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Background: While vaccines have reduced the incidence of vaccine-preventable diseases, vaccine hesitancy threatens the re-emergence of childhood infectious diseases. Purpose: This randomized controlled study evaluated an online vaccine education program to advance vaccine acceptance among middle-school students. Methodology: Study participants were randomly assigned to an intervention group who viewed the VEP videos or to a comparison group who viewed a science-based video unrelated to vaccines. Results: Knowledge scores improved in both groups and more favorable shifts in vaccine-related beliefs and attitudes occurred in the intervention than in the comparison group. Conclusions: This program can be feasibly delivered via an online platform to middle school students, resulting in shifts in vaccine-related knowledge, beliefs and attitudes. Implications: Delivering evidence-based content to instruct about vaccine effectiveness and safety is an area in which school nurses have demonstrated an important role as a resource for patient education to promote vaccine advocacy. [ABSTRACT FROM AUTHOR]

In the last two decades, stormwater chamber products have become popular in the United States and other countries for managing stormwater. These products are typically arch-shaped and light-weight for efficient transportation, handling, and field installation. Despite the popularization of the products, currently there is a lack of rational analysis/design methods for these structures. Also, with little effort to establish industry standards, these chambers come with various raw materials, wall designs, and cross-sectional shapes. In this paper, a software package was used to perform a series of two-dimensional numerical simulations of both single and multiple chamber systems installed in the ground. Based on the simulation results, several key issues related to stormwater chamber structure were discussed, such as the optimum cross-sectional geometry, failure modes, and chamber spacing. Computer simulation results were also viewed in light of observations made during recent field loading tests. Main conclusions reached in the study are that (1) the arch-shaped chamber structures, having either semicircular or elliptical cross-sectional shape, are capable of sustaining a high level of external loading by distributing the stresses to the surrounding soil columns; and (2) the foot region of the chamber appears to be critical and needs special attention. [ABSTRACT FROM AUTHOR]

The US construction industry has witnessed a drop in real wages since 1970. The decline in real wages may be attributed to a combination of socio-economic factors like migrant labourers, fringe benefits, safety procedures, union membership and worker skills. Another factor that may be impacting construction real wages is technological changes over the past couple of decades, including technological changes in construction equipment. This paper examines the relationship between changes in equipment technology and changes in construction wages with the help of five factors of equipment technology change: control, energy, ergonomics, functionality and information processing. Furthermore, data from the US Bureau of Labor Statistics' Current Population Survey is used to examine the effects of computer usage on wages among US hourly workers in construction. The research findings show significant relations exist between changes in equipment control, functionality and information processing with wages among non-supervisory workers. Another finding indicated that although non-supervisory construction workers who use computers at work earn higher hourly wages, there was no added wage benefit after controlling for the effects of experience, education and age. [ABSTRACT FROM AUTHOR]

The present study investigates whether less computer access is associated with an increase or decrease in cyberbullying and face-to-face bullying victimization. Data were derived from the 2009–2010 Health Behavior in School-Aged Children U.S. Study, consisting of 12,642 adolescents aged 11, 13, and 15 years (Mage = 12.95). We found that less computer usage was negatively associated with cyberbullying victimization and face-to-face bullying victimization. The findings from the study have implications for research and practice. [ABSTRACT FROM AUTHOR]

Background Since the introduction of electronic nursing documentation systems, its implementation in recent years has increased rapidly in Germany. The objectives of such systems are to save time, to improve information handling and to improve quality. To integrate IT in the daily working processes, the employee is the pivotal element. Therefore it is important to understand nurses' experience with IT implementation. At present the literature shows a lack of understanding exploring staff experiences within the implementation process. Methods A systematic review and meta-ethnographic synthesis of primary studies using qualitative methods was conducted in PubMed, CINAHL, and Cochrane. It adheres to the principles of the PRISMA statement. The studies were original, peer-reviewed articles from 2000 to 2013, focusing on computer-based nursing documentation in Residential Aged Care Facilities. Results The use of IT requires a different form of information processing. Some experience this new form of information processing as a benefit while others do not. The latter find it more difficult to enter data and this result in poor clinical documentation. Improvement in the quality of residents' records leads to an overall improvement in the quality of care. However, if the quality of those records is poor, some residents do not receive the necessary care. Furthermore, the length of time necessary to complete the documentation is a prominent theme within that process. Those who are more efficient with the electronic documentation demonstrate improved time management. For those who are less efficient with electronic documentation the information processing is perceived as time consuming. Normally, it is possible to experience benefits when using IT, but this depends on either promoting or hindering factors, e. g. ease of use and ability to use it, equipment availability and technical functionality, as well as attitude. Conclusions In summary, the findings showed that members of staff experience IT as a benefit when it simplifies their daily working routines and as a burden when it complicates their working processes. Whether IT complicates or simplifies their routines depends on influencing factors. The line between benefit and burden is semipermeable. The experiences differ according to duties and responsibilities. [ABSTRACT FROM AUTHOR]

A comprehensive model for developing a standards-based digital school leader portfolio will be demonstrated. The model includes a template (one version in commercially available Web-based software and one version in commercially available presentation software), various planning tools, and formative and summative evaluation rubrics. Aggregated data associated with student self-assessment inventories used in the planning and development of the digital portfolios will be discussed. Faculty and student assessment of the model will also be presented. An extensive list of references is included. The model will be available in a forthcoming textbook from Scarecrow Education. [ABSTRACT FROM AUTHOR]

Computers have changed the way we interact and work in our daily life. With ubiquitous computing and handheld devices, we have started generating data at larger rate than ever. Tech Companies, Programmers, Software engineers and even user may be using different computer databases to help their businesses and daily life. This article addresses the question of copyrightability of computer databases. In India, computer databases are granted protection under copyright law. The article defines the different principles of protection of computer databases with a short comparative study with US and UK legal position. [ABSTRACT FROM AUTHOR]

Aims To examine efficacy of drug brief interventions (BIs) among adults presenting to a low-income urban emergency department (ED). Design Randomized controlled trial on drug use outcomes at 3, 6 and 12 months. Participants were assigned to (1) computer-delivered BI (Computer BI), (2) therapist-delivered, computer-guided BI (Therapist BI) or (3) enhanced usual care (EUC-ED) for drug-using adults. Participants were re-randomized after the 3-month assessment to either adapted motivational enhancement therapy (AMET) booster or enhanced usual care booster (EUC-B). Setting Patients recruited from low-income urban emergency departments (ED) in Flint, Michigan, USA. Participants A total of 780 ED patients reporting recent drug use, 44% males, mean age = 31 years. Interventions Computer BI consisted of an interactive program guided by a virtual health counselor. Therapist BI included computer guidance. The EUC-ED conditions included review of community health and HIV prevention resources. The BIs and boosters were based on motivational interviewing, focusing on reduction of drug use and HIV risk behaviors. Measurements Primary outcome was past 90 days using drugs at 6 and 12 months and secondary outcomes were weighted drug-days and days of marijuana use. Findings Percentage changes in mean days used any drug from baseline to 12 months were: Computer BI + EUC-B: -10.9%, P = 0.0844; Therapist BI + EUC-B: -26.7%, P = 0.0041, for EUC-ED + EUC-B: -20.9, P = 0.0011. In adjusted analyses, there was no significant interaction between ED intervention and booster AMET for primary and secondary outcomes. Compared with EUC-ED, Therapist BI reduced number of days using any drug [95% confidence interval (CI) = −0.41, −0.07, P = 0.0422] and weighted drug-days (95% CI = -0.41, −0.08, P = 0.0283). Both Therapist and Computer BI had significantly fewer number of days using marijuana compared to EUC-ED (Therapist BI: 95% CI = -0.42, −0.06, P = 0.0104, Computer BI: 95% CI = -0.34, −0.01, P = 0.0406). Booster effects were not significant. Conclusions An emergency department-based motivational brief intervention, delivered by a therapist and guided by computer, appears to reduce drug use among adults seeking emergency department care compared with enhanced usual care. [ABSTRACT FROM AUTHOR]

BACKGROUND: Laptop computers have surpassed desktop computers in popularity, especially among college student users. The portability of these devices raises concerns regarding healthy usage patterns in different settings and there is a need to investigate the postures with which these devices are being used and associated reports of musculoskeletal discomfort. OBJECTIVE: This study investigated the configurations in which laptops are used and the prevalence of musculoskeletal discomfort associated with laptop use in a survey of college students. The purpose of this was to identify differences in discomfort and/or postural choice between males and females. METHODS: A sample of 90 male and 96 female college students completed an online questionnaire consisting of demographic questions, musculoskeletal discomfort indicators and questions regarding configurations of laptop use. RESULTS: Over 53% of participants reported experiencing musculoskeletal discomfort while using a laptop computer, with females reporting a higher prevalence of neck discomfort (p = 0.05) and shoulder discomfort (p = 0.006) than males. Participants reported using a laptop most commonly in positions at a desk and on a bed. Females were more likely than males to use a laptop on a bed with the computer positioned on their lap or with their legs crossed (p < 0.05). Males were more likely than females to work in positions necessitating a large trunk deviation to operate the laptop (p < 0.05), such as "sitting on a sofa with your feet on the floor (knees at 90), bending over to use laptop that is resting on a coffee table or ottoman in front of you". CONCLUSIONS: A significant proportion of college students report experiencing musculoskeletal discomfort associated with laptop computer use. Sex differences exist in both choice of configurations and musculoskeletal discomfort associated with laptop use. Due to the portability of laptop computers, they are used in a variety of configurations and environments. This study identifies a number of different ways that laptop computers are used that have not been considered in previous research. These patterns of laptop use can be used to inform future work on the impact of technology use on discomfort. [ABSTRACT FROM AUTHOR]

Objective: This study compares intervention delivered by a therapist to intervention delivered using an iPad for two children with autism. Further, this study evaluates the influence of choice between the conditions. Methods: Time on-task, challenging behaviour, session duration and correct responses were compared across conditions in an alternating treatment design. The effect of choice was evaluated in an ABAB design. Results: The iPad was associated with shorter intervention sessions, more time on-task and less challenging behaviour for one participant. There was no difference between conditions for the second participant. Both participants selected the iPad when given the choice and, although the effect of choice was modest, choosing was associated with more time on-task and less challenging behaviour. Conclusions: These data suggest that iPad-assisted intervention can be as effective as therapist-implemented intervention. Further, even for children for whom no differences between the interventions exist, offering a choice may be beneficial. [ABSTRACT FROM AUTHOR]

Proliferating internet-accessible media have altered the home context, raising questions about parental influence on youth computer/internet use. This study examines parents' monitoring, internet mediation, and modeling behaviors as predictors of adolescents' computer/internet use among 629 US adolescents and their parents. Parents' time spent with computers was positively associated with teens' computer time, and parents' engagement in seven internet activities (e.g., IM/chat) also predicted teens' engagement in those activities. Greater general parental monitoring of adolescents predicted less teen engagement in IM/chat, social networking site use, video streaming, and multiplayer online games, while parental tracking of internet use predicted more teen IM/chat. Older teens spent more time with computers and in various internet activities and reported lower rates of general parental monitoring and parental internet mediation. Findings suggest that parents act as models for their children's internet use. Additionally, general parental practices not specific to media may affect youths' media behaviors as well. [ABSTRACT FROM PUBLISHER]

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The Transfusion Medicine Service (TMS) covers diverse clinical and laboratory-based services that must be delivered with accuracy, efficiency and reliability. TMS oversight is shared by multiple regulatory agencies that cover product manufacturing and validation standards geared toward patient safety. These demands present significant informatics challenges. Over the past few decades, TMS information systems have improved to better handle blood product manufacturing, inventory, delivery, tracking and documentation. Audit trails and access to electronic databases have greatly facilitated product traceability and biovigilance efforts. Modern blood bank computing has enabled novel applications such as the electronic crossmatch, kiosk-based blood product delivery systems, and self-administered computerized blood donor interview and eligibility determination. With increasing use of barcoding technology, there has been a marked improvement in patient and specimen identification. Moreover, the emergence of national and international labeling standards such as ISBT 128 have facilitated the availability, movement and tracking of blood products across national and international boundaries. TMS has only recently begun to leverage the electronic medical record to address quality issues in transfusion practice and promote standardized documentation within institutions. With improved technology, future growth is expected in blood bank automation and product labeling with applications such as radio frequency identification devices. This article reviews several of these key informatics issues relevant to the contemporary practice of TMS. [ABSTRACT FROM AUTHOR]

The article focuses on the legal issues related to patenting of Internet and electronic-Commerce (e-Commerce). It notes that the growth of e-Commerce, a business using computer systems and software, has led to the increase of patents on computer-implemented methods. It discusses the legal issues pertaining to Internet and e-Commerce patenting and the problems encountered in patenting of e-Commerce. It also presents the views of courts in the U.S. concerning the issues of e-Commerce patenting.

Although it was widely noted by researchers during the 1980s and 1990s that gender role orientation and gendered stereotyping exert a considerable influence on people’s engagement with technologies, there is little evidence of the influence of such gendered influences on contemporary technology users. The present study is based on a survey of 406 undergraduate students aged between 18 and 39 years conducted to examine whether different aspects of information and communication technology (ICT) use continue to be seen in particularly gendered terms by young adults and what reasons could be identified for any gender stereotyping. Analysis of the survey data show how issues of masculinity and femininity continue to be an important-if perhaps more subtle-influence on how young people perceive ICTs in contemporary society. In all, the findings confirm the continuing persistence of gender stereotypes as a frame of reference for ICTs. [ABSTRACT FROM AUTHOR]

Objective: Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved.Design: Randomized controlled trial conducted between 1995 and 1998.Setting: Five sites: two teaching hospitals (Madison, Wis, and Chicago, Ill), two nonteaching hospitals (Chicago), and a cancer resource center (Indianapolis, Ill). The latter three sites treat many underserved patients.Participants: Newly diagnosed breast cancer patients (N = 246) under age 60.Interventions: Experimental group received Comprehensive Health Enhancement Support System (CHESS), a home-based computer system providing information, decision-making, and emotional support.Measurements and Main Results: Pretest and two post-test surveys (at two- and five-month follow-up) measured aspects of participation in care, social/information support, and quality of life. At two-month follow-up, the CHESS group was significantly more competent at seeking information, more comfortable participating in care, and had greater confidence in doctor(s). At five-month follow-up, the CHESS group had significantly better social support and also greater information competence. In addition, experimental assignment interacted with several indicators of medical underservice (race, education, and lack of insurance), such that CHESS benefits were greater for the disadvantaged than the advantaged group.Conclusions: Computer-based patient support systems such as CHESS may benefit patients by providing information and social support, and increasing their participation in health care. These benefits may be largest for currently underserved populations. [ABSTRACT FROM AUTHOR]