Developing Topics.

Background: Shortcomings in primary and specialty healthcare access in rural communities create substantial health disparities among older adults, especially in areas of modifiable risk factors for Alzheimer's disease and related dementias (ADRD). Telehealth stations in community centers increase healthcare access to patients thereby improving modifiable risk factors for ADRD. The objective of this project was to assess facilitators, barriers, and opportunities of telehealth use for older adults within rural community centers.

The Role of Timing and Amount of Outdoor Play in Emotional Dysregulation in Preschool Children.

Background: Currently, the time children spend playing outdoors is at an all-time low. However, the existing literature suggests that outdoor play may have cognitive and emotional benefits for children.

Methods: The present study carried out a mediation analysis to explore whether amount and timing of outdoor play affects children's emotion regulation and whether working memory mediates these relations among 325 preschool children (M = 4.

Monitoring equity in the delivery of health services: a Delphi process to select healthcare equity indicators.

Aims Of The Study: Health equity is a key component of quality of care and an objective for a growing number of quality improvement projects for deontological, ethical, public health and economic reasons. To monitor equity in the delivery of health services in Switzerland, there is a need to implement valid, measurable and actionable equity indicators, along with vulnerability stratifiers such as migrant status, which could lead to differences in quality of care. The aim of this study was to develop a set of healthcare equity indicators and stratifiers targeting inpatient and outpatient populations and to test their feasibility.

Recruitment and Attrition for Panel Surveys of Hard-to-reach Populations: Some Lessons from a Longitudinal Study on Undocumented Migrants.

Conducting research among hard-to-reach populations is a difficult endeavor because some of their characteristics are known to be associated with survey nonresponse and panel attrition. In the case of the Parchemins study, which followed undocumented migrants over their process of regularization and during the first years of regularized life in Geneva, we underscore the difficulties in recruiting and keeping respondents who come from such a hard-to-reach population. Factors hindering their participation include the fear of being denounced as undocumented, missing time due to high workload, health issues, or language problems.

[Management of acute pain in an outpatient setting].

The management of acute pain focuses on a multimodal approach integrating both pharmacological and non-pharmacological treatments. In recent years, caution towards opioids has increased, with several studies showing that they are not necessarily more effective than non opioid analgesics for pain relief for musculoskeletal pain, which is the most common painful symptom in outpatient settings, and have the disadvantages of more side effects and a risk of dependence. Adjuvant and non-pharmacological treatments (e.

Let it go, let it go: Stop measuring child maltreatment as a binary yes/no.

Numerous methods are used in the measurement of child maltreatment (CM) exposure. As a science, it is necessary that the field of CM research evaluate its measurement approaches periodically to ensure that the common approaches are the best approaches. A prominent method for measuring CM in research as a predictor variable is to conceptualize CM as a two-level, yes/no binary variable (e.

Chagas disease is a low health priority among high-risk Latin American migrants in Geneva, a qualitative study.

This qualitative study of the situation of Latin American migrants with Chagas Disease in Geneva analyses how precarious migration-related socioeconomic conditions determine health priorities and disease perception. The study was conducted between 2016 and 2019 and is based on survey data collected in three Chagas-related community events, as well as on open-ended interviews with Bolivian migrants. This research contributes to more appropriate development of public health policies for migrants, as well as to a more nuanced and culturally sensitive understanding of how precarity affects the delivery of, and access to, healthcare in Western Europe.

Caregiver Report of Children's Exposure to Adverse Life Events: Concordance Between Questionnaire and Interview Approaches.

Assessment practices for measuring adverse life events (ALEs) are often characterized by considerable variability, which is associated with inconsistency and reproducibility issues when conducting research on children with ALE exposure. One aspect of assessment variability for caregiver report of children's ALE history that has received minimal attention is assessment format. To address this issue, the current study evaluated concordance between two main ALE assessment formats: interviews and questionnaires.

Discovery of antiplasmodial pyridine carboxamides and thiocarboxamides.

Malaria continues to be a significant burden, particularly in Africa, which accounts for 95% of malaria deaths worldwide. Despite advances in malaria treatments, malaria eradication is hampered by insecticide and antimalarial drug resistance. Consequently, the need to discover new antimalarial lead compounds remains urgent.

Healthcare processes for parent participation in neonatal intensive care units: A self-determination theory perspective.

This research explores parents' experiences in the NICU to inform design and implementation of processes that motivate and direct parent participation in healthcare processes for their children. Qualitative methods were employed combining elements of grounded theory and phenomenology. Findings reveal that despite known benefits, parent participation does not always occur in NICUs due to difficulties NICUs face while balancing technologically complex care that increases survival rates with parent-participation models that provides holistic wellbeing.

The longitudinal association of adverse events and working memory among preschoolers: A random-intercept cross-lag analysis.

Objective: Past research examining the relation between adversity and working memory (WM) has found mixed results and has been limited by methodological issues (e.g., cross-sectional studies, limited measurement of adversity).

Maneuvering through Life with Positivity: Estimating the Effects of Foster Youth's Appraisal on Coping Styles.

Youth in foster care tend to experience a disproportional number of adverse life experiences and demonstrate high rates of emotional and behavioral difficulties. According to the transactional model of stress and coping, how youth appraise their experiences influences the type of coping strategies they use in response to adversity, and these relations are key components to understanding later adjustment. However, few studies have examined potential effects of appraisal on coping for youth in foster care.

Working Conditions and Self-Reported Health Among Undocumented and Newly Regularized Migrants in Geneva: A Cross-Sectional Study.

Most undocumented migrants are employed in so-called "dirty jobs" or "3D jobs" (dangerous, dirty and degrading) due to their lack of legal status. This study aimed to describe the self-reported health of undocumented and newly regularized migrants in relation to their working conditions. A cross-sectional study was conducted using data collected during the first phase of the study (2017-18), a survey that monitors the socioeconomic and health impact of a regularization scheme for undocumented workers in Geneva, Switzerland.

A social network analysis of perpetrators of child maltreatment reported by youth in foster care.

Objective: Prior research on child maltreatment has focused on distinct features of maltreatment (type, severity, chronicity) important for youth outcomes, yet perpetrators of child maltreatment reported by youth have gone largely unstudied. The present study examines connections between perpetrators, the total number and type of perpetrators reported, and the frequency at which each type of perpetrator was reported across 24 relationship types to provide a foundation for future research seeking to provide comprehensive measurement of perpetrator profiles.

Methods: Data from 503 youth in foster care (8-21 years old) were collected through the Studying Pathways to Adjustment and Resilience in Kids (SPARK) Project.

[Eco-competences for a sustainable medical practice].

Climate and environmental changes require primary care physicians to adapt their practices. This article presents resources and actions contributing to reduce the impact of medical practice by implementing the CanMEDS competences in an environmental perspective.

[Research about vulnerable populations: challenges and opportunities].

There is an important gap in health knowledge about vulnerable and hard-to-reach groups. The development of research projects and the implementation of interventions require strategies adapted to the particularities of these groups. This article reviews some of the main issues through the lens of recent projects conducted in French-speaking Switzerland.

[Health equity: an often misused concept].

The use of the concept "health equity" is more and more widespread. It is often considered as a major objective in health policies aimed at improving healthcare for populations in a vulnerable situation. However, the understanding of "health equity" is often subject to confusion and it can be misinterpreted with the concept of "health equality".

Future Directions in Child Maltreatment Research.

Child maltreatment (or child abuse and neglect) is a common area of interest in clinical child psychology. Research has examined the causes and consequences as well as the myriad risk factors and interventions that are effective in supporting child maltreatment victims and families. Child maltreatment is unique, however, from the study of disorders and even other kinds of adversity in that the scientific interest is shared across many disciplines including but not limited to, social welfare, medicine, law, and biology.

Adversity's Impact on Adults' Self-Report and Physiological Difficulties with Emotion Regulation: Appraisal as a Moderating Mechanism.

Globally, there is a high prevalence of adversity exposure, and there is evidence indicating a linear association between adversity exposure, particularly childhood adversity, and adults' psychological distress. To better understand this association, researchers have examined the role of emotion regulation abilities, which are thought to impact and underlie one's psychological well-being. The present study examined the association between childhood versus adulthood adversity exposure and self-reported difficulties with emotion regulation and physiological indicators of emotion regulation (e.

Impact of legal status regularization on undocumented migrants' self-reported and mental health in Switzerland.

Undocumented migrants face cumulative difficulties like precarious living and working conditions or exclusion from health services that might negatively influence their health. Little is known about the evolution of undocumented migrants' self-reported health (SRH) and mental health after they get documented. This study aims to observe the effect of legal status regularization on SRH and mental health in a cohort of migrants undergoing regularization in Geneva, Switzerland.

Learning from the COVID-19 pandemic response to strengthen undocumented migrant-sensitive health systems: case studies from four countries.

Undocumented migrants are a vulnerable population group in the context of the COVID-19 pandemic due to increased risk of infection, severe morbidity, and mortality. In this Personal View, we analyze the COVID-19 pandemic responses, particularly vaccination campaigns, vis à vis undocumented migrants, and discuss lessons learned. Our empirical observations as clinicians and public health practitioners in Italy, Switzerland, France, and the United States are supplemented by a literature review, and presented through country case studies focusing on Governance, Service Delivery, and Information.