33 results on '"Sharon E. Roberts"'
Search Results
2. Intragroup helping as a mediator of the association between fandom identification and self-esteem and well-being
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Stephen Reysen, Courtney N. Plante, Daniel Chadborn, Sharon E. Roberts, and Kathleen C. Gerbasi
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media_common.quotation_subject ,05 social sciences ,Geography, Planning and Development ,Self-esteem ,050109 social psychology ,Mediator ,Tourism, Leisure and Hospitality Management ,0502 economics and business ,Well-being ,0501 psychology and cognitive sciences ,Identification (psychology) ,Fandom ,Association (psychology) ,Psychology ,Social psychology ,050212 sport, leisure & tourism ,media_common - Abstract
We examined whether intragroup helping mediates the relationship between identification with one’s fandom and self-esteem and psychological well-being in three different samples of fans: bronies (f...
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- 2021
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3. 'Bordering on Excess': Perceptions of Fan Obsession in Anime Fans, Furries, and Star Wars Fans
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Stephen Reysen, Courtney Plante, Grace Packard, Sharon E. Roberts, and Kathleen C. Gerbasi
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In the present research, we examine what it means for fans to take their interests “too far” in a multi-fandom, qualitative study. Specifically, we asked self-identified anime fans, furries, and Star Wars fans to describe what, to them, marked the point where a fan could be said to be taking their interest too far. From these responses we extracted five common themes across fandoms: (1) when one’s fan interest negatively impacts their life, (2) when one’s fan interest becomes the sole or defining feature of their personality, (3) when one’s fan-related opinions are pushed on others, (4) when a fan loses touch with reality, and (5) when there is a connection between one’s fan interest and their sexual desire. We also note that anime fans cited a unique, sixth theme, when fans excessively worship Japanese culture. The responses suggest that excessive fan behavior may be ubiquitous across fandoms, although there may be idiosyncratic excesses characteristic of specific fandoms. We discuss these findings in the context of existing fan literature as well as their implications, both practical and for future research.
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- 2022
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4. Empirically Testing the Veracity of Otaku Stereotypes
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Stephen Reysen, Courtney Plante, Sharon E. Roberts, and Kathleen C. Gerbasi
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In the present research we test the veracity of 36 stereotypes of otaku that have appeared in definitions and descriptions of otaku in various academic publications. We surveyed anime fans and examined differences between otaku and non-otaku fans, as well as gauge where fans fell on measures regarding each stereotype. Self-identified otaku tended to be young, male, single, and heterosexual. However, these were not necessarily distinguishing features of otaku. Otaku identified as nerds/geeks, spread information about their favorite anime by word-of-mouth, showed obsessive tendencies, rated high on immersion when consuming anime, and identified strongly with their favorite character. Contrary to the stereotypes, otaku had a comparable friendship network with non-otaku anime fans, perceived themselves as mature, and did not feel they were socially awkward around non-fans. Taken together, the result tended to paint a portrait of otaku as well-adjusted individuals who happen to have an intense interest in a particular fan object.
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- 2022
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5. ‘Get out of my fandom, newbie’: A cross-fandom study of elitism and gatekeeping in fans
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Sharon E. Roberts, Daniel Chadborn, Courtney N. Plante, Stephen Reysen, and Kathleen C. Gerbasi
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Environmental Engineering ,0502 economics and business ,05 social sciences ,Media studies ,050109 social psychology ,0501 psychology and cognitive sciences ,Fandom ,Psychology ,050212 sport, leisure & tourism ,Industrial and Manufacturing Engineering ,Gatekeeping ,Elitism - Abstract
In the present article we discuss three studies aimed at better understanding elitism in the context of fan groups. The studies assess different facets of elitism, predictors of elitism and the potential outcomes associated with holding elitist beliefs. The survey studies were conducted on members of three distinct fan groups: furries (fans of media featuring anthropomorphized animal characters), bronies (adult fans of the television series My Little Pony) and anime fans (fans of Japanese animation). Elitism was found to include both self-inflation and other-derogation and is predicted by two components of fan identity (fanship and fandom). Elitism was also significantly associated with pro-gatekeeping attitudes and behaviours. Practical and theoretical implications for fan culture are discussed. We also discuss the limitations of the studies and their ability to contribute to a discussion about creating inclusive fan spaces.
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- 2020
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6. 'Chasing Tail': Testing the Relative Strength of Sexual Interest and Social Interaction as Predictors of Furry Identity
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Thomas R. Brooks, Tara N. Bennett, Ashley Myhre, Courtney N. Plante, Stephen Reysen, Sharon E. Roberts, and Kathleen C. Gerbasi
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Gender Studies ,History and Philosophy of Science ,Sociology and Political Science ,General Psychology - Abstract
Furries can be described as a mediacentric fandom, similar to other fandoms, which organizes around an interest in anthropomorphic art. Past research has also aimed to highlight and understand the sexual motivations of furries, leading to questions regarding the relative strength of fandom and sexual motivations for joining and maintaining membership within the group. The goal of the present study was to test the relative contributions sex- and fandom-related motivations (e.g., social belonging) have in determining furry identity to provide better conceptualizations of this unique community for future research and education. In a sample of furries (
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- 2022
7. My Animal Self: The Importance of Preserving Fantasy-Themed Identity Uniqueness
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Courtney N. Plante, Stephen Reysen, Kathleen C. Gerbasi, and Sharon E. Roberts
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Sociology and Political Science ,media_common.quotation_subject ,05 social sciences ,Identity (social science) ,050109 social psychology ,Anger ,Aesthetics ,Component (UML) ,0501 psychology and cognitive sciences ,Psychology (miscellaneous) ,Fantasy ,Sociology ,Uniqueness ,Fandom ,050104 developmental & child psychology ,media_common - Abstract
Furries are fans of anthropomorphic art and media. A unique component of the fandom is the creation of individualized fursonas – anthropomorphic animal-themed identities to represent onesel...
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- 2019
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8. Initial validation and reliability of the single-item measure of immersion
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Kathleen C. Gerbasi, Sharon E. Roberts, Stephen Reysen, and Courtney N. Plante
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Cultural Studies ,Visual Arts and Performing Arts ,Computer science ,Strategy and Management ,Communication ,05 social sciences ,0211 other engineering and technologies ,050801 communication & media studies ,021107 urban & regional planning ,02 engineering and technology ,Scale construction ,Single item ,behavioral disciplines and activities ,Reliability engineering ,0508 media and communications ,Convergent and divergent production ,Management of Technology and Innovation ,Immersion (virtual reality) - Abstract
In the present research we provide preliminary evidence of the convergent and divergent validity, test-retest reliability, and the utility of a single-item measure of media immersion. Conve...
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- 2019
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9. Fan and Non-Fan Recollection of Faces in Fandom-Related Art and Costumes
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Sharon E. Roberts, Courtney N. Plante, Stephen Reysen, and Kathleen C. Gerbasi
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Cultural Studies ,Philosophy of mind ,Social Psychology ,Recall ,05 social sciences ,050109 social psychology ,Experimental and Cognitive Psychology ,Facial recognition system ,050105 experimental psychology ,Visual arts ,Arts and Humanities (miscellaneous) ,0501 psychology and cognitive sciences ,Fandom ,Psychology - Abstract
We compared face recognition of humans and fandom-themed characters (art and costumes) between a sample of furries (fans of anthropomorphic animal art) and non-furries. Participants viewed images that included humans, drawn anthropomorphic animals, and anthropomorphic animal costumes, and were later tested on their ability to recognize faces from a subset of the viewed images. While furries and non-furries did not differ in their recollection of human faces, furries showed significantly better memory for faces in furry-themed artwork and costumes. The results are discussed in relation to own-group bias in face recognition.
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- 2018
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10. 'Animals Like Us': Identifying with Nonhuman Animals and Support for Nonhuman Animal Rights
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Stephen Reysen, Courtney N. Plante, Sharon E. Roberts, and Kathleen C. Gerbasi
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Sociology and Political Science ,Veterinary (miscellaneous) ,05 social sciences ,050109 social psychology ,Education ,Developmental psychology ,Social group ,Nonhuman animal ,Anthropology ,0501 psychology and cognitive sciences ,Animal Science and Zoology ,Identification (biology) ,050102 behavioral science & comparative psychology ,Psychology - Abstract
While anthropomorphizing nonhuman animals has been shown to increase identification with them and, by extension, concern for their wellbeing, little research has directly tested whether identifying with nonhuman animals is similarly associated with concern for their wellbeing. We tested hypotheses related to this premise across three cross-sectional studies. In study 1 (n = 224), we tested the hypothesis that therians—a group of people who self-identify with nonhuman animals, show greater concern for nonhuman animal rights than non-therian furries—people with a fan-like interest in media featuring anthropomorphized animal characters. In study 2 (n = 206), we further tested this hypothesis using implicit and explicit measures of identification with nonhuman animals to predict behavioral intentions to support nonhuman animal rights. In study 3 (n = 182), we tested the generalizability of our findings in a sample of undergraduate students. Taken together, the studies show that explicit, but not impli...
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- 2018
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11. The Fantasy Engagement Scale: A Flexible Measure of Positive and Negative Fantasy Engagement
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Kathleen C. Gerbasi, Courtney N. Plante, Sharon E. Roberts, Stephen Reysen, and Christopher L. Groves
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Social Psychology ,Scale (social sciences) ,Psychological research ,05 social sciences ,050109 social psychology ,0501 psychology and cognitive sciences ,Fantasy ,Psychology ,Social psychology ,050105 experimental psychology ,Applied Psychology - Abstract
Despite the prevalence of fantasy activities in day-to-day life, there has been little systematic psychological research on fantasy. Existing work is scattered across numerous fantasy-related topic...
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- 2017
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12. ‘Welcome to the jungle’: Content creators and fan entitlement in the furry fandom
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Stephen Reysen, Sharon E. Roberts, Courtney N. Plante, and Kathleen C. Gerbasi
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Environmental Engineering ,media_common.quotation_subject ,Jungle ,Gender studies ,Art ,Entitlement ,Fandom ,Content (Freudian dream analysis) ,Industrial and Manufacturing Engineering ,media_common - Published
- 2017
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13. The Anthrozoomorphic Identity: Furry Fandom Members’ Connections to Nonhuman Animals
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Courtney N. Plante, Kathleen C. Gerbasi, Stephen Reysen, and Sharon E. Roberts
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Sociology and Political Science ,Veterinary (miscellaneous) ,media_common.quotation_subject ,Identity (social science) ,Education ,Developmental psychology ,Convention ,Ascription ,Subculture ,Feeling ,Anthropology ,Animal Science and Zoology ,Identification (psychology) ,Fandom ,Psychology ,Social psychology ,Mysticism ,media_common - Abstract
We examined furry fandom members’ anthrozoomorphic identity by investigating this subculture's relationship with nonhuman animals. Using exploratory and confirmatory factor analyses and two largescale Internet and convention-based studies of furries, we developed (study 1; n=4,338) and replicated (study 2; n=1,707) the 10-item Species Connection Scale, which is a three-factor model of felt connection to animals: (1) a sense of appreciation or liking for a species, (2) a sense of spiritual or mystical connection to a species, and (3) a feeling of identification with or as another species. We then used this model to predict participants’ psychological wellbeing and tendency to attribute human-like traits and emotions to animals. The results indicated that (1) liking animals may be related to the ascription of secondary emotions to animals (supported in study 1, but not study 2), but was not associated with participant wellbeing (supported by both studies); (2) a spiritual connection to animals did n...
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- 2015
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14. The Role of Identity Horizons in Education-to-Work Transitions: A Cross-Cultural Validation Study in Japan and the United States
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Seth J. Schwartz, Reiko Nakama, Shinichi Mizokami, James E. Côté, Sharon E. Roberts, and Alan Meca
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Sociology and Political Science ,Work (electrical) ,Scale (social sciences) ,Cross-cultural ,Construct validity ,Identity (social science) ,Psychology (miscellaneous) ,Metric (unit) ,Psychology ,Social psychology ,Exploratory factor analysis ,Confirmatory factor analysis ,Developmental psychology - Abstract
This article reports on the development and construct validation of the Identity Horizons Scales, an instrument based on the identity horizons model. Participants were postsecondary students aged 18–24 years from Japan (N = 505) and the United States (N = 546). Following exploratory factor analysis and confirmatory factor analysis, a three-factor scale had adequate configural, metric, and partial scalar invariance. Evidence for construct validity was also found. Cross-cultural validity assessments suggest that the new measure can be used in both cultural contexts, and for men and women in both contexts, but that the Japanese configuration of identity horizons is more nuanced than the U.S. pattern. Implications, limitations, and future directions for research using the Identity Horizons Scales in different cultural settings are discussed.
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- 2015
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15. Influence of a quality improvement learning collaborative program on team functioning in primary healthcare
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Sharon E. Roberts, Sonja M. Reichert, Michael E. Green, Jyoti Kotecha, Grant Russell, Han Han, Meghan Fournie, Richard Birtwhistle, Judith Belle Brown, Susan Webster-Bogaert, Stewart B. Harris, and Amardeep Thind
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Ontario ,Patient Care Team ,Teamwork ,Medical education ,Quality management ,Primary Health Care ,Team Role Inventories ,Communication ,media_common.quotation_subject ,education ,Disease Management ,Collaborative learning ,Quality Improvement ,Interviews as Topic ,Nonprobability sampling ,Psychiatry and Mental health ,General partnership ,Humans ,Thematic analysis ,Psychology ,Qualitative Research ,Applied Psychology ,media_common ,Qualitative research - Abstract
Quality improvement (QI) programs are frequently implemented to support primary healthcare (PHC) team development and to improve care outcomes. In Ontario, Canada, the Quality Improvement and Innovation Partnership (QIIP) offered a learning collaborative (LC) program to support the development of interdisciplinary team function and improve chronic disease management, disease prevention, and access to care. A qualitative study using a phenomenological approach was conducted as part of a mixed-method evaluation to explore the influence of the program on team functioning in participating PHC teams. A purposive sampling strategy was used to identify PHC teams (n = 10), from which participants of different professional roles were selected through a purposeful recruitment process to reflect maximum variation of team roles. Additionally, QI coaches working with the interview participants and the LC administrators were also interviewed. Data were collected through semistructured telephone interviews that were audiotaped and transcribed verbatim. Thematic analysis was conducted through an iterative and interpretive approach. The shared experience of participating in the program appeared to improve team functioning. Participants described increased trust and respect for each other's clinical and administrative roles and were inspired by learning about different approaches to interdisciplinary care. This appeared to enhance collegial relationships, collapse professional silos, improve communication, and increase interdisciplinary collaboration. Teamwork involves more than just physically grouping healthcare providers from multiple disciplines and mandating them to work together. The LC program provided opportunities for participants to learn how to work collaboratively, and participation in the LC program appeared to enhance team functioning.
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- 2015
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16. The Identity Issues Inventory: Identity Stage Resolution in the Prolonged Transition to Adulthood
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Sharon E. Roberts and James E. Côté
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Transition (fiction) ,Identity (social science) ,Experimental and Cognitive Psychology ,Factorial validity ,Resolution (logic) ,Structural equation modeling ,Developmental psychology ,Psychological health ,Developmental and Educational Psychology ,Positive relationship ,Life-span and Life-course Studies ,Psychology ,Identity formation ,Social psychology - Abstract
The Identity Issues Inventory (I3) uses an Eriksonian framework to assess identity stage resolution among those experiencing a prolonged transition to adult- hood in terms of the developmental tasks of self-identity formation (integration and differentiation) and societal- identity formation (work roles and worldview). For this first analysis of this new measure, data were collected from two samples: (1) 196 people between the ages of 18 and 48 and (2) 1,489 participants between the ages of 18 and 41. Overall, the I3 yields good factorial validity and reliability, and scores increase with age toward the ''ceiling'' of each task subscale, which represent anchors of a stable adult identity. Structural equation modeling assessed the rela- tionships between these prominent identity issues and psychological health, revealing a positive relationship between the two constructs, providing evidence for pre- dictive validity. An analysis of the second sample of 1,498 people confirmed these findings. The I3 promises to be a useful tool in future investigations of identity stage reso- lutions for those aged 18 and above experiencing a pro- longed transition to adulthood.
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- 2014
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17. ‘More than skin-deep’: Biological essentialism in response to a distinctiveness threat in a stigmatized fan community
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Stephen Reysen, Catherine Schroy, Jamie S. Snider, Kathleen C. Gerbasi, Courtney N. Plante, and Sharon E. Roberts
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Adult ,Male ,Stereotyping ,Group membership ,Adolescent ,Social Identification ,Social Psychology ,Essentialism ,Social Stigma ,Affect (psychology) ,Young Adult ,Attitude ,Social Perception ,Outgroup ,Humans ,Female ,Optimal distinctiveness theory ,Fandom ,Social identity theory ,Psychology ,Social psychology - Abstract
We investigated how group distinctiveness threats affect essentialist beliefs about group membership in a stigmatized fan community. An experiment conducted on 817 members of the fan community revealed that highly identified fans who perceived significant stigmatization were the most likely to endorse essentialist beliefs about group membership when exposed to a distinctiveness threat via comparison to a highly similar (vs. dissimilar) outgroup. These results bridge essentialism research and research on distinctiveness threat by demonstrating the mutability of group essentialism beliefs as a defensive response to distinctiveness threats. Implications for future research are discussed.
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- 2014
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18. Interaction of Socio-structural Characteristics Predicts Identity Concealment and Self- Esteem in Stigmatized Minority Group Members
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Courtney N. Plante, Kathleen C. Gerbasi, Stephen Reysen, and Sharon E. Roberts
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Minority group ,media_common.quotation_subject ,Self-esteem ,social sciences ,humanities ,Structural equation modeling ,Developmental psychology ,behavior and behavior mechanisms ,Social identity theory ,Psychology ,Perceived stigma ,human activities ,Social psychology ,General Psychology ,media_common - Abstract
The present research investigated the relationship between socio-structural characteristics of intergroup differences, identity concealment, and self-esteem in members of a stigmatized minority group. Structural equation modeling of survey responses collected at a convention showed that socio-structural characteristics interact to predict concealment strategies as a way of managing perceived stigma. Perceived permeability of intergroup boundaries predicted increased endorsement of concealment, moderated by the legitimacy and stability of intergroup status differences. Interacting socio-structural characteristics also predicted self-esteem, an effect mediated by identity concealment. The results illustrate that socio-structural characteristics can help predict stigmatized minority group members’ endorsement of identity concealment despite its potentially maladaptive effects.
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- 2013
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19. Feasibility and safety of planned early discharge following laparotomy in gynecologic oncology with enhanced recovery protocol including opioid-sparing anesthesia
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Michelle L. Kuznicki, Maya Yasukawa, Adrianne R. Mallen, Clarissa Lam, Erica Eggers, Jefferson Regis, Ali Wells, Sarah L. Todd, Sharon E. Robertson, Jean-Paul Tanner, Matthew L. Anderson, and Thomas J. Rutherford
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ERAS ,planned early discharge ,quality of life ,opioid-sparing anesthesia ,gynecology oncology ,Surgery ,RD1-811 - Abstract
ObjectiveThis study aims to evaluate the feasibility and safety of planned postoperative day 1 discharge (PPOD1) among patients who undergo laparotomy (XL) in the department of gynecology oncology utilizing a modified enhanced recovery after surgery (ERAS) protocol including opioid-sparing anesthesia (OSA) and defined discharge criteria.MethodsPatients undergoing XL and minimally invasive surgery (MIS) were enrolled in this prospective, observational cohort study after the departmental implementation of a modified ERAS protocol. The primary outcome was quality of life (QoL) using SF36, PROMIS GI, and ICIQ-FLUTS at baseline and 2- and 6-week postoperative visits. Statistical significance was assessed using the two-tailed Student's t-test and non-parametric Mann–Whitney two-sample test.ResultsOf the 141 subjects, no significant demographic differences were observed between the XL group and the MIS group. The majority of subjects, 84.7% (61), in the XL group had gynecologic malignancy [vs. MIS group; 21 (29.2%), p
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- 2023
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20. Identity Horizons Among Finnish Postsecondary Students : A Comparative Analysis
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James E. Côté, Sharon E. Roberts, Reiko Nakama, Shinichi Mizokami, Eeva Sinisalo-Juha, Helena Helve, Arseniy Svynarenko, Yhteiskuntatieteiden tiedekunta - Faculty of Social Sciences, and University of Tampere
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Sociology and Political Science ,education ,05 social sciences ,Identity (social science) ,050109 social psychology ,Social Welfare ,Social class ,humanities ,Developmental psychology ,Identity development ,Postsecondary education ,medicine ,Anxiety ,0501 psychology and cognitive sciences ,Psychology (miscellaneous) ,medicine.symptom ,Psychology ,Social psychology ,Identity formation ,Kasvatustieteet - Educational sciences ,health care economics and organizations ,050104 developmental & child psychology - Abstract
This article examines the identity horizons of postsecondary students in Finland—a country in which social welfare provisions buffer education-to-work transitions—comparing their identity horizons to those previously reported for U.S. and Japanese students. Confirmatory factor analyses revealed scalar invariance of the Finnish version of the Identity Horizons Scales with the English and Japanese versions. Latent mean comparisons found that Finnish students had the broadest educational and work horizons, and the lowest education-to-work identity anxiety. Finnish men reported lower levels of educational horizons and higher levels of identity anxiety than Finnish women, replicating previous findings. Social class differences were also detected, with higher levels of identity anxiety and narrower educational horizons among those whose parents had no postsecondary education. Based on the apparent impacts on identity development of the different educational policies in the three countries, results are d...
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- 2017
21. An examination of the cross-cultural validity of the Identity Capital Model: American and Japanese students compared
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Shinichi Mizokami, Sharon E. Roberts, James E. Côté, and Reiko Nakama
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Adult ,Cross-Cultural Comparison ,Male ,Social Psychology ,Adolescent ,Individuality ,050109 social psychology ,Structural equation modeling ,Developmental psychology ,Individualism ,Young Adult ,Japan ,Developmental and Educational Psychology ,Ethnicity ,Cross-cultural ,Humans ,0501 psychology and cognitive sciences ,Path analysis (statistics) ,Students ,Sense of agency ,Social Identification ,05 social sciences ,Collectivism ,Models, Theoretical ,Self Concept ,United States ,Psychiatry and Mental health ,Identity development ,Locus of control ,Adolescent Behavior ,Pediatrics, Perinatology and Child Health ,Female ,Psychology ,Factor Analysis, Statistical ,Social psychology ,050104 developmental & child psychology - Abstract
The Identity Capital Model proposes that forms of personal agency are associated with identity development as part of the transition to adulthood. This model was examined in two cultural contexts, taking into account age and gender, among college and university students aged 18 to 24 (N = 995). Confirmatory Factor Analyses verified cultural, age, and gender invariance of the two key operationalizations of the model. A Structural Equation Model path analysis confirmed that the model applies in both cultures with minor variations-types of personal agency are associated with the formation of adult- and societal-identities as part of the resolution of the identity stage. It was concluded that forms of personal agency providing the most effective ways of dealing with "individualization" (e.g., internal locus of control) are more important in the transition to adulthood among American students, whereas types of personal agency most effective in dealing with "individualistic collectivism" (e.g., ego strength) are more important among Japanese students.
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- 2015
22. Impact of a primary healthcare quality improvement program on diabetes in Canada: evaluation of the Quality Improvement and Innovation Partnership (QIIP)
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Selam Mequanint, Sharon E. Roberts, Jyoti Kotecha, Sonja M. Reichert, Stewart B. Harris, Meghan Fournie, Jordan W. Tompkins, Michael E. Green, Jann Paquette-Warren, Judith Belle-Brown, Grant Russell, Amardeep Thind, Moira Stewart, Han Han, Richard Birtwhistle, and Susan Webster-Bogaert
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Program evaluation ,Research design ,medicine.medical_specialty ,Quality management ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Audit ,Medication prescription ,quality improvement ,primary healthcare ,03 medical and health sciences ,0302 clinical medicine ,Diabetes management ,Medicine ,030212 general & internal medicine ,Epidemiology/Health Services Research ,diabetes ,business.industry ,Type 2 Diabetes Mellitus ,health policy ,program evaluation ,Evidence-based medicine ,Family medicine ,Physical therapy ,evidence-based medicine ,business - Abstract
Objective Primary healthcare (PHC) quality improvement (QI) initiatives are designed to improve patient care and health outcomes. We evaluated the Quality Improvement and Innovation Partnership (QIIP), an Ontario-wide PHC QI program on access to care, diabetes management and colorectal cancer screening. This manuscript highlights the impact of QIIP on diabetes outcomes and associated vascular risk factors. Research design and methods A cluster matched-control, retrospective prechart and postchart audit was conducted. One physician per QIIP-PHC team (N=34) and control (N=34) were recruited for the audit. Eligible charts were reviewed for prespecified type 2 diabetes mellitus clinical process and outcome data at baseline, during (intervention range: 15–17.5 months) and post. Primary outcome measures were the A1c of patients above study target and proportion of patients with an annual foot exam. Secondary outcome measures included glycemic, hypertension and lipid outcomes and management, screening for diabetes-related complications, healthcare utilization, and diabetes counseling, education and self-management goal setting. Results More patients in the QIIP group achieved statistically improved lipid testing, eye examinations, peripheral neuropathy exams, and documented body mass index. No statistical differences in A1c, low-density lipoprotein or systolic/diastolic blood pressure values were noted, with no significant differences in medication prescription, specialist referrals, or chart-reported diabetes counseling, education or self-management goals. Patients of QIIP physicians had significantly more PHC visits. Conclusion The QIIP-learning collaborative program evaluation using stratified random selection of participants and the inclusion of a control group makes this one of the most rigorous and promising efforts to date evaluating the impact of a QI program in PHC. The chart audit component of this evaluation highlighted that while QIIP improved some secondary diabetes measures, no improvements in clinical outcomes were noted. This study highlights the importance of formalized evaluation of QI initiatives to provide an evidence base to inform future program planning and scale-up.
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- 2017
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23. Impact of a quality improvement program on primary healthcare in Canada: a mixed-method evaluation
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Jordan W. Tompkins, Michael E. Green, Jyoti Kotecha, Stewart B. Harris, Judith Belle Brown, Jann Paquette-Warren, Sharon E. Roberts, Moira Stewart, Han Han, Susan Webster-Bogaert, Meghan Fournie, Grant Russell, Sonja M. Reichert, Richard Birtwhistle, and Amardeep Thind
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Program evaluation ,Male ,Interdisciplinary teams ,medicine.medical_specialty ,Quality management ,education ,Primary health care ,Colorectal cancer screening ,Advanced access ,Diabetes management ,Medicine ,Humans ,Cooperative Behavior ,Evaluation ,Aged ,Quality Indicators, Health Care ,Retrospective Studies ,Chronic care ,Ontario ,Medical Audit ,Primary Health Care ,business.industry ,Health Policy ,Diabetes ,Retrospective cohort study ,Collaborative learning ,Middle Aged ,Quality Improvement ,Diabetes Mellitus, Type 2 ,Family medicine ,General partnership ,Female ,business ,Colorectal Neoplasms ,Primary healthcare ,Program Evaluation - Abstract
Purpose Rigorous comprehensive evaluations of primary healthcare (PHC) quality improvement (QI) initiatives are lacking. This article describes the evaluation of the Quality Improvement and Innovation Partnership Learning Collaborative (QIIP-LC), an Ontario-wide PHC QI program targeting type 2 diabetes management, colorectal cancer (CRC) screening, access to care, and team functioning. Methods This article highlights the primary outcome results of an external retrospective, multi-measure, mixed-method evaluation of the QIIP-LC, including: (1) matched-control pre-post chart audit of diabetes management (A1c/foot exams) and rate of CRC screening; (2) post-only advanced access survey (third-next available appointment); and (3) post-only semi-structured interviews (team functioning). Results Chart audit data was collected from 34 consenting physicians per group (of which 88% provided access data). Between-group differences were not statistically significant (A1c [p = 0.10]; foot exams [p = 0.45]; CRC screening [p = 0.77]; advanced access [p = 0.22]). Qualitative interview (n = 42) themes highlighted the success of the program in helping build interdisciplinary team functioning and capacity. Conclusion The rigorous design and methodology of the QIIP-LC evaluation utilizing a control group is one of the most significant efforts thus far to demonstrate the impact of a QI program in PHC, with improvements over time in both QIIP and control groups offering a likely explanation for the lack of statistically significant primary outcomes. Team functioning was a key success, with team-based chronic care highlighted as pivotal for improved health outcomes. Policy makers should strive to endorse QI programs with proven success through rigorous evaluation to ensure evidence-based healthcare policy and funding.
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- 2014
24. Prevalence of viral DNA in high-grade serous epithelial ovarian cancer and correlation with clinical outcomes
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Sharon E. Robertson, Maya Yasukawa, Douglas C. Marchion, Yin Xiong, Syeda Mahrukh Hussnain Naqvi, Tarik Gheit, Massimo Tommasino, Robert M. Wenham, Anna R. Giuliano, Johnathan M. Lancaster, and Mian M. K. Shahzad
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Medicine ,Science - Published
- 2023
25. Improving chronic care through continuing education of interprofessional primary healthcare teams: a process evaluation
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Meghan Fournie, Sharon E. Roberts, Marie Tyler, Stewart B. Harris, Jann Paquette-Warren, and Judith Belle Brown
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Male ,Quality management ,Education, Continuing ,Inservice Training ,Process (engineering) ,education ,Participant observation ,Coaching ,Interviews as Topic ,interprofessional learning ,Nursing ,work-based learning ,Medicine ,Humans ,Qualitative Research ,Chronic care ,Patient Care Team ,interprofessional care ,Primary Health Care ,business.industry ,Health services research ,Flexibility (personality) ,General Medicine ,Quality Improvement ,health services research ,Themed Article ,evaluation research ,Chronic Disease ,team-based practice ,Female ,Interdisciplinary Communication ,business ,Continuing education ,Qualitative research - Abstract
Process evaluations assess program structures and implementation processes so that outcomes can be accurately interpreted. This article reports the results of a process evaluation of Partnerships for Health, an initiative targeting interprofessional primary healthcare teams to improve chronic care in Southwestern Ontario, Canada. Program documentation, participant observation, and in-depth interviews were used to capture details about the program structure, implementation process, and experience of implementers and participants. Results suggest that the intended program was modified during implementation to better meet the needs of participants and to overcome participation barriers. Elements of program activities perceived as most effective included series of off-site learning/classroom sessions, practice-based/workplace information-technology (IT) support, and practice coaching because they provided: dedicated time to learn how to improve chronic care; team-building/networking within and across teams; hands-on IT training/guidance; and flexibility to meet individual practice needs. This process evaluation highlighted key program activities that were essential to the continuing education (CE) of interprofessional primary healthcare teams as they attempted to transform primary healthcare to improve chronic care.
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- 2014
26. Results of a mixed-methods evaluation of partnerships for health: a quality improvement initiative for diabetes care
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Susan Webster-Bogaert, Bridget L. Ryan, Amanda L. Terry, Meghan Fournie, Cathy Thorpe, Judith Belle Brown, Jann Paquette-Warren, Moira Stewart, Amardeep Thind, Sharon E. Roberts, and Stewart B. Harris
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Adult ,Blood Glucose ,Male ,medicine.medical_specialty ,Quality management ,Waist ,Blood Pressure ,Audit ,Young Adult ,Diabetes mellitus ,Health care ,medicine ,Diabetes Mellitus ,Humans ,Glycemic ,Aged ,Aged, 80 and over ,Glycated Hemoglobin ,Ontario ,Clinical Audit ,Primary Health Care ,business.industry ,Public Health, Environmental and Occupational Health ,Partnership Practice ,Disease Management ,Middle Aged ,medicine.disease ,Quality Improvement ,Blood pressure ,Family medicine ,Physical therapy ,Female ,Family Practice ,business ,Body mass index - Abstract
Purpose: Quality improvement (QI) initiatives have been implemented to facilitate transition to a chronic disease management approach in primary health care. However, the effect of QI initiatives on diabetes clinical processes and outcomes remains unclear. This article reports the effect of Partnerships for Health, a QI program implemented in Southwestern Ontario, Canada, on diabetes clinical process and outcome measures and describes program participants9 views of elements that influenced their ability to reach desired improvements. Methods: Part of an external, concurrent, comprehensive, mixed-methods evaluation of Partnerships for Health, a before/after audit of 30 charts of patient of program physicians (n = 35) and semistructured interviews with program participants (physicians and allied health providers) were conducted. Results: The proportion of patients (n = 998) with a documented test/examination for the following clinical processes significantly improved (P ≤ .005): glycosylated hemoglobin (A1c), cholesterol, albumin-to-creatinine ratio, serum creatinine, glomerular filtration rate, electrocardiogram, foot/eye/neuropathy examination, body mass index, waist circumference, and depression screening. Data showed intensification of treatment and significant improvement in the number of patients at target for low-density lipoprotein (LDL) and blood pressure (BP) (P ≤ .001). Mean LDL and BP values decreased significantly (P ≤ .01), and an analysis of patients above glycemic targets (A1c >7% at baseline) showed a significant decrease in mean A1c values (P ≤ .01). Interview participants (n = 55) described using a team approach, improved collaborative and proactive care through better tracking of patient data, and increased patient involvement as elements that positively influenced clinical processes and outcomes. Conclusions: QI initiatives like Partnerships for Health can result in improved diabetes clinical process and outcome measures in primary health care.
- Published
- 2013
27. When do first-year college students drink most during the academic year? An internet-based study of daily and weekly drinking
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Samantha Wells, Roma Harris, Kathryn Graham, Paul F. Tremblay, Sharon E. Roberts, and Roseanne Pulford
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Male ,Time Factors ,Adolescent ,Alcohol Drinking ,Universities ,education ,Statistics as Topic ,Poison control ,Alcohol abuse ,Suicide prevention ,Risk Assessment ,Occupational safety and health ,Young Adult ,Risk-Taking ,Sex Factors ,Environmental health ,Surveys and Questionnaires ,Injury prevention ,medicine ,Confidence Intervals ,Humans ,Students ,At-risk students ,Ontario ,Analysis of Variance ,Internet ,Academic year ,business.industry ,Data Collection ,Public Health, Environmental and Occupational Health ,medicine.disease ,Trend analysis ,Female ,business - Abstract
Objective: The authors investigated the alcohol consumption trajectories among first-year university students. Participants: A sample of 415 students attending a large university in Southwestern Ontario, Canada, was recruited. Methods: Students completed a baseline questionnaire and 26 weekly brief Internet surveys assessing alcohol consumption from September 2006 to April 2007. Results: Findings indicated that alcohol consumption varies considerably as a function of time of the academic year. Overall trends indicate that students drink more heavily at the beginning of each semester and less during exam periods. Daily patterns indicate that most drinking occurs on weekends. The highest drinking days in the first academic year included Halloween, New Year's Eve, and St. Patrick's Day. Conclusions: The present study provides evidence that periods of high and low alcohol consumption are contingent upon specific events and the time of the year.
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- 2010
28. Ingroup Bias and Ingroup Projection in the Furry Fandom
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Kathleen C. Gerbasi, Courtney N. Plante, Sharon E. Roberts, and Stephen Reysen
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Projection model ,In-group favoritism ,Fandom ,Association (psychology) ,Psychology ,Projection (set theory) ,Ingroups and outgroups ,Social psychology ,Developmental psychology ,Serial mediation - Abstract
In two studies, we examine ingroup favoritism within the furry community. Furry fans construct personas (“fursonas”) that are often related to a species of animal (e.g., fox, wolf). In Study 1, furries were found to rate their fursona species more favorably than other species. In Study 2, we examined whether the ingroup projection model may aid in understanding this ingroup species bias. Participants’ ratings of prototypicality of their species within the fandom was associated with greater favoritism of one’s species. A serial mediation model showed that identification with the fursona and perceived benefits of one’s fursona mediated the association between ingroup projection and ingroup species bias.
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- 2015
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29. A Social Identity Perspective of Personality Differences between Fan and Non-Fan Identities
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Kathleen C. Gerbasi, Sharon E. Roberts, Stephen Reysen, and Courtney N. Plante
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media_common.quotation_subject ,Personal identity ,Identity (social science) ,Personality ,Big Five personality traits and culture ,Fandom ,Big Five personality traits ,Psychology ,Social identity theory ,Social psychology ,Identity formation ,Developmental psychology ,media_common - Abstract
In three studies of fan communities we examined differences in the Big Five personality traits between fans’ personal and fan identities. In all three studies, self-identified furries completed a measure of the Big Five personality traits for both their personal and furry identity. In Study 1, furries were found to rate all five dimensions higher when referring to their furry (vs. personal) identity. In Study 2 we replicated these results and further found that the effect was not limited to furries: sport fans also reported different personality ratings when referring to their fan or personal identity. In Study 3, we again replicated the results while testing predictors of personality differences between salient identities. A path model showed that felt connection to one’s fandom identity predicted greater frequency of fandom identity salience, which, in turn, predicted greater personality disparity between identities. Taken together, the results suggest the role of the social identity perspective in explaining inconsistencies in personality.
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- 2015
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30. A comparison of self-reported motor vehicle collision injuries compared with official collision data: an analysis of age and sex trends using the Canadian National Population Health Survey and Transport Canada data
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Piotr Wilk, Jane Seeley, Sharon E. Roberts, and Evelyn Vingilis
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Adult ,Male ,Canada ,Adolescent ,Population ,Poison control ,Human Factors and Ergonomics ,Population health ,Occupational safety and health ,Sex Factors ,Self-report study ,Injury prevention ,Forensic engineering ,Humans ,Safety, Risk, Reliability and Quality ,education ,Aged ,education.field_of_study ,Incidence (epidemiology) ,Incidence ,Public Health, Environmental and Occupational Health ,Accidents, Traffic ,Age Factors ,Middle Aged ,Collision ,Health Surveys ,Geography ,Population Surveillance ,Wounds and Injuries ,Female ,Demography - Abstract
Objective The purpose of this study was to compare the age and sex trends of motor vehicle collision injuries between a nationally representative self-report survey and official police motor vehicle collision report data. To do this, population-based estimates of motor vehicle collision injuries were established using data from the National Population Health Survey (NPHS), a prospective, population-based, longitudinal survey that was compared to Transport Canada's official motor vehicle collision report statistics. Methods Aggregated mean data (1994–1996) were compared for seven age groups (15–19, 20–24, 25–34, 35–44, 45–54, 55–64, and 65+) from both data sets. Results No significant differences were found between males’ and females’ MVC injuries for any age category in the NPHS. A comparison of the NPHS and Transport Canada data found two small (significant) within-sex differences between the data sets, but overall, the analysis largely revealed similar trends for self-reported injury for all age categories and sex. Conclusions The results indicate that the incidence of injuries based on self-report data in a nationally representative sample is similar to official sources of reporting and are thus a valid indicator or motor vehicle collision injury incidence. The results also confirm that injury trends differ from fatality trends.
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- 2006
31. Traumatic work related mortality among seafarers employed in British merchant shipping, 1976–2002
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Peter B. Marlow and Sharon E. Roberts
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Adult ,Male ,Population ,Poison control ,Suicide prevention ,Work related ,Occupational safety and health ,Homicide ,Cause of Death ,Environmental health ,Injury prevention ,Accidents, Occupational ,Humans ,Medicine ,Naval Medicine ,education ,Aged ,education.field_of_study ,business.industry ,Mortality rate ,Public Health, Environmental and Occupational Health ,Middle Aged ,United Kingdom ,Suicide ,Original Article ,Female ,business - Abstract
Aims: To establish the causes and circumstances of all traumatic work related deaths among seafarers who were employed in British merchant shipping from 1976 to 2002, and to assess whether seafaring is still a hazardous occupation as well as a high risk occupation for suicide. Methods: A longitudinal study of occupational mortality, based on official mortality files, with a population of 1 136 427 seafarer-years at risk. Results: Of 835 traumatic work related deaths, 564 were caused by accidents, 55 by suicide, 17 by homicide, and 14 by drug or alcohol poisoning. The circumstances in which the other 185 deaths occurred, including 178 seafarers who disappeared at sea or were found drowned, were undetermined. The mortality rate for 530 fatal accidents that occurred at the workplace from 1976 to 2002, 46.6 per 100 000 seafarer-years, was 27.8 times higher than in the general workforce in Great Britain during the same time period. The fatal accident rate declined sharply since the 1970s, but the relative risk of a fatal accident was 16.0 in 1996–2002. There was no reduction in the suicide rate, which was comparable to that in most high risk occupations in Britain, from 1976 to 1995; but a decline since 1995. Conclusions: Although there was a large decline in the fatal accident rate in British shipping, compared to the general workforce, seafaring has remained a hazardous occupation. Further prevention should focus on improvements in safety awareness among seafarers and shipping companies, reductions in hazardous working practices, and improvements in care for seafarers at risk of suicide.
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- 2005
32. The Impact of the QIIP Learning Collaborative on Diabetes Management
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Meghan Fournie, Michael E. Green, Sharon E. Roberts, Judith Belle Brown, Stewart B. Harris, Jyoti Kotecha, Grant Russell, Moira Stewart, Amardeep Thind, Richard Birtwhistle, Han Han, Susan Webster-Bogaert, and Sonja M. Reichert
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medicine.medical_specialty ,business.industry ,Endocrinology, Diabetes and Metabolism ,Program activities ,Primary health care ,Collaborative learning ,General Medicine ,Type 2 diabetes ,medicine.disease ,Disease cluster ,Endocrinology ,Colorectal cancer screening ,Diabetes management ,Diabetes mellitus ,Internal Medicine ,medicine ,Physical therapy ,business - Abstract
s / Can J Diabetes 37 (2013) S13eS84 S27 improvement (QI) learning collaborative (LC) program to interdisciplinary primary healthcare teams to support team collaboration and improve diabetes management, colorectal cancer screening and access to care. The QI program consisted of 3 learning sessions and supportive program activities utilizing the CDPM framework and IHI-BTS methodologies. A pre-post cluster matched control design with chart audit was used to determine the effectiveness of this program on diabetes management. Sixtyeight (34 physicians per group) randomly selected QIIP physicians and matched controls consented. Charts of patients with type 2 diabetes were randomly selected. Primary outcomes were annual foot exam and mean A1C of patients with A1C 7.3%. A generalized linear model was used to compare change in diabetes outcome measures from baseline between QIIP physicians and the control group accounting for clustering and baseline measures. The QIIP group significantly improved process outcomes compared to the control for eye (p1⁄40.03) and neuropathy exams (p1⁄40.01). Mean A1C was significantly lower in the QIIP group during the program (p1⁄40.01); however, these improvements were not sustained 1-year afterwards (p1⁄40.10). More patients in the QIIP group achieved target LDL (p1⁄40.03). No difference between groups was observed for foot exam (p1⁄40.15), mean systolic BP (p1⁄40.72), mean diastolic BP (p1⁄40.92), LDL (p1⁄40.32), percentage of patients achieving target A1C (p1⁄40.75) and percent of patients achieving target BP (p1⁄40.50). In conclusion, the QI program had modest improvements on diabetes process and clinical outcomes.
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- 2013
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33. Metastatic uterine tumor resembling ovarian sex cord tumor: A case report and review of the literature
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Michelle L. Kuznicki, Sharon E. Robertson, Ardeshir Hakam, and Mian M. Shahzad
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Chemotherapy ,Metastasis, Uterine cancer ,Uterine tumor resembling ovarian sex cord tumor ,Gynecology and obstetrics ,RG1-991 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Uterine tumors resembling ovarian sex cord tumors (UTROSCTs) are rare and commonly characterized as benign tumors, with infrequent reports of metastasis and recurrence. Treatment recommendations have not been well established, particularly for more advanced cases. We present the first reported death from a metastatic UTROSCT, summarize the available literature, and describe characteristics common to UTROSCTs with aggressive features. In this case, a 49-year-old woman presented with abdominal distension and pain; initial imaging and diagnostic workup suggested metastatic epithelial ovarian cancer to be the cause. The patient subsequently underwent neoadjuvant chemotherapy followed by optimal cytoreductive surgery and adjuvant chemotherapy. Final pathology revealed UTROSCT with omental and peritoneal metastases. She then underwent adjuvant chemotherapy with subsequent recurrence and died 15 months after her initial diagnosis. Our analysis of this case and the available literature led us to identify pathologic risk factors that may help predict aggressive UTROSCT behavior.
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- 2017
- Full Text
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