Violations of Lab-Learned Phonological Patterns Elicit a Late Positive Component

The experimental study of artificial language learning has become a widely used means of investigating the predictions of theories of language learning and representation. Although much is now known about the generalizations that learners make from various kinds of data, relatively little is known about how those representations affect speech processing. This paper presents an event-related potential (ERP) study of brain responses to violations of lab-learned phonotactics. Novel words that violated a learned phonotactic constraint elicited a larger Late Positive Component (LPC) than novel words that satisfied it. Similar LPCs have been found for violations of natively acquired linguistic structure, as well as for violations of other types of abstract generalizations, such as musical structure. We argue that lab-learned phonotactic generalizations are represented abstractly and affect the evaluation of speech in a manner that is similar to natively acquired syntactic and phonological rules.

Predictors of older people's intention to engage in cycling violation behaviour with an integrative model

In China, bicycles are a popular mode of transportation for senior citizens. A disproportionate number of traffic-related fatalities and injuries involve cyclists. The violation of cycling laws is a significant cause of cyclist crashes. Few studies have analyzed the cycling violation behaviour of seniors. Therefore, it is essential to examine the factors that influence older individuals' intention to engage in cycling violation behaviours. In this study, the effects of social-demographic characteristics, the exogenous constructs in the health belief model (HBM), and the theory of planned behaviour (TPB) on senior cyclists' violation intention were investigated using hierarchical regression analysis. Interviews were conducted with older cyclists in urban areas of Wuhan City, all above 60 years of age. The results showed that very little variance in behavioural intention could be explained by social-demographic factors. The TPB has a significantly greater capacity than the HBM to explain variance in behavioural intention. Perceived susceptibility, perceived benefit, cues to action, subjective norm and attitude significantly impacted behavioural intention, whereas perceived severity, perceived barrier and self-efficacy did not.

Public attitudes toward COVID-19 misbehaviors: Perceived seriousness of the misbehavior and perceived severity of the appropriate punishment

Purpose

This interdisciplinary study explores attitudes toward health-related misbehaviors from a criminological point of view by comparing attitudes toward COVID-19 misbehaviors to the attitudes toward reckless behaviors related to driving and Human Immunodeficiency Virus (HIV) patients' sexual behavior and identifying the predictors of attitudes toward COVID-19 misbehaviors.

Methods

An online factorial survey included 679 respondents aged 18-89  years. The participants read various scenarios related to the violation of COVID-19 restrictions, reckless sexual behavior among HIV patients, and reckless driving. The participants evaluated the seriousness of each behavior and the appropriate severity of the punishment in each scenario. Within the scenarios about COVID-19 misbehaviors, we manipulated such variables as the type of COVID-19 misbehavior and violators' gender, ethnicity, and religiosity. Additionally, participants answered questions about their demographic characteristics, vaccination, fear of COVID-19, and perceived contribution of COVID-19 misbehaviors to COVID-19-related morbidity.

Results

The results indicated that participants perceived COVID-19 misbehaviors as less serious (Mean = 8.11, S.D. = 2.49) and deserving a less severe punishment (Mean = 7.57, S.D. = 2.59) than reckless driving (Mean = 9.36, S.D. = 1.25; Mean = 9.09, S.D. = 1.30; respectively). Additionally, the key factor predicting public opinion regarding COVID-19-related misbehaviors was the perceived contribution of these misbehaviors to virus-related morbidity. The perceived contribution to morbidity explained 52% of the variance in the seriousness of misbehavior and 53% of the severity of appropriate punishment.

Conclusions

The findings suggest that it is critical to advocate for and reinforce the public's understanding of the association between the increase in morbidity and the violation of restrictions preventing the transmission of viruses. Our findings also support the notion that the definitions of "crime" and "deviance" are not inherent or intrinsic but are created by the social context.

Obstetric Violence among Pregnant Jordanian Women: An Observational Study between the Private and Public Hospitals in Jordan

BACKGROUND

Obstetric Violence (OV) is a public health matter that affects women and their children with an incidence rate between 18.3-75.1% globally. The delivery institution of public and private sectors represents a potential factor contributing to OV. This study aimed to assess OV existence among sample of pregnant Jordanian women and its risk factors domains between public and private hospitals.

METHODOLOGY

This is a case-control study including 259 recently delivered mothers from Al-Karak Public and Educational Hospital and The Islamic Private Hospital. A designated questionnaire including demographic variables and OV domains was used for data collection.

RESULTS

A significant difference was seen between patients delivering in the public sector compared to patients delivering the private sector in education level, occupation, monthly income, delivery supervision and overall satisfaction. Patients delivering in the private sector showed a significantly less physical abuse by the medical staff compared to patients delivering in the public sector, and patients delivering in a private room also showed a significantly less OV and risk of physical abuse compared to patients delivering in shared room. In public settings, medications information was lesser versus the private ones, additionally, there is significant association between performing episiotomy, physical abuse by staff and the delivery in shared rooms in private settings.

CONCLUSION

This study showed that OV was less susceptible during childbirth in private settings compared to public settings. Educational status, low monthly income, occupation are risk factors for OV; also, features of disrespect and abuse like obtaining consent for episiotomy performance, delivery provision updates, care perception based on payment ability and medication information were reported.

Covidisation of oppression: COVID-19 and human rights violations in Zimbabwe

Restrictive measures implemented in Zimbabwe since 30^th March 2020 were instigated by the outbreak of the coronavirus disease (COVID-19) pandemic in China and its subsequent spread to other countries around the world. However, public concerns about preparedness, especially the government's response to the pandemic, were raised early when the coronavirus started to wreak havoc elsewhere around the world in late 2019. These concerns were particularly emphatic and palpable given that Zimbabwe has been having a health crisis for a long time well before the worldwide outbreak of the COVID-19 pandemic. This paper is a critique of Zimbabwe's human rights record since the onset of the COVID-19 pandemic. Madhukar Pai's idea of covidisation is used to conceptualise through description and explanation how the Zimbabwean government took advantage of the COVID-19 pandemic to further human rights abuses, hence the covidisation of oppression. I use a multipronged approach starting with a historical account detailing how the Zimbabwean government has been flagrantly violating the human rights of citizens. Documentary evidence is the main source of information for this paper coupled with the empirical observation of developments in the political arena and using critical discourse analysis (CDA) as the main analytical tool. The Zimbabwean government has failed to balance the imperatives of saving lives by building a robust health system in conjunction with the creation and implementation of a comprehensive COVID-19 strategy while addressing the livelihood needs of its people.

Evidence of Violations of the International Code of Marketing of Breast-Milk Substitutes since the Adoption by the World Health Assembly in 1981: A Systematic Scoping Review Protocol

This is the protocol for a scoping review that aims to systematically explore and summarise the published evidence of violations of the International Code of Marketing of Breast-milk Substitutes (the Code) and subsequent World Health Assembly Resolutions globally. The planned scoping review will seek to identify what research has been conducted on the topic, examine the geographic spread and nature of violations, and summarise knowledge gaps. The Code was adopted in 1981 by the World Health Assembly to protect infant health, in particular from aggressive and inappropriate marketing of breastmilk substitutes including formula and related products. Non-compliance with the Code or violations are described in reports, however, no existing systematic review of the global research appears to have been conducted that encompasses the varied disciplines including health, economics, and gender. The review will inform international and national decision-makers on the nature of violations and potentially highlight the need for new modalities to regulate this marketing. The proposed scoping review will use the six-step process of Arksey and O’Malley which includes defining the research question; identifying the relevant literature; selecting studies; charting the data; collating, summarising and reporting the findings; and will include a consultative group.

A human rights violation study: The relationship between gender and ambivalent sexism in faculty of health sciences students

The objective of this study was to contribute to the literature by identifying gendered attitudes and ambivalent sexism of students who are health professionals of the future. The sampling of this study, which is planned as a descriptive and correlational study, consists of students studying at departments of midwifery and nursing in two universities in Turkey. Students completed questionnaires that included demographic information, Gender Roles Attitude Scale, and Ambivalent Sexism Inventory. Results showed that students have traditional attitudes toward gender roles, and particularly male students have more negative and conservative gendered attitudes. Also, there was a sexist attitude difference between the two groups. There was a weak positive relationship between gender roles and ambivalent sexism in the study. These findings can raise awareness about sexism for students studying in the health sciences and enable them to provide equal healthcare to all.

US Food and Drug Administration regulatory pesticide residue monitoring of human foods: 2009-2017

Pesticides such as insecticides, fungicides, and herbicides can protect crops from insects, fungi, weeds, and other pests but must be applied following label instructions so that the pesticide residues in human and animal foods do not exceed maximum residue limits (MRLs, known in the US as pesticide tolerances). The US Food and Drug Administration (FDA) collects and tests foods for pesticide residues to enforce compliance with tolerances and publishes annual reports on pesticide testing results. In this study, results for over 56,000 human food samples collected and analysed under the FDA pesticide residue monitoring programme between fiscal years (FY) 2009 to 2017 were reviewed to identify trends not apparent in annual reports. The overwhelming majority of these samples, 98.0% of domestic and 90.9% of import human foods, were compliant with federal standards. Although herbicides may be more widely used, the 10 most frequently detected residues were insecticides and fungicides. On a yearly basis, the violation rate for imported samples is 3-5 times higher than the rate for domestic samples. The import violation rate increased over time, as did the number of residues detected. Targeted sampling of foods with higher commodity-specific violation rates appears to be a major contributor to the increased violation rate. Mismatches between US tolerances and international MRLs can lead to violations; this was especially marked for rice. Overall, the majority of violations are due to residues of pesticides not authorised for use in the US (lack of tolerances). While DDT continues to persist in the environment and was found in 2.2% of domestic samples and 0.6% of imported samples, 42.3% of DDT-positive samples were below the limit of quantitation. The trends and analyses identified in this paper may help FDA plan future sampling and continue to protect the food supply.

Is the legal framework by itself enough for successful WHO code implementation? A case study from Ethiopia

Since 2016, Ethiopia has passed several proclamations and directives to regulate the promotion of commercial breastmilk substitute (BMS). Ethiopia's market potential will undoubtedly be the gravitating point for international infant formula companies due to growing urbanization, purchasing power, population, and the relatively low use of BMS to-date. The aim of this review is to assess the strengths and weaknesses of the existing laws, standards, and monitoring documents used to regulate the marketing of BMSs in Ethiopia and make future recommendations. The study findings highlighted that the regulation on marketing are comprehensive and strong to limit the promotion of infant formula. On the other hand, the regulation on marketing of follow-up formulas, complementary foods, and growing-up milk by manufacturers and distributors, media houses, and communication and advertisement agencies are underregulated, especially with regards to the international 69.9 regulation. The monitoring and enforcement of the existing marketing regulations remain limited in the absence of a formal coordination mechanism. Several violations of the national BMS regulations were observed. Forty-one percent of mothers reported observing the BMS advertising and logos were detected in 36% of health facilities assessed. In 100% of cases, the infant formula labels contained violations. As the lead national authority mandated to regulate food safety, the Ethiopian Food and Drug Authority needs to update its regulations related to the marketing of BMS to fill the loopholes and revise the national law in line with the international code of marketing of BMSs to protect breastfeeding.

Violation Liability in the Context of the Spread of COVID-19: Russian Experience

The article investigates the legal regime of restrictive measures introduced in Russia due to the COVID-19 pandemic and provides statistical data on the spread of the infection. It describes special administrative violations and criminal offences first introduced during the pandemic: violation of therapeutic and epidemiological rules, dissemination of false information, and failure to follow the procedures introduced during the high-alert regime. Judicial and investigative practice is analysed. The most frequent violations of the legislation establishing requirements and restrictions to organisations and individuals during the spread of the new coronavirus infection are identified and issues of classification and differentiation of administrative and criminal liability for violation of sanitary and epidemiological rules and dissemination of false information about COVID-19 are addressed. Judgments by the Russian Supreme Court ensuring a uniform approach to court cases in all Russian regions are analysed.

Threats to patient dignity in clinical care settings: A qualitative comparison of Indonesian nurses and patients

AIMS AND OBJECTIVES

To explore and compare nurses' and patients' viewpoints of disrespectful behaviours that threaten patient dignity during hospitalised care.

BACKGROUND

Patient's dignity is an important ethical consideration for nursing care practice. In clinical settings, nurse-patient interactions can generate behaviour considered disrespectful and undignified, often due to a disruptive hospital atmosphere and emotional frustrations of nurses and patients. How behaviours and attitudes threaten patient dignity in Indonesian clinical care settings has not been well studied.

DESIGN

Qualitative descriptive study.

METHODS

This multi-site study purposively recruited nurses and inpatients from six public hospitals in four districts in Eastern Java, Indonesia. Individual, face-to-face semi-structured interviews were conducted with 35 inpatients and 40 registered nurses from medical and surgical wards. Data from verbatim transcriptions of digital audio recordings were analysed with inductive content analysis. The COREQ checklist for qualitative research was used for reporting this study.

RESULTS

Five categories emerged which described disrespectful behaviours that threaten patient dignity. Three categories were important for both nurses and patients: negligence, impoliteness and dismissal. Descriptions of the behaviours were comparable for both groups. The forth category, inattentiveness, was highlighted by nurses, while the fifth category, discrimination, was highlighted by patients.

CONCLUSIONS

Examining behaviours considered to be disrespectful in an Indonesian healthcare setting expand on perspectives towards dignity in care. The comparable viewpoints of nurses and patients provide knowledge of how undignified behaviours could be reduced in cross-cultural healthcare settings. Behaviours perceived as undignified primarily by nurses or patients might result from differences in social roles and responsibilities.

RELEVANCE TO CLINICAL PRACTICE

Understanding nurses' and patients' perspectives of undignified care is an important step in reducing behaviours that violate patient dignity in clinical practice. Nurses' commitment to patient-centred care should include being responsive, compassionate, communicative and attentive, which could ameliorate instances of undignified behaviours.

Review of HIPAA, Part 2: Limitations, Rights, Violations, and Role for the Imaging Technologist

This article is the second part of a continuing education series reviewing the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The term HIPAA should be familiar to those who work in the medical profession, but this article includes details on its rules, patients' rights, violations, breaches, and penalties. To help administer these safeguards, HIPAA requires that every organization designate a HIPAA privacy and security officer. HIPAA violations can have serious repercussions when rules are not followed; these violations can be either negligent or willful. If breaches of unsecured protected health information occur, HIPAA requires covered entities to notify affected individuals, the Secretary of Health and Human Services, and in some cases the media. Violations in which the covered entity did not know of the violation are now punishable under the first tier of penalties. Unintended violations carry a minimum penalty of $100 per violation and a maximum of $50,000 per violation. All patients have a right to privacy and a right to confidential use of their medical records. The role of medical professionals includes understanding how and when to apply these HIPAA rules verbally and electronically.

Detecting community response to water quality violations using bottled water sales

Drinking-water contaminants pose a risk to public health. When confronted with elevated levels of contaminants, individuals can take actions to reduce exposure. Yet, few studies address averting behavior due to impaired water, particularly in high-income countries. This is a problem of national interest, given that 9 million to 45 million people have been affected by water quality violations in each of the past 34 years. No national analysis has focused on the extent to which communities reduce exposure to contaminated drinking water. Here, we present an assessment that sheds light on how communities across the United States respond to violations of the Safe Drinking Water Act, using consumer purchases of bottled water. This study provides insight into how averting behavior differs across violation types and community demographics. We estimate the change in sales due to water quality violations, using a panel dataset of weekly sales and violation records in 2,151 counties from 2006 to 2015. Critical findings show that violations which pose an immediate health risk are associated with a 14% increase in bottled water sales. Generally, greater averting action is taken against contaminants that might pose a greater perceived health risk and that require more immediate public notification. Rural, low-income communities do not take significant averting action for elevated levels of nitrate, yet experience a higher prevalence of nitrate violations. Findings can inform improvements in public notification and targeting of technical assistance from state regulators and public health agencies in order to reduce community exposure to contaminants.

A comparison of open versus percutaneous cervical transfacet fixation

OBJECTIVE The aim of this study is to describe a technique for percutaneous cervical transfacet screw placement and compare this technique to the open technique with regard to the accuracy of facet capture and the potential of placing neurovascular structures at risk. METHODS Eight cadaveric cervical spines were harvested. One side of each spine was assigned to the percutaneous group, and the other side to the open group. The spines were instrumented from C-3 to T-1 (80 screws). The distance to the spinal canal, foramen transversarium, and neural foramen were measured to determine the likelihood of placing neurovascular structures at risk. The percentage of the facet joint captured and the angle of screw trajectory compared with the ideal trajectory were used to determine the accuracy. RESULTS There were, in total, 11 misplacements of screws: 2 screws using the open technique and 9 screws using the percutaneous technique (p = 0.006). From a neurovascular point of view, 3 percutaneous screws violated the foramen transversarium. Two of these percutaneous screws violated the neural foramen. No neurovascular foramina were violated using the open technique. The open technique resulted in a significantly greater distance from the screw to the spinal canal (p < 0.001). The distance from the screw to the foramen transversarium (p = 0.015), as well as the distance from the screw to the neural foramen (p = 0.012), did not demonstrate statistical difference when using either technique. As for the accuracy of facet capture, 8 screws exhibited less than 15% purchase of the facet joint. Six of these screws were placed using the percutaneous technique, and 2 screws were placed using the open technique. CONCLUSIONS There is a higher incidence of screw misplacement using the percutaneous transfacet in comparison to the open transfacet technique. The accuracies of facet capture using the 2 techniques were not statistically different. Surgeons will need to understand the potential risk of using the percutaneous technique as an alternative to open transfacet fixation.

Deviation from accepted drug administration guidelines during anaesthesia in twenty highly realistic simulated cases

Deviations from accepted practice guidelines and protocols are poorly understood, yet some deviations are likely to be deliberate and carry potential for patient harm. Anaesthetic teams practice in a complex work environment and anaesthetists are unusual in that they both prescribe and administer the drugs they use, allowing scope for idiosyncratic practise. We aimed to better understand the intentions underlying deviation from accepted guidelines during drug administration in simulated cases. An observer recorded events that may have increased the risk of patient harm ('Events of Interest' [EOIs]) during 20 highly realistic simulated anaesthetic cases. In semi-structured interviews, details of EOIs were confirmed with participating anaesthetic teams, and intentions and reasoning underlying the confirmed deviations were discussed. Confirmed details of EOIs were tabulated and we undertook qualitative analysis of interview transcripts. Twenty-four EOIs (69% of 35 recorded) were judged by participants to carry potential for patient harm, and 12 (34%) were judged to be deviations from accepted guidelines (including one drug administration error). Underlying reasons for deviations included a strong sense of clinical autonomy, poor clinical relevance and a lack of evidence for guidelines, ingrained habits learnt in early training, and the influence of peers. Guidelines are important in clinical practice, yet self-identified deviation from accepted guidelines was common in our results, and all but one of these events was judged to carry potential for patient harm. A better understanding of the reasons underlying deviation from accepted guidelines is essential to the design of more effective guidelines and to achieving compliance.

Between violation and competent care--lived experiences of dependency on care in the ICU

This study explores the perceived meaning of dependency on care as experienced by intensive care patients. Research from non-intensive settings shows that dependency is often experienced negatively, but literature on the subject experienced by patients in the ICU is sparse. The study is based on in-depth qualitative semi-structured interviews of lived experience with three former patients admitted to an intensive care unit at a Danish university hospital. The in-depth interviews have been characterized as narratives. The main inspiration for the analysis method is Ricoeur's phenomenological hermeneutical interpretation theory. The study has found that dependency is experienced as difficult, and the relationship with the nurses seems to be ambivalent. The good relationship is experienced to make dependency easier, whereas negative experiences make it harder to cope with dependency. The participants deal with dependency by accepting negative experiences in gratitude for having recovered from critical illness. The findings might be influenced by studies being conducted in a western country setting where independence is valued. They can be used as means of reflection on nursing practice and matters such as communication and patient participation.