Knowledge, attitude, and practice (KAP) surveys are popular in health care because they provide useful information and appear easy to design and execute. There are subtleties, however, in such surveys that early career researchers need to be aware of. This article does not provide a detailed review of the subject, nor does it address theory; rather, it provides practical guidance on matters such as identifying the need for the survey; defining the target population; preparing the questions that address knowledge, attitudes, and practice; preparing options for the answers to the items in the questionnaire; deciding how to score the instrument and analyze the results; and validating the instrument. Specific examples are presented to help readers understand and apply the guidance in various contexts.
psychological subtleties 2 pdf 27
Thus, in deeds and in words, the Lord revealed His mercy from the very beginnings of the people which He chose for Himself; and, in the course of its history, this people continually entrusted itself, both when stricken with misfortune and when it became aware of its sin, to the God of mercies. All the subtleties of love become manifest in the Lord's mercy towards those who are His own: He is their Father,47 for Israel is His firstborn son48; the Lord is also the bridegroom of her whose new name the prophet proclaims: Ruhamah, "Beloved" or "she has obtained pity."49
The present generation knows that it is in a privileged position: progress provides it with countless possibilities that only a few decades ago were undreamed of. Man's creative activity, his intelligence and his work, have brought about profound changes both in the field of science and technology and in that of social and cultural life. Man has extended his power over nature and has acquired deeper knowledge of the laws of social behavior. He has seen the obstacles and distances between individuals and nations dissolve or shrink through an increased sense of what is universal, through a clearer awareness of the unity of the human race, through the acceptance of mutual dependence in authentic solidarity, and through the desire and possibility of making contact with one's brothers and sisters beyond artificial geographical divisions and national or racial limits. Today's young people, especially, know that the progress of science and technology can produce not only new material goods but also a wider sharing in knowledge. The extraordinary progress made in the field of information and data processing, for instance, will increase man's creative capacity and provide access to the intellectual and cultural riches of other peoples. New communications techniques will encourage greater participation in events and a wider exchange of ideas. The achievements of biological, psychological and social science will help man to understand better the riches of his own being. It is true that too often this progress is still the privilege of the industrialized countries, but it cannot be denied that the prospect of enabling every people and every country to benefit from it has long ceased to be a mere utopia when there is a real political desire for it.
This authentically evangelical process is not just a spiritual transformation realized once and for all: it is a whole lifestyle, an essential and continuous characteristic of the Christian vocation. It consists in the constant discovery and persevering practice of love as a unifying and also elevating power despite all difficulties of a psychological or social nature: it is a question, in fact, of a merciful love which, by its essence, is a creative love. In reciprocal relationships between persons merciful love is never a unilateral act or process. Even in the cases in which everything would seem to indicate that only one party is giving and offering, and the other only receiving and taking (for example, in the case of a physician giving treatment, a teacher teaching, parents supporting and bringing up their children, a benefactor helping the needy), in reality the one who gives is always also a beneficiary. In any case, he too can easily find himself in the position of the one who receives, who obtains a benefit, who experiences merciful love; he too can find himself the object of mercy.
Many models designed to predict the benefits of public health interventions ignored the potential harms [8]. This occurred because the earliest research on COVID-19 predominantly focused on the immediate and direct consequences of interventions such as reducing SARS-CoV-2 transmission. Currently, a growing number of reports substantiate the socioeconomic and psychological impact of both the COVID-19 pandemic and response, in addition to competing health risks [8, 27, 88].
This paper could not have been written without the financial and organizational support from Dieter Paulmann and Jo Hastie respectively. Thanks are also due to 2 anonymous reviewers, whose comments on an earlier version of the manuscript greatly improved the paper. The views expressed in this paper are those of the authors alone and do not represent those of Stellwagen Bank National Marine Sanctuary, the U.S. National Marine Sanctuary Program, Southwest Fisheries Science Center, the U.S. National Marine Fisheries Service, NOAA and/or any other institution or agency. Correspondence concerning this article should be addressed to Andrew Wright, Leviathan Sciences, U.S.A. (marinebrit@gmail.com). Consequences of extreme noise exposure are obvious and usually taken into some consideration in the management of many human activities that affect either human or animal populations. However, the more subtle effects such as masking, annoyance and changes in behavior are often overlooked, especially in animals, because these subtleties can be very difficult to detect. To better understand the possible consequences of exposure to noise, this review draws from the available information on human and animal physiology and psychology, and addresses the importance of context (including physiological and psychological state resulting from any previous stressor exposure) in assessing the true meaning of behavioral responses. The current consensus is that the physiological responses to stressors of various natures are fairly stereotyped across the range of species studied. It is thus expected that exposure to noise can also lead to a physiological stress response in other species either directly or indirectly through annoyance, a secondary stressor. In fact many consequences of exposure to noise can result in a cascade of secondary stressors such as increasing the ambiguity in received signals or causing animals to leave a resourceful area, all with potential negative if not disastrous consequences. The context in which stressors are presented was found to be important not only in affecting behavioral responses, but also in affecting the physiological and psychological responses. Young animals may be particularly sensitive to stressors for a number of reasons including the sensitivity of their still-developing brains. Additionally, short exposure to stressors may result in long-term consequences. Furthermore, physiological acclimation to noise exposure cannot be determined from apparent behavioral reactions alone due to contextual influence, and negative impacts may persist or increase as a consequence of such behavioral changes. Despite the lack of information available to managers, uncertainty analysis and modeling tools can be coupled with adaptive management strategies to support decision making and continuous improvements to managing the impacts of noise on free-ranging animals. 2ff7e9595c
Kommentare