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"Wahl, Christine"
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Raggedy Ann's liturgy
\"TODAY IS Story Sunday, and I'd like to have all the kids come up around me so they can hear the story.\"
Magazine Article
Implementing the urban food–water–energy nexus through urban laboratories: a systematic literature review
The sustainability of complex resource systems, such as the food, water, and energy (FWE) nexus, is increasingly threatened by climate change impacts, expanding populations, urbanization, and economic instability. However, while research on the topic has burgeoned, studies focused on solution development and implementation, especially at the urban level, have lagged behind. Against this background, we review the urban FWE nexus literature. We focus on the operationalization of solutions for implementation, and seek to identify opportunities for participatory approaches. Our results suggest that operationalization would benefit from: (1) more fully integrating urban social complexity; (2) extending our understanding of the nexus to include social responses to the impacts of interventions; and (3) ensuring that projects build knowledge that is not only actionable, but also credible, salient, and legitimate. We then discuss the potential of local, transdisciplinary approaches, in the form of urban laboratories, to shift the focus of FWE nexus research towards operationalization. We conclude with five recommendations: (1) knowledge development should extend to implementation; (2) stakeholders should be engaged, and be able to align solutions with the agency to implement; (3) research should move beyond material flows, and focus on the behaviors, habits, and social patterns that underpin urban complexity; (4) FWE nexus thinking should become part of participatory/laboratory approaches; and (5) policymakers should integrate nexus research into municipal strategies and plans.
Journal Article
Host life-history traits influence the distribution of prophages and the genes they carry
Bacterial strains with a short minimal doubling time—'fast-growing' hosts—are more likely to contain prophages than their slow-growing counterparts. Pathogenic bacterial species are likewise more likely to carry prophages. We develop a bioinformatics pipeline to examine the distribution of prophages in fast- and slow-growing lysogens, and pathogenic and non-pathogenic lysogens, analysing both prophage length and gene content for each class. By fitting these results to a mathematical model of the evolutionary forces acting on prophages, we predict whether the observed differences can be attributed to different rates of lysogeny among the host classes, or other evolutionary pressures. We also test for significant differences in gene content among prophages, identifying genes that are preferentially lost or maintained in each class. We find that fast-growing hosts and pathogens have a greater fraction of full-length prophages, and our analysis predicts that induction rates are significantly reduced in slow-growing hosts and non-pathogenic hosts. Consistentwith previous results, we find that several proteins involved in the packaging of new phage particles and lysis are preferentially lost in cryptic prophages.
This article is part of the theme issue 'The secret lives of microbial mobile genetic elements'.
Journal Article
Definitions and measurement of health literacy in health and medicine research: a systematic review
ObjectivesThe way health literacy is understood (conceptualised) should be closely linked to how it is measured (operationalised). This study aimed to gain insights into how health literacy is defined and measured in current health literacy research and to examine the relationship between health literacy definitions and instruments.DesignSystematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.Data sourcesThe MEDLINE, PsycINFO, ERIC and CINAHL databases were searched for articles published during two randomly selected months (March and October) in 2019.Eligibility criteriaWe included articles with a quantitative design that measured health literacy, were peer-reviewed and original, were published in the English language and included a study population older than 16 years.Data extraction and synthesisSix researchers screened the articles for eligibility and extracted the data independently. All health literacy definitions and instruments were considered in relation to category 1 (describing basic reading and writing skills, disease-specific knowledge and practical skills) and category 2 (social health literacy competence and the ability to interpret and critically assess health information). The categories were inspired by Nutbeam’s descriptions of the different health literacy levels.Results120 articles were included in the review: 60 within public health and 60 within clinical health. The majority of the articles (n=77) used instruments from category 1. In total, 79 of the studies provided a health literacy definition; of these, 71 were in category 2 and 8 were in category 1. In almost half of the studies (n=38), health literacy was defined in a broad perspective (category 2) but measured with a more narrow focus (category 1).ConclusionDue to the high degree of inconsistency between health literacy definitions and instruments in current health literacy research, there is a risk of missing important information about health literacy considered be important to the initial understanding of the concept recognised in the studies.PROSPERO registration numberCRD42020179699.
Journal Article
Healthcare Personnel Experiences With Health Literacy Sensitivity in Relation to Work Satisfaction and Stress: A Qualitative Study
To qualitatively explore healthcare personnel's (HCP) experiences with health literacy sensitivity in relation to work satisfaction and stress. Being HL sensitive means that HCP have adequate knowledge, skills, and attitudes to follow up on patients' HL needs.
Four focus group interviews were conducted with 30 hCP from a medium-sized general hospital in Oslo, Norway. We used inductive thematic analysis developed by Braun & Clark. NVivo v12 software assisted data analysis.
Three main themes were identified: (1) HCP experiences with HL (2) HCP experience barriers with HL sensitivity, and (3) HCP collaboration and communication are essential for HL. Variability in HL understanding among HCP may lead to challenges in providing patient-centered care. Factors such as heavy workloads, cultural barriers, and organizational limitations hinder HL sensitivity and can cause frustration and stress among HCP.
Targeted interventions and organizational support are essential to address HCP's obstacles with HL sensitivity. Utilizing improved communication techniques and HL tools may help reduce stress and frustration.
To optimize HL sensitivity, it is imperative to prioritize HCP needs. Organizations should strive to facilitate HL in a way that does not impose additional stress on HCP.
Journal Article