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data-productId="7275BA1E84CA769210167A6A66523B47" data-count="137" data-ga-event-action="open_access_facet" data-ga-event-label="Only show open access" data-ga-event-cat="refine_search" data-ga-check-state="true" value="7275BA1E84CA769210167A6A66523B47"> <span class="legend">Only show open access</span> <span class="total" data-agg-total-for="7275BA1E84CA769210167A6A66523B47">(137)</span> </label> </div> </div> </div> </fieldset> <fieldset class="actions" data-test-id="contentTypeSection"> <legend class="filter-title">Content type:</legend> <div class="sort-content" data-agg="productTypes"> <div data-agg="true" data-agg-type="generic" data-agg-key="productTypes" data-type-legend="Type"> <div class="checkbox" data-agg-container="JOURNAL_ARTICLE"> <label> <input type="checkbox" autocomplete="off" data-agg-option="JOURNAL_ARTICLE" data-agg-key-container="productTypes" data-legend="Articles" data-productId="" data-count="678" data-ga-event-action="content_type_facet" data-ga-event-label="Articles" data-ga-event-cat="refine_search" data-ga-check-state="true" value="JOURNAL_ARTICLE"> <span class="legend">Articles</span> <span class="total" data-agg-total-for="JOURNAL_ARTICLE">(678)</span> </label> </div> <div class="checkbox" data-agg-container="BOOK_PART"> <label> <input type="checkbox" autocomplete="off" data-agg-option="BOOK_PART" data-agg-key-container="productTypes" data-legend="Chapters" data-productId="" data-count="252" data-ga-event-action="content_type_facet" data-ga-event-label="Chapters" data-ga-event-cat="refine_search" data-ga-check-state="true" value="BOOK_PART"> <span class="legend">Chapters</span> <span class="total" data-agg-total-for="BOOK_PART">(252)</span> </label> </div> <div class="checkbox" data-agg-container="BOOK"> <label> <input type="checkbox" autocomplete="off" data-agg-option="BOOK" data-agg-key-container="productTypes" data-legend="Books" data-productId="" data-count="10" data-ga-event-action="content_type_facet" data-ga-event-label="Books" data-ga-event-cat="refine_search" data-ga-check-state="true" value="BOOK"> <span class="legend">Books</span> <span class="total" data-agg-total-for="BOOK">(10)</span> </label> </div> <div class="checkbox" data-agg-container="ELEMENT"> <label> <input type="checkbox" autocomplete="off" data-agg-option="ELEMENT" data-agg-key-container="productTypes" data-legend="Elements" data-productId="" data-count="2" data-ga-event-action="content_type_facet" data-ga-event-label="Elements" data-ga-event-cat="refine_search" data-ga-check-state="true" value="ELEMENT"> <span class="legend">Elements</span> <span class="total" data-agg-total-for="ELEMENT">(2)</span> </label> </div> </div> </div> </fieldset> <div class="actions"> <div class="filter-title"><label for="author">Author:</label></div> <div class="columns"> <div class="row"> <div class="row collapse postfix-radius"> <div class="submit-in-field js-outglow-parent clearfix" data-test-id="searchBarAuthor"> <div class="small-10 columns"> <input data-validate-message-name="Author" data-filter-label="Author:" data-search-maintain-state="true" data-agg-fire-confirm="true" data-search-param="filters[authorTerms]" type="text" id="author" value="Veronica" placeholder="e.g. John Smith" class="js-outglow prefix-radius"/> <input type="hidden" name="_csrf" value="jdqiGfFk-u45pbgfTDrT8tmb0BlhRjetQDhE"> </div> <div class="small-2 columns"> <input type="submit" value="Submit author search" data-agg-fire-click="true" class="button postfix add-to-search"> </div> </div> </div> </div> </div> </div> <fieldset class="no-border-bottom actions show" data-test-id="publicationDateSection"> <legend class="filter-title">Publication date:</legend> <div class="sort-content" data-agg="productDate"> <div data-agg="true" data-agg-type="generic" data-agg-key="productDate" data-type-legend="Date"> <div class="checkbox" data-agg-container="Last week"> <label> <input type="checkbox" autocomplete="off" data-agg-option="Last 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data-agg-option="Last 3 months" data-agg-key-container="productDate" data-legend="Last 3 months" data-productId="" data-count="18" data-ga-event-action="publication_date_facet" data-ga-event-label="Last 3 months" data-ga-event-cat="refine_search" data-ga-check-state="true" value="Last 3 months"> <span class="legend">Last 3 months</span> <span class="total" data-agg-total-for="Last 3 months">(18)</span> </label> </div> <div class="checkbox" data-agg-container="Last 6 months"> <label> <input type="checkbox" autocomplete="off" data-agg-option="Last 6 months" data-agg-key-container="productDate" data-legend="Last 6 months" data-productId="" data-count="30" data-ga-event-action="publication_date_facet" data-ga-event-label="Last 6 months" data-ga-event-cat="refine_search" data-ga-check-state="true" value="Last 6 months"> <span class="legend">Last 6 months</span> <span class="total" data-agg-total-for="Last 6 months">(30)</span> </label> </div> <div class="checkbox" data-agg-container="Last 12 months"> <label> <input type="checkbox" autocomplete="off" data-agg-option="Last 12 months" data-agg-key-container="productDate" data-legend="Last 12 months" data-productId="" data-count="52" data-ga-event-action="publication_date_facet" data-ga-event-label="Last 12 months" data-ga-event-cat="refine_search" data-ga-check-state="true" value="Last 12 months"> <span class="legend">Last 12 months</span> <span class="total" data-agg-total-for="Last 12 months">(52)</span> </label> </div> <div class="checkbox" data-agg-container="Last 3 years"> <label> <input type="checkbox" autocomplete="off" data-agg-option="Last 3 years" data-agg-key-container="productDate" data-legend="Last 3 years" data-productId="" data-count="158" data-ga-event-action="publication_date_facet" data-ga-event-label="Last 3 years" data-ga-event-cat="refine_search" data-ga-check-state="true" value="Last 3 years"> <span class="legend">Last 3 years</span> <span class="total" data-agg-total-for="Last 3 years">(158)</span> </label> </div> <div class="checkbox" data-agg-container="Over 3 years"> <label> <input type="checkbox" autocomplete="off" data-agg-option="Over 3 years" data-agg-key-container="productDate" data-legend="Over 3 years" data-productId="" data-count="784" data-ga-event-action="publication_date_facet" data-ga-event-label="Over 3 years" data-ga-event-cat="refine_search" data-ga-check-state="true" value="Over 3 years"> <span class="legend">Over 3 years</span> <span class="total" data-agg-total-for="Over 3 years">(784)</span> </label> </div> </div> </div> </fieldset> <div class="no-padding-top actions"> <div class="columns"> <div class="row"> <div class="row collapse postfix-radius" data-test-id="dateRangeRefineSearch"> <div class="row"> <div class="small-5 columns"> <label for="startYear">From year:</label> </div> <div class="small-5 columns"> <label for="endYear">To year:</label> </div> <div class="small-2 columns"></div> </div> <div class="row submit-in-field"> <div class="small-5 columns"> <input data-validate-message-name="Publication year range 'From year'" data-filter-label="Published after" data-validate-regex="^\d{4}$" data-search-maintain-state="true" data-agg-fire-confirm="true" data-search-param="filters[dateYearRange][from]" type="text" id="startYear" value="" placeholder="e.g. 1771" class="js-outglow"/> </div> <div class="small-5 columns"> <input data-validate-message-name="Publication year range 'To year'" data-filter-label="Published before" data-validate-regex="^\d{4}$" data-search-maintain-state="true" data-agg-fire-confirm="true" data-search-param="filters[dateYearRange][to]" id="endYear" type="text" value="" placeholder="e.g. 1986" class="js-outglow"/> </div> <input type="hidden" name="_csrf" value="jdqiGfFk-u45pbgfTDrT8tmb0BlhRjetQDhE"> <div class="small-2 columns"> <a href="#" data-agg-fire-click="true" class="no-padding-left button postfix add-to-search" tabindex="0">Apply<span class="sr-only">   From and To filters</span></a> </div> </div> </div> </div> </div> </div> <fieldset class="actions " data-test-id="subjectSection"> <legend class="filter-title">Subject:</legend> <a href="" class="show-all " data-show-status="more" aria-label="Show more subjects">Show more</a> <div class="sort-content" data-agg="productSubject"> <div class="closed" data-agg="true" data-agg-type="generic" data-agg-key="productSubject" data-type-legend="Subject"> <div class="checkbox" data-agg-container="66FF02B2A4F83D9A645001545197F287"> <label> <input type="checkbox" autocomplete="off" data-agg-option="66FF02B2A4F83D9A645001545197F287" data-agg-key-container="productSubject" data-legend="Medicine" data-productId="66FF02B2A4F83D9A645001545197F287" data-count="271" data-ga-event-action="subject_facet" data-ga-event-label="Medicine" data-ga-event-cat="refine_search" data-ga-check-state="true" value="66FF02B2A4F83D9A645001545197F287"> <span class="legend">Medicine</span> <span class="total" data-agg-total-for="66FF02B2A4F83D9A645001545197F287">(271)</span> </label> </div> <div class="checkbox" data-agg-container="E044EF2F61B601378786E9EDA901B2D5"> <label> <input type="checkbox" autocomplete="off" data-agg-option="E044EF2F61B601378786E9EDA901B2D5" data-agg-key-container="productSubject" data-legend="Life Sciences" data-productId="E044EF2F61B601378786E9EDA901B2D5" data-count="173" data-ga-event-action="subject_facet" data-ga-event-label="Life Sciences" data-ga-event-cat="refine_search" data-ga-check-state="true" value="E044EF2F61B601378786E9EDA901B2D5"> <span class="legend">Life Sciences</span> <span class="total" data-agg-total-for="E044EF2F61B601378786E9EDA901B2D5">(173)</span> </label> </div> <div class="checkbox" data-agg-container="CAAFC2788C5625FEB794C5E2B4A78E16"> <label> <input type="checkbox" autocomplete="off" data-agg-option="CAAFC2788C5625FEB794C5E2B4A78E16" data-agg-key-container="productSubject" data-legend="Area Studies" data-productId="CAAFC2788C5625FEB794C5E2B4A78E16" data-count="130" data-ga-event-action="subject_facet" data-ga-event-label="Area Studies" data-ga-event-cat="refine_search" data-ga-check-state="true" value="CAAFC2788C5625FEB794C5E2B4A78E16"> <span class="legend">Area Studies</span> <span class="total" data-agg-total-for="CAAFC2788C5625FEB794C5E2B4A78E16">(130)</span> </label> </div> <div class="checkbox" data-agg-container="66BE42A30172E280FDE64F8EE2F485B0"> <label> <input type="checkbox" autocomplete="off" data-agg-option="66BE42A30172E280FDE64F8EE2F485B0" data-agg-key-container="productSubject" data-legend="History" data-productId="66BE42A30172E280FDE64F8EE2F485B0" data-count="104" data-ga-event-action="subject_facet" data-ga-event-label="History" data-ga-event-cat="refine_search" data-ga-check-state="true" value="66BE42A30172E280FDE64F8EE2F485B0"> <span class="legend">History</span> <span class="total" data-agg-total-for="66BE42A30172E280FDE64F8EE2F485B0">(104)</span> </label> </div> <div class="checkbox" data-agg-container="3BF83347E5E456DAC34F3FABFC8BBF4E"> <label> <input type="checkbox" autocomplete="off" data-agg-option="3BF83347E5E456DAC34F3FABFC8BBF4E" data-agg-key-container="productSubject" data-legend="Politics and International Relations" data-productId="3BF83347E5E456DAC34F3FABFC8BBF4E" data-count="94" data-ga-event-action="subject_facet" data-ga-event-label="Politics and International Relations" data-ga-event-cat="refine_search" data-ga-check-state="true" value="3BF83347E5E456DAC34F3FABFC8BBF4E"> <span class="legend">Politics and International Relations</span> <span class="total" data-agg-total-for="3BF83347E5E456DAC34F3FABFC8BBF4E">(94)</span> </label> </div> <div class="checkbox" data-agg-container="7C9FB6788DD8D7E6696263BC774F4D5B"> <label> <input type="checkbox" autocomplete="off" data-agg-option="7C9FB6788DD8D7E6696263BC774F4D5B" data-agg-key-container="productSubject" data-legend="Law" data-productId="7C9FB6788DD8D7E6696263BC774F4D5B" 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</a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Yuan Jia-Zheng&eventCode=SE-AU" class="more-by-this-author ">Yuan Jia-Zheng</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Veronica Binda&eventCode=SE-AU" class="more-by-this-author ">Veronica Binda</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="C269FC4EBCA2E8C47A2057D9E8E9B812" href="/core/journals/business-history-review">Business History Review</a> , <a href="/core/product/C269FC4EBCA2E8C47A2057D9E8E9B812/firstview">First View</a> </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 12 February 2025</span><span class="pages">, pp. 1-33</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> 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Investment in Europe during the “Go Out” Policy Years: Trends, Drivers, and Strategies in the Automotive Industry, 2000–2018" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"E0C4A39235C3E9159EAF2132C5994ED1"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0007680524000576" class="content"> <div class="abstract" data-abstract-type="normal"><p>This article examines China’s outward investment in the European automotive industry since the late twentieth century. By mapping and analyzing the main investment operations, we argue that private companies played a key role in the internationalization of the Chinese automotive sector. Chinese state-owned enterprises took part, especially in the initial stages of international expansion. Our contribution also analyzes the pattern of internationalization followed by Chinese companies, arguing that it differed from the one followed by well-established automotive firms in advanced economies during previous decades. The findings reveal that achieving the most advanced technology was the key driver of outward investment decisions. However, Chinese investors’ strategy was not uniform; it was flexible and varied significantly depending on the European country and the size of the company targeted. Furthermore, Chinese government industrial policies greatly influenced the international strategies of both state-owned and private companies, particularly the “Go Out” policy.</p></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0007680524000576" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0007680524000576" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="881D665562BB4F0F9ECD562C3AB20266"> <div class="row product-section" data-test-id="searchItem" data-test-title="Chapter 8 The Shock of Aestheticism"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="881D665562BB4F0F9ECD562C3AB20266" data-prod-source="search" data-prod-type="BOOK_PART" data-file-size="136242" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-BP","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"881D665562BB4F0F9ECD562C3AB20266","referringURL":"","authenticationMethods":[],"usedIdentities":[],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/books/nineteenthcentury-literature-in-transition-the-1870s/shock-of-aestheticism/881D665562BB4F0F9ECD562C3AB20266">Chapter 8 - The Shock of Aestheticism</a></h3></li> <li> <ul> <li class="author chapter"> By <a href="/core/search?filters%5BauthorTerms%5D=Veronica Alfano&eventCode=SE-AU" class="more-by-this-author"> <span class="author-name">Veronica Alfano</span></a> </li> </ul> </li> <li class="author"> Edited by <a href="/core/search?filters%5BauthorTerms%5D=Alison Chapman&eventCode=SE-AU" class="more-by-this-author"><span class="author-name">Alison Chapman</span></a>, <span class="affiliation">University of Victoria, British Columbia</span> </li> <li> <dl> <dt class="source dl-inline">Book: </dt> <dd> <a href="/core/books/nineteenthcentury-literature-in-transition-the-1870s/2BCDBD1603AABB3090E536672C60BE9A" class="url productParent" data-prod-id="2BCDBD1603AABB3090E536672C60BE9A">Nineteenth-Century Literature in Transition: The 1870s</a> </dd> <dt class="published dl-inline">Published online: </dt> <dd> <span class="date">30 January 2025</span> </dd> <dt class="published dl-inline">Print publication: </dt> <dd> <span class="date">06 February 2025</span>, <span> pp <span class="pages">166-185</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type chapter">Chapter</li> <li> <ul class="access-modal"> <li class="status get"> <a href="#" class="get hasTooltipCustom-top" aria-label="Get access for Chapter 8 - 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The Shock of Aestheticism">Export citation </a></li> </ul> </li> <li class="accordion abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstract-9781108954792_BP9')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View extract for Chapter 8 - The Shock of Aestheticism" data-cup-event='{"eventCode":"IN-BP","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"881D665562BB4F0F9ECD562C3AB20266"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type"> extract </span> </div> </button> <div id="abstract-9781108954792_BP9" class="content"> <div class="overview"> <div class="description"> <h4 class="heading_10 margin-top">Summary</h4> <div class="summary"> <div class="abstract" data-abstract-type="normal"><p>The 1870s was a critical period for the transformation of British aestheticism into a mainstream phenomenon that both commodified and parodied its avant-garde origins. This transformation unfolds through three representative controversies: the 1870 publication of Dante Gabriel Rossetti’s <span class='italic'>Poems</span>, which was savaged by Robert Buchanan in his review ‘The Fleshly School of Poetry’; the appearance of Walter Pater’s <span class='italic'>Studies in the History of the Renaissance</span> (1873), which pitted an avant-garde aesthetics against conventional art historical criticism; and the notorious libel trial of 1878, in which John Ruskin’s attack on James McNeill Whistler’s painting <span class='italic'>Nocturne in Black and Gold: The Falling Rocket</span> led to a legal dispute that hinged on the definition of art itself. All three episodes reveal a doubleness at the heart of aestheticism: it is committed to both idealised abstraction and concrete embodiment. This doubleness underlies aestheticism’s status as an arcane philosophy that nonetheless manifests itself in highly recognisable and commmercialisable popular forms.</p></div> </div> </div> </div> </div> </div> </li> </ul> </div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="AC4FFB31ECCE7006286C7427784F1F2A"> <div class="row product-section" data-test-id="searchItem" data-test-title="Chapter 26 Language"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="AC4FFB31ECCE7006286C7427784F1F2A" data-prod-source="search" data-prod-type="BOOK_PART" data-file-size="89398" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-BP","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"AC4FFB31ECCE7006286C7427784F1F2A","referringURL":"","authenticationMethods":[],"usedIdentities":[],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/books/gerard-manley-hopkins-in-context/language/AC4FFB31ECCE7006286C7427784F1F2A">Chapter 26 - Language</a></h3></li> <li class="paragraph_05 margin-top-small"> from Part VI - Form, Genre, and Poetics </li> <li> <ul> <li class="author chapter"> By <a href="/core/search?filters%5BauthorTerms%5D=Veronica Alfano&eventCode=SE-AU" class="more-by-this-author"> <span class="author-name">Veronica Alfano</span></a> </li> </ul> </li> <li class="author"> Edited by <a href="/core/search?filters%5BauthorTerms%5D=Martin Dubois&eventCode=SE-AU" class="more-by-this-author"><span class="author-name">Martin Dubois</span></a>, <span class="affiliation">University of Durham</span> </li> <li> <dl> <dt class="source dl-inline">Book: </dt> <dd> <a href="/core/books/gerard-manley-hopkins-in-context/81E5F24D48A03918F793BD6451AD25AD" class="url productParent" data-prod-id="81E5F24D48A03918F793BD6451AD25AD">Gerard Manley Hopkins in Context</a> </dd> <dt class="published dl-inline">Published online: </dt> <dd> <span class="date">16 January 2025</span> </dd> <dt class="published dl-inline">Print publication: </dt> <dd> <span class="date">16 January 2025</span>, <span> pp <span class="pages">228-235</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type chapter">Chapter</li> <li> <ul class="access-modal"> <li class="status get"> <a href="#" class="get hasTooltipCustom-top" aria-label="Get access for Chapter 26 - 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Language">Export citation </a></li> </ul> </li> <li class="accordion abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstract-9781009183185_BP26')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View extract for Chapter 26 - Language" data-cup-event='{"eventCode":"IN-BP","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"AC4FFB31ECCE7006286C7427784F1F2A"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type"> extract </span> </div> </button> <div id="abstract-9781009183185_BP26" class="content"> <div class="overview"> <div class="description"> <h4 class="heading_10 margin-top">Summary</h4> <div class="summary"> <div class="abstract" data-abstract-type="normal"><p>The language of Gerard Manley Hopkins’s poetry is notable for its imagistic intensity, for its intricate sonic patterning, and sometimes for its cryptic ambiguity. This chapter surveys several nineteenth-century contexts for Hopkins’s idiosyncratic diction. His interest in philology underlies his imitation of alliterative Anglo-Saxon verse and of the medieval Welsh system of versification known as cynghanedd, which involves complex structures of internal rhyme and consonant repetition. Additionally, like his contemporaries William Barnes and Thomas Hardy, Hopkins draws on regional dialect to capture the essences of certain landscapes, creatures, individuals, and trades. And given his predilection for neologizing and at times for elevating sonic gorgeousness over communicative clarity, he may also be read alongside Victorian nonsense writers such as Edward Lear and Lewis Carroll. Ironically, Hopkins’s interest in the deep roots of English drives his radical linguistic innovation – and his obscure vocabulary can allow him to channel modes of divinely inspired expression.</p></div> </div> </div> </div> </div> </div> </li> </ul> </div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="E946E2366129043CA19A138EF247E19D"> <div class="row product-section" data-test-id="searchItem" data-test-title="Household water security is a mediator of household food security in a nationally representative sample of Mexico"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="E946E2366129043CA19A138EF247E19D" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="609258" data-has-entitlement="true" data-has-pdf="true" 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class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Ignacio Méndez-Gómez-Humarán&eventCode=SE-AU" class="more-by-this-author ">Ignacio Méndez-Gómez-Humarán</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Verónica Mundo-Rosas&eventCode=SE-AU" class="more-by-this-author ">Verónica Mundo-Rosas</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Alicia Muñoz-Espinosa&eventCode=SE-AU" class="more-by-this-author ">Alicia Muñoz-Espinosa</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Hugo Melgar-Quiñonez&eventCode=SE-AU" class="more-by-this-author ">Hugo Melgar-Quiñonez</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Sera Lewise Young&eventCode=SE-AU" class="more-by-this-author ">Sera Lewise Young</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="F706A49D9CDF0803AC5BB557E840CD97" href="/core/journals/public-health-nutrition">Public Health Nutrition</a> / Volume 28 / <a href="/core/product/843E11E525FC931B4996C0A5E8B5F459" class="productParent" data-prod-id="843E11E525FC931B4996C0A5E8B5F459">Issue 1</a> / 2025 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 10 January 2025</span><span class="pages">, e30</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-E946E2366129043CA19A138EF247E19D" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" 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class="excerpt-type">abstract</span> </div> </button> <div id="abstractS1368980024002684" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Objective:</span><p>Explore the relationship between water insecurity (WI) and food security and their covariates in Mexican households.</p></div><div class='sec'><span class="bold">Design:</span><p>A cross-sectional study with nationally representative data from the National Health and Nutrition Survey-Continuous 2021 (in Spanish, ENSANUT-Continua 2021), collected data from 12 619 households.</p></div><div class='sec'><span class="bold">Setting:</span><p>WI was measured using the Household Water Insecurity Experiences (HWISE) Scale in Spanish and adapted to the Mexican context. Food security was measured using the Latin American and Caribbean Food Security Scale. A generalised path model was used to produce two simultaneous logistical regression equations – WI (HWISE ≥ 12) and moderate-to-severe food insecurity (FI) – to understand key covariates as well as the contribution of WI to FI.</p></div><div class='sec'><span class="bold">Participants:</span><p>The head of the household, an adult of >18 years of age, consented to participate in the survey.</p></div><div class='sec'><span class="bold">Results:</span><p>Households experiencing WI were more likely to experience moderate-to-severe FI (OR = 2·35; 95 % CI: 2·02, 2·72). The odds of WI were lower in households with medium (OR = 0·74; 95 % CI: 0·61, 0·9) to high (OR = 0·45; 95 % CI: 0·37, 0·55) asset scores. WI also depended on the region of Mexico. FI is more prevalent in indigenous people (OR = 1·29; 95 % CI: 1·05, 1·59) and rural households (OR = 0·42; 95 % CI: 1·16, 1·73). Notably, wealth and household size did not contribute directly to FI but did so indirectly through the mediating factor of WI.</p></div><div class='sec'><span class="bold">Conclusions:</span><p>Our study shows that there are structural factors that form part of the varied determinants of WI, which in turn is closely linked to FI.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S1368980024002684" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S1368980024002684" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="9F6596EC4714DE4D69ADA94399F91E61"> <div class="row product-section" data-test-id="searchItem" data-test-title="Predictors of Relapse in Patients with Schizophrenia and Schizoaffective Disorders in Real World Data from a Large Health System"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="9F6596EC4714DE4D69ADA94399F91E61" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="38794" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"9F6596EC4714DE4D69ADA94399F91E61","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/cns-spectrums/article/predictors-of-relapse-in-patients-with-schizophrenia-and-schizoaffective-disorders-in-realworld-data-from-a-large-health-system/9F6596EC4714DE4D69ADA94399F91E61"> Predictors of Relapse in Patients with Schizophrenia and Schizoaffective Disorders in Real-World Data from a Large Health System </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Anne Rivelli&eventCode=SE-AU" class="more-by-this-author ">Anne Rivelli</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Veronica Fitzpatrick&eventCode=SE-AU" class="more-by-this-author ">Veronica Fitzpatrick</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Michael Nelson&eventCode=SE-AU" class="more-by-this-author ">Michael Nelson</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Kimberly Laubmeier&eventCode=SE-AU" class="more-by-this-author ">Kimberly Laubmeier</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Courtney Zeni&eventCode=SE-AU" class="more-by-this-author ">Courtney Zeni</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Srikrishna Mylavarapu&eventCode=SE-AU" class="more-by-this-author ">Srikrishna Mylavarapu</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="7CD6809539AB474B2DBEC8565A39016F" href="/core/journals/cns-spectrums">CNS Spectrums</a> / Volume 29 / <a href="/core/product/4D9884B112044C39B1DB32B384C58AAC" class="productParent" data-prod-id="4D9884B112044C39B1DB32B384C58AAC">Issue 5</a> / October 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 10 January 2025</span><span class="pages">, p. 503</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul 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of Relapse in Patients with Schizophrenia and Schizoaffective Disorders in Real-World Data from a Large Health System">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS1092852924001688')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for Predictors of Relapse in Patients with Schizophrenia and Schizoaffective Disorders in Real-World Data from a Large Health System" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"9F6596EC4714DE4D69ADA94399F91E61"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle 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class='sec'><span class="bold">Purpose</span><p>Schizophrenia is one of the top 15 causes of disability worldwide and among the most expensive mental disorders to treat. Relapse, commonly associated with healthcare utilization including hospitalization, is prevalent and progressive in schizophrenia. Electronic health record (EHR) data could be used for timely identification of those at highest risk for relapse. This study utilized a large sample of Midwestern healthcare patients (pts) diagnosed with schizophrenia and schizoaffective disorders to identify demographic, clinical, and utilization characteristics that predicted relapse.</p></div><div class='sec'><span class="bold">Methods</span><p>This retrospective study includes EHR data from all pts between Oct 15, 2016, and Dec 31, 2021, who had at least 1 y of encounters. Patients’ first encounter with a schizophrenia or schizoaffective disorder diagnosis (ICD-10 F20 or F25) in this timeframe was defined as their index date, and all encounters up to 3 y post-index date (PID) were explored. Patient-level variables within the first 6 mo of follow-up (FU) were assessed as potential relapse predictors, and first relapse at or after 6 mo of FU within the system was explored as the outcome. Relapse was defined as occurrence of any behavioral health-related emergency room or inpatient encounter after 6 mo of FU within the system. Potential variables assessed include pt characteristics at index date, comorbidities diagnosed, healthcare encounter settings utilized, medication classes prescribed, and disorder-related outcomes experienced.</p></div><div class='sec'><span class="bold">Results</span><p>The study sample included 8119 pts with 325,745 total FU encounters, with an average of 28.0 mo of FU data PID. Among all pts, 30.5% experienced relapse by this study’s definition. Analyses revealed differences in insurance type, race/ethnicity, and age, and differences across a breadth of comorbid diagnoses, healthcare encounter settings utilized, disorder-related outcomes experienced, and medical classes prescribed. Adjusted analysis revealed pts who relapsed were more likely to be younger (RR=0.99[0.99,0.99]; p<0.0001); identify as Hispanic or Latino (RR=1.15[1.03,1.28]; p=0.0121) or Non-Hispanic (NH) Pacific Islander (RR=1.83[1.16,2.89]; p=0.0090) vs. NH White; have Medicare (RR=1.22[1.08,1.39]; p=0.0018) or Medicaid (RR=1.33[1.17,1.51]; p<0.0001) vs. Private insurance; have diagnoses of substance use (RR=1.33[1.24,1.43]; p<0.0001) and EPS (RR=1.78[1.65,1.92]; p<0.0001); utilize more ER (RR=1.02[1.01,1.02]; p<0.0001) and BH inpatient (RR=1.10[1.06,1.14]; p<0.0001) encounters; experience more prior relapse (RR=1.05;[1.03,1.06]; p<0.0001), and receive more LAI prescriptions (RR=1.01[1.00,1.02]; p=0.0349).</p></div><div class='sec'><span class="bold">Conclusions</span><p>An algorithm of these variables could conceivably be used to proactively assess relapse risk among pts with schizophrenia to ultimately decide on and implement appropriate relapse prevention plans. Further exploration may be required to better understand underlying modifiable factors that put pts at increased risk of poor outcomes.</p></div><div class='sec'><span class="bold">Funding</span><p>Sumitomo Pharma America, Inc. and Otsuka Pharmaceuticals Development & Commercialization, Inc.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S1092852924001688" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S1092852924001688" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="E3AC0C0DF51854D487950FCB3D1E5FBD"> <div class="row product-section" data-test-id="searchItem" data-test-title="PP71 Organizations Responsible For The Evaluation Of Health Technologies Globally A Scoping Review"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="E3AC0C0DF51854D487950FCB3D1E5FBD" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="31120" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"E3AC0C0DF51854D487950FCB3D1E5FBD","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/international-journal-of-technology-assessment-in-health-care/article/pp71-organizations-responsible-for-the-evaluation-of-health-technologies-globally-a-scoping-review/E3AC0C0DF51854D487950FCB3D1E5FBD"> PP71 Organizations Responsible For The Evaluation Of Health Technologies Globally: A Scoping Review </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Celina Borges MigliavacaCelina Borges Migliavaca&eventCode=SE-AU" class="more-by-this-author ">Celina Borges MigliavacaCelina Borges Migliavaca</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Verônica Colpani&eventCode=SE-AU" class="more-by-this-author ">Verônica Colpani</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Miriam Allein Zago Marcolino&eventCode=SE-AU" class="more-by-this-author ">Miriam Allein Zago Marcolino</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Maicon Falavigna&eventCode=SE-AU" class="more-by-this-author ">Maicon Falavigna</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Carisi Anne Polanczyk&eventCode=SE-AU" class="more-by-this-author ">Carisi Anne Polanczyk</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="5A33AA41BC24DE8673ABFB7AF1B91C58" href="/core/journals/international-journal-of-technology-assessment-in-health-care">International Journal of Technology Assessment in Health Care</a> / Volume 40 / <a href="/core/product/4248B693F816EEA119A5CBB5D6507FB8" class="productParent" data-prod-id="4248B693F816EEA119A5CBB5D6507FB8">Issue S1</a> / December 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 07 January 2025</span><span class="pages">, p. S84</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-E3AC0C0DF51854D487950FCB3D1E5FBD" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/E3AC0C0DF51854D487950FCB3D1E5FBD/S0266462324002411a.pdf/pp71_organizations_responsible_for_the_evaluation_of_health_technologies_globally_a_scoping_review.pdf" data-pdf-content-id="E3AC0C0DF51854D487950FCB3D1E5FBD" target="_blank" aria-label="Download PDF for PP71 Organizations Responsible For The Evaluation Of Health Technologies Globally: A Scoping Review [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="E3AC0C0DF51854D487950FCB3D1E5FBD" data-container="representation" aria-label="Export citation for PP71 Organizations Responsible For The Evaluation Of Health Technologies Globally: A Scoping Review">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0266462324002411')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for PP71 Organizations Responsible For The Evaluation Of Health Technologies Globally: A Scoping Review" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"E3AC0C0DF51854D487950FCB3D1E5FBD"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0266462324002411" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Introduction</span><p>The process of health technology assessment (HTA) is a valuable tool for the pursuit of equitable and sustainable healthcare systems. Various countries have established organizations dedicated to conducting HTAs, adapting such institutions to local healthcare ecosystems. The aim of this study was to evaluate the structure, methods, and processes of organizations responsible for national-level HTAs globally.</p></div><div class='sec'><span class="bold">Methods</span><p>A scoping review was conducted assessing organizations responsible for conducting HTAs for national-level decision-making in any country. Identification of eligible organizations was performed through a review of member organizations of INAHTA, EUnetHTA, RedETSA, and HTAsiaLink networks, as well as organizations evaluated in reviews with a similar scope. For each organization, the following data were searched: country, year of foundation, organizational nature, role in decision-making, funding, technologies assessed, criteria considered for decision-making (such as efficacy and safety, costs, impact on equity, among others), type of economic evaluation, and patient involvement.</p></div><div class='sec'><span class="bold">Results</span><p>We identified 69 organizations, from 56 countries, mainly European (n=39; 56%). Fifty-three (77%) are government-affiliated; most (n=51; 74%) have a consultative role. Public funding is the main funding, and 12 (17%) organizations charge fees for conducting HTA. Technologies assessed include drugs (n=61; 88%), devices (n=47; 68%), and procedures (n=33; 48%). HTA is usually initiated upon request from the manufacturer (n=45; 65%). Patient involvement is not clearly described in 32 organizations (46%); in 29 organizations (42%), the role of patients is to provide information that is considered during decision-making.</p></div><div class='sec'><span class="bold">Conclusions</span><p>Among the evaluated organizations, it is observed that the majority are government-affiliated, have public funding, and play a consultative role. The results of this study serve as an important reference for the development and improvement of organizations responsible for conducting HTAs.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324002411" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324002411" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="730A1FAC558ED48457C3D5055E56311F"> <div class="row product-section" data-test-id="searchItem" data-test-title="PD189 Strengthening Health Decision Making The Role Of Capacity Building In Health Technology Assessment In Latin America"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="730A1FAC558ED48457C3D5055E56311F" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="32032" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"730A1FAC558ED48457C3D5055E56311F","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/international-journal-of-technology-assessment-in-health-care/article/pd189-strengthening-health-decisionmaking-the-role-of-capacity-building-in-health-technology-assessment-in-latin-america/730A1FAC558ED48457C3D5055E56311F"> PD189 Strengthening Health Decision-Making: The Role Of Capacity Building In Health Technology Assessment In Latin America </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Carla Colaci&eventCode=SE-AU" class="more-by-this-author ">Carla Colaci</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Verónica Andrea Alfie&eventCode=SE-AU" class="more-by-this-author ">Verónica Andrea Alfie</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Sebastian Garcia Marti&eventCode=SE-AU" class="more-by-this-author ">Sebastian Garcia Marti</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Andrea Alcaraz&eventCode=SE-AU" class="more-by-this-author ">Andrea Alcaraz</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Federico Augustovski&eventCode=SE-AU" class="more-by-this-author ">Federico Augustovski</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Andres Pichon-Riviere&eventCode=SE-AU" class="more-by-this-author ">Andres Pichon-Riviere</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="5A33AA41BC24DE8673ABFB7AF1B91C58" href="/core/journals/international-journal-of-technology-assessment-in-health-care">International Journal of Technology Assessment in Health Care</a> / Volume 40 / <a href="/core/product/4248B693F816EEA119A5CBB5D6507FB8" class="productParent" data-prod-id="4248B693F816EEA119A5CBB5D6507FB8">Issue S1</a> / December 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 07 January 2025</span><span class="pages">, p. S164</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-730A1FAC558ED48457C3D5055E56311F" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/730A1FAC558ED48457C3D5055E56311F/S0266462324004112a.pdf/pd189_strengthening_health_decisionmaking_the_role_of_capacity_building_in_health_technology_assessment_in_latin_america.pdf" data-pdf-content-id="730A1FAC558ED48457C3D5055E56311F" target="_blank" aria-label="Download PDF for PD189 Strengthening Health Decision-Making: The Role Of Capacity Building In Health Technology Assessment In Latin America [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="730A1FAC558ED48457C3D5055E56311F" data-container="representation" aria-label="Export citation for PD189 Strengthening Health Decision-Making: The Role Of Capacity Building In Health Technology Assessment In Latin America">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0266462324004112')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for PD189 Strengthening Health Decision-Making: The Role Of Capacity Building In Health Technology Assessment In Latin America" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"730A1FAC558ED48457C3D5055E56311F"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0266462324004112" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Introduction</span><p>Health technology assessment (HTA) applications in low- and middle-income countries face limited technical capacities. The Institute for Clinical Effectiveness and Health Policy (IECS) is a key player in strengthening HTA expertise in the region and offers a variety of courses. Over 200 students from across Latin America have undertaken our introductory course on HTA and economic evaluation in the last four years.</p></div><div class='sec'><span class="bold">Methods</span><p>The IECS provides a nine-week introductory online course focused on the fundamentals of HTA and economic evaluation. The course is designed for healthcare professionals (doctors, administrators, auditors, nurses, pharmacists, lawyers, etc.). The materials are available in Spanish and Portuguese on a virtual campus with asynchronous activities. Students are guided by instructors through an exchange forum. This study aimed to showcase the outcomes of this HTA course. Our analysis encompassed quantitative and qualitative data from a survey administered to nine student cohorts over the last four years. The surveys featured eight question categories covering materials, activities, quizzes, course dynamics, forum usage, tutoring, and satisfaction.</p></div><div class='sec'><span class="bold">Results</span><p>A total of 234 students from Latin America were enrolled in the course. More than half came from Argentina (68%). Of the initial enrollees, 212 (91%) started the course and 192 (91%) of them passed. The satisfaction survey was completed by 168 students. Ninety-six percent of students were satisfied or very satisfied with the course overall, and the same percentage would recommend it to a colleague. Eighty-six percent felt that they could adequately follow the course, and 40 percent of students dedicating an average of two to four hours per week to the course.</p></div><div class='sec'><span class="bold">Conclusions</span><p>Having accessible and feasible training opportunities in the region is important. The IECS HTA and economic course enhances HTA expertise in Latin America, as evidenced by its high rates of enrolment, completion, and satisfaction, with over 90 percent of participants recommending it. This underscores its effectiveness in reinforcing health decision-making knowledge in Latin America and contributing to the advancement of health policy.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324004112" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324004112" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="5EA3232CD175CF81B484BC9FF92D91F1"> <div class="row product-section" data-test-id="searchItem" data-test-title="PD192 Criteria For Decision Making In Health Economic Evaluations An Analysis Of Global Practices"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="5EA3232CD175CF81B484BC9FF92D91F1" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="42544" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"5EA3232CD175CF81B484BC9FF92D91F1","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/international-journal-of-technology-assessment-in-health-care/article/pd192-criteria-for-decisionmaking-in-health-economic-evaluations-an-analysis-of-global-practices/5EA3232CD175CF81B484BC9FF92D91F1"> PD192 Criteria For Decision-Making In Health Economic Evaluations: An Analysis Of Global Practices </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Celina Borges Migliavaca&eventCode=SE-AU" class="more-by-this-author ">Celina Borges Migliavaca</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Verônica Colpani&eventCode=SE-AU" class="more-by-this-author ">Verônica Colpani</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Miriam Allein Zago Marcolino&eventCode=SE-AU" class="more-by-this-author ">Miriam Allein Zago Marcolino</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Maicon Falavigna&eventCode=SE-AU" class="more-by-this-author ">Maicon Falavigna</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Carisi Anne Polanczyk&eventCode=SE-AU" class="more-by-this-author ">Carisi Anne Polanczyk</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="5A33AA41BC24DE8673ABFB7AF1B91C58" href="/core/journals/international-journal-of-technology-assessment-in-health-care">International Journal of Technology Assessment in Health Care</a> / Volume 40 / <a href="/core/product/4248B693F816EEA119A5CBB5D6507FB8" class="productParent" data-prod-id="4248B693F816EEA119A5CBB5D6507FB8">Issue S1</a> / December 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 07 January 2025</span><span class="pages">, pp. S165-S166</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-5EA3232CD175CF81B484BC9FF92D91F1" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/5EA3232CD175CF81B484BC9FF92D91F1/S0266462324004148a.pdf/pd192_criteria_for_decisionmaking_in_health_economic_evaluations_an_analysis_of_global_practices.pdf" data-pdf-content-id="5EA3232CD175CF81B484BC9FF92D91F1" target="_blank" aria-label="Download PDF for PD192 Criteria For Decision-Making In Health Economic Evaluations: An Analysis Of Global Practices [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="5EA3232CD175CF81B484BC9FF92D91F1" data-container="representation" aria-label="Export citation for PD192 Criteria For Decision-Making In Health Economic Evaluations: An Analysis Of Global Practices">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0266462324004148')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for PD192 Criteria For Decision-Making In Health Economic Evaluations: An Analysis Of Global Practices" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"5EA3232CD175CF81B484BC9FF92D91F1"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0266462324004148" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Introduction</span><p>Economic criteria have become critical for health technology assessment (HTA) due to the rising costs of health technologies. The use of explicit, predefined criteria for economic evaluations enhances the transparency, objectivity, and predictability of the process. We aimed to identify which organizations worldwide integrate explicit and predefined criteria into their health economic analyses during HTA.</p></div><div class='sec'><span class="bold">Methods</span><p>We conducted a scoping review to identify organizations responsible for HTA processes at the national level in any country. The identification of eligible organizations was carried out by reviewing members of the EUnetHTA, HTAsiaLink, INAHTA, and RedETSA networks as well as organizations evaluated in reviews with a similar scope. For each eligible organization, information was extracted on the inclusion of economic factors during decision-making and the existence of predefined criteria for judging the results of economic evaluations.</p></div><div class='sec'><span class="bold">Results</span><p>Sixty-nine organizations from 56 countries were identified, of which 66 (96%) considered economic factors for HTA. Fifty-two (79%) organizations conducted cost-effectiveness analyses, 42 (64%) assessed budget impact, and one focused solely on total technology costs. Thirty-four organizations (51%) declare not having criteria for economic evaluation, whereas 14 (21%) from 12 countries had explicit criteria. There were no data found for 18 organizations (27%). Among the organizations with explicit criteria, 11 (17%) applied willingness-to-pay thresholds in cost-effectiveness evaluations and five (8%) applied criteria related to budget impact for decision-making, such as a maximum percentage of budget impact.</p></div><div class='sec'><span class="bold">Conclusions</span><p>Although most organizations consider economic factors for HTA, many do not have explicit, predefined criteria for decision-making. Among those that presented such criteria, willingness-to-pay thresholds for cost-effectiveness analyses were the most common. The findings of this study also help to identify complementary factors that can be considered to promote greater systematization and transparency in the decision-making process.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324004148" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324004148" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="44D75D9470ACEF5A1264410A57251066"> <div class="row product-section" data-test-id="searchItem" data-test-title="PD60 The Importance Of Systematic Reviews Addressing Questions Of Prevalence In Health Technology Assessment"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="44D75D9470ACEF5A1264410A57251066" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="31763" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"44D75D9470ACEF5A1264410A57251066","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/international-journal-of-technology-assessment-in-health-care/article/pd60-the-importance-of-systematic-reviews-addressing-questions-of-prevalence-in-health-technology-assessment/44D75D9470ACEF5A1264410A57251066"> PD60 The Importance Of Systematic Reviews Addressing Questions Of Prevalence In Health Technology Assessment </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Celina Borges Migliavaca&eventCode=SE-AU" class="more-by-this-author ">Celina Borges Migliavaca</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Timothy Hugh Barker&eventCode=SE-AU" class="more-by-this-author ">Timothy Hugh Barker</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Cinara Stein&eventCode=SE-AU" class="more-by-this-author ">Cinara Stein</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Verônica Colpani&eventCode=SE-AU" class="more-by-this-author ">Verônica Colpani</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Zachary Munn&eventCode=SE-AU" class="more-by-this-author ">Zachary Munn</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Maicon Falavigna&eventCode=SE-AU" class="more-by-this-author ">Maicon Falavigna</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="5A33AA41BC24DE8673ABFB7AF1B91C58" href="/core/journals/international-journal-of-technology-assessment-in-health-care">International Journal of Technology Assessment in Health Care</a> / Volume 40 / <a href="/core/product/4248B693F816EEA119A5CBB5D6507FB8" class="productParent" data-prod-id="4248B693F816EEA119A5CBB5D6507FB8">Issue S1</a> / December 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 07 January 2025</span><span class="pages">, p. S120</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-44D75D9470ACEF5A1264410A57251066" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/44D75D9470ACEF5A1264410A57251066/S0266462324003180a.pdf/pd60_the_importance_of_systematic_reviews_addressing_questions_of_prevalence_in_health_technology_assessment.pdf" data-pdf-content-id="44D75D9470ACEF5A1264410A57251066" target="_blank" aria-label="Download PDF for PD60 The Importance Of Systematic Reviews Addressing Questions Of Prevalence In Health Technology Assessment [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="44D75D9470ACEF5A1264410A57251066" data-container="representation" aria-label="Export citation for PD60 The Importance Of Systematic Reviews Addressing Questions Of Prevalence In Health Technology Assessment">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0266462324003180')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for PD60 The Importance Of Systematic Reviews Addressing Questions Of Prevalence In Health Technology Assessment" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"44D75D9470ACEF5A1264410A57251066"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0266462324003180" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Introduction</span><p>The use of systematic reviews (SRs) of interventions is commonplace in health technology assessment (HTA). However, SRs synthesizing other data types, such as prevalence, are rarely used. These SRs may complement the HTA process by gathering complementary evidence essential for developing trustworthy recommendations. We aimed to discuss the importance and application of SRs of prevalence in the context of HTA.</p></div><div class='sec'><span class="bold">Methods</span><p>A methodological working group, the Prevalence Estimates Reviews – Systematic Review Methodology Group (PERSyst), was created to provide guidance on how to improve the development of SRs and meta-analyses of prevalence. As part of the group’s work, a guide for HTA developers regarding the value of SRs of prevalence was developed.</p></div><div class='sec'><span class="bold">Results</span><p>There are many benefits to including SRs of prevalence in the process of HTA. These include providing data for estimating burden of disease; helping to set priorities regarding technology assessment; informing the absolute impact on health outcomes from association measures (e.g., relative risk) reported in clinical studies; and providing data for estimating resource requirements for and feasibility of implementing health technologies under consideration. Within the GRADE framework, prevalence estimates are necessary to assess the quality of diagnostic test accuracy evidence and to support decision-making using the Evidence to Decision framework.</p></div><div class='sec'><span class="bold">Conclusions</span><p>Although not commonly used, SRs of prevalence are an important tool in the process of HTA. There is a need for standardization of methodologies and guidance on how to use these reviews in the HTA process.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324003180" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324003180" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="0A0C2EF341113B5013CEDCBF95CAB845"> <div class="row product-section" data-test-id="searchItem" data-test-title="OP63 A European Value Assessment Framework For Next Generation Sequencing And Comprehensive Genomic Profiling Oncology Diagnostics"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="0A0C2EF341113B5013CEDCBF95CAB845" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="32024" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"0A0C2EF341113B5013CEDCBF95CAB845","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/international-journal-of-technology-assessment-in-health-care/article/op63-a-european-value-assessment-framework-for-nextgeneration-sequencing-and-comprehensive-genomic-profiling-oncology-diagnostics/0A0C2EF341113B5013CEDCBF95CAB845"> OP63 A European Value Assessment Framework For Next-Generation Sequencing And Comprehensive Genomic Profiling Oncology Diagnostics </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Federico Augustovski&eventCode=SE-AU" class="more-by-this-author ">Federico Augustovski</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Danitza Chavez&eventCode=SE-AU" class="more-by-this-author ">Danitza Chavez</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Madeleine Haig&eventCode=SE-AU" class="more-by-this-author ">Madeleine Haig</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Caitlin Main&eventCode=SE-AU" class="more-by-this-author ">Caitlin Main</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Fernando Argento&eventCode=SE-AU" class="more-by-this-author ">Fernando Argento</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Carla Colaci&eventCode=SE-AU" class="more-by-this-author ">Carla Colaci</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Mackenzie Mills&eventCode=SE-AU" class="more-by-this-author ">Mackenzie Mills</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Verónica Alfie&eventCode=SE-AU" class="more-by-this-author ">Verónica Alfie</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Andres Pichon-Riviere&eventCode=SE-AU" class="more-by-this-author ">Andres Pichon-Riviere</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Andrea Alcaraz&eventCode=SE-AU" class="more-by-this-author ">Andrea Alcaraz</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Panos Kanavos&eventCode=SE-AU" class="more-by-this-author ">Panos Kanavos</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="5A33AA41BC24DE8673ABFB7AF1B91C58" href="/core/journals/international-journal-of-technology-assessment-in-health-care">International Journal of Technology Assessment in Health Care</a> / Volume 40 / <a href="/core/product/4248B693F816EEA119A5CBB5D6507FB8" class="productParent" data-prod-id="4248B693F816EEA119A5CBB5D6507FB8">Issue S1</a> / December 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 07 January 2025</span><span class="pages">, p. S28</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-0A0C2EF341113B5013CEDCBF95CAB845" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/0A0C2EF341113B5013CEDCBF95CAB845/S0266462324001235a.pdf/op63_a_european_value_assessment_framework_for_nextgeneration_sequencing_and_comprehensive_genomic_profiling_oncology_diagnostics.pdf" data-pdf-content-id="0A0C2EF341113B5013CEDCBF95CAB845" target="_blank" aria-label="Download PDF for OP63 A European Value Assessment Framework For Next-Generation Sequencing And Comprehensive Genomic Profiling Oncology Diagnostics [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="0A0C2EF341113B5013CEDCBF95CAB845" data-container="representation" aria-label="Export citation for OP63 A European Value Assessment Framework For Next-Generation Sequencing And Comprehensive Genomic Profiling Oncology Diagnostics">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0266462324001235')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for OP63 A European Value Assessment Framework For Next-Generation Sequencing And Comprehensive Genomic Profiling Oncology Diagnostics" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"0A0C2EF341113B5013CEDCBF95CAB845"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0266462324001235" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Introduction</span><p>Advances in next-generation sequencing/comprehensive genomic profiling (NGS/CGP) diagnostics require a value framework (VF) for accurate assessment within cancer care in Europe. Building on a previously established VF for diagnostic technologies in Latin America by the Institute for Clinical Effectiveness and Health Policy (IECS), this study synthesizes insights from a systematic literature review and stakeholder perspectives to inform the co-creation of an NGS/CGP diagnostic framework for healthcare decision-making.</p></div><div class='sec'><span class="bold">Methods</span><p>The study utilized a mixed methods approach including a systematic literature review (SLR) and web-Delphi panel. The SLR identified and mapped existing VFs against the IECS VF, extracting non-overlapping criteria relevant to NGS/CGP in Europe. A Delphi panel further adapted and validated the framework, ensuring comprehensive stakeholder contribution and engagement. The Delphi´s first round was qualitative and involved open-ended feedback from participants to adapt the indicators and domains. Rounds two through four involved Likert-scale judgments of importance of each indicator. In rounds three and four, participants were shown the distribution of responses across stakeholders and could reconsider their answers.</p></div><div class='sec'><span class="bold">Results</span><p>The SLR revealed 42 VFs with an 83 percent criterion overlap with the IECS VF, resulting in 46 indicators forming the literature-adapted framework. Thirty-four participants completed the Delphi. In round one, 14 indicators and 22 descriptions were adapted, 11 indicators were merged, 14 were deleted, and one was kept the same resulting in 29 indicators for scoring in round two. The final VF has 27 indicators: 23 essential and four complementary; two indicators did not reach consensus. The domains included clinical impact, test performance, scientific evidence quality, non-clinical impact, health system integration, economic aspects, ethical/governance concerns, and health system priorities.</p></div><div class='sec'><span class="bold">Conclusions</span><p>This approach has yielded a robust, stakeholder co-created VF for NGS/CGP diagnostics in oncology, tailored to the European setting. It offers a comprehensive set of criteria that extends beyond traditional health technology assessments, incorporating novel aspects like post-test data governance. This framework sets the stage for improving patient access to high-value technologies by aligning European stakeholder values across health systems.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324001235" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324001235" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="00CA895C178CB52322D47249BAD98DE1"> <div class="row product-section" data-test-id="searchItem" data-test-title="PD168 Developing And Implementing A Value Framework For Rapid Health Technology Assessments Enhancing Evidence Informed Coverage In Resource Constrained Settings"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="00CA895C178CB52322D47249BAD98DE1" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="31430" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"00CA895C178CB52322D47249BAD98DE1","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/international-journal-of-technology-assessment-in-health-care/article/pd168-developing-and-implementing-a-value-framework-for-rapid-health-technology-assessments-enhancing-evidenceinformed-coverage-in-resourceconstrained-settings/00CA895C178CB52322D47249BAD98DE1"> PD168 Developing And Implementing A Value Framework For Rapid Health Technology Assessments: Enhancing Evidence-Informed Coverage In Resource-Constrained Settings </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Andrea Alcaraz&eventCode=SE-AU" class="more-by-this-author ">Andrea Alcaraz</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Fernando Argento&eventCode=SE-AU" class="more-by-this-author ">Fernando Argento</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Verónica Alfie&eventCode=SE-AU" class="more-by-this-author ">Verónica Alfie</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Sebastian Garcia Marti&eventCode=SE-AU" class="more-by-this-author ">Sebastian Garcia Marti</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Ariel Bardach&eventCode=SE-AU" class="more-by-this-author ">Ariel Bardach</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Agustín Ciapponi&eventCode=SE-AU" class="more-by-this-author ">Agustín Ciapponi</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Federico Augustovski&eventCode=SE-AU" class="more-by-this-author ">Federico Augustovski</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Andres Pichon-Riviere&eventCode=SE-AU" class="more-by-this-author ">Andres Pichon-Riviere</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="5A33AA41BC24DE8673ABFB7AF1B91C58" href="/core/journals/international-journal-of-technology-assessment-in-health-care">International Journal of Technology Assessment in Health Care</a> / Volume 40 / <a href="/core/product/4248B693F816EEA119A5CBB5D6507FB8" class="productParent" data-prod-id="4248B693F816EEA119A5CBB5D6507FB8">Issue S1</a> / December 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 07 January 2025</span><span class="pages">, p. S156</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-00CA895C178CB52322D47249BAD98DE1" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/00CA895C178CB52322D47249BAD98DE1/S0266462324003945a.pdf/pd168_developing_and_implementing_a_value_framework_for_rapid_health_technology_assessments_enhancing_evidenceinformed_coverage_in_resourceconstrained_settings.pdf" data-pdf-content-id="00CA895C178CB52322D47249BAD98DE1" target="_blank" aria-label="Download PDF for PD168 Developing And Implementing A Value Framework For Rapid Health Technology Assessments: Enhancing Evidence-Informed Coverage In Resource-Constrained Settings [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="00CA895C178CB52322D47249BAD98DE1" data-container="representation" aria-label="Export citation for PD168 Developing And Implementing A Value Framework For Rapid Health Technology Assessments: Enhancing Evidence-Informed Coverage In Resource-Constrained Settings">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0266462324003945')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for PD168 Developing And Implementing A Value Framework For Rapid Health Technology Assessments: Enhancing Evidence-Informed Coverage In Resource-Constrained Settings" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"00CA895C178CB52322D47249BAD98DE1"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0266462324003945" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Introduction</span><p>Value frameworks play a crucial role in bridging the gap between evidence and decision-making in health care, particularly in settings with limited budgets. In this study, we present the results of an implemented value framework (VF) to provide coverage recommendations in rapid health technology assessment (HTA) reports.</p></div><div class='sec'><span class="bold">Methods</span><p>A search was performed to identify existing HTA frameworks. Relevant criteria and methods of assessment were then selected. A color-coded system was applied to categorize each criterion. A Delphi panel was conducted to determine the overall recommendations and to weigh the criteria and correlate them with the recommendations. To assess the performance, we reviewed the results of rapid HTA reports from the last five years.</p></div><div class='sec'><span class="bold">Results</span><p>The value framework had three domains. We adapted widely used methodologies for the quality of evidence and net benefit domains. The economic impact domain was the most complex to assess, so a customized method was developed. Analysis of 265 HTAs revealed the distribution of recommendations across various criteria and technology types. Most recommendations were for drugs (40.5%) or for therapeutic procedures (36%). Among the final recommendations, 0.8 percent were favorable, 19.7 percent were uncertain, and 44 percent were unfavorable.</p></div><div class='sec'><span class="bold">Conclusions</span><p>The VF demonstrated its versatility and practicality in meeting the needs of rapid HTA requesters and facilitating evidence-informed decision-making. The VF serves as a valuable tool for conducting adaptive rapid HTAs and supports decision-making processes in Argentina and similar contexts.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324003945" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324003945" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="5B6008CDE7CD25C6A4B92621E80E6902"> <div class="row product-section" data-test-id="searchItem" data-test-title="Rare Spinocerebellar Ataxia Types in Canada A Case Series and Review of the Literature"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="5B6008CDE7CD25C6A4B92621E80E6902" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="62269" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"5B6008CDE7CD25C6A4B92621E80E6902","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/canadian-journal-of-neurological-sciences/article/rare-spinocerebellar-ataxia-types-in-canada-a-case-series-and-review-of-the-literature/5B6008CDE7CD25C6A4B92621E80E6902"> Rare Spinocerebellar Ataxia Types in Canada: A Case Series and Review of the Literature </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Sohaila Alshimemeri&eventCode=SE-AU" class="more-by-this-author ">Sohaila Alshimemeri</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Lamya Alsaghan&eventCode=SE-AU" class="more-by-this-author ">Lamya Alsaghan</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Danah Abo Alsamh&eventCode=SE-AU" class="more-by-this-author ">Danah Abo Alsamh</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Lily Zhou&eventCode=SE-AU" class="more-by-this-author ">Lily Zhou</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Sarah Furtado&eventCode=SE-AU" class="more-by-this-author ">Sarah Furtado</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Scott Kraft&eventCode=SE-AU" class="more-by-this-author ">Scott Kraft</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Veronica Bruno&eventCode=SE-AU" class="more-by-this-author ">Veronica Bruno</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Silke Appel-Cresswell&eventCode=SE-AU" class="more-by-this-author ">Silke Appel-Cresswell</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Antoine Duquette&eventCode=SE-AU" class="more-by-this-author ">Antoine Duquette</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Bernard Brais&eventCode=SE-AU" class="more-by-this-author ">Bernard Brais</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Oksana Suchowersky&eventCode=SE-AU" class="more-by-this-author ">Oksana Suchowersky</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Elizabeth Slow&eventCode=SE-AU" class="more-by-this-author ">Elizabeth Slow</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Renato P. Munhoz&eventCode=SE-AU" class="more-by-this-author ">Renato P. Munhoz</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="A15C3D1075D5ECE8B8BA8069337C929A" href="/core/journals/canadian-journal-of-neurological-sciences">Canadian Journal of Neurological Sciences</a> , <a href="/core/product/A15C3D1075D5ECE8B8BA8069337C929A/firstview">First View</a> </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 02 December 2024</span><span class="pages">, pp. 1-10</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-5B6008CDE7CD25C6A4B92621E80E6902" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/5B6008CDE7CD25C6A4B92621E80E6902/S0317167124003354a.pdf/rare_spinocerebellar_ataxia_types_in_canada_a_case_series_and_review_of_the_literature.pdf" data-pdf-content-id="5B6008CDE7CD25C6A4B92621E80E6902" target="_blank" aria-label="Download PDF for Rare Spinocerebellar Ataxia Types in Canada: A Case Series and Review of the Literature [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <a href="/core/product/5B6008CDE7CD25C6A4B92621E80E6902/core-reader" target="_blank" aria-label="View HTML full text for Rare Spinocerebellar Ataxia Types in Canada: A Case Series and Review of the Literature [Opens in a new window]" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"5B6008CDE7CD25C6A4B92621E80E6902","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}'> <span class="icon icn html wide"> <span class="download-label">HTML</span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="5B6008CDE7CD25C6A4B92621E80E6902" data-container="representation" aria-label="Export citation for Rare Spinocerebellar Ataxia Types in Canada: A Case Series and Review of the Literature">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0317167124003354')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for Rare Spinocerebellar Ataxia Types in Canada: A Case Series and Review of the Literature" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"5B6008CDE7CD25C6A4B92621E80E6902"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0317167124003354" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Background:</span><p>There is limited information on rare spinocerebellar ataxia (SCA) variants, particularly in the Canadian population. This study aimed to describe the demographic and clinical features of uncommon SCA subtypes in Canada and compare them with international data.</p></div><div class='sec'><span class="bold">Methods:</span><p>We conducted a case series and literature review of adult patients with rare SCA subtypes, including SCA5, SCA7, SCA12, SCA14, SCA15, SCA28, SCA34, SCA35 and SCA36. Data were collected from medical centers in Ontario, Alberta and Quebec between January 2000 and February 2021.</p></div><div class='sec'><span class="bold">Results:</span><p>We analyzed 25 patients with rare SCA subtypes, with onset ages ranging from birth to 67 years. Infantile and juvenile-onset cases were observed in SCA5, SCA7, SCA14 and SCA34. Most patients presented with gait ataxia, with no significant differences across groups. Additional common features included saccadic abnormalities (22 of 25), dysarthria (19 of 25) and nystagmus (12 of 22, except in SCA7). Less common findings included dystonia (8 of 25), cognitive impairment (7 of 25), tremor (9 of 25) and parkinsonism (3 of 25).</p></div><div class='sec'><span class="bold">Conclusion:</span><p>Our study highlights the heterogeneity of rare SCA subtypes in Canada. Ongoing longitudinal analysis will improve the understanding, management and screening of these disorders.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/cjn.2024.335" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/cjn.2024.335" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="622A8C35E02419E5FFA6B7AF4FE5B689"> <div class="row product-section" data-test-id="searchItem" data-test-title="8 In the Shadow of an Oil Refinery Narrating Just Transitions in the City of Lysekil"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="622A8C35E02419E5FFA6B7AF4FE5B689" data-prod-source="search" data-prod-type="BOOK_PART" data-file-size="155174" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-BP","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"622A8C35E02419E5FFA6B7AF4FE5B689","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/books/politics-and-governance-of-decarbonization/in-the-shadow-of-an-oil-refinery-narrating-just-transitions-in-the-city-of-lysekil/622A8C35E02419E5FFA6B7AF4FE5B689">8 - In the Shadow of an Oil Refinery: Narrating Just Transitions in the City of Lysekil</a></h3></li> <li> <ul> <li class="author chapter"> By <a href="/core/search?filters%5BauthorTerms%5D=Eva Lövbrand&eventCode=SE-AU" class="more-by-this-author"> <span class="author-name">Eva Lövbrand</span></a>, <a href="/core/search?filters%5BauthorTerms%5D=Veronica Brodén Gyberg&eventCode=SE-AU" class="more-by-this-author"> <span class="author-name">Veronica Brodén Gyberg</span></a> </li> </ul> </li> <li class="author"> Edited by <a href="/core/search?filters%5BauthorTerms%5D=Karin Bäckstrand&eventCode=SE-AU" class="more-by-this-author"><span class="author-name">Karin Bäckstrand</span></a>, <span class="affiliation">Stockholms Universitet</span><span class="separator">,</span> <a href="/core/search?filters%5BauthorTerms%5D=Jens Marquardt&eventCode=SE-AU" class="more-by-this-author"><span class="author-name">Jens Marquardt</span></a>, <span class="affiliation">Technische Universität, Darmstadt, Germany</span><span class="separator">,</span> <a href="/core/search?filters%5BauthorTerms%5D=Naghmeh Nasiritousi&eventCode=SE-AU" class="more-by-this-author"><span class="author-name">Naghmeh Nasiritousi</span></a>, <span class="affiliation">Swedish Institute of International Affairs</span><span class="separator">,</span> <a href="/core/search?filters%5BauthorTerms%5D=Oscar Widerberg&eventCode=SE-AU" class="more-by-this-author"><span class="author-name">Oscar Widerberg</span></a>, <span class="affiliation">Vrije Universiteit, Amsterdam</span> </li> <li> <dl> <dt class="source dl-inline">Book: </dt> <dd> <a href="/core/books/politics-and-governance-of-decarbonization/801861C2A87EB48BE3CCF9D336F81D90" class="url productParent" data-prod-id="801861C2A87EB48BE3CCF9D336F81D90">The Politics and Governance of Decarbonization</a> </dd> <dt class="published dl-inline">Published online: </dt> <dd> <span class="date">05 December 2024</span> </dd> <dt class="published dl-inline">Print publication: </dt> <dd> <span class="date">28 November 2024</span>, <span> pp <span class="pages">161-181</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type chapter">Chapter</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-622A8C35E02419E5FFA6B7AF4FE5B689" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/622A8C35E02419E5FFA6B7AF4FE5B689/9781009301565c8_161-181.pdf/in_the_shadow_of_an_oil_refinery_narrating_just_transitions_in_the_city_of_lysekil.pdf" data-pdf-content-id="622A8C35E02419E5FFA6B7AF4FE5B689" target="_blank" aria-label="Download PDF for 8 - 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In the Shadow of an Oil Refinery: Narrating Just Transitions in the City of Lysekil">Export citation </a></li> </ul> </li> <li class="accordion abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstract-9781009301558_CN-BP-8')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View extract for 8 - In the Shadow of an Oil Refinery: Narrating Just Transitions in the City of Lysekil" data-cup-event='{"eventCode":"IN-BP","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":["0"],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"622A8C35E02419E5FFA6B7AF4FE5B689"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type"> extract </span> </div> </button> <div id="abstract-9781009301558_CN-BP-8" class="content"> <div class="overview"> <div class="description"> <h4 class="heading_10 margin-top">Summary</h4> <div class="summary"> <div class="abstract" data-abstract-type="normal"><p>This chapter employs narrative analysis to examine how people who live in the shadow of carbon-intensive industries imagine a just transition to net-zero emissions. The analysis rests upon an interview study with local politicians, civil servants, union representatives, and citizen groups in the Swedish west-coast city of Lysekil, home to Scandinavia’s largest oil refinery. By mapping stories of climate (in)justice told in view of Sweden’s efforts to decarbonize, this chapter illustrates the cultural dimensions of carbon lock-ins and why some people resist transformative change. In the city of Lysekil, the refinery is not only an important source of local employment but also deeply entangled with community identity and sense of place. However, the chapter also points to the multiple interpretations of just transitions to climate neutrality and the power of narrative to open-up possibilities for decarbonized futures.</p></div> </div> </div> </div> </div> </div> </li> </ul> </div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="37277B69B29A8E47965DF9F1824BDFD0"> <div class="row product-section" data-test-id="searchItem" data-test-title="Violence mental health and nutritional status in pregnant women the Araraquara Cohort Study"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="37277B69B29A8E47965DF9F1824BDFD0" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="268363" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"37277B69B29A8E47965DF9F1824BDFD0","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/public-health-nutrition/article/violence-mental-health-and-nutritional-status-in-pregnant-women-the-araraquara-cohort-study/37277B69B29A8E47965DF9F1824BDFD0"> Violence, mental health and nutritional status in pregnant women: the Araraquara Cohort Study </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Leonardo Domingos Biagio&eventCode=SE-AU" class="more-by-this-author ">Leonardo Domingos Biagio</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Delanjathan Devakumar&eventCode=SE-AU" class="more-by-this-author ">Delanjathan Devakumar</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Paula Louro da Silva&eventCode=SE-AU" class="more-by-this-author ">Paula Louro da Silva</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Rossana Verónica Mendoza López&eventCode=SE-AU" class="more-by-this-author ">Rossana Verónica Mendoza López</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Perla Pizzi Argentato&eventCode=SE-AU" class="more-by-this-author ">Perla Pizzi Argentato</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Liania Alves Luzia&eventCode=SE-AU" class="more-by-this-author ">Liania Alves Luzia</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Patrícia Helen Carvalho Rondó&eventCode=SE-AU" class="more-by-this-author ">Patrícia Helen Carvalho Rondó</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="F706A49D9CDF0803AC5BB557E840CD97" href="/core/journals/public-health-nutrition">Public Health Nutrition</a> / <a class="url" href="/core/journals/public-health-nutrition/accepted-manuscripts">Accepted manuscript</a> </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 26 November 2024</span><span class="pages">, pp. 1-29</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-37277B69B29A8E47965DF9F1824BDFD0" 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aria-label="View Abstract for Violence, mental health and nutritional status in pregnant women: the Araraquara Cohort Study" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"37277B69B29A8E47965DF9F1824BDFD0"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS1368980024002295" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Objective:</span><p>To investigate the relationship between violence and the nutritional status of pregnant women, and whether mental health could be a mediator in this relationship.</p></div><div class='sec'><span class="bold">Design:</span><p>Cross-sectional study. Violence and mental health status were investigated using the following questionnaires: World Health Organization Violence Against Women (WHO-VAW), Abuse Assessment Screen (AAS), Patient Health Questionnaire (PHQ-9), and General Health Questionnaire (GHQ). Demographic, socioeconomic, obstetric, and lifestyle factors (smoking/alcohol consumption) were also investigated. The nutritional status of the women was assessed by the body mass index.</p></div><div class='sec'><span class="bold">Setting:</span><p>Data were collected from February 2021 to August 2022 in Araraquara city, Brazil.</p></div><div class='sec'><span class="bold">Participants:</span><p>Four hundred pregnant women recruited at 34 health units and the municipal maternity hospital.</p></div><div class='sec'><span class="bold">Results:</span><p>Experience of violence was reported by 52.2% of the women and psychological violence in the last 12 months was the most prevalent type of domestic violence (19.5%). Approximately 43% of the women showed mental health changes and 59.7% had a risk of major depression. Women with mental health changes had an increased risk (OR=2.34) of obesity. Psychological violence in the last 12 months was associated with obesity (p=0.01) when mediated by mental health changes. The mediation effect was significant (β=0.708; 95%BCa CI=0.004-1.460), with mental health changes mediating 46.1% of the relationship between psychological violence and obesity.</p></div><div class='sec'><span class="bold">Conclusions:</span><p>The relationship between psychological violence and obesity during pregnancy was mediated by changes in mental health. This original study shows that nutritional status is not limited to biological factors and highlights the importance of social, mental, and psychological factors.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S1368980024002295" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S1368980024002295" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="17BF6640CFFCB4EC167EEDEEC9C992DD"> <div class="row product-section" data-test-id="searchItem" data-test-title="Development and validation of an antimicrobial stewardship clinical decision support tool to improve the management of urinary tract infections versus asymptomatic bacteriuria in hospitalized patients"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="17BF6640CFFCB4EC167EEDEEC9C992DD" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="227147" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"17BF6640CFFCB4EC167EEDEEC9C992DD","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology/article/development-and-validation-of-an-antimicrobial-stewardship-clinical-decisionsupport-tool-to-improve-the-management-of-urinary-tract-infections-versus-asymptomatic-bacteriuria-in-hospitalized-patients/17BF6640CFFCB4EC167EEDEEC9C992DD"> Development and validation of an antimicrobial stewardship clinical decision-support tool to improve the management of urinary tract infections versus asymptomatic bacteriuria in hospitalized patients </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Mayan Gilboa&eventCode=SE-AU" class="more-by-this-author ">Mayan Gilboa</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Renata Boatwright&eventCode=SE-AU" class="more-by-this-author ">Renata Boatwright</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Veronica Salazar&eventCode=SE-AU" class="more-by-this-author ">Veronica Salazar</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Julio C. Simon&eventCode=SE-AU" class="more-by-this-author ">Julio C. Simon</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Brianna North&eventCode=SE-AU" class="more-by-this-author ">Brianna North</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Christine Vu&eventCode=SE-AU" class="more-by-this-author ">Christine Vu</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Ana Vega&eventCode=SE-AU" class="more-by-this-author ">Ana Vega</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Kailynn Jennings Deronde&eventCode=SE-AU" class="more-by-this-author ">Kailynn Jennings Deronde</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Rossana Rosa&eventCode=SE-AU" class="more-by-this-author ">Rossana Rosa</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Lilian M Abbo&eventCode=SE-AU" class="more-by-this-author ">Lilian M Abbo</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="8E49CD7EB87EF0C7E0C449F6CC489D5E" href="/core/journals/antimicrobial-stewardship-and-healthcare-epidemiology">Antimicrobial Stewardship & Healthcare Epidemiology</a> / Volume 4 / <a href="/core/product/B86E38153638601F88FE4312FC93685D" class="productParent" data-prod-id="B86E38153638601F88FE4312FC93685D">Issue 1</a> / 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 19 November 2024</span><span class="pages">, e210</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-17BF6640CFFCB4EC167EEDEEC9C992DD" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/17BF6640CFFCB4EC167EEDEEC9C992DD/S2732494X24004339a.pdf/development_and_validation_of_an_antimicrobial_stewardship_clinical_decisionsupport_tool_to_improve_the_management_of_urinary_tract_infections_versus_asymptomatic_bacteriuria_in_hospitalized_patients.pdf" data-pdf-content-id="17BF6640CFFCB4EC167EEDEEC9C992DD" target="_blank" aria-label="Download PDF for Development and validation of an antimicrobial stewardship clinical decision-support tool to improve the management of urinary tract infections versus asymptomatic bacteriuria in hospitalized patients [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <a href="/core/product/17BF6640CFFCB4EC167EEDEEC9C992DD/core-reader" target="_blank" aria-label="View HTML full text for Development and validation of an antimicrobial stewardship clinical decision-support tool to improve the management of urinary tract infections versus asymptomatic bacteriuria in hospitalized patients [Opens in a new window]" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"17BF6640CFFCB4EC167EEDEEC9C992DD","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}'> <span class="icon icn html wide"> <span class="download-label">HTML</span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="17BF6640CFFCB4EC167EEDEEC9C992DD" data-container="representation" aria-label="Export citation for Development and validation of an antimicrobial stewardship clinical decision-support tool to improve the management of urinary tract infections versus asymptomatic bacteriuria in hospitalized patients">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS2732494X24004339')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for Development and validation of an antimicrobial stewardship clinical decision-support tool to improve the management of urinary tract infections versus asymptomatic bacteriuria in hospitalized patients" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"17BF6640CFFCB4EC167EEDEEC9C992DD"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS2732494X24004339" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Objective:</span><p>To assess the effectiveness of a 3-question decision-support tool to guide the diagnosis and treatment of urinary tract infections (UTIs) in acute care hospitalized patients as an antibiotic and diagnostic stewardship initiative.</p></div><div class='sec'><span class="bold">Design:</span><p>Retrospective cohort study.</p></div><div class='sec'><span class="bold">Setting:</span><p>Four acute care hospitals within the same health system in Miami, FL.</p></div><div class='sec'><span class="bold">Patients:</span><p>124, admitted from the emergency department and hospitalized adult patients, treated with antibiotics for the indication of a UTI between March and April 2023.</p></div><div class='sec'><span class="bold">Intervention:</span><p>We developed a 3-step clinical decision-support tool (CDST) to evaluate the appropriateness of urine cultures and antibiotic treatment. The tool’s recommendations when deciding to prescribe antibiotics were compared with the actual need for treatment throughout the hospitalization, up to the time of patient discharge.</p></div><div class='sec'><span class="bold">Results:</span><p>Overall, 31% of antibiotics prescribed for UTIs were inappropriate and met the criteria for asymptomatic bacteriuria (ASB) based on the CDST. Prospective implementation of the decision-support tool could potentially reduce antibiotic use by 33.6%, corresponding to 265 days of unnecessary therapy. The sensitivity and specificity of the tool were calculated to be 98.6% and 100%, respectively, indicating high accuracy in identifying the need for antibiotic treatment. Urinalysis alone was insufficient to differentiate between symptomatic UTIs and ASB, with leukocyturia present in 95.3% of UTI cases and 94.6% of ASB cases (<span class='italic'>P</span> = 0.87).</p></div><div class='sec'><span class="bold">Conclusions:</span><p>Implementing a 3-question CDST may reduce unnecessary laboratory work-up and treatment for ASB improving the diagnostic and antimicrobial stewardship of UTIs.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/ash.2024.433" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/ash.2024.433" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="93ABDFD429FC693E0913592A0815748A"> <div class="row product-section" data-test-id="searchItem" data-test-title="Its two separate systems that keep you under a thumb dual debt in the child support and criminal legal systems"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="93ABDFD429FC693E0913592A0815748A" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="22721" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"93ABDFD429FC693E0913592A0815748A","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/law-and-society-review/article/its-two-separate-systems-that-keep-you-under-a-thumb-dual-debt-in-the-child-support-and-criminal-legal-systems/93ABDFD429FC693E0913592A0815748A"> “It’s two separate systems that … keep you under a thumb”: dual debt in the child support and criminal legal systems </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Hannah Schwendeman&eventCode=SE-AU" class="more-by-this-author ">Hannah Schwendeman</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Veronica L. Horowitz&eventCode=SE-AU" class="more-by-this-author ">Veronica L. Horowitz</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Frank Edwards&eventCode=SE-AU" class="more-by-this-author ">Frank Edwards</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Robert Stewart&eventCode=SE-AU" class="more-by-this-author ">Robert Stewart</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Ryan Larson&eventCode=SE-AU" class="more-by-this-author ">Ryan Larson</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Christopher Uggen&eventCode=SE-AU" class="more-by-this-author ">Christopher Uggen</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="F2BDCA94A7BDF56A1C9C22F9CF368218" href="/core/journals/law-and-society-review">Law & Society Review</a> / Volume 58 / <a href="/core/product/10B29B4D4F3AAC8F67C03803709790C4" class="productParent" data-prod-id="10B29B4D4F3AAC8F67C03803709790C4">Issue 4</a> / December 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 14 November 2024</span><span class="pages">, pp. 547-572</span> </dd> <dt class="published dl-inline">Print publication: </dt> <dd> <span class="date"> December 2024</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-93ABDFD429FC693E0913592A0815748A" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/93ABDFD429FC693E0913592A0815748A/S0023921624000471a.pdf/its_two_separate_systems_that_keep_you_under_a_thumb_dual_debt_in_the_child_support_and_criminal_legal_systems.pdf" data-pdf-content-id="93ABDFD429FC693E0913592A0815748A" target="_blank" aria-label="Download PDF for “It’s two separate systems that … keep you under a thumb”: dual debt in the child support and criminal legal systems [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <a href="/core/product/93ABDFD429FC693E0913592A0815748A/core-reader" target="_blank" aria-label="View HTML full text for “It’s two separate systems that … keep you under a thumb”: dual debt in the child support and criminal legal systems [Opens in a new window]" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"93ABDFD429FC693E0913592A0815748A","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}'> <span class="icon icn html wide"> <span class="download-label">HTML</span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="93ABDFD429FC693E0913592A0815748A" data-container="representation" aria-label="Export citation for “It’s two separate systems that … keep you under a thumb”: dual debt in the child support and criminal legal systems">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0023921624000471')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for “It’s two separate systems that … keep you under a thumb”: dual debt in the child support and criminal legal systems" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"93ABDFD429FC693E0913592A0815748A"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0023921624000471" class="content"> <div class="abstract" data-abstract-type="normal"><p>People simultaneously entangled in multiple state systems are often subject to contradictory legal mandates that can foster distrust and incentivize system avoidance. This study focuses on those indebted to both the child support system and the criminal legal system, a situation we describe as <span class='italic'>dual debt.</span> We ask whether and how the imposition of legal debts with punitive surveillance and collections mechanisms fosters alienation in the form of legal cynicism and estrangement, which we refer to jointly as legal anomie. Drawing from interview data in Minnesota, we find that legal anomie and system avoidance are mutually reinforcing processes, as debts in these systems triggered consequences that pushed people out of the formal labor market and heightened their distrust of legal institutions. The case of dual debt demonstrates how alienating and contradictory policy systems can foster both legal anomie and system avoidance, particularly in the context of economic and social precarity.</p></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/lsr.2024.47" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/lsr.2024.47" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="A55EE0D6384DDC915A71B0D97DEF1E32"> <div class="row product-section" data-test-id="searchItem" data-test-title="The three domain impact framework for characterizing impact of patient involvement in health technology assessment"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="A55EE0D6384DDC915A71B0D97DEF1E32" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="182564" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"A55EE0D6384DDC915A71B0D97DEF1E32","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/international-journal-of-technology-assessment-in-health-care/article/threedomain-impact-framework-for-characterizing-impact-of-patient-involvement-in-health-technology-assessment/A55EE0D6384DDC915A71B0D97DEF1E32"> The three-domain impact framework for characterizing impact of patient involvement in health technology assessment </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Veronica Lopez Gousset&eventCode=SE-AU" class="more-by-this-author ">Veronica Lopez Gousset</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Aline Silveira Silva&eventCode=SE-AU" class="more-by-this-author ">Aline Silveira Silva</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Anke-Peggy Holtorf&eventCode=SE-AU" class="more-by-this-author ">Anke-Peggy Holtorf</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Ana Toledo-Chávarri&eventCode=SE-AU" class="more-by-this-author ">Ana Toledo-Chávarri</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Ann Single&eventCode=SE-AU" class="more-by-this-author ">Ann Single</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="5A33AA41BC24DE8673ABFB7AF1B91C58" href="/core/journals/international-journal-of-technology-assessment-in-health-care">International Journal of Technology Assessment in Health Care</a> / Volume 40 / <a href="/core/product/0596FD63E1266C996103CE1A222A15F5" class="productParent" data-prod-id="0596FD63E1266C996103CE1A222A15F5">Issue 1</a> / 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 11 November 2024</span><span class="pages">, e52</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-A55EE0D6384DDC915A71B0D97DEF1E32" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> <span class="icon access open-access cursorDefault"></span>Open access </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/A55EE0D6384DDC915A71B0D97DEF1E32/S0266462324000400a.pdf/threedomain_impact_framework_for_characterizing_impact_of_patient_involvement_in_health_technology_assessment.pdf" data-pdf-content-id="A55EE0D6384DDC915A71B0D97DEF1E32" target="_blank" aria-label="Download PDF for The three-domain impact framework for characterizing impact of patient involvement in health technology assessment [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <a href="/core/product/A55EE0D6384DDC915A71B0D97DEF1E32/core-reader" target="_blank" aria-label="View HTML full text for The three-domain impact framework for characterizing impact of patient involvement in health technology assessment [Opens in a new window]" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"A55EE0D6384DDC915A71B0D97DEF1E32","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}'> <span class="icon icn html wide"> <span class="download-label">HTML</span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="A55EE0D6384DDC915A71B0D97DEF1E32" data-container="representation" aria-label="Export citation for The three-domain impact framework for characterizing impact of patient involvement in health technology assessment">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS0266462324000400')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for The three-domain impact framework for characterizing impact of patient involvement in health technology assessment" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"A55EE0D6384DDC915A71B0D97DEF1E32"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS0266462324000400" class="content"> <div class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Objectives</span><p>Evaluating the impact of patient involvement in health technology assessments (HTA) may help improve practices and avoid ineffective activities. Evaluation, however, continues to be infrequent, inconsistent, and often only relates to process quantity or quality. The Patient and Citizen Involvement in HTA Interest Group (PCIG) within Health Technology Assessment International set out to contextualize this impact to support evaluation.</p></div><div class='sec'><span class="bold">Methods</span><p>Given the lack of established methodology to measure impact, the team performed a qualitative analysis of first-hand accounts about perceived changes in HTA due to involvement of patient stakeholders. A questionnaire was developed, piloted, and rolled out to collect personal perspectives from stakeholders with relevant experience. The stories were analyzed in the aggregate to identify themes in the data.</p></div><div class='sec'><span class="bold">Results</span><p>From January 2019 to September 2021, twenty-four responses were collected through PCIG’s network. Responses (including one joint industry-HTA body submission) came from patient representatives (12), HTA bodies (11), and industry representatives (2) from North America (5), South America (3), Europe (13), and Asia Pacific (3). Based on themes commonly reported, a three-domain framework for evaluating impact is proposed: impact on basis of HTA result or recommendation, impact on HTA body, and impact on patient participants. The framework includes components under each domain to support reporting.</p></div><div class='sec'><span class="bold">Conclusions</span><p>Using the Three-Domain Impact Framework may be useful in identifying, evaluating, and communicating the value of patient involvement in HTA. Enhancing and increasing reporting practices may improve transparency and facilitate process improvements for meaningful integration of patient stakeholders into HTA appraisals across jurisdictions.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324000400" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S0266462324000400" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="8C3445FA90D110897A3228A6F835C5AC"> <div class="row product-section" data-test-id="searchItem" data-test-title="Calcium plus vitamin D supplementation during pregnancy has no impact on postpartum transient longitudinal changes in hip geometry in adolescent mothers a secondary analysis of a randomised controlled trial"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="8C3445FA90D110897A3228A6F835C5AC" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="23368" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"8C3445FA90D110897A3228A6F835C5AC","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/british-journal-of-nutrition/article/calcium-plus-vitamin-d-supplementation-during-pregnancy-has-no-impact-on-postpartum-transient-longitudinal-changes-in-hip-geometry-in-adolescent-mothers-a-secondary-analysis-of-a-randomised-controlled-trial/8C3445FA90D110897A3228A6F835C5AC"> Calcium plus vitamin D supplementation during pregnancy has no impact on postpartum transient longitudinal changes in hip geometry in adolescent mothers: a secondary analysis of a randomised controlled trial </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Verônica Rached&eventCode=SE-AU" class="more-by-this-author ">Verônica Rached</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Maria Eduarda L. Diogenes&eventCode=SE-AU" class="more-by-this-author ">Maria Eduarda L. Diogenes</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Marise Crivelli&eventCode=SE-AU" class="more-by-this-author ">Marise Crivelli</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Carmen M. Donangelo&eventCode=SE-AU" class="more-by-this-author ">Carmen M. Donangelo</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Flávia F. Bezerra&eventCode=SE-AU" class="more-by-this-author ">Flávia F. Bezerra</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="D6F69FEC7A749C38806D291D4ADA568B" href="/core/journals/british-journal-of-nutrition">British Journal of Nutrition</a> / Volume 132 / <a href="/core/product/BE1F1A3CB41E9713244EDCFB4A68F759" class="productParent" data-prod-id="BE1F1A3CB41E9713244EDCFB4A68F759">Issue 10</a> / 28 November 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 07 November 2024</span><span class="pages">, pp. 1325-1333</span> </dd> <dt class="published dl-inline">Print publication: </dt> <dd> <span class="date"> 28 November 2024</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-8C3445FA90D110897A3228A6F835C5AC" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> </li> </ul> </li> <li> <a href="/core/services/aop-cambridge-core/content/view/8C3445FA90D110897A3228A6F835C5AC/S000711452400165Xa.pdf/calcium_plus_vitamin_d_supplementation_during_pregnancy_has_no_impact_on_postpartum_transient_longitudinal_changes_in_hip_geometry_in_adolescent_mothers_a_secondary_analysis_of_a_randomised_controlled_trial.pdf" data-pdf-content-id="8C3445FA90D110897A3228A6F835C5AC" target="_blank" aria-label="Download PDF for Calcium plus vitamin D supplementation during pregnancy has no impact on postpartum transient longitudinal changes in hip geometry in adolescent mothers: a secondary analysis of a randomised controlled trial [Opens in a new window]" > <span class="icon icn pdf"> <span class="download-label">PDF </span> </span> </a> </li> <li> <a href="/core/product/8C3445FA90D110897A3228A6F835C5AC/core-reader" target="_blank" aria-label="View HTML full text for Calcium plus vitamin D supplementation during pregnancy has no impact on postpartum transient longitudinal changes in hip geometry in adolescent mothers: a secondary analysis of a randomised controlled trial [Opens in a new window]" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"8C3445FA90D110897A3228A6F835C5AC","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}'> <span class="icon icn html wide"> <span class="download-label">HTML</span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="8C3445FA90D110897A3228A6F835C5AC" data-container="representation" aria-label="Export citation for Calcium plus vitamin D supplementation during pregnancy has no impact on postpartum transient longitudinal changes in hip geometry in adolescent mothers: a secondary analysis of a randomised controlled trial">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS000711452400165X')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for Calcium plus vitamin D supplementation during pregnancy has no impact on postpartum transient longitudinal changes in hip geometry in adolescent mothers: a secondary analysis of a randomised controlled trial" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"8C3445FA90D110897A3228A6F835C5AC"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 17 17" class="is-opened"> <circle fill="#696969" cx="8.5" cy="8.5" r="7.5"/> <circle fill="#FFF" cx="8.5" cy="8.5" r="7"/> <path fill="#696969" d="M12.6 7.3H4.4c-.8 0-1.4.5-1.4 1.2s.6 1.2 1.4 1.2h8.3c.8 0 1.4-.5 1.4-1.2-.1-.7-.7-1.2-1.5-1.2z"/> </svg> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" viewBox="0 0 15 15" class="is-closed"> <g transform="translate(1 1)" fill="none" fill-rule="evenodd"> <circle fill="#696969" cx="6.5" cy="6.5" r="6.5"/> <circle fill="#FFF" cx="6.5" cy="6.5" r="6"/> <path d="M9.855 5.518H7.482V3.145C7.482 2.491 7.072 2 6.5 2c-.573 0-.982.49-.982 1.145V5.518H3.145C2.491 5.518 2 5.928 2 6.5c0 .573.49.982 1.145.982H5.518v2.372c0 .655.41 1.146.982 1.146.573 0 .982-.49.982-1.145V7.482h2.372c.655 0 1.146-.41 1.146-.982 0-.573-.49-.982-1.145-.982z" fill="#696969"/> </g> </svg> <span class="toggle-text">View </span> <span class="excerpt-type">abstract</span> </div> </button> <div id="abstractS000711452400165X" class="content"> <div class="abstract" data-abstract-type="normal"><p>We have previously demonstrated that calcium plus vitamin D supplementation during adolescent pregnancy reduces the magnitude of transient postpartum bone mass loss. In the present post hoc analysis, we further investigated the effect of calcium plus vitamin D supplementation during pregnancy in hip geometry throughout one year postpartum in Brazilian adolescents with low daily calcium intake (∼600 mg/d). Pregnant adolescents (14–19 years) were randomly assigned to receive calcium (600 mg/d) plus vitamin D<span class='sub'>3</span> (200 μg/d) or a placebo from 26 weeks of gestation until parturition. Dual-energy X-ray absorptiometry images were obtained at 5 (<span class='italic'>n</span> 30 and 26 for calcium plus vitamin D and placebo, respectively), 20 (<span class='italic'>n</span> 26 and 21) and 56 (<span class='italic'>n</span> 18 and 12) weeks postpartum, and hip geometry parameters were analysed by Advanced Hip Assessment software. The effects of the intervention, time point and their interaction were assessed using repeated-measures mixed-effects models. No significant intervention effects or intervention × time interactions were observed on hip geometry parameters (<span class='italic'>P</span> > 0·05). Time effects were observed in cross-sectional area, cross-sectional moment of inertia and section modulus parameters with decreases from the 5th to the 20th week postpartum followed by recovery from the 20th to the 56th week (<span class='italic'>P</span> < 0·05). Our findings indicate that the postpartum period is associated with transient changes in the hip geometry of lactating adolescent mothers, regardless of the low calcium intake and the supplementation offered during pregnancy, suggesting that a physiological adaptation of these adolescents to low calcium intake is at play.</p></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S000711452400165X" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/S000711452400165X" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="FB73C3122FDF0E38D20554D977B2AF2A"> <div class="row product-section" data-test-id="searchItem" data-test-title="Escalating Health Crisis Dissecting Mortality Causes and Trends Among Indigenous Populations in Northeast Brazil"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="FB73C3122FDF0E38D20554D977B2AF2A" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="365524" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"FB73C3122FDF0E38D20554D977B2AF2A","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/disaster-medicine-and-public-health-preparedness/article/escalating-health-crisis-dissecting-mortality-causes-and-trends-among-indigenous-populations-in-northeast-brazil/FB73C3122FDF0E38D20554D977B2AF2A"> Escalating Health Crisis: Dissecting Mortality Causes and Trends Among Indigenous Populations in Northeast Brazil </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Paulo Ricardo Martins-Filho&eventCode=SE-AU" class="more-by-this-author ">Paulo Ricardo Martins-Filho</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Taise Ferreira Cavalcante&eventCode=SE-AU" class="more-by-this-author ">Taise Ferreira Cavalcante</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Shirley Verônica Melo Almeida Lima&eventCode=SE-AU" class="more-by-this-author ">Shirley Verônica Melo Almeida Lima</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Bianca Marques Santiago&eventCode=SE-AU" class="more-by-this-author ">Bianca Marques Santiago</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Carlos Eduardo Palhares Machado&eventCode=SE-AU" class="more-by-this-author ">Carlos Eduardo Palhares Machado</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Eugénia Cunha&eventCode=SE-AU" class="more-by-this-author ">Eugénia Cunha</a> </li> <li> <dl> <dt class="source dl-inline">Journal: </dt> <dd> <a class="productParent" data-prod-id="03D33CB340FE0698DCD12DE4F229787A" href="/core/journals/disaster-medicine-and-public-health-preparedness">Disaster Medicine and Public Health Preparedness</a> / <a href="/core/product/B4BDDE64E8E1C7D85A7C176762D9E977" class="productParent" data-prod-id="B4BDDE64E8E1C7D85A7C176762D9E977">Volume 18</a> / 2024 </dd> <dt class="published dl-inline">Published online by Cambridge University Press: </dt> <dd> <span class="date"> 28 October 2024</span><span class="pages">, e228</span> </dd> </dl> </li> <li> <ul class="access links"> <li class="type article">Article</li> <li> <ul class="access-modal"> <li class="status entitled"> <span class="sr-only">You have access </span> <span class="entitled status-text" title="You have access to this product" aria-hidden="true">Access</span> <span class="icon access-icon cursorDefault" title="You have access to this product" aria-hidden="true"> <svg id="access-FB73C3122FDF0E38D20554D977B2AF2A" xmlns="http://www.w3.org/2000/svg" viewBox="-701.2 242.7 206.9 328.3"> <circle class="st0" fill="#229619" cx="-597.9" cy="413.8" r="102.5"/> <path class="st1" fill="#fff" d="M-616 472.4l-49.6-49.6 26.5-26.5 23.1 23 59.3-59.3 26.5 26.5z"/> </svg> </span> </li> <li class="status open-access"> </li> </ul> </li> <li> <a 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data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"FB73C3122FDF0E38D20554D977B2AF2A","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}'> <span class="icon icn html wide"> <span class="download-label">HTML</span> </span> </a> </li> <li> <script> $(document).ready(function () { /** * Disable tooltip aria label attributes, so the screen reader can correctly read out the core * reader tab navigation. * Set a short delay, so we can be sure the tooltips have rendered, before updating the DOM. */ setTimeout(function () { var $downloadLinks = $('.download-types li a'); if ($downloadLinks.length) { $downloadLinks.attr('role', 'tab'); $downloadLinks.attr('aria-describedby', ''); // Remove the aria alerts on the tool tips $('.qtip').attr('role', 'none'); } }, 500); }); </script> </li> <li><a href="#" class="export-citation-component" data-prod-id="FB73C3122FDF0E38D20554D977B2AF2A" data-container="representation" aria-label="Export citation for Escalating Health Crisis: Dissecting Mortality Causes and Trends Among Indigenous Populations in Northeast Brazil">Export citation </a></li> </ul> </li> <li class="accordion no-margin-top abstract" data-accordion> <div class="accordion-navigation"> <button onclick="toggleViewHide(this, 'abstractS1935789324001551')" class="button-no-transition transparent-no-border" aria-expanded="false" aria-label="View Abstract for Escalating Health Crisis: Dissecting Mortality Causes and Trends Among Indigenous Populations in Northeast Brazil" data-cup-event='{"eventCode":"IN-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","usedIdentities":[],"authenticationMethods":[],"referringURL":"","eventType":"VADE","searchScope":"PRODUCT","productId":"FB73C3122FDF0E38D20554D977B2AF2A"}' data-cup-event-disable-on-hide="true" > <div class="icon open-drawer small"> <svg xmlns="http://www.w3.org/2000/svg" width="15" height="15" 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class="abstract" data-abstract-type="normal"><div class='sec'><span class="bold">Objectives</span><p>In Northeast Brazil, the poorest region of the country, indigenous communities face critical health care challenges. Despite legal entitlements to the Unified Health System (SUS), systemic barriers persist, exacerbating health disparities and mortality. This ecological study analyzed mortality trends and causes of death within the Special Indigenous Sanitary District (DSEI) Alagoas-Sergipe over a decade.</p></div><div class='sec'><span class="bold">Methods</span><p>Data on deaths from 2012 to 2022 were obtained from the Indigenous Health Secretariat. Causes of death were classified into 13 categories. Mortality rates per 1,000 indigenous inhabitants were calculated, and trends were analyzed using the Mann-Kendall test. The study also compared causes of death by age group.</p></div><div class='sec'><span class="bold">Results</span><p>Mortality rates ranged from 3.3 to 5.2 per 1,000, showing a moderate upward trend over time (τ = 0.5, <span class='italic'>p</span> = 0.042). Predominant causes included heart and vascular disorders (24.3%), external causes (12.4%), respiratory issues (11.1%), and infections (10.9%). About one-third of pediatric deaths were associated with general neonatal complications.</p></div><div class='sec'><span class="bold">Conclusions</span><p>This study highlights increasing mortality in indigenous communities in Northeast Brazil. The predominant causes of death reflect broader public health concerns. These trends emphasize the urgency for more effective, culturally sensitive public health policies and improved health care access.</p></div></div> </div> </div> </li> </ul> </div> <div class="small-6 medium-1 large-1 right hide-for-small altmetric-embed altmetric-core-desktop" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/dmp.2024.155" data-link-target="_blank"></div> <div class="small-6 columns right text-center hide-for-medium-up altmetric-embed altmetric-core-mobile" data-badge-type='donut' data-hide-less-than="1" data-doi="10.1017/dmp.2024.155" data-link-target="_blank"></div> </div>  </div> </div> </div> </div> <hr /> <div class="representation overview search" data-prod-id="7034AF7A3EBD687F6E087D6B2B7F8F4D"> <div class="row product-section" data-test-id="searchItem" data-test-title="Genetic diversity of Dioctophyme renale in Southern South America"> <div class="small-1 columns checklist-col"> <label class="product-listing-with-inputs-input"> <input type="checkbox" name="productParts" style="display: inline-block" data-prod-id="7034AF7A3EBD687F6E087D6B2B7F8F4D" data-prod-source="search" data-prod-type="JOURNAL_ARTICLE" data-file-size="1915547" data-has-entitlement="true" data-has-pdf="true" data-cup-event-payload='{"eventCode":"DL-AR","eventContext":"/core/search?filters[authorTerms]=Veronica","productId":"7034AF7A3EBD687F6E087D6B2B7F8F4D","referringURL":"","authenticationMethods":[],"usedIdentities":["0"],"searchScope":"PRODUCT"}' />   </label> </div> <div class="small-11 columns"> <div class="row">  <div class="product-listing-with-inputs-content"> <div class="small-10 columns margin-bottom left-content-max-width"> <ul class="details"> <li class="title"><h3><a class="part-link" href="/core/journals/parasitology/article/genetic-diversity-of-dioctophyme-renale-in-southern-south-america/7034AF7A3EBD687F6E087D6B2B7F8F4D"> Genetic diversity of <span class="italic">Dioctophyme renale</span> in Southern South America </a></h3></li> <li></li> <li class="author"> <a href="/core/search?filters%5BauthorTerms%5D=Lucas F. Arce&eventCode=SE-AU" class="more-by-this-author ">Lucas F. Arce</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Florencia Facelli Fernández&eventCode=SE-AU" class="more-by-this-author ">Florencia Facelli Fernández</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Nahili Giorello&eventCode=SE-AU" class="more-by-this-author ">Nahili Giorello</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Marcos Butti&eventCode=SE-AU" class="more-by-this-author ">Marcos Butti</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Lucas L. Maldonado&eventCode=SE-AU" class="more-by-this-author ">Lucas L. Maldonado</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=Juan P. Arrabal&eventCode=SE-AU" class="more-by-this-author ">Juan P. Arrabal</a><span class="separator">, </span><a href="/core/search?filters%5BauthorTerms%5D=María B. 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