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Article ; Online: Data collection and outcome measurement in student counseling services in Irish higher education institutions: Counselors' views on challenges and facilitators.

Farahani, Zahra Tayer / Howard, Emma / Rashleigh, Chuck / Dooley, Barbara

2023

Abstract: With increasing concerns around student mental health, student counseling services (SCSs) in higher education are being challenged to show evidence of their contribution to the personal and academic development of students through evidence-based ... ...

Abstract	With increasing concerns around student mental health, student counseling services (SCSs) in higher education are being challenged to show evidence of their contribution to the personal and academic development of students through evidence-based approaches including systematic data collection and standardized outcome measurement. This study aims to document data collection and measurement processes in SCSs in higher education institutions (HEIs) in Ireland and to explore the opinions of staff in SCSs on the feasibility and functionality of a standardized national database for SCSs to enhance robust data collection and measurement across the sector. Twenty-three interviews were conducted and thematically analyzed with staff in SCSs in 22 HEIs (85% of publicly funded HEIs). Findings revealed that the process of data collection in SCSs is mainly focused on individual counseling with variations among SCSs in collecting clients' demography, presenting issues, and clinical and educational outcomes. Lack of human and financial resources, no access to an electronic data management system, negative opinions about standardized outcome measures, and concerns over data protection and misuse of data were impeding factors for systematic data collection in SCSs. There is strong support among SCSs for the establishment of a national database which is facilitated by secured funding from the Higher Education Authority, a strong sense of community and trust among student counselors, and a history of data collection through the Psychological Counsellors in Higher Education Ireland association. Findings offer insights into challenges and facilitators for robust data collection and measurement at a national level. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Language	English
Publishing date	2023-03-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	2156662-8
ISSN	1939-148X ; 1541-1559
ISSN (online)	1939-148X
ISSN	1541-1559
DOI	10.1037/ser0000759
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book ; Online: Social networks, geographic proximity, and firm performance in Viet Nam

Howard, Emma

(WIDER working paper ; 2017, 69)

2017

Abstract: This paper uses panel data to assess the relative importance of social networks and geographic proximity to micro, small, and medium enterprises in Viet Nam. The results suggest that a larger social network, and hiring employees mainly through social ... ...

Author's details	Emma Howard
Series title	WIDER working paper ; 2017, 69
Abstract	This paper uses panel data to assess the relative importance of social networks and geographic proximity to micro, small, and medium enterprises in Viet Nam. The results suggest that a larger social network, and hiring employees mainly through social networks, are both correlated with higher value added per worker. The number of government officials and civil servants in a firm’s network emerges as particularly important. When the quality of contacts is controlled for, firms with tighter social networks have, on average, higher value added per worker. The analysis of spatial networks reveals that firms with a lower percentage of customers and suppliers in the same district actually have higher value added per worker. The results suggest that for micro, small, and medium firms in Viet Nam, strong social networks are much more important than geographic proximity.
Keywords	social networks ; geographic proximity ; manufacturing firms ; Viet Nam
Language	English
Size	1 Online-Ressource (circa 15 Seiten)
Publisher	United Nations University World Institute for Development Economics Research
Publishing place	Helsinki, Finland
Document type	Book ; Online
ISBN	9789292562939 ; 9292562932
Database	ECONomics Information System

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Book ; Article ; Online: Social networks, geographic proximity, and firm performance in Viet Nam

Howard, Emma

2017

Abstract	This paper uses panel data to assess the relative importance of social networks and geographic proximity to micro, small, and medium enterprises in Viet Nam. The results suggest that a larger social network, and hiring employees mainly through social networks, are both correlated with higher value added per worker. The number of government officials and civil servants in a firm's network emerges as particularly important. When the quality of contacts is controlled for, firms with tighter social networks have, on average, higher value added per worker. The analysis of spatial networks reveals that firms with a lower percentage of customers and suppliers in the same district actually have higher value added per worker. The results suggest that for micro, small, and medium firms in Viet Nam, strong social networks are much more important than geographic proximity.
Keywords	ddc:330 ; L14 ; L20 ; D22 ; social networks ; geographic proximity ; manufacturing firms ; Viet Nam
Subject code	338
Language	English
Publisher	Helsinki: The United Nations University World Institute for Development Economics Research (UNU-WIDER)
Publishing country	de
Document type	Book ; Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Developing a national database for higher education student counselling services: the importance of collaborations.

Howard, Emma / Tayer Farahani, Zahra / Rashleigh, Chuck / Dooley, Barbara

Irish journal of psychological medicine

2021 , Page(s) 1–7

Abstract: Student counselling services are at the forefront of providing mental health support to Irish Higher Education students. Since 1996, the Psychological Counsellors in Higher Education in Ireland (PCHEI) association, through their annual survey collection, ...

Abstract	Student counselling services are at the forefront of providing mental health support to Irish Higher Education students. Since 1996, the Psychological Counsellors in Higher Education in Ireland (PCHEI) association, through their annual survey collection, has collected aggregate data for the sector. However, to identify national trends and effective interventions, a standardised non-aggregate sectoral approach to data collection is required. The Higher Education Authority funded project, 3SET, builds on the PCHEI survey through the development of a national database. In this paper, we outline the steps followed in developing the database, identify the parties involved at each stage and contrast the approach taken to the development of similar databases. Important factors shaping the development have been the autonomy of counselling services, compliance with General Data Protection Regulation, and the involvement of practitioners. This is an ongoing project with the long-term sustainability of the database being a primary objective.
Language	English
Publishing date	2021-12-03
Publishing country	England
Document type	Journal Article
ZDB-ID	227751-7
ISSN	2051-6967 ; 0790-9667
ISSN (online)	2051-6967
ISSN	0790-9667
DOI	10.1017/ipm.2021.78
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Article ; Online: A cluster analysis of health behaviours and their relationship to mental health difficulties, life satisfaction and functioning in adolescents.

Mahon, Ciara / Howard, Emma / O'Reilly, Aileen / Dooley, Barbara / Fitzgerald, Amanda

Preventive medicine

2022 Volume 164, Page(s) 107332

Abstract: Research has documented relationships between individual health behaviours and mental health, but few studies have examined patterns of health behaviours (i.e., health lifestyles) and mental health outcomes. This study investigated the relationship ... ...

Abstract	Research has documented relationships between individual health behaviours and mental health, but few studies have examined patterns of health behaviours (i.e., health lifestyles) and mental health outcomes. This study investigated the relationship between health lifestyles and mental health and psychological wellbeing in adolescents. Data from the My World Survey 2 - Second Level (MWS2-SL), a random national sample of 9493 adolescents (44.2% male) aged 12-18 years (M = 14.8, SD = 1.66) in second level education in Ireland were used. TwoStep cluster analysis identified clustering of health behaviours (sleep, alcohol use, cannabis use, social media use, sport and hobby participation). ANOVA and Chi Square tests identified potential differences in demographic characteristics (age, gender, socioeconomic status, ethnicity) and psychological outcomes (anxiety, depression, life satisfaction, daily functioning) across clusters. Three clusters were identified; 1. Low (22.0%), 2. Moderate-high (41.5%) and 3. High (36.5%), health promoting. The 'Low' health-promoting cluster, characterised by high alcohol, cannabis and social media use, moderate sport and hobby participation, and low sleep duration, demonstrated the highest levels of anxiety and depression and the lowest levels of life satisfaction, self-esteem and daily functioning. The 'High' health-promoting cluster reported the most favourable psychological outcomes. Cluster 1 were more likely to be older and male, Cluster 3 were more likely to be younger and female. Findings demonstrate the potential for health promotive lifestyles to mitigate mental health difficulties and promote life satisfaction and daily functioning in adolescents. Health lifestyles represent important indicators of mental health and targets for prevention/promotion efforts.
MeSH term(s)	Female ; Male ; Humans ; Adolescent ; Mental Health ; Personal Satisfaction ; Cluster Analysis ; Anxiety ; Cannabis ; Health Behavior
Language	English
Publishing date	2022-11-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2022.107332
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Article ; Online: Protocol of a cluster randomised trial of BodyKind: a school-based body image programme for adolescents.

Mahon, Ciara / Hamburger, Denise / Webb, Jennifer B / Yager, Zali / Howard, Emma / Booth, Ailbhe / Fitzgerald, Amanda

BMC public health

2023 Volume 23, Issue 1, Page(s) 2246

Abstract: Background: Poor body image is prevalent among adolescents and associated with several negative outcomes for their physical and psychological health. There is a pressing need to address this growing public health concern, yet there are few evidence- ... ...

Abstract	Background: Poor body image is prevalent among adolescents and associated with several negative outcomes for their physical and psychological health. There is a pressing need to address this growing public health concern, yet there are few evidence-informed universal programmes for older adolescents that address contemporary body image concerns (i.e., social media). BodyKind is a four lesson, school-based, teacher led, universal body image programme that incorporates empirically supported principles of cognitive dissonance, self-compassion, compassion for others and social activism, to support positive body image development. Building on previous pilot trials in the USA, this paper outlines the protocol for a cluster randomised control trial (cRCT) and implementation evaluation of the BodyKind programme which was culturally adapted for the Irish cultural context. Methods: We aim to recruit 600 students aged 15-17 years in Transition Year (4 Conclusion: This study will be the first to implement a cRCT and an implementation evaluation to assess the impact of this multicomponent school-based body image programme designed to support healthy body image development. If shown to be effective, BodyKind will have the potential to improve adolescent body image and wellbeing and inform efforts to implement sustainable and scalable programmes in schools. Trial registration: The trial was retrospectively registered on 10/10/2023 on ClinicalTrials.gov NCT06076993 .
MeSH term(s)	Humans ; Adolescent ; Body Image ; Schools ; Students/psychology ; Mental Health ; Body Dissatisfaction ; School Health Services ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2023-11-14
Publishing country	England
Document type	Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-17002-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Prediction of pathological fracture in patients with metastatic disease of the lower limb.

Howard, Emma L / Cool, Paul / Cribb, Gillian L

Scientific reports

2019 Volume 9, Issue 1, Page(s) 14133

Abstract: The aim of this study was to investigate if the risk of pathological fracture can be predicted with the proportion of body weight that can be put through the affected leg in patients with metastatic bone disease of the lower limb. A prospective ... ...

Abstract	The aim of this study was to investigate if the risk of pathological fracture can be predicted with the proportion of body weight that can be put through the affected leg in patients with metastatic bone disease of the lower limb. A prospective observational study was conducted in patients with metastatic disease in the lower limb. Receiver Operator Characteristic curves were used to identify the optimum threshold level of single stance weight bearing to predict fracture and compared to the Mirels score. Patients who underwent surgery could weight bear significantly less than those who did not have surgical intervention. The optimum threshold to predict pathological fracture was 85% of total body weight. No patient below the threshold level of 85% single stance body weight sustained a pathological fracture. The use of single stance body weight can be a useful in conjunction with the Mirels score to predict pathological fracture. If less than 85% of total body weight can be put through the affected limb, the risk of fracture increases, and consideration of treatment is suggested.
MeSH term(s)	Adolescent ; Adult ; Body Weight/physiology ; Bone Neoplasms/pathology ; Female ; Fractures, Bone/pathology ; Humans ; Lower Extremity/pathology ; Male ; Prospective Studies ; ROC Curve ; Risk Assessment ; Young Adult
Language	English
Publishing date	2019-10-01
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-019-50636-9
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Article: Prevalence of cardiac pathology and relation to mortality in a multiethnic population hospitalised with COVID-19.

Bioh, Gabriel / Botrous, Christina / Howard, Emma / Patel, Ashish / Hampson, Reinette / Senior, Roxy

Open heart

2021 Volume 8, Issue 2

Abstract: Objective: To determine the prevalence of cardiac abnormalities and their relationship to markers of myocardial injury and mortality in patients admitted to hospital with COVID-19.: Methods: A retrospective and prospective observational study of ... ...

Abstract	Objective: To determine the prevalence of cardiac abnormalities and their relationship to markers of myocardial injury and mortality in patients admitted to hospital with COVID-19. Methods: A retrospective and prospective observational study of inpatients referred for transthoracic echocardiography for suspected cardiac pathology due to COVID-19 within a London NHS Trust. Echocardiograms were performed to assess left ventricular (LV), right ventricular (RV) and pulmonary variables along with collection of patient demographics, comorbid conditions, blood biomarkers and outcomes. Result: In the predominant non-white (72%) population, RV dysfunction was the primary cardiac abnormality noted in 50% of patients, with RV fractional area change <35% being the most common marker of this RV dysfunction. By comparison, LV systolic dysfunction occurred in 18% of patients. RV dysfunction was associated with LV systolic dysfunction and the presence of a D-shaped LV throughout the cardiac cycle (marker of significant pulmonary artery hypertension). LV systolic dysfunction (p=0.002, HR 3.82, 95% CI 1.624 to 8.982), pulmonary valve acceleration time (p=0.024, HR 0.98, 95% CI 0.964 to 0.997)-marker of increased pulmonary vascular resistance, age (p=0.047, HR 1.027, 95% CI 1.000 to 1.055) and an episode of tachycardia measured from admission to time of echo (p=0.004, HR 6.183, 95% CI 1.772 to 21.575) were independently associated with mortality. Conclusions: In this predominantly non-white population hospitalised with COVID-19, the most common cardiac pathology was RV dysfunction which is associated with both LV systolic dysfunction and elevated pulmonary artery pressure. The latter two, not RV dysfunction, were associated with mortality.
MeSH term(s)	COVID-19/ethnology ; Comorbidity ; Cross-Sectional Studies ; Echocardiography, Doppler ; Ethnicity ; Heart Diseases/diagnosis ; Heart Diseases/ethnology ; Heart Ventricles/diagnostic imaging ; Hospitalization/trends ; Humans ; Pandemics ; Population Surveillance ; Prevalence ; Quebec/epidemiology ; Retrospective Studies ; Survival Rate/trends
Language	English
Publishing date	2021-11-15
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2747269-3
ISSN	2053-3624
ISSN	2053-3624
DOI	10.1136/openhrt-2021-001833
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Postprandial vascular-inflammatory and thrombotic responses to high-fat feeding are augmented by manipulating the lipid droplet size distribution.

Howard, Emma / Attenbourgh, Abigail / O'Mahoney, Lauren L / Sakar, Anwesha / Ke, Lijin / Campbell, Matthew D

Nutrition, metabolism, and cardiovascular diseases : NMCD

2021 Volume 31, Issue 9, Page(s) 2716–2723

Abstract: Background and aims: Postprandial responses are influenced not only by the type and amount of fat ingested, but also lipid droplet size distribution. However, little research has investigated the impact of differential lipid size distributions within a ... ...

Abstract	Background and aims: Postprandial responses are influenced not only by the type and amount of fat ingested, but also lipid droplet size distribution. However, little research has investigated the impact of differential lipid size distributions within a mixed-macronutrient meal context on postprandial vascular health. Therefore, we examined whether manipulating the lipid droplet size distribution within a mixed-macronutrient meal impacts vascular-inflammatory and thrombotic parameters. Methods and results: In a randomised and counterbalanced fashion, sixteen adults (8 males; age 34 ± 7 years; BMI of 25.3 ± 4.5 kg/m Conclusion: A high-fat mixed-macronutrient meal with a larger lipid droplet size distribution ameliorates the associated rise in vascular-inflammatory and thrombotic parameters. Trial registration: ISRCTN88881254.
MeSH term(s)	Adult ; Biomarkers/blood ; Blood Coagulation ; Diet, High-Fat/adverse effects ; Dietary Fats/administration & dosage ; Dietary Fats/adverse effects ; England ; Female ; Humans ; Inflammation/blood ; Inflammation/etiology ; Inflammation/prevention & control ; Inflammation Mediators/blood ; Lipid Droplets ; Male ; Middle Aged ; Particle Size ; Postprandial Period ; Randomized Controlled Trials as Topic ; Retrospective Studies ; Thrombosis/blood ; Thrombosis/etiology ; Thrombosis/prevention & control ; Time Factors
Chemical Substances	Biomarkers ; Dietary Fats ; Inflammation Mediators
Language	English
Publishing date	2021-07-02
Publishing country	Netherlands
Document type	Comparative Study ; Journal Article
ZDB-ID	1067704-5
ISSN	1590-3729 ; 0939-4753
ISSN (online)	1590-3729
ISSN	0939-4753
DOI	10.1016/j.numecd.2021.05.021
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Article: 'Training gap' - the present state of higher specialty training in adolescent and young adult health in medical specialties in the UK.

Wright, Rohana J / Howard, Emma J / Newbery, Nina / Gleeson, Helena

Future healthcare journal

2019 Volume 4, Issue 2, Page(s) 80–95

Abstract: Young people often experience worse health outcomes and more dissatisfaction with healthcare compared with other age groups. This survey sought to determine the state of adolescent and young adult health training across medical specialties in the UK. An ... ...

Abstract	Young people often experience worse health outcomes and more dissatisfaction with healthcare compared with other age groups. This survey sought to determine the state of adolescent and young adult health training across medical specialties in the UK. An online questionnaire was distributed to higher specialty trainees in adult medical specialties. Training in adolescent/young adult health/transition was rated as minimal/non-existent by 70/73% of respondents, respectively; 52% reported that they had received no formal training and 61% had never attended a dedicated young person's or transition clinic. The most significant barrier to delivering good adolescent and young adult healthcare was felt to be lack of training to deal with adolescent issues. This survey has identified a 'training gap'; a lack of preparation to meet the specific care needs of the adolescent and young adult population. Improved interventions are required to help drive improvement in care for young people in the UK.
Language	English
Publishing date	2019-05-15
Publishing country	England
Document type	Journal Article
ZDB-ID	3016427-8
ISSN	2514-6653 ; 2514-6645
ISSN (online)	2514-6653
ISSN	2514-6645
DOI	10.7861/futurehosp.4-2-80
Database	MEDical Literature Analysis and Retrieval System OnLINE

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