear, chemical or biological agent incident to non-technical decision makers and key leaders. Each Briefing Product addresses a single decision or issue focused on potential actions that should be considered when responding to a hazard, while avoiding the use of technical or regulatory jargon. Briefing Products do not make protective action recommendations, although they do concretely assist decision-makers with development of their own protective actions by quoting or paraphrasing the published guidance relevant to the decision at hand. Briefing Products are produced in sets tailored to specific types of incident which together depict the key decisions and characteristics of the incident. Each Briefing Product in the set consists of three elements: (1) Primary Effects, (2) Key Points and (3) Presenter Notes. Both the Primary Effects and Key Points are ready for direct presentation, while the Presenter Notes are designed to provide background information to the presenter and are not for direct presentation to the audience. The Briefing Products themselves are alternative presentations of results from the customary standard NARAC/IMAAC technical products. Currently, Briefing Products are available for detonation of both RDDs (Radiological Dispersal Devices) and INDs (Improvised Nuclear Devices). A new set of products tailored to nuclear power plant (NPP) accidents is currently under development. This paper describes the scope, structure and content of the Briefing Product sets. Examples from the two sets of Briefing Products now available are presented.

Identification of primary thyroid lymphoma with medical imaging: A case report and review of the literature.

Science.gov (United States)

Wang, Jia-Huan; Chen, Liang; Ren, Ke

2014-12-01

Primary thyroid lymphoma (PTL) is a rare thyroid malignancy. Clinical diagnosis of PTL may not be easily established based on imaging studies, as the imaging features of PTL are similar to those of lymphocytic thyroiditis and primary thyroid cancer. The present study describes the case of a patient who was confirmed to have PTL by intra-operative pathological diagnosis. On color Doppler ultrasound, the PTL was shown as a significantly enlarged thyroid with reduced gland echoes. Color Doppler flow imaging showed increased blood flow. By computed tomography, the thyroid was revealed to be enlarged with reduced tissue density, particularly in the left lobe and the isthmus. In addition, calcified spots and swollen lymph nodes were evident. The clinical history of the patient was obtained and the imaging results were retrospectively analyzed. The imaging features of PTL were investigated through reviewing the literature. PTL exhibits specific features on medical imaging that aid in distinguishing it from other thyroid diseases. PTL exhibits specific features on medical imaging that aid in distinguishing PTL from other thyroid diseases, which may aid the support for clinical diagnosis and improve the clinical accuracy.

Experio: a design for novel audience participation in club settings

NARCIS (Netherlands)

van Hout, B.F.K.; Giacolini, L.; Hengeveld, B.J.; Funk, M.; Frens, J.W.

2014-01-01

When looking at modern music club settings, especially in the area of electronic music, music is consumed in a unidirectional way – from DJ or producer to the audience – with little direct means to influence and participate. In this paper we challenge this phenomenon and aim for a new bond between

Pedro Gutierrez Bueno's Textbooks: Audiences, Teaching Practices and Chemical Revolution

Science.gov (United States)

Sanchez, Jose Ramon Bertomeu; Belmar, Antonio Garcia

2006-01-01

Pedro Gutierrez Bueno wrote two editions of a chemistry textbook between 1788 and 1802. The paper offers a comparative view of both editions taking into account Gutierrez Bueno's biography, his intended audience and the changes related to the so-called chemical revolution. Some conclusions are at odds with common images about scientific…

Developing a funding model for an after-hours primary medical care service in a rural town.

Science.gov (United States)

O'Meara, P; Hall, R H; Strasser, R; Speck, V

1998-01-01

The study described in this paper aimed to determine a funding model for an after-hours primary medical care service in the rural town of Moe, a socioeconomically disadvantaged area of Victoria suffering the rigours of industry restructuring and privatisation. It has 12.5 equivalent full-time general practitioners servicing 21,966 persons. A break-even analysis of the financial viability compared the expected costs of providing the service with the anticipated income. A mixed funding model is recommended. This would incorporate a general practitioner incentive scheme and State Government underwriting of infrastructure and basic non-medical staffing costs during the business development phase to supplement the income from the Health Insurance Commission.

Effects of online advertising format and persuasion knowledge on audience reactions

NARCIS (Netherlands)

Tutaj, K.; van Reijmersdal, E.A.

2012-01-01

In an experiment (N = 99), effects of subtle and prominent online advertising formats, respectively sponsored content and banner ads, on audience reactions toward the advertisement are tested. In addition, the role of several persuasion knowledge elements such as understanding of persuasive intent

A New Development in Audiovisual Translation Studies: Focus on Target Audience Perception

Directory of Open Access Journals (Sweden)

John Denton

2013-03-01

Full Text Available Audiovisual translation is now a well-established sub-discipline of Translation Studies (TS: a position that it has reached over the last twenty years or so. Italian scholars and professionals in the field have made a substantial contribution to this successful development, a brief overview of which will be given in the first part of this article, inevitably concentrating on dubbing in the Italian context. Special attention will be devoted to the question of target audience perception, an area where researchers in the University of Bologna at Forlì have excelled. The second part of the article applies the methodology followed by the above mentioned researchers in a case study of how Italian end users perceive the dubbed version of the British film The History Boys (2006, which contains a plethora of culture-specific verbal and visual references to the English education system. The aim of the study was to ascertain: a whether translation/adaptation allows the transmission in this admittedly constrained medium of all the intended culture-bound issues, only too well known to the source audience, and, if so, to what extent, and b whether the target audience respondents to the e-questionnaire used were aware that they were missing information. The linked, albeit controversial, issue of quality assessment will also be addressed.

East German medical aid to Nicaragua: the politics of solidarity between biomedicine and primary health care.

Science.gov (United States)

Borowy, Iris

2017-01-01

Between 1979 and 1989 the government of the German Democratic Republic provided health assistance to Sandinista Nicaragua. After initial relief aid, the Sandinista embrace of a primary health care-based health system made East German health support difficult. The non-convertible currency, the repressive quality of the East German leadership, and the lack of experience with primary health care processes all limited its potential to provide support. After 1985, when implementation of this system stalled, East German health assistance was revitalized with the donation of the Hospital Carlos Marx. Providing medical services to three hundred thousand people, it combined elements of a strictly East German institution, using German personnel and equipment, with some integration into local systems.

Australian news media framing of medical tourism in low- and middle-income countries: a content review.

Science.gov (United States)

Imison, Michelle; Schweinsberg, Stephen

2013-02-05

Medical tourism - travel across international borders for health care - appears to be growing globally, with patients from high-income nations increasingly visiting low- and middle-income countries to access such services. This paper analyses Australian television and newspaper news and current affairs coverage to examine how medical tourism and these destinations for the practice are represented to media audiences. Electronic copies of Australian television (n = 66) and newspaper (n = 65) items from 2005-2011 about medical care overseas were coded for patterns of reporting (year, format and type) and story characteristics (geographic and medical foci in the coverage, news actors featured and appeals, credibility and risks of the practice mentioned). Australian media coverage of medical tourism was largely focused on Asia, featuring cosmetic surgery procedures and therapies unavailable domestically. Experts were the most frequently-appearing news actors, followed by patients. Common among the types of appeals mentioned were access to services and low cost. Factors lending credibility included personal testimony, while uncertainty and ethical dilemmas featured strongly among potential risks mentioned from medical tourism. The Australian media coverage of medical tourism was characterised by a narrow range of medical, geographic and ethical concerns, a focus on individual Australian patients and on content presented as being personally relevant for domestic audiences. Medical tourism was portrayed as an exercise of economically-rational consumer choice, but with no attention given to its consequences for the commodification of health or broader political, medical and ethical implications. In this picture, LMICs were no longer passive recipients of aid but providers of a beneficial service to Australian patients.

Perturbed Communication in a Virtual Environment to Train Medical Team Leaders

OpenAIRE

Huguet , Lauriane; Lourdeaux , Domitile; Sabouret , Nicolas; Ferrer , Marie-Hélène

2016-01-01

International audience; The VICTEAMS project aims at designing a virtual environment for training medical team leaders to non-technical skills. The virtual environment ispopulated with autonomous virtual agents who are able to make mistakes (in action or communication) in order to train rescue team leaders and to make them adaptive with all kinds of situations or teams.

Blueprint for an Undergraduate Primary Care Curriculum.

Science.gov (United States)

Fazio, Sara B; Demasi, Monica; Farren, Erin; Frankl, Susan; Gottlieb, Barbara; Hoy, Jessica; Johnson, Amanda; Kasper, Jill; Lee, Patrick; McCarthy, Claire; Miller, Kathe; Morris, Juliana; O'Hare, Kitty; Rosales, Rachael; Simmons, Leigh; Smith, Benjamin; Treadway, Katherine; Goodell, Kristen; Ogur, Barbara

2016-12-01

In light of the increasing demand for primary care services and the changing scope of health care, it is important to consider how the principles of primary care are taught in medical school. While the majority of schools have increased students' exposure to primary care, they have not developed a standardized primary care curriculum for undergraduate medical education. In 2013, the authors convened a group of educators from primary care internal medicine, pediatrics, family medicine, and medicine-pediatrics, as well as five medical students to create a blueprint for a primary care curriculum that could be integrated into a longitudinal primary care experience spanning undergraduate medical education and delivered to all students regardless of their eventual career choice.The authors organized this blueprint into three domains: care management, specific areas of content expertise, and understanding the role of primary care in the health care system. Within each domain, they described specific curriculum content, including longitudinality, generalism, central responsibility for managing care, therapeutic alliance/communication, approach to acute and chronic care, wellness and prevention, mental and behavioral health, systems improvement, interprofessional training, and population health, as well as competencies that all medical students should attain by graduation.The proposed curriculum incorporates important core features of doctoring, which are often affirmed by all disciplines but owned by none. The authors argue that primary care educators are natural stewards of this curriculum content and can ensure that it complements and strengthens all aspects of undergraduate medical education.

Readiness for the Patient-Centered Medical Home: structural capabilities of Massachusetts primary care practices.

Science.gov (United States)

Friedberg, Mark W; Safran, Dana G; Coltin, Kathryn L; Dresser, Marguerite; Schneider, Eric C

2009-02-01

The Patient-Centered Medical Home (PCMH), a popular model for primary care reorganization, includes several structural capabilities intended to enhance quality of care. The extent to which different types of primary care practices have adopted these capabilities has not been previously studied. To measure the prevalence of recommended structural capabilities among primary care practices and to determine whether prevalence varies among practices of different size (number of physicians) and administrative affiliation with networks of practices. Cross-sectional analysis. One physician chosen at random from each of 412 primary care practices in Massachusetts was surveyed about practice capabilities during 2007. Practice size and network affiliation were obtained from an existing database. Presence of 13 structural capabilities representing 4 domains relevant to quality: patient assistance and reminders, culture of quality, enhanced access, and electronic health records (EHRs). Three hundred eight (75%) physicians responded, representing practices with a median size of 4 physicians (range 2-74). Among these practices, 64% were affiliated with 1 of 9 networks. The prevalence of surveyed capabilities ranged from 24% to 88%. Larger practice size was associated with higher prevalence for 9 of the 13 capabilities spanning all 4 domains (P < 0.05). Network affiliation was associated with higher prevalence of 5 capabilities (P < 0.05) in 3 domains. Associations were not substantively altered by statistical adjustment for other practice characteristics. Larger and network-affiliated primary care practices are more likely than smaller, non-affiliated practices to have adopted several recommended capabilities. In order to achieve PCMH designation, smaller non-affiliated practices may require the greatest investments.

Research on Tele2 campaign "Meteorite". The real and the desirable perception by target audience

OpenAIRE

Kalve, Anita

2010-01-01

The theme of the Bachelor work is: ‘’Research on Tele2 campaign ‘’Meteorite’’. The real and the desirable perception by target audience.’’’’. Several subjects are described in this work, such as – communication process from a marketing perspective, integrated marketing communication, campaig planning, guerilla marketing and it’s tools. The problematics – perception of the target audience, which leads to the objective: finding out if the desirable perception which was planned...

Making Sense of Shakespeare: a Cultural Icon for Contemporary Audiences

Directory of Open Access Journals (Sweden)

Michael Olsson

2013-11-01

Full Text Available The works of William Shakespeare are more popular in the 21st century than ever before, Why are theatre and audiences around the globe still drawn to his work? How do they make sense of these texts in ways that resonate with their cosmopolitan, contemporary audiences? This article uses the findings of a study interviewing 35 theatre professionals in Canada, Finland and the United Kingdom to explore these issues. Theoretically and methodologically, it is a bricollage, drawing on a range of approaches including Foucault’s discourse analysis, Hobsbawm’s invented traditions and Dervin’s Sense-Making to understand participants sense-making as an affective, embodied social practice. It argues that attempting to understand the significance of a major cultural icon such as Shakespeare in contemporary cosmopolitan civil society needs to recognise the many meanings, roles and significances that surround him and that this complexity makes it unlikely that any one theoretical lens will prove adequate on its own. DOI: http://dx.doi.org/10.5130/ccs.v5i3.3640

Social facilitation of cognition in rhesus monkeys: audience vs. coaction

Directory of Open Access Journals (Sweden)

Amélie J. Reynaud

2015-12-01

Full Text Available Social psychology has long established that the mere presence of a conspecific, be it an active co-performer (coaction effect, or a passive spectator (audience effect changes behavior in humans. Yet, the process mediating this fundamental social influence has so far eluded us. Brain research and its nonhuman primate animal model, the rhesus macaque, could shed new light on this long debated issue. For this approach to be fruitful, however, we need to improve our patchy knowledge about social presence influence in rhesus macaques. Here, seven adults (two dyads and one triad performed a simple cognitive task consisting in touching images to obtain food treats, alone versus in presence of a co-performer or a spectator. As in humans, audience sufficed to enhance performance to the same magnitude as coaction. Effect sizes were however 4 times larger than those typically reported in humans in similar tasks. Both findings are an encouragement to pursue brain and behavior research in the rhesus macaque to help solve the riddle of social facilitation mechanisms.

Leveraging CosmoQuest: Quantitative Analysis of Audience Interests and Behaviors

Science.gov (United States)

Buxner, S.; Gay, P.; Bakerman, M. N.; Graziano, N.; Murph, S.; Reiheld, A.

2017-12-01

Online science education projects have the potential to reach larger audiences than any other form of public engagement. For this potential to be realized, educators and communicators must get their message heard above the roar of competing content - the news, memes, games, and gossip that dominate online spaces. Once heard, projects must further inspire engagement, and that engagement needs to be meaningful so that it motivates and supports learning. The CosmoQuest project, launched in 2012, has been collecting data on what factors trigger engagement, and how social media in particular can be used to learn about audiences interests, and measure what kinds of messages trigger interaction. This study examines the interplay between social media frequency and messaging, and user engagement in educational content and citizen science. It further data mines Twitter to directly measure the interests of people who follow CosmoQuest on social media. This information will allow us to effectively recruit new people from space science adjacent interests, and to effectively engage them through research validated strategies.

Diagnostic Imaging in the Medical Support of the Future Missions to the Moon

Science.gov (United States)

Sargsyan, Ashot E.; Jones, Jeffrey A.; Hamilton, Douglas R.; Dulchavsky, Scott A.; Duncan, J. Michael

2007-01-01

This viewgraph presentation is a course that reviews the diagnostic imaging techniques available for medical support on the future moon missions. The educational objectives of the course are to: 1) Update the audience on the curreultrasound imaging in space flight; 2) Discuss the unique aspects of conducting ultrasound imaging on ISS, interplanetary transit, ultrasound imaging on ISS, interplanetary transit, and lunar surface operations; and 3) Review preliminary data obtained in simulations of medical imaging in lunar surface operations.

Factors that influence a career choice in primary care among medical students from high-, middle-, and low-income countries: a systematic review.

Science.gov (United States)

Puertas, E Benjamín; Arósquipa, Carlos; Gutiérrez, Daniela

2013-11-01

To determine which factors influence a medical student's decision to choose a career in primary care; and to establish if these factors are similar or different among students in high-, middle- and low-income countries. An extensive search was done of PubMed, Google Scholar, and Virtual Library of Health for articles on primary care careers published in 2003-2013 in English, Spanish, and/or Portuguese. Initially, 600 records were identified; 74 full-text articles were assessed for eligibility and 55 were selected (42 from high-income countries; 13 from middle- and low-income). These were assessed to identify intrinsic and extrinsic factors that influence career choice among medical students from high-, middle-, and low-income countries. A comparison framework with common and specific factors that influence career choice in primary care among medical students from high-, middle- and low-income was developed. Factors were classified as extrinsic or intrinsic, and as facilitators or barriers. Several factors common to all countries were identified: facilitators were exposure to rural location, role models, working conditions; barriers were low income, prestige, and medical school environment. Some factors specific to middle- and low-income countries were: understanding of rural needs and intellectual challenge. Other factors specific to high-income countries were: attitude towards social problems, voluntary work, influence of family, and length of residency. Further studies on the subject are needed, especially in low- and middle-income countries. Identifying factors as barriers or facilitators for career choice will promote a better understanding of the reasons behind the shortage of primary care professionals and will contribute to policy building, improved training, and recruitment and retention of these professionals.

Changing Resistant Audience Attitudes Using Social Judgment Theory's "Anchor" Point Perspectives

Science.gov (United States)

Ramos Salazar, Leslie

2017-01-01

Courses: Public Speaking, Business and Professional Communication, Persuasion, or any other skill-based oral communication course. Objectives: Students will practice the development and demonstration of persuasive arguments in this single-class social judgment theory activity to improve their ability to change resistant audience attitudes.

How Experts' Use of Medical Technical Jargon in Different Types of Online Health Forums Affects Perceived Information Credibility: Randomized Experiment With Laypersons.

Science.gov (United States)

Zimmermann, Maria; Jucks, Regina

2018-01-23

Online health forums are widely used, but the quality of advice differs as much as the knowledge backgrounds of the audience members who receive the advice. It is important to understand how people judge the information given online. In line with the communication accommodation theory (CAT), online forums represent specific social contexts of communication which can present either accommodative or nonaccommodative language to an audience. Accordingly, use of accommodative or nonaccommodative language might affect people's perceived trust in the communicator. The objective of this study was to investigate how experts who use accommodative (vs nonaccommodative) language are evaluated by passive users of an online forum. Participants (n=98) took part in an online experiment and read experts' posts about 10 nutrition myths. Following a 2 x 2 mixed design, experts' posts were written using either low or high amounts of medical technical jargon (MTJ) (within factor) and were directed at different audiences (mainly other medical experts [in a professional forum] vs a user group mainly comprising laypersons [in an advisory forum]) (between factor). Accommodation occurred where experts used high amounts of MTJ to address other medical experts in the professional forum; it also occurred when experts used low amounts of MTJ to address laypersons in the advisory forum. Conversely, nonaccommodation occurred when experts used high amounts of MTJ in the advisory forum and low amounts of MTJ in the professional forum. In each condition, participants evaluated the credibility of the information, the trustworthiness of the experts, and the accommodation by the experts. Overall, participants judged the credibility of information to be higher when experts used MTJ that was accommodative to the designated audience, F 1,95 =3.10, P=.04, η p 2 =.031. In addition, participants judged the experts in professional forums to be more trustworthy than experts in advisory forums (all F 1,96 �

Active audiencies and journalism: Involved citizens or motivated consumers?

OpenAIRE

Masip, Pere; Guallar, Javier; Peralta, Miquel; Ruiz-Caballero, Carlos; Suau, Jaume

2015-01-01

Audience participation, in any of its forms and names (public journalism, citizen journalism, participatory journalism, UGC), appears to revitalise democracy, thanks to the opportunities for public debate opened up by information and communications technology. On the other hand, however, there are many authors who question whether interactive technologies really encourage democracy or the market, empower the citizen or strengthen the consumer. In this context, we still have little information...

Active audiences and journalism: Involved citizens or motivated consumers?

OpenAIRE

Masip, Pere; Guallar, Javier; Peralta, Miquel; Ruiz, Carles; Suau, Jaume

2015-01-01

Audience participation, in any of its forms and names (public journalism, citizen journalism, participatory journalism, UGC), appears to revitalise democracy, thanks to the opportunities for public debate opened up by information and communications technology. On the other hand, however, there are many authors who question whether interactive technologies really encourage democracy or the market, empower the citizen or strengthen the consumer. In this context, we still have little information...

Audience Perception of Nollywood Films | Agba | Lwati: A Journal of ...

African Journals Online (AJOL)

The stimulus providing the drive into the writing of the article titled: audience perception of Nollywood Films in Nigeria arises as a result of the severe perceptual criticism about Nollywood Films even to the point of suggesting that the product of the industry should be of no use. Thus, this article is written after an empirical ...

Patient-centered medical home implementation and primary care provider turnover.

Science.gov (United States)

Sylling, Philip W; Wong, Edwin S; Liu, Chuan-Fen; Hernandez, Susan E; Batten, Adam J; Helfrich, Christian D; Nelson, Karin; Fihn, Stephan D; Hebert, Paul L

2014-12-01

The Veterans Health Administration (VHA) began implementing a patient-centered medical home (PCMH) model of care delivery in April 2010 through its Patient Aligned Care Team (PACT) initiative. PACT represents a substantial system reengineering of VHA primary care and its potential effect on primary care provider (PCP) turnover is an important but unexplored relationship. This study examined the association between a system-wide PCMH implementation and PCP turnover. This was a retrospective, longitudinal study of VHA-employed PCPs spanning 29 calendar quarters before PACT and eight quarters of PACT implementation. PCP employment periods were identified from administrative data and turnover was defined by an indicator on the last quarter of each uncensored period. An interrupted time series model was used to estimate the association between PACT and turnover, adjusting for secular trend and seasonality, provider and job characteristics, and local unemployment. We calculated average marginal effects (AME), which reflected the change in turnover probability associated with PACT implementation. The quarterly rate of PCP turnover was 3.06% before PACT and 3.38% after initiation of PACT. In adjusted analysis, PACT was associated with a modest increase in turnover (AME=4.0 additional PCPs per 1000 PCPs per quarter, P=0.004). Models with interaction terms suggested that the PACT-related change in turnover was increasing in provider age and experience. PACT was associated with a modest increase in PCP turnover, concentrated among older and more experienced providers, during initial implementation. Our findings suggest that policymakers should evaluate potential workforce effects when implementing PCMH.

Feminist ethics and menopause: autonomy and decision-making in primary medical care.

Science.gov (United States)

Murtagh, Madeleine J; Hepworth, Julie

2003-04-01

The construction of menopause as a long-term risk to health and the adoption of discourses of prevention has made necessary a decision by women about medical treatment; specifically regarding the use of hormone replacement therapy. In a study of general practitioners' accounts of menopause and treatment in Australia, women's 'choice', 'informed decision-making' and 'empowerment' were key themes through which primary medical care for women at menopause was presented. These accounts create a position for women defined by the concept of individual choice and an ethic of autonomy. These data are a basis for theorising more generally in this paper. We critically examine the construct of 'informed decision-making' in relation to several approaches to ethics including bioethics and a range of feminist ethics. We identify the intensification of power relations produced by an ethic of autonomy and discuss the ways these considerations inform a feminist ethics of decision-making by women. We argue that an 'ethic of autonomy' and an 'offer of choice' in relation to health care for women at menopause, far from being emancipatory, serves to intensify power relations. The dichotomy of choice, to take or not to take hormone replacement therapy, is required to be a choice and is embedded in relations of power and bioethical discourse that construct meanings about what constitutes decision-making at menopause. The deployment of the principle of autonomy in medical practice limits decision-making by women precisely because it is detached from the construction of meaning and the self and makes invisible the relations of power of which it is a part.

Wait times to rheumatology care for patients with rheumatic diseases: a data linkage study of primary care electronic medical records and administrative data.

Science.gov (United States)

Widdifield, Jessica; Bernatsky, Sasha; Thorne, J Carter; Bombardier, Claire; Jaakkimainen, R Liisa; Wing, Laura; Paterson, J Michael; Ivers, Noah; Butt, Debra; Lyddiatt, Anne; Hofstetter, Catherine; Ahluwalia, Vandana; Tu, Karen

2016-01-01

The Wait Time Alliance recently established wait time benchmarks for rheumatology consultations in Canada. Our aim was to quantify wait times to primary and rheumatology care for patients with rheumatic diseases. We identified patients from primary care practices in the Electronic Medical Record Administrative data Linked Database who had referrals to Ontario rheumatologists over the period 2000-2013. To assess the full care pathway, we identified dates of symptom onset, presentation in primary care and referral from electronic medical records. Dates of rheumatologist consultations were obtained by linking with physician service claims. We determined the duration of each phase of the care pathway (symptom onset to primary care encounter, primary care encounter to referral, and referral to rheumatologist consultation) and compared them with established benchmarks. Among 2430 referrals from 168 family physicians, 2015 patients (82.9%) were seen by 146 rheumatologists within 1 year of referral. Of the 2430 referrals, 2417 (99.5%) occurred between 2005 and 2013. The main reasons for referral were osteoarthritis (32.4%) and systemic inflammatory rheumatic diseases (30.6%). Wait times varied by diagnosis and geographic region. Overall, the median wait time from referral to rheumatologist consultation was 74 (interquartile range 27-101) days; it was 66 (interquartile range 18-84) days for systemic inflammatory rheumatic diseases. Wait time benchmarks were not achieved, even for the most urgent types of referral. For systemic inflammatory rheumatic diseases, most of the delays occurred before referral. Rheumatology wait times exceeded established benchmarks. Targeted efforts are needed to promote more timely access to both primary and rheumatology care. Routine linkage of electronic medical records with administrative data may help fill important gaps in knowledge about waits to primary and specialty care.

Interface of Linguistic and Visual Information During Audience Design.

Science.gov (United States)

Fukumura, Kumiko

2015-08-01

Evidence suggests that speakers can take account of the addressee's needs when referring. However, what representations drive the speaker's audience design has been less clear. This study aims to go beyond previous studies by investigating the interplay between the visual and linguistic context during audience design. Speakers repeated subordinate descriptions (e.g., firefighter) given in the prior linguistic context less and used basic-level descriptions (e.g., man) more when the addressee did not hear the linguistic context than when s/he did. But crucially, this effect happened only when the referent lacked the visual attributes associated with the expressions (e.g., the referent was in plain clothes rather than in a firefighter uniform), so there was no other contextual cue available for the identification of the referent. This suggests that speakers flexibly use different contextual cues to help their addressee map the referring expression onto the intended referent. In addition, speakers used fewer pronouns when the addressee did not hear the linguistic antecedent than when s/he did. This suggests that although speakers may be egocentric during anaphoric reference (Fukumura & Van Gompel, 2012), they can cooperatively avoid pronouns when the linguistic antecedents were not shared with their addressee during initial reference. © 2014 Cognitive Science Society, Inc.

Small Influence of Performing from Memory on Audience Evaluation

Directory of Open Access Journals (Sweden)

Reinhard Kopiez

2017-09-01

Full Text Available This study investigates the influence of an actual music stand on the evaluation of a videotaped audio-visual solo instrumental performance. Previous research has provided evidence that the presence of a score or music stand (obstructing the audience's view of the performer might negatively influence the evaluation of the performance. However, due to methodological ambiguities, results in previous studies cannot be regarded as definitive. Thus, we conducted a replication study of Williamon (1999 with better control over confounding variables (e.g., varying levels of technical proficiency in different conditions. A violoncello player performed two pieces for solo instrument: once with a music stand on stage (pretending to play from score and once without. The level of technical proficiency was kept constant in both performance presentations by the use of a pre-recorded, well-rehearsed performance from memory. Audio tracks were synchronized with the performance movements in a playback paradigm. Based on the performance evaluations from a web-based experiment (N = 471 participants, we found a significant but small effect size for the main effect of performance presentation (with vs. without music stand (d = 0.23. We conclude that the audience's appreciation of a particular performance from memory might be based on factors other than the objective performance quality.

Building the Bridge to Help Engage your Audience to your Science and Mission

Science.gov (United States)

Yuen, K.

2014-12-01

When we talk about NASA and how NASA is contributing to societal benefits, such as education, what do we really mean? How do we know that we are doing something right? And how do we know that we are making a difference? With just over a dozen NASA Earth remote sensing missions flying, NASA is providing remote sensing data on a daily basis, where the data and information can contribute to the relevancy of science in our daily lives and bring perspective to common knowledge. To date, we are seeing a widening gap in the general awareness and understanding of the basic science and concepts among the formal and informal audiences. At a time when we are discovering and understanding more about our home planet, using cutting edge technologies that should inspire people, we have also discovered that we have estranged a generation of potentital users. The reality is that NASA data is being used by a relatively small group of people and they are nearly all scientists. Even when we "collaborate" with other federal agencies or universities, the actual work and impact remains on a scale that is only statistically significant. This is a far cry from being socially significant. There are key factors that are essential for success in communicating and working with both the technical and less technical audiences; they are the foundation to bridging the audience gaps and ultimately, truly engaging them. We need to show that the content is important and meaningful in our everyday lives by appealing to the audiences' sensibilities, packaging the content in a format that will be used by the audience, and we need to encourage and support people to create and innovate with this data and information. When you come right down to it, NASA is still the only agency that is continually putting up the new technologies, enabling and maintaining that crucial data flow, and supporting the umbilical cord of global data sets to the science community world-wide. But times have changed. It is not

Graphic Novels: A New Stress Mitigation Tool for Military Training: Developing Content for Hard-to-Reach Audiences.

Science.gov (United States)

Hourani, Laurel; Lambert, Shari; Peeler, Russ; Lane, Becky; Borst, Carrie

2017-05-01

This article describes the development of two graphic novels as a new approach to mental health communication and coping strategies for the Navy and Marine Corps. The novels are intended to capture the attention of the younger target audience and provide vital teaching messages to better prepare personnel for deployment to combat zones. The novels were developed based on embedding the principles of combat and operational stress control (COSC) into realistic and relatable characters, stories, and images. Approaches used for development included (a) basing storylines on real-life service members and the situations they face in combat and their personal lives; (b) partnering with COSC experts to embed teaching points; (c) ensuring technical accuracy through research and target audience reviews of the storyboard and artwork; (d) developing characters that are representative of the target audience, with varied jobs, ages, backgrounds, and professional concerns; and (e) designing artwork in a manner sensitive to training objectives and the psychological effects on readers. Because technical accuracy, realism, and sensitivity were noted as essential components of an effective graphic novel tool, focus-group research and review of author drafts by the target audience and technical experts are strongly recommended.

Why does Danish TV Drama Travel? A Three-Tier Seven-Country Audience Study on the Rise of Denmark’s Transnational TV Culture

DEFF Research Database (Denmark)

Jensen, Pia Majbritt

on media reception and media geography. Buyers are a critical first audience for any imported content; they are the gatekeepers to the importing market. Distributors and international buyers will therefore be interviewed about the reasons for buying the Danish series. What are the special attractions......Part of the panel 'Challenging America in the realm of quality TV drama: The international success of Danish TV drama series' This paper, which is part of the ‘Challenging America in the realm of quality TV drama’ panel, introduces the audience study methodology designed for the collaborative...... research project What Makes Danish TV Drama Travel?. For the audience research, conducted in Australia, Brazil, Germany, Japan, Turkey, UK and the USA, I have developed a three-tier audience model. The three types of audiences believed to be important in the recent and unprecedented global success...

East German medical aid to Nicaragua: the politics of solidarity between biomedicine and primary health care

Directory of Open Access Journals (Sweden)

Iris Borowy

Full Text Available Abstract Between 1979 and 1989 the government of the German Democratic Republic provided health assistance to Sandinista Nicaragua. After initial relief aid, the Sandinista embrace of a primary health care-based health system made East German health support difficult. The non-convertible currency, the repressive quality of the East German leadership, and the lack of experience with primary health care processes all limited its potential to provide support. After 1985, when implementation of this system stalled, East German health assistance was revitalized with the donation of the Hospital Carlos Marx. Providing medical services to three hundred thousand people, it combined elements of a strictly East German institution, using German personnel and equipment, with some integration into local systems.

Radiation protection for medical and allied health personnel

International Nuclear Information System (INIS)

Anon.

1989-01-01

The primary objective of this new report is to update the material to include new radiation sources used in medicine. In addition, an attempt has been made to reflect current practice in medicine and present the material in terms readily understood by an audience, most of whom have limited expertise in radiation protection terminology and principles. This report is intended to cover those sources of ionizing radiation encountered commonly in the clinical environment

Great bowerbirds create theaters with forced perspective when seen by their audience.

Science.gov (United States)

Endler, John A; Endler, Lorna C; Doerr, Natalie R

2010-09-28

Birds in the infraorder Corvida [1] (ravens, jays, bowerbirds) are renowned for their cognitive abilities [2-4], which include advanced problem solving with spatial inference [4-8], tool use and complex constructions [7-10], and bowerbird cognitive ability is associated with mating success [11]. Great bowerbird males construct bowers with a long avenue from within which females view the male displaying over his bower court [10]. This predictable audience viewpoint is a prerequisite for forced (altered) visual perspective [12-14]. Males make courts with gray and white objects that increase in size with distance from the avenue entrance. This gradient creates forced visual perspective for the audience; court object visual angles subtended on the female viewer's eye are more uniform than if the objects were placed at random. Forced perspective can yield false perception of size and distance [12, 15]. After experimental reversal of their size-distance gradient, males recovered their gradients within 3 days, and there was little difference from the original after 2 wks. Variation among males in their forced-perspective quality as seen by their female audience indicates that visual perspective is available for use in mate choice, perhaps as an indicator of cognitive ability. Regardless of function, the creation and maintenance of forced visual perspective is clearly important to great bowerbirds and suggests the possibility of a previously unknown dimension of bird cognition. Copyright © 2010 Elsevier Ltd. All rights reserved.

Differences on Primary Care Labor Perceptions in Medical Students from 11 Latin American Countries

Science.gov (United States)

Mayta-Tristán, Percy; Montenegro-Idrogo, Juan José; Mejia, Christian R.; Abudinén A., Gabriel; Azucas-Peralta, Rita; Barrezueta-Fernandez, Jorge; Cerna-Urrutia, Luis; DaSilva-DeAbreu, Adrián; Mondragón-Cardona, Alvaro; Moya, Geovanna; Valverde-Solano, Christian D.; Theodorus-Villar, Rhanniel; Vizárraga-León, Maribel

2016-01-01

Background The shortage in Latin-American Primary Care (PC) workforce may be due to negative perceptions about it. These perceptions might be probably influenced by particular features of health systems and academic environments, thus varying between countries. Methods Observational, analytic and cross-sectional multicountry study that evaluated 9,561 first and fifth-year medical students from 63 medical schools of 11 Latin American countries through a survey. Perceptions on PC work was evaluated through a previously validated scale. Tertiles of the scores were created in order to compare the different countries. Crude and adjusted prevalence ratios were calculated using simple and multiple Poisson regression with robust variance. Results Approximately 53% of subjects were female; mean age was 20.4±2.9 years; 35.5% were fifth-year students. Statistically significant differences were found between the study subjects’ country, using Peru as reference. Students from Chile, Colombia, Mexico and Paraguay perceived PC work more positively, while those from Ecuador showed a less favorable position. No differences were found among perceptions of Bolivian, Salvadoran, Honduran and Venezuelan students when compared to their Peruvian peers. Conclusions Perceptions of PC among medical students from Latin America vary according to country. Considering such differences can be of major importance for potential local specific interventions. PMID:27414643

Heckling in Hyde Park: Verbal Audience Participation in Popular Public Discourse

DEFF Research Database (Denmark)

McIlvenny, Paul

1996-01-01

Speakers' Corner is a multicultural setting in a London park at which the general public can actively participate in popular debate. A successful 'soap-box' orator should attract and keep an audience, elicit support from the crowd and gain applause; indeed, a mastery of the crowd, the discourse...

Online Health Monitoring using Facebook Advertisement Audience Estimates in the United States: Evaluation Study.

Science.gov (United States)

Mejova, Yelena; Weber, Ingmar; Fernandez-Luque, Luis

2018-03-28

Facebook, the most popular social network with over one billion daily users, provides rich opportunities for its use in the health domain. Though much of Facebook's data are not available to outsiders, the company provides a tool for estimating the audience of Facebook advertisements, which includes aggregated information on the demographics and interests, such as weight loss or dieting, of Facebook users. This paper explores the potential uses of Facebook ad audience estimates for eHealth by studying the following: (1) for what type of health conditions prevalence estimates can be obtained via social media and (2) what type of marker interests are useful in obtaining such estimates, which can then be used for recruitment within online health interventions. The objective of this study was to understand the limitations and capabilities of using Facebook ad audience estimates for public health monitoring and as a recruitment tool for eHealth interventions. We use the Facebook Marketing application programming interface to correlate estimated sizes of audiences having health-related interests with public health data. Using several study cases, we identify both potential benefits and challenges in using this tool. We find several limitations in using Facebook ad audience estimates, for example, using placebo interest estimates to control for background level of user activity on the platform. Some Facebook interests such as plus-size clothing show encouraging levels of correlation (r=.74) across the 50 US states; however, we also sometimes find substantial correlations with the placebo interests such as r=.68 between interest in Technology and Obesity prevalence. Furthermore, we find demographic-specific peculiarities in the interests on health-related topics. Facebook's advertising platform provides aggregate data for more than 190 million US adults. We show how disease-specific marker interests can be used to model prevalence rates in a simple and intuitive manner

Identifying Effective Strategies for Climate Change Education: The Coastal Areas Climate Change Education (CACCE) Partnership Audiences and Activities

Science.gov (United States)

Ryan, J. G.; Feldman, A.; Muller-Karger, F. E.; Gilbes, F.; Stone, D.; Plank, L.; Reynolds, C. J.

2011-12-01

Many past educational initiatives focused on global climate change have foundered on public skepticism and disbelief. Some key reasons for these past failures can be drawn directly from recognized best practices in STEM education - specifically, the necessity to help learners connect new knowledge with their own experiences and perspectives, and the need to create linkages with issues or concerns that are both important for and relevant to the audiences to be educated. The Coastal Areas Climate Change Education (CACCE) partnership has sought to follow these tenets as guiding principles in identifying critical audiences and developing new strategies for educating the public living in the low-lying coastal areas of Florida and the Caribbean on the realities, risks, and adaptation and mitigation strategies for dealing with the regional impacts of global climate change. CACCE is currently focused on three key learner audiences: a) The formal education spectrum, targeting K-12 curricula through middle school marine science courses, and student and educator audiences through coursework and participatory research strategies engaging participants in a range of climate-related investigations. b) Informal science educators and outlets, in particular aquaria and nature centers, as an avenue toward K-12 teacher professional development as well as for public education. c) Regional planning, regulatory and business professionals focused on the built environment along the coasts, many of whom require continuing education to maintain licensing and/or other professional certifications. Our current activities are focused on bringing together an effective set of educational, public- and private-sector partners to target the varied needs of these audiences in Florida and the U.S. Caribbean, and tailoring an educational plan aimed at these stakeholder audiences that starts with the regionally and topically relevant impacts of climate change, and strategies for effective adaptation and

Perceptions and Attitudes towards Medication Error Reporting in Primary Care Clinics: A Qualitative Study in Malaysia.

Science.gov (United States)

Samsiah, A; Othman, Noordin; Jamshed, Shazia; Hassali, Mohamed Azmi

2016-01-01

To explore and understand participants' perceptions and attitudes towards the reporting of medication errors (MEs). A qualitative study using in-depth interviews of 31 healthcare practitioners from nine publicly funded, primary care clinics in three states in peninsular Malaysia was conducted for this study. The participants included family medicine specialists, doctors, pharmacists, pharmacist assistants, nurses and assistant medical officers. The interviews were audiotaped and transcribed verbatim. Analysis of the data was guided by the framework approach. Six themes and 28 codes were identified. Despite the availability of a reporting system, most of the participants agreed that MEs were underreported. The nature of the error plays an important role in determining the reporting. The reporting system, organisational factors, provider factors, reporter's burden and benefit of reporting also were identified. Healthcare practitioners in primary care clinics understood the importance of reporting MEs to improve patient safety. Their perceptions and attitudes towards reporting of MEs were influenced by many factors which affect the decision-making process of whether or not to report. Although the process is complex, it primarily is determined by the severity of the outcome of the errors. The participants voluntarily report the errors if they are familiar with the reporting system, what error to report, when to report and what form to use.

Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions.

Science.gov (United States)

Osborn, Heather Ann; Glicksman, Jordan T; Brandt, Michael G; Doyle, Philip C; Fung, Kevin

2017-02-01

To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Ontario medical school. An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). The main factors that influenced participants' decision to choose a career in primary care or pediatrics, and the main factors that influenced participants' decision to choose a career in a non-front-line specialty. A total of 323 participants were included in this study. Factors that significantly influenced participants' career choice in family medicine or pediatrics involved work-life balance (acceptable hours of practice [ P = .005], acceptable on-call demands [ P = .012], and lifestyle flexibility [ P = .006]); a robust physician-patient relationship (ability to promote individual health promotion [ P = .014] and the opportunity to form long-term relationships [ P  < .001], provide comprehensive care [ P = .001], and treat patients and their families [ P = .006]); and duration of residency program ( P = .001). The career-related factors that significantly influenced participants' decision to choose a non-front-line specialty were as follows: becoming an expert ( P  < .001), maintaining a focused scope of practice ( P  < .001), having a procedure-focused practice ( P = .001), seeing immediate results from one's actions ( P  < .001), potentially earning a high income ( P  < .001), and having a perceived status among colleagues ( P  < .001). In this study, 8 factors were found to positively influence medical students' career choice in family medicine and pediatrics, and 6 factors influenced the decision to choose a career in a non-front-line specialty. Medical students can be

Factors that influence a career choice in primary care among medical students from high-, middle-, and low-income countries: a systematic review

Directory of Open Access Journals (Sweden)

E. Benjamín Puertas

2013-11-01

Full Text Available OBJECTIVE: To determine which factors influence a medical student's decision to choose a career in primary care; and to establish if these factors are similar or different among students in high-, middle- and low-income countries. METHODS: An extensive search was done of PubMed, Google Scholar, and Virtual Library of Health for articles on primary care careers published in 2003-2013 in English, Spanish, and/or Portuguese. Initially, 600 records were identified; 74 full-text articles were assessed for eligibility and 55 were selected (42 from high-income countries; 13 from middle- and low-income. These were assessed to identify intrinsic and extrinsic factors that influence career choice among medical students from high-, middle-, and low-income countries. RESULTS: A comparison framework with common and specific factors that influence career choice in primary care among medical students from high-, middle- and low-income was developed. Factors were classified as extrinsic or intrinsic, and as facilitators or barriers. Several factors common to all countries were identified: facilitators were exposure to rural location, role models, working conditions; barriers were low income, prestige, and medical school environment. Some factors specific to middle- and low-income countries were: understanding of rural needs and intellectual challenge. Other factors specific to high-income countries were: attitude towards social problems, voluntary work, influence of family, and length of residency. CONCLUSIONS: Further studies on the subject are needed, especially in low- and middle-income countries. Identifying factors as barriers or facilitators for career choice will promote a better understanding of the reasons behind the shortage of primary care professionals and will contribute to policy building, improved training, and recruitment and retention of these professionals.

Organ donation on Web 2.0: content and audience analysis of organ donation videos on YouTube.

Science.gov (United States)

Tian, Yan

2010-04-01

This study examines the content of and audience response to organ donation videos on YouTube, a Web 2.0 platform, with framing theory. Positive frames were identified in both video content and audience comments. Analysis revealed a reciprocity relationship between media frames and audience frames. Videos covered content categories such as kidney, liver, organ donation registration process, and youth. Videos were favorably rated. No significant differences were found between videos produced by organizations and individuals in the United States and those produced in other countries. The findings provide insight into how new communication technologies are shaping health communication in ways that differ from traditional media. The implications of Web 2.0, characterized by user-generated content and interactivity, for health communication and health campaign practice are discussed.

Transforming the Primary Care Training Clinic: New York State's Hospital Medical Home Demonstration Pilot.

Science.gov (United States)

Angelotti, Marietta; Bliss, Kathryn; Schiffman, Dana; Weaver, Erin; Graham, Laura; Lemme, Thomas; Pryor, Veronica; Gesten, Foster C

2015-06-01

Training in patient-centered medical home (PCMH) settings may prepare new physicians to measure quality of care, manage the health of populations, work in teams, and include cost information in decision making. Transforming resident clinics to PCMHs requires funding for additional staff, electronic health records, training, and other resources not typically available to residency programs. Describe how a 1115 Medicaid waiver was used to transform the majority of primary care training sites in New York State to the PCMH model and improve the quality of care provided. The 2013-2014 Hospital Medical Home Program provided awards to 60 hospitals and 118 affiliated residency programs (training more than 5000 residents) to transform outpatient sites into PCMHs and provide high-quality, coordinated care. Site visits, coaching calls, resident surveys, data reporting, and feedback were used to promote and monitor change in resident continuity and quality of care. Descriptive analyses measured improvements in these areas. A total of 156 participating outpatient sites (100%) received PCMH recognition. All sites enhanced resident education using PCMH principles through patient empanelment, development of quality dashboards, and transforming resident scheduling and training. Clinical quality outcomes showed improvement across the demonstration, including better performance on colorectal and breast cancer screening rates (rate increases of 13%, P≤.001, and 11%, P=.011, respectively). A 1115 Medicaid waiver is a viable mechanism for states to transform residency clinics to reflect new primary care models. The PCMH transformation of 156 sites led to improvements in resident continuity and clinical outcomes.

Quality of medication use in primary care - mapping the problem, working to a solution: a systematic review of the literature

Directory of Open Access Journals (Sweden)

Willson Alan

2009-09-01

Full Text Available Abstract Background The UK, USA and the World Health Organization have identified improved patient safety in healthcare as a priority. Medication error has been identified as one of the most frequent forms of medical error and is associated with significant medical harm. Errors are the result of the systems that produce them. In industrial settings, a range of systematic techniques have been designed to reduce error and waste. The first stage of these processes is to map out the whole system and its reliability at each stage. However, to date, studies of medication error and solutions have concentrated on individual parts of the whole system. In this paper we wished to conduct a systematic review of the literature, in order to map out the medication system with its associated errors and failures in quality, to assess the strength of the evidence and to use approaches from quality management to identify ways in which the system could be made safer. Methods We mapped out the medicines management system in primary care in the UK. We conducted a systematic literature review in order to refine our map of the system and to establish the quality of the research and reliability of the system. Results The map demonstrated that the proportion of errors in the management system for medicines in primary care is very high. Several stages of the process had error rates of 50% or more: repeat prescribing reviews, interface prescribing and communication and patient adherence. When including the efficacy of the medicine in the system, the available evidence suggested that only between 4% and 21% of patients achieved the optimum benefit from their medication. Whilst there were some limitations in the evidence base, including the error rate measurement and the sampling strategies employed, there was sufficient information to indicate the ways in which the system could be improved, using management approaches. The first step to improving the overall quality would

Astronomy's New Messengers: A traveling exhibit to out to a young adult audience

International Nuclear Information System (INIS)

Cavaglia, Marco; Hendry, Martin; Marka, Szabolcs; Reitze, David H; Riles, Keith

2010-01-01

The Laser Interferometer Gravitational-wave Observatory exhibit Astronomy's New Messengers: Listening to the Universe with Gravitational Waves is traveling to colleges, universities, museums and other public institutions throughout the United States. In 2010, an extended version of this exhibit will appear in a New York City venue that is accessible to a large and diverse cross section of the general public. Astronomy's New Messengers primarily communicates with an adolescent and young adult audience, potentially inspiring them into the field of science. Acknowledging that this audience is traditionally a difficult one to attract, the exhibit publicly announces itself in a charismatic fashion to reach its principal goals of broadening the community of people interested in science and encouraging interest in science among young people.

Patient-perceived barriers and facilitators to the implementation of a medication review in primary care: a qualitative thematic analysis.

Science.gov (United States)

Uhl, Mirella Carolin; Muth, Christiane; Gerlach, Ferdinand Michael; Schoch, Goentje-Gesine; Müller, Beate Sigrid

2018-01-05

Although polypharmacy can cause adverse health outcomes, patients often know little about their medication. A regularly conducted medication review (MR) can help provide an overview of a patient's medication, and benefit patients by enhancing their knowledge of their drugs. As little is known about patient attitudes towards MRs in primary care, the objective of this study was to gain insight into patient-perceived barriers and facilitators to the implementation of an MR. We conducted a qualitative study with a convenience sample of 31 patients (age ≥ 60 years, ≥3 chronic diseases, taking ≥5 drugs/d); in Hesse, Germany, in February 2016. We conducted two focus groups and, in order to ensure the participation of elderly patients with reduced mobility, 16 telephone interviews. Both relied on a semi-structured interview guide dealing with the following subjects: patients' experience of polypharmacy, general design of MRs, potential barriers and facilitators to implementation etc. Interviews were audio-recorded, transcribed verbatim, and analysed by two researchers using thematic analysis. Patients' average age was 74 years (range 62-88 years). We identified barriers and facilitators for four main topics regarding the implementation of MRs in primary care: patient participation, GP-led MRs, pharmacist-led MRs, and the involvement of healthcare assistants in MRs. Barriers to patient participation concerned patient autonomy, while facilitators involved patient awareness of medication-related problems. Barriers to GP-led MRs concerned GP's lack of resources while facilitators related to the trusting relationship between patient and GP. Pharmacist-led MRs might be hindered by a lack of patients' confidence in pharmacists' expertise, but facilitated by pharmacies' digital records of the patients' medications. Regarding the involvement of healthcare assistants in MRs, a potential barrier was patients' uncertainty regarding the extent of their training. Patients

Primary hydatid disease of the femur: unsuspected and incidental MRI findings with long-term curative results on medical treatment alone

International Nuclear Information System (INIS)

Poyanli, A.; Sencer, S.; Akan, K.; Poyanli, O.; Sayrak, H.

2001-01-01

This report describes the early magnetic resonance imaging (MRI) findings and long-term follow-up results of albendazole treatment in a 16-year-old girl with primary hydatid disease of the femur diagnosed incidentally during the course of a post-traumatic knee infection. As far as we know, this is the first report of the early MRI findings and long-term outcome of medical treatment in primary hydatid disease of the femur in this age group. (orig.)

Primary hydatid disease of the femur: unsuspected and incidental MRI findings with long-term curative results on medical treatment alone

Energy Technology Data Exchange (ETDEWEB)

Poyanli, A.; Sencer, S. [Dept. of Radiology, Istanbul Faculty of Medicine (Turkey); Akan, K.; Poyanli, O. [Dept. of Orthopaedics and Traumatology, Goeztepe SSK Educational Hospital, Istanbul (Turkey); Sayrak, H. [Dept. of Pathology, Goeztepe SSK Educational Hospital, Istanbul (Turkey)

2001-11-01

This report describes the early magnetic resonance imaging (MRI) findings and long-term follow-up results of albendazole treatment in a 16-year-old girl with primary hydatid disease of the femur diagnosed incidentally during the course of a post-traumatic knee infection. As far as we know, this is the first report of the early MRI findings and long-term outcome of medical treatment in primary hydatid disease of the femur in this age group. (orig.)

Move Your Audience to Action: Using YouTube to Teach Persuasion

Science.gov (United States)

Quagliata, Andrew B.

2014-01-01

For more than 75 years, instructors have taught students to use Monroe's (1935) Motivated Sequence (MMS) when organizing speeches designed to move audiences to action. However, modern approaches to teaching the sequence are needed to help instructors remain relevant and effective. This activity advocates the use of constructivist pedagogical…

Australian news media framing of medical tourism in low- and middle-income countries: a content review

Science.gov (United States)

2013-01-01

Background Medical tourism – travel across international borders for health care – appears to be growing globally, with patients from high-income nations increasingly visiting low- and middle-income countries to access such services. This paper analyses Australian television and newspaper news and current affairs coverage to examine how medical tourism and these destinations for the practice are represented to media audiences. Methods Electronic copies of Australian television (n = 66) and newspaper (n = 65) items from 2005–2011 about medical care overseas were coded for patterns of reporting (year, format and type) and story characteristics (geographic and medical foci in the coverage, news actors featured and appeals, credibility and risks of the practice mentioned). Results Australian media coverage of medical tourism was largely focused on Asia, featuring cosmetic surgery procedures and therapies unavailable domestically. Experts were the most frequently-appearing news actors, followed by patients. Common among the types of appeals mentioned were access to services and low cost. Factors lending credibility included personal testimony, while uncertainty and ethical dilemmas featured strongly among potential risks mentioned from medical tourism. Conclusions The Australian media coverage of medical tourism was characterised by a narrow range of medical, geographic and ethical concerns, a focus on individual Australian patients and on content presented as being personally relevant for domestic audiences. Medical tourism was portrayed as an exercise of economically-rational consumer choice, but with no attention given to its consequences for the commodification of health or broader political, medical and ethical implications. In this picture, LMICs were no longer passive recipients of aid but providers of a beneficial service to Australian patients. PMID:23384294

The sociological investigation of the audience of the Opera of the National theater in Belgrade

Directory of Open Access Journals (Sweden)

Hadžibulić Sabina

2012-01-01

Full Text Available The Opera of the National Theater in Belgrade was founded in 1920, but it is well known that opera performances were held long before its official opening. Despite the fact that this is the sole opera house in Belgrade (and one of the only two in Serbia, as well as the fact that it did not face any strong audience fluctuation, it is unusual that no one ever tried to investigate and profile its audience. During the last decades we were witnessing the popularization of the opera via various medias, as well as development and extention of the music industry, which surely changed its social status. The aim of the investigation that is going to be presented is to discover if this social life of opera changed its audience and does it still consists of - according to stereotypes - elderly, high educated individuals of certain professions and high material standards, i.e. at which level the opera is present in the private and public sphere of their lives.

Prescription data improve the medication history in primary care

DEFF Research Database (Denmark)

Glintborg, Bente; Andersen, S K; Poulsen, H E

2010-01-01

Incomplete medication lists increase the risk of medication errors and adverse drug effects. In Denmark, dispensing data and pharmacy records are available directly online to treating physicians. We aimed (1) to describe if use of pharmacy records improved the medication history among patients...... consulting their general practitioner and (2) to characterise inconsistencies between the medication history reported by the patient and the general practitioner's recordings....

Medical library downsizing administrative, professional, and personal strategies for coping with change

CERN Document Server

Schott, Michael

2005-01-01

Learn how to stay ahead of the game when budgets and staff are cut Medical Library Downsizing: Administrative, Professional, and Personal Strategies for Coping with Change explores corporate downsizing and other company-wide events as they relate to medical librarians in their organization. This training manual is designed to help librarians prepare for a new era where shrinking budgets, inflated journal costs, and the increasing demand for new and expensive services now put salaries and jobs at risk. While focused on health care issues, this book will appeal to a general library audience and

Portrait of a Cult Film Audience: "The Rocky Horror Picture Show."

Science.gov (United States)

Austin, Bruce A.

1981-01-01

Examines the phenomenon of the cult film and the characteristics of the audiences of the "Rocky Horror Picture Show." Suggests that the preparation, waiting, and finally the active participation in the viewing of the film itself appear to be part of a group ritual which characterizes the cult film as an event. (JMF)

The entry to Kolarac foundation: Cultural activity and music audience

Directory of Open Access Journals (Sweden)

Hadžibulić Sabina

2016-01-01

Full Text Available The Foundation of Ilija Milosavljević Kolarac (also known as Kolarac Foundation; in Serbian: Kolarčeva zadužbina was established simultaneously with the development of the most important modern cultural institutions in Serbia in the 19th century. The quality and diversity of the program, the ability to recognize important topics in the current time, as well as preservation of the old and encouragement of new ideas in almost all domains of art and science have contributed to its unquestionable reputation throughout the region. However, there have been no significant academic attempts to approach its work analytically and, in particular, its audience. The aim of this paper is to give an overview of the work of Kolarac Foundation by presenting the origin and history of the institution, followed by an analysis of the program of all its activities in the first ten seasons of the new millennium. The central part of the paper is an analysis of its cultural activity in the given period. Finally, by using empirical data, the music audence of Great Hall (Velika Dvorana of Kolarac Foundation is profiled through its basic socio-demographic characteristics and music practices. The music audience mainly consisted of women, highly educated professionals with a high material standard. The share of the oldest and those from 21 to 30 years old is the highest and, at the same time, equal. This audience is authentically fond of music, with no exceptions at all. Its members listen to music on everyday basis, and they were attending concerts in the year before the investigation. They find music to be an inevitable part of their lives, and cannot imagine emotional expression or making friendships without it. Finally, they sincerely like coming to Kolarac Foundation since they find it to be a place that has all the positive treats of a good cultural institution.

Engaging the audience: developing presentation skills in science students.

Science.gov (United States)

Stuart, Ann E

2013-01-01

This article describes a graduate class in presentation skills ("PClass") as a model for how a class with similar objectives, expectations and culture might be mounted for undergraduates. The required class is given for students in neuroscience and physiology programs at the University of North Carolina at Chapel Hill; I describe the class in the years I led it, from 2003-2012. The class structure centered on peer rehearsal, critiquing of PowerPoint, and chalk talks by the students; video-recording of student talks for later review by the student with the instructor; and presentation of polished talks in a formal setting. A different faculty visitor to the class each week gave the students a variety of perspectives. The students also gained insight into their own evolving skills by discussing the strengths and weaknesses of seminars given by visitors to the campus. A unique feature of the class was collaboration with a professional actor from the University's Department of Dramatic Arts, who helped the students develop techniques for keeping the attention of an audience, for speaking with confidence, and for controlling nervousness. The undergraduate campus would be expected to lend itself to this sort of interdisciplinary faculty cooperation. In addition, students worked on becoming adept at designing and presenting posters, introducing speakers graciously and taking charge of the speaker's question session, and speaking to a lay audience.

Science and Faith: Discussing Astronomy Research with Religious Audiences

Science.gov (United States)

Koekemoer, Anton M.

2006-12-01

An important component of our outreach as research astronomers involves interaction with the religious community. From my personal perspective, being an active research astronomer who is also a practicing Christian, I am sometimes invited to present the latest astronomical research to church audiences and other religious groups; belonging to both communities thereby provides a valuable means of contributing to the dialogue between science and religion. These opportunities can be used to explain that science and religion are not necessarily in conflict but can be considered to be quite complementary. For instance, an important aspect of religion deals with the purpose of our existence, while science is more focussed on providing physical explanations for what we observe in the world, using a well-defined scientific process. Hence, religious believers need not necessarily abandon their faith in order to accept mainstream scientific research; these address very different and complementary aspects of our existence. Recent ideas such as Intelligent Design attempt to address the scientific method, but do not address the ultimate religious question of purpose and do not contribute towards reconciling science and religion in this sense. Ultimately, every individual arrives at their own understanding of this rather complex interplay; I will present some personal reflections on general approaches for discussing mainstream astronomical research with religious audiences, aimed at helping to advance the dialogue between religion and science in general.

The radioactive waste management videoconference training series for an international audience

International Nuclear Information System (INIS)

Callan, C.; Hylko, J.M.

1996-01-01

A proven cost-effective method for delivering new educational opportunities to employees in different locations simultaneously is by using the live videoconference format. Also, the videotapes produced from this format allows employees to participate who are not routinely available for traditional classroom training. However, the primary challenge is to design a distance learning series that meets the requirements of a diverse audience. The National Environmental Technology Network (NETN), a program associated with the College of Engineering at the University of New Mexico, has a proven track record in developing and producing effective videoconference and distance learning programs for industry, government, national laboratories, and universities. Specifically, The Radioactive Waste Management Videoconference Training Series is comprised of eight individual programs: (1) Introduction to Radioactive Waste Management, (2) Interactions Between Radiation and Matter; (3) Decommissioning and Decontamination; (4) Transportation; (5) Low-Level Radioactive Waste; (6) High-Level Radioactive Waste; (7) Transuranic Waste; and (8) New and Other Technologies for Radioactive Waste Management. Each program consists of a tiered approach featuring an introduction, case studies, legal and regulatory issues, radioactive waste characteristics, disposal Options, and transfer of technology. The participants receive a packet containing a full outline of the course, including charts and illustrations used by the presenters. At the conclusion of each program, the interactive question/answer period allows viewers to ask pertinent questions and to participate as a group

From patient care to research: a validation study examining the factors contributing to data quality in a primary care electronic medical record database.

Science.gov (United States)

Coleman, Nathan; Halas, Gayle; Peeler, William; Casaclang, Natalie; Williamson, Tyler; Katz, Alan

2015-02-05

Electronic Medical Records (EMRs) are increasingly used in the provision of primary care and have been compiled into databases which can be utilized for surveillance, research and informing practice. The primary purpose of these records is for the provision of individual patient care; validation and examination of underlying limitations is crucial for use for research and data quality improvement. This study examines and describes the validity of chronic disease case definition algorithms and factors affecting data quality in a primary care EMR database. A retrospective chart audit of an age stratified random sample was used to validate and examine diagnostic algorithms applied to EMR data from the Manitoba Primary Care Research Network (MaPCReN), part of the Canadian Primary Care Sentinel Surveillance Network (CPCSSN). The presence of diabetes, hypertension, depression, osteoarthritis and chronic obstructive pulmonary disease (COPD) was determined by review of the medical record and compared to algorithm identified cases to identify discrepancies and describe the underlying contributing factors. The algorithm for diabetes had high sensitivity, specificity and positive predictive value (PPV) with all scores being over 90%. Specificities of the algorithms were greater than 90% for all conditions except for hypertension at 79.2%. The largest deficits in algorithm performance included poor PPV for COPD at 36.7% and limited sensitivity for COPD, depression and osteoarthritis at 72.0%, 73.3% and 63.2% respectively. Main sources of discrepancy included missing coding, alternative coding, inappropriate diagnosis detection based on medications used for alternate indications, inappropriate exclusion due to comorbidity and loss of data. Comparison to medical chart review shows that at MaPCReN the CPCSSN case finding algorithms are valid with a few limitations. This study provides the basis for the validated data to be utilized for research and informs users of its

In search of educational efficiency: 30 years of Medical Education's top-cited articles.

Science.gov (United States)

Rangel, J Cristian; Cartmill, Carrie; Martimianakis, Maria Athina; Kuper, Ayelet; Whitehead, Cynthia R

2017-09-01

Academic journals represent shared spaces wherein the significance of thematic areas, methodologies and paradigms are debated and shaped through collective engagement. By studying journals in their historical and cultural contexts, the academic community can gain insight into the ways in which authors and audiences propose, develop, harness, revise and discard research subjects, methodologies and practices. Thirty top-cited articles published in Medical Education between 1986 and 2014 were analysed in a two-step process. First, a descriptive classification of articles allowed us to quantify the frequency of content areas over the time span studied. Secondly, a discourse analysis was conducted to identify the continuities, disruptions and tensions within the three most prominent content areas. The top-cited articles in Medical Education focused on three major areas of interest: problem-based learning, simulation and assessment. In each of these areas of interest, we noted a tension between the desire to produce and apply standardised tools, and the recognition that the contexts of medical education are highly variable and influenced by political and financial considerations. The general preoccupation with achieving efficiency may paradoxically jeopardise the ability of medical schools to address the contextual needs of students, teachers and patients. Understanding the topics of interest for a journal's scholarly audience and how these topics are discursively positioned, provides important information for researchers in deciding how they wish to engage with the field, as well as for educators as they assess the relevance of educational products for their local contexts. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Getting the Most out of Audience Response Systems: Predicting Student Reactions

Science.gov (United States)

Trew, Jennifer L.; Nelsen, Jacqueline L.

2012-01-01

Audience response systems (ARS) are effective tools for improving learning outcomes and student engagement in large undergraduate classes. However, if students do not accept ARS and do not find them to be useful, ARS may be less effective. Predicting and improving student perceptions of ARS may help to ensure positive outcomes. The present study…

Prescription data improve the medication history in primary care

DEFF Research Database (Denmark)

Glintborg, Bente; Andersen, S K; Poulsen, H E

2010-01-01

Incomplete medication lists increase the risk of medication errors and adverse drug effects. In Denmark, dispensing data and pharmacy records are available directly online to treating physicians. We aimed (1) to describe if use of pharmacy records improved the medication history among patients co...

Using Deep Learning Neural Networks To Find Best Performing Audience Segments

Directory of Open Access Journals (Sweden)

Anup Badhe

2015-08-01

Full Text Available Finding the appropriate mobile audience for mobile advertising is always challenging since there are many data points that need to be considered and assimilated before a target segment can be created and used in ad serving by any ad server. Deep learning neural networks have been used in machine learning to use multiple processing layers to interpret large datasets with multiple dimensions to come up with a high-level characterization of the data. During a request for an advertisement and subsequently serving of the advertisement on the mobile device there are many trackers that are fired collecting a lot of data points. If the user likes the advertisement and clicks on it another set of trackers give additional information resulting from the click. This information is aggregated by the ad server and shown in its reporting console. The same information can form the basis of machine learning by feeding this information to a deep learning neural network to come up with audiences that can be targeted based on the product that is advertised.

Alignment between Informal Educator Perceptions and Audience Expectations of Climate Change Education

Science.gov (United States)

Stylinski, Cathlyn; Heimlich, Joe; Palmquist, Sasha; Wasserman, Deborah; Youngs, Renae

2017-01-01

To understand the complexities of climate change on educator-visitor relationships, we compared educators' perceptions with audiences' expectations for informal science education institutions. Our findings suggest two disconnects: (a) a professional recognition that climate change education is related to institutional mission but a lack of…

Facilitating primary care provider use in a patient-centered medical home intervention study for chronic hemodialysis patients.

Science.gov (United States)

Chukwudozie, Ifeanyi Beverly; Fitzgibbon, Marian L; Schiffer, Linda; Berbaum, Michael; Gilmartin, Cheryl; David, Pyone; Ekpo, Eson; Fischer, Michael J; Porter, Anna C; Aziz-Bradley, Alana; Hynes, Denise M

2018-05-23

Patients with chronic kidney disease have a high disease burand may benefit from primary care services and care coord A medical home model with direct access to primary care services is one approach that may address this need, yet has not been examined. As a substudy of the Patient-Centered Outcomes Research Institute (PCORI) patient-centered medical home for kidney disease (PCMH-KD) health system intervention study, we examined the uptake of free primary care physician (PCP) services. The PCORI PCMH-KD study was an initial step toward integrating PCPs, a nurse coordinator, a pharmacist, and community health workers (CHWs) within the health care delivery team. Adult chronic hemodialysis (CHD) at two urban dialysis centers were enrolled in the intervention. We examined trends and factors associated with the use of the PCMH-KD PCP among two groups of patients based on their report of having a regular physician for at least six months (established-PCP) or not (no-PCP). Of the 173 enrolled patients, 91 (53%) patients had at least one visit with the PCMH-KD PCP. The rate of visits was higher in those in the no-PCP group compared with those in the established-PCP group (62% vs. 41%, respectively). Having more visits with the CHW was positively associated with having a visit with the PCMH-KD PCPs for both groups. Embedded CHWs within the care team played a role in facilithe uptake of PCMH-KD PCP. Lessons from this health system intervention can inform future approaches on the integration of PCPs and care coordination for CHD patients.

Primary care training and the evolving healthcare system.

Science.gov (United States)

Peccoralo, Lauren A; Callahan, Kathryn; Stark, Rachel; DeCherrie, Linda V

2012-01-01

With growing numbers of patient-centered medical homes and accountable care organizations, and the potential implementation of the Patient Protection and Affordable Care Act, the provision of primary care in the United States is expanding and changing. Therefore, there is an urgent need to create more primary-care physicians and to train physicians to practice in this environment. In this article, we review the impact that the changing US healthcare system has on trainees, strategies to recruit and retain medical students and residents into primary-care internal medicine, and the preparation of trainees to work in the changing healthcare system. Recruitment methods for medical students include early preclinical exposure to patients in the primary-care setting, enhanced longitudinal patient experiences in clinical clerkships, and primary-care tracks. Recruitment methods for residents include enhanced ambulatory-care training and primary-care programs. Financial-incentive programs such as loan forgiveness may encourage trainees to enter primary care. Retaining residents in primary-care careers may be encouraged via focused postgraduate fellowships or continuing medical education to prepare primary-care physicians as both teachers and practitioners in the changing environment. Finally, to prepare primary-care trainees to effectively and efficiently practice within the changing system, educators should consider shifting ambulatory training to community-based practices, encouraging resident participation in team-based care, providing interprofessional educational experiences, and involving trainees in quality-improvement initiatives. Medical educators in primary care must think innovatively and collaboratively to effectively recruit and train the future generation of primary-care physicians. © 2012 Mount Sinai School of Medicine.

“Let Me Tell You...”: Audience Engagement Strategies in the Campaign Speeches of Trump, Clinton, and Sanders

Directory of Open Access Journals (Sweden)

Джастин Куам

2016-12-01

Full Text Available Throughout the 2016 campaign, presidential candidate Donald Trump surprised observers with his ability to maintain his popularity in the face of unorthodox and often offensive statements. Trump likely bolstered his electoral chances by appealing to a large segment of voters with whom other candidates failed to align themselves. To quote one news anchor, “People tried to attack Trump; it just didn’t work - voters liked him anyway”. As previous work by Miller (2002; 2004 has shown, systemic functional linguistic (SFL analysis (Halliday & Matthiessen, 2004 can illuminate particular strategies politicians employ to strengthen their arguments and exhort their audiences to join their efforts. In this paper, we employ the SFL-based Engagement framework (White, 2003; Martin & White, 2005 to examine ways in which the 2016 presidential candidates aligned themselves with their audiences. Our analysis of the speeches of Donald Trump, Hillary Clinton, and Bernie Sanders reveals markedly different patterns of interaction with the voters in terms of ways expansive and contractive dialogic strategies are used, an intended audience is identified and thematized, and shared assumptions are made. While Trump makes his arguments in a highly constrained dialogic space, taking the agreement with the audience for granted, his opponents often employ a mix of contractive and expansive argumentative strategies and make more explicit overtures to the audiences whose perspectives they share. This study offers insights as to how each candidate identifies and addresses his or her ideological sympathizers or opponents and exhorts the former to intensify their support.

From Grand Narratives of Democracy to Small Expectations of Participation:Audiences, citizenship, and interactive tools in digital journalism

OpenAIRE

Peters, Chris; Witschge, Tamara

2016-01-01

This chapter critically examines the invocation of democracy in the discourse of audience participation in digital journalism. Rather than simply restate the familiar grand narratives that traditionally described journalism’s function for democracy (information source, watchdog, public representative, mediation for political actors), we compare and contrast conceptualisations of the audience found within these and discuss how digital technologies impact these relationships. We consider how “p...

African primary care research: Choosing a topic and developing a proposal

Directory of Open Access Journals (Sweden)

Bob Mash

2014-02-01

Full Text Available This is the first in a series of articles on primary care research in the African context. The aim of the series is to help build capacity for primary care research amongst the emerging departments of family medicine and primary care on the continent. Many of the departments are developing Masters of Medicine programmes in Family Medicine and their students will all be required to complete research studies as part of their degree. This series is being written with this audience in particular in mind – both the students who must conceptualise and implement a research project as well as their supervisors who must assist them.This article gives an overview of the African primary care context, followed by a typology of primary care research. The article then goes on to assist the reader with choosing a topic and defining their research question. Finally the article addresses the structure and contents of a  research proposal and the ethical issues that should be considered.

Traditional medicine development for medical and dental primary ...

African Journals Online (AJOL)

The gradual extinction of the forests and the inevitable disappearance of the aged Traditional Medical Practitioner should pose an impending deadline for us to learn, acquire and document our medical cultural endowment for the benefit of all Africans and indeed the entire mankind. Key Words: Traditional African Medicine ...

Democratization or else vulgarization of cultural capital? The role of social networks in theater’s audience behavior