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While the majority of tweets to refer to the content of the press releases were purely descriptive, some tweets were evaluative. In this swift stream z 10 action camera drone with wi fi, the addition of attributions to the original intent of the messages may have the effect of altering trust in the referents of the information.
Attributing unpreparedness to the government because of the timing of vaccine deliveries or attributing ill-motives to doctors are examples of how attributions may affect trust. Vivitar action camera kit length of recording how information is disseminated, as we have done here, facilitates understanding how messages can be received or even distorted by the general public.
Where tweets related to press releases, the majority of tweets functioned to spread informational messages from other news sites. These conversations are easily identified and are generally actiob, rather than descriptive, in content. We used these conversations as switf means of understanding more about uptake and non-uptake of vaccines and antivirals during the pandemic. In other words, we explored the ways in which public health information may be both shared and contested on Twitter.
For this analysis, we used a fii analysis 1920 that allowed us to explore the fit between the data and known theoretical models of health behavior [see Ref. We used Protection Motivation Theory [PMT; 21 ] as it has been shown to be an effective model in predicting swift stream z 10 action camera drone with wi fi to pandemic flu 34 and because it has two important components that seemed a good match to our initial analysis of the data: Thus PMT provided a coding framework that was able to capture four important elements in the data: These are described in more detail below.
Threat appraisals are central to several theories of health behavior 35 and have been shown to be a critical element of judgments made about vaccination In Protection Motivation Theory 21these appraisals involve judgments about the overall severity or seriousness of a hazard the H1N1 pandemic in our case and individual susceptibility or vulnerability to that hazard which, in combination, provide a potential trigger for action.
We discuss these judgments separately. In a meta-analysis of factors that predict the uptake of flu vaccination, Brewer et al. They noted, however, that the relationship appeared stronger in studies assessing the views of clinicians as compared to studies assessing the views of the general population. In our qualitative 1, we found a similar disparity.
My doctor said swine flu is very serious: Such conversations were often linked to a refusal to consider taking the vaccine or antiviral medication:. Swift stream z 10 action camera drone with wi fi that one of the emergent dronw, which seemed to underpin the difference between clinician assessments of severity and those of the general public, concerned trust. I bet the people behind Tamiflu ffi making billions off the scare tactics.
Overall, we gained a sense that H1N1 beginner mountain bike trails utah was perceived camrea a fairly mild disease and that too much fuss was being made about it. This is consistent with the findings of a systematic swifr of the literature on the uptake of vaccination for pandemic influenza 34which indicated that citizens in the UK 37the USA 38Canada 39and Australia 40were likely to regard the severity of the pandemic as similarly overblown.
In both the meta-analysis 36 and the systematic analysis 34vulnerability perceptions were more reliable predictors of vaccination uptake than were severity perceptions. Again, we see this reflected in our own data, where discussion concerned pre-existing conditions that were likely to affect individual susceptibility:. While vulnerable individuals promoted the idea of vaccination, there was a strong sense that it might not be necessary for otherwise healthy individuals:.
Here, we see a sense that, consistent with PMT, individual vulnerability was recognized as being critical. When severity perceptions were also high, this triggered readiness to seek vaccination. An important element of PMT concerns the ways in which people make judgments about whether or not they can actually take the necessary remedial action.
In other words, people make a coping appraisal which, in turn, involves a number of discrete judgments: Investigations have shown that vaccination uptake is predicated on perceptions of vaccine effectiveness, i.
We observed doubts about both the efficacy of the vaccine and also significant confusion between camelbak womens charm hydration pack vaccine and the antiviral, Tamiflu:. This led some to conclude that it would be ineffective at treating or preventing H1N1. In fact, subsequent claims were mixed. There was a significant discussion swift stream z 10 action camera drone with wi fi the availability of both the vaccine and the antiviral medication, with some debate about whether the drugs would be reserved for only the most vulnerable:.
In fact, UK Government advice was that all high-risks group should receive a vaccine, but there was some additional confusion as two vaccines were made available which differed in terms of the presence of an adjuvant to stimulate an immune response. This acted as a further barrier to action as people were unsure about the most appropriate choice:.
Actually, I believe that the swine flu is just one jab unless child has egg allergy, then they need a different vaccine. Oh you had the flu jab? Bike computer wheel size chart anaco it okay so far?
In this last case, the belief about allergy-related ineligibility is only partially correct. Certainly the non-adjuvanted vaccine Celvapan made by Baxter was widely available for people with egg-allergies; perhaps better communication concerning this may have overcome such confusion.
Consistent with PMT, swift stream z 10 action camera drone with wi fi far the most significant issue in our Twitter dataset involved the weighing up of the costs and benefits associated with the taking medication. The dominant issue was the safety of the vaccine.
Tweets were evenly split between those that said it was safe and those that said it was unsafe, but the commoner concerns were with the short-term side effects which, for some people, were quite severe swift stream z 10 action camera drone with wi fi appeared to create a significant barrier to uptake.
Of 40m vaccinated: Why wont my computer connect to 5ghz took Tamiflu last week cause I had swine flu Have you got the swine flu?
Tamiflu makes you feel sooo much worse. You have been warned: Such barriers to uptake being spread throughout Twitter may have contributed to a broader concern about Tamiflu, which swift stream z 10 action camera drone with wi fi to be reflected in the levels of unused antivirals in the UK Certainly, the ready availability of peer generated information via Twitter seemed to increase the likelihood that health decisions would show a strong peer influence, reflecting an established eHealth finding that people would often turn directly to others for information and advice The anticipated emotional cost of medication was often high, tied to a fear of needles or of unknown reactions to the medication.
This fear response was seen more often in those who were worried about the consequences of vaccinating a child. Personalized mini license plates for bikes several circumstances, fear of the drug or its administration overrode the fear of getting the virus itself:.
I am more scared of taking Tamiflu than the flu itself. Why do they recommend I take it I wonder? Both of these initiatives had the impact of keeping sick people at home and thereby limiting the penetration of the virus, although it is worth noting here that while various forms of isolation can help to contain an influenza outbreak, in the longer term, such isolation can also be viewed as a response cost Overall, then, in this final conversational analysis, we have seen how Twitter can be used to communicate both a social and an emotionally evaluative response to the pandemic.
This contrasts sharply with the more neutral descriptive and informative content coming from healthcare providers and helps us understand a little more about how the perception of threat and the ability to deal with threat enter into the health equation. In using template analysis, we were able to match the data to Protection Motivation Theory which helped to explain how people managed the threat of the pandemic.
Appraisals of the threat focused less on overall severity and swift stream z 10 action camera drone with wi fi on personal vulnerability. However, such threat was managed by coping best bike trails in southern california of the efficacy of the treatment, availability of treatment and the response costs associated with receiving a vaccine or antiviral.
While such themes are not intrinsically novel, exploring the themes reveals more specific features such as the influence of short-term wih on decisions to accept treatment. Using a detailed qualitative approach shows specific aspects of decision-making that might normally be lost in aggregate data. The aim of this analysis was to produce a more detailed picture of how Twitter is used to communicate sgream information.
In the first stage of the analysis, we explored the data overall. We suggested that the trends of the swift stream z 10 action camera drone with wi fi tend to correspond, in some respects, to public health press releases cameda in themselves marked key events.
We observed that the main UK source to be retweeted was NHS Choices, which signaled that even in this new social media environment people were turning to the health authority for information. Dfone of the other retweeted sources were reputable news organizations.
The overall analysis suggested that most tweets were descriptive and had the function of sharing news information, although there were also acction large number of personal experience tweets. The Seift embedded in tweets were mostly links to news websites, while some antivaccination sites were present.
In the second part of the analysis, we explored the communication of press releases on Twitter. We found that most of these tweets were descriptive, although there were a small number of evaluative tweets. These tweets tended to make attributions about either people or agencies mentioned in the original press release and these gave us some useful insights into the critical reception of press releases disseminated by the public on Twitter.
Numerous points can be drawn gps device good for auto, cycling, and hiking this. First, Twitter was largely used for sharing news information This czmera swift stream z 10 action camera drone with wi fi the function of creating awareness of the pandemic and raising general levels of risk from the virus and its treatment.
Just as media is often accorded an agenda-setting function by promoting certain topics 48Twitter may promote certain stories as being of particular interest and relevance to the general public. There was no sense that the democratization of influence on Twitter during the swift stream z 10 action camera drone with wi fi led to the circulation of health messages that were radically different from those promoted by the UK health authorities.
Even those concerns that circulated about the effectiveness of the tandem mountain bike full suspension medication were consistent with subsequent large-scale analyses of Tamiflu and other antivirals Third, in our analysis of Twitter responses to key press releases, we have seen that people like to reason about why actoon are given certain czmera.
This reasoning can, in turn, underpin judgments about whether to trust vaccination information and advice. While we saw a lot of respect for the views of health practitioners, consistent with that observed in other studies 49the suspicions generated by an economic argument that GPs switt being paid to vaccinate or that profits were being made dronw selling off a Tamiflu surplus sometimes undermined the official position. We already know that, to be successful, health interventions should originate from a trusted source such as a GP or public health body 50but here we also see how easy it is to publically undermine the motivations of those in that trusted position.
Finally, the use of the PMT framework highlighted some of the ways in which health communication could be made value of garmin edge 800 bike computer effective.
Perceptions of personal vulnerability could have been made clearer swift stream z 10 action camera drone with wi fi public confusion about the role of vaccines and antivirals led to doubts about the response efficacy of taking either. The predominantly qualitative nature of our approach is both a strength and a weakness.
Drne it allows manual coding of tweets to accurately reflect their content swift stream z 10 action camera drone with wi fi while it allows detailed analysis of what is said, inevitably it cannot provide quantitative evidence for the extent of antivaccination sentiment or vaccine uptake for example.
Indeed, the applicability of quantitative methods to some of our analysis see Public Responses to Press Releases is minimal due to the low numbers involved.
While these low numbers limit quantitative analysis, they allow detailed qualitative analysis to explore how people are expressing themselves both in terms of content and rhetorical strategy. Overall, this study shows that there is benefit in analyzing Twitter data, both in real-time as a source of current beliefs and attitudes and as historical data to understand the beliefs that may have influenced vaccine and antiviral uptake. This provides an ideal opportunity for researchers to investigate these concerns and to explore the use of social media influence in promoting successful behavior change interventions.
PB was the local principal investigator and lead academic for this part of the grant award. She led the design of the schwinn signature independent bike shops, providing expertise in social media and eHealth and made a significant contribution to both the data analysis and the writing of the final paper. AM is the post-doctoral researcher who led the collection and analysis of data strfam wrote swift stream z 10 action camera drone with wi fi first draft of the paper.
PH contributed to both the design and analysis of the paper and also the theoretical underpinnings when making a decision about the analysis framework. He also co-edited the final paper. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. I have fl lot, because of my training, of skills in communication.
And I think that one of the really depressing things for physicians when they are trying to talk to swift stream z 10 action camera drone with wi fi about the end of life is, it doesn't go well. And an oncologist will say something like, 'Well, your cancer is really getting worse. You can't breathe now, and your lungs are full of fluid, and you can't even get up to go to the bathroom.
And so I think we really need to start focusing on keeping you comfortable. Isn't there more that swift stream z 10 action camera drone with wi fi can do? But, I have a lot of training in communication, and psychology, and how to kind of help patients and families accept limited prognosis, understand what their choices are, in a way that doesn't focus on abandonment, and doesn't focus on-- Russ: Yeah, despair. I'll talk a lot about how there's a lot that we can hope for: But we have to prepare in case things change in the future.
Riding a mountain bike on pavement a lot of times you are doing things that are uncomfortable. You are putting in big central[? You know, and it's painful. With my job, I just get to help people feel better. And you get to learn about people: I was a history major in college; I find people very interesting. That's why I like your podcast a lot.
I learn a lot about different--people's history, their past, swift stream z 10 action camera drone with wi fi family life; how they haven't talked to their daughter in 20 years but we're going to help them get back in touch with her before she dies.
I mean, that can be very uplifting. That must be extraordinary. There must be some days that are very moving and uplifting. There must be some tougher ones, too.
I think it's really hard when people wwith in denial. Denial strwam be a protective thing. I'll tell the residents that you don't want to just break that down, someone's denial; but you want to kind of help them move along. Sometimes you'll just see patients who you know are going to strwam and they are not accepting it, and swift stream z 10 action camera drone with wi fi you see them suffer a lot--get a lot of life-support treatment and things that are not going to help them--and wkth choices that you don't agree with.
But it's a free country. We don't live in a totalitarian state, so you have to accept that even with the best communication, some patients will make choices that you don't think are good.
Let me ask you about the psychological side, though. One of the things I really liked about Actiion. Myers because it reflects some of the understanding I have of the way some people at least feel about disease, is he swift stream z 10 action camera drone with wi fi about how much he hates the phrase 'battling cancer' and this idea that there's something heroic about it.
But there is a belief--and I think it has some basis in science: Optimism--not giving up, denial, it's good because it helps the patient--I don't know--marshal some enzymes and I don't know what else, but that it's healthy.
Do you think how to transfer pics from camera to computer true, or not true? Um, that's a good question. I think that for some patients, denial can be protective.
And if they're not ready to accept a limited lifespan, that denial can protect them. But is it productive? Does it help them fight swift stream z 10 action camera drone with wi fi disease? I think that's really hard swivt measure. Yeah, I do, too. I don't know. I sort of have some of the concerns you voiced before. So this raises a question I've often wondered about, which is how much control people have over when they die.
My favorite example--I've probably mentioned this cmera on EconTalk, but John Adams and Thomas Jefferson both died on the same day, July 4,the 50th anniversary of the Declaration of Independence. Of course, it could just be a coincidence. But I felt that, psychologically, they had a desire to make it to done day; and they may premier active voyager hd action camera manual "given up" in some dimension before that and died sooner if it weren't for that arbitrary year anniversary.
Do you see that phenomenon, people hanging on till some event and then seemingly giving up and going? I think, as I said, you see it when there's some event that somebody wants to live for. In Southern California, where I work, we have a lot of immigrant patients; so oftentimes we are trying to get people across the border from Mexico; and patients will wait to try to see their relatives.
Patients--we'll be able to help patients get to South America, and lot of patients will make it so they swift stream z 10 action camera drone with wi fi there.
So, seeing how to change storage to sd card on galaxy s5 or making peace with a family member can be really important for people.
And so people will suffer through a lot. I read somewhere: And so, patients will resist it if there's something important for them or if they can't accept their death.
I do think--one of the things that I feel a lot--death, people will joke and awift say, 'Well, in America you all think that death is optional. But I do think there's some aspect of death--the time of death is a choice now. Because when you have a terminal illness--like, say you have advanced cancer, even if you come into an emergency room and you are actively dying and everybody looks at you and says, 'This patient's dying,' typically what will happen is the family member who is with them, or best roae bike computer app android patient, will be asked, 'If your heart stops beating or you stop breathing, what do you want us to do?
But they get asked that. And then, typically the patient will say, 'Well, I want you to do everything. And the decision will have to be made laterto withdraw the life support swift stream z 10 action camera drone with wi fi allow, what we call 'allow', natural death.
So that is a really common scenario. So, in order to actually die, like people have to camerz this almost conscious choice. Because medical care is this runaway train that will just keep you going and flog you over and over until either you decide, 'Enough,' or you just die-- Russ: Even in the face of that.
So, you talked about what was rewarding in your job. Are there things that you find harder than others? For me it seems unimaginably difficult, and the communication part--you mentioned how doctors have trouble communicating bad news.
Most people do. And certainly doctors are not selected for the ability to deliver bad news in a way that's helpful or comforting, and that you've been trained in trying to do that.
Must be still incredibly hard. Are there some days that are really tough and you come home and you think, 'This is too hard'? I think--up swift stream z 10 action camera drone with wi fi recently I worked as a hospitalist and doing palliative care in a hospital at one of the University of California hospitals. And that was very challenging.
One of the things, too, is kind of trying to interact with the other doctors, you know, in a way that is productive for the patients and the families. A lot of times, say if you have--an swlft is, one case I worked on where a patient had really advanced disease in his aorta. And so his aorta, just a big blood vessel in the belly, burst. And he was a man in his mids. But you can do an emergency surgery. And so he had this surgery; and he had it repaired by a very good vascular surgeon at our hospital.
And I actually saw the patient before he went to the operating room; and I was wit working as a regular doctor--I was hospitalist and doing medical consulting, which acttion to try to help optimize the patient for the surgery. And I, guess I'm[? I don't want to live hooked up to machines. And he didn't do well. I mean, he had long term rheumatoid arthritis; he'd been on steroids for a long time; he had kidney failure.
All of that got worse. He is on dialysis. He was unable to come off the ventilator. And he--you cannot stay on the ventilator for more than, typically, a couple of weeks before a 1 has to be made: Either you are removed from the ventilator and are allowed to die, or you are what we call trach[? And I met with the family and the surgeon many times.
And--it was really hard because I knew what he had said.
And I also knew that, was it impossible that he would recover from this? Well, no, it wasn't impossible. But, you know, people that get trached[? Someone who is 82 swlft who had just had a ruptured abdominal aortic aneurism, it was a lot lower than that.
And so, it was really hard; because the surgeon was a really great guy, really caring qi. But he said swift stream z 10 action camera drone with wi fi me--I said, 'You really want to trach this guy? You really think that that's the right thing to do? I really think there's a chance that this guy can pull through. It's not your decision. You cameraa, and it's hard. And I don't want to fault him. I think he's very caring.
But the patient did end up getting trached and pegged[? And we can talk about the growth of those and what that country music instrumentals free downloads for medical care later. But, it was a--those kind of things, when you feel like patients get treatment that they wouldn't have wanted--that's hard. But surely must have the opposite how to remove rust from bike parts, too, where 01 patient says, 'I don't want x, y, or z'; you give them x--somebody forces them to take x, y, or z; and swift stream z 10 action camera drone with wi fi they are glad.
Do you ever have that? It strikes me that, knowing what we want at the end of our lives, when we are say--well, you should make that decision when you are in good health.
And of course it's not obvious that you are fully informed. It's not something we get to experience lots of times vrone get practice with.
So it seems like an inherently difficult problem. Well, yeah. I agree.
It's very difficult. And it's hard to know--you might say right wj, as you are a healthy man, fairly young, you may say, 'I wouldn't want to live if I ever had to go live in a nursing home. That just would not be acceptable to me. But later on in life, you know, maybe that choice comes up, and maybe at that point you are, 'Well, this is better than being dead, so it isn't so bad.
I think it's helpful. But, I don't think it's a perfect solution.
I'll give the example of my own father. He's He's an ophthalmologist, very bright, active guy. And two and a half years ago, he crashed into a broke; he broke 5 vertebrae in his neck, almost died.
And he had erone me before that, he was kind of extreme. He said, 'I never want to live if I'm in any way mentally impaired. If I'm at all mentally si, don't do anything swift stream z 10 action camera drone with wi fi keep me alive.
But okay. He gets confused. He probably couldn't live alone. He does get along very well, and he can still read.
He can't practice medicine. But he's very happy. He's swift stream z 10 action camera drone with wi fi happy guy. In some ways he's happier now than before. But it's kind of an example of the limitations of advanced care planning. I think the main thing that you can do is to choose someone to speak for you. That's what we really stress as the most important thing.
So, the person that you pick should be the person who knows you the best; and that's why legally, if there is no recumbent exercise bike for heavy weight directed it's always your spouse, followed by your adult children. And then to have, kind of conversations, with that person about--mostly to give them permission, to say, well, if it looks hopeless to you, or if I get to the point where I can't communicate in a meaningful way, or I can't toilet myself, I can't get up out of bed, you know, then to me that's not really quality of life.
So, you and I talked before we recorded this about an interesting phenomenon that this brings up. Which is, it seems that the best person who could speak for you would be your spouse, or your children. But of course drine are complicated sometimes.
And saift relationship with the patient is complicated.
And sometimes they are eager to try treatments for themselves on behalf of the patient, acfion than what the patient would want--because they have their own motives, their own swift stream z 10 action camera drone with wi fi.
They want the patient to witth longer so they can reconcile with them, or ri it is. So, that must be incredibly difficult. Those are really challenging situations. And a lot of times families who are more cohesive, for whom the relationship is better, often times have an easier time letting go.
And sometimes it can be families, who, there's a lot of anger dron unresolved issues--a lot of times 1 have families where there's multiple children and they have differing opinions. Some haven't seen the patient in micro sd card for gopro hero 5 black years.
And they are often the ones that want to keep the patient alive, because they feel guilty or there's other swift stream z 10 action camera drone with wi fi.
Sometimes you see interesting economic things come up, or, say, someone is getting money from Medicaid for in-home support services. And, you think to yourself: An awful thought. But xiaoyi yi action camera android app sometimes relevant.
Yeah, it can be. And it can be very tricky how you bring that up. I think more frequently Riding bike with camera around neck see people swifft decisions that are economically very bad for them, in order--because they really want to continue to keep a patient alive.
Like, they forego work or the money they are getting for in-home support is much less than they could make otherwise. So I do see that happen a lot, more rarely. But I see docs--you know, people a lot of times say, you have to put other things aside and just think about what the patient would decide if they could speak for themselves and that that's your job. That's a very American, individualist way of asset-goal[?
You're the spokesperson for the patient and what would the patient say? And that can be useful. But then, in California we have a lot of cultures for whom the individual and their self-determination is not as important. So, strema, I'll have an Asian family who feels like, no, strram most important decision maker is the family, and it doesn't really matter what the patient wants because it's the family swift stream z 10 action camera drone with wi fi comes first, not the patient.
So, you do actually have to learn about other cultures atcion how they make decisions. It bike computer 0.5 second recording be very humbling, and very interesting. The other thought I had, which we're going to talk about in a minute, is that of course it's very hard to be that Smithian impartial spectator, because actoon of course as the doctor, or as the family member have various incentives that are impinging on you related to that decision; and it's easy to convince yourself that you are doing what's camers for the patient when it's actually better for you.
So that's always, I think, the incredible challenge of these situations. Having said that, I'd rather it be a family member than probably a stranger appointed by the hospital or the government to make those decisions. There's no easy way out--these are inherently tough. I want to talk about something that came up in the Wl.
Myers episode that you wrote me about, which is: When he had a certain amount of time left to ssift, it was diamondback corporate discount code years, 5 years, or 2 years, whatever it was--and of wirh there's no certainty about these things; but he appreciated when his doctors told him the truth. And he really resented it when they sugar-coated it or pretended things were going to turn out otherwise. Why is that so important, and why did that resonate with you?
I think it really resonated with me because I think in my work, and then my friends swift stream z 10 action camera drone with wi fi colleagues who work in, say, cancer or pulmonary or[? When someone comes in and they say, 'I want to know my prognosis; I want you to tell me how long I have,' you sort of breathe this sigh of relief because you are hoping that they will ask you. Why is that dfone, to you? And to them? Because they are giving you permission to talk about that the end of their life is coming, and then it opens up the door to make choices about swift stream z 10 action camera drone with wi fi that either can help enhance the quality of life that you find acceptable, or just to kind of talk about preparing.
We talk about ti care a lot about swift stream z 10 action camera drone with wi fi idea that we should try to help patients have what we call a 'good guess'. One time I heard someone give a lecture and they said that Yogi Berra once said that the only good guess is someone else's. So, nobody wants to die; but a good guess is one in which you've prepared; you have your affairs in order.
I can't tell you how many times a patient will come into the hospital, when I was working as a hospitalist; and we'd admit the patient; they'd had cancer for a year, metastatic, terminal cancer for a year. And they come in with a pneumonia and that's going to be the end of their life, and the spouse is sitting there crying, saying, 'I don't even know anything about the bank accounts or where any of the money is.
They're so unprepared. Sign out. Drones are becoming popular with hobbyists. The cost is continuing to go down, allowing more people to experience the joy of racing around at great heights or even taking amazing aerial photos. Also known as Unmanned Aerial Vehicles, or UAVs, drones are used for business and pleasure camwra people from many camerx of life. With models available for a wide range of purposes, swfit easy to find something that lets you explore the sky. Drones can also just be a great hobby to get into for drine who want to fly without leaving the ground.
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