Bad Experiences Research Articles

Longevity

The value of a person’s life is not reducible to the satisfaction of one’s desires or interests, including the interest in living longer.  A person who takes pleasure in beach vacations each summer may look forward to another stay at the shore next year, but this is not the kind of interest that gives her a reason to continue living.  Assuming she has lived a normal life, one beach vacation more or less will not affect the value of her life, even in the slightest degree. Similarly, we wouldn’t say of a person who has lived a full life that his life would have been more valuable if he hadn’t suffered that wretched toothache several decades ago. The value of a person’s life is not simply a function of the good and bad experiences it contains. More controversially, neither is it simply an aggregate of a person’s accomplishments. Discovering another great self-portrait by Rembrandt (who created nearly 100 of them, so far as we know) would not affect to any degree our assessment of his greatness as an artist.  Rather, the value of a human life is determined by what adds meaning to life, what – and not simply how much – she achieves, or how well she lived up to her ideals.  If this is right, then for most people who live to a reasonable age, living longer will not add value to their lives. The social value of longevity is a question of whether a society in which the median age is higher or human life over time is packaged in fewer individuals is better than a society in which the median age is lower and the same amount of life is packaged in more individuals living shorter lives.  I see no reason for thinking the former society is better and hence no justification for nations like the United States or Great Britain to spend health care resources on promoting longevity of its citizens by adding to the normal lifespan.

‘All naked at the gyno’: Psychosocial approach to the gynaecological examination from digital media in a French context

The gynaecological examination (GE) is a major public health issue, with bad experiences of this examination widely reported as a disincentive to cervical cancer screening. In France, a movement to denounce gynaecological and obstetrical violence is expressed through a massive publication of testimonies on social networks. Via a socio-representational approach and from a critical gender perspective, this article aims to explore how people use digital media to communicate about the GE, and to analyse the experiences related to the GE and the representation systems underlying them. Using an inductive strategy, a corpus of discussion from the Doctissimo forum, and testimonies and comments from the PayeTonGynéco Facebook pages and Tumblr was created and submitted to lexicographical analysis. Our results suggest that the GE is indicative of a broader social function. People seem to use digital media to cope with a form of social ignorance of women’s experience in gynaecology with a certain ambivalence regarding their liberating potential.

Identifying barriers of financial app usage and their impact on negative emotions, customer ratings and recommendation intention: a text-mining based approach

PurposeLimited studies in the mobile payment segment have attempted at understanding the factors that resist customers from using financial apps or mobile payment services (MPSs). This study aims at identifying the barriers from online customer reviews and examine how these barriers affect customers’ negative emotions (anger, fear, sadness), customer ratings and recommendation intentions.Design/methodology/approachThis study, divided into three phases, has adopted a text-mining based mixed-method approach on 14,043 reviews present in Google PlayStore or App Store pages about financial apps used in India.FindingsPhase 1 identified barriers like, “bad user experience”, “UPI failure”, “trust issues”, “transaction delays” from the reviews. Phase 2 found that “bad user experience” and “UPI failure” trigger both “anger” and “sadness”. “Transaction delays” and “money lost in transaction” stimulate “fear”. From the IRT stance, in Phase 3 this study has found that barriers like, “transaction error”, “UPI failure” (usage), “bad user experience” (image) and “trust issues” (tradition) have a significant negative impact on both customer ratings and recommendation intention.Originality/valueThe current study contributes to the existing literature on MPSs by identifying barriers from user generated content. Additionally, this study has also examined the impact of the barriers on customers’ negative emotions and recommendation intention.

Clinical Characteristics and Causes of Perinatal Death Among Women Who Delivered at SekouToure Regional Referral Hospital, Mwanza Region, Northwestern Tanzania

<i>Background</i>: Perinatal deaths and neonatal deaths are major public health concern worldwide. They are unexpected tragedy which brings bad experience to the pregnant mothers and the families in general. Occurrences of these deaths may be used to evaluate the quality of obstetric care given to pregnant women in the hospital. They shows good quality of obstetric care when they are low in number. Therefore, more efforts must be directed in preventing these deaths. <i>Methods</i>: This was a one-year retrospective descriptive hospital based study conducted in one of the tertiary regional referral hospital. Women who had perinatal deaths between the studied periods and meet the inclusion criteria were included. <i>Results</i>: There were 7336 deliveries in the study, 81.1% (n =5953) had vagina deliveries and 18.9% (n=1383) had Caesarean section. Total of 169 cases of perinatal deaths identified, making a rate of perinatal deaths of 23 cases per 1000 deliveries (2.3%). Among perinatal death 40% (n=67) were early neonatal deaths and there was an identified association between referral from lower health facilities with early neonatal deaths. <i>Conclusion</i>: The rate of perinatal deaths in this study was relatively low compared to other studies. This reflect the quality of obstetrics care pregnant women received in our facility. And most of these women with early neonatal deaths were referred to our facility from lower health facilities with complications.

Abstract A148: Perceptions of lung cancer screening among Native American patients: The Tribally Engaged Approaches to Lung Screening (TEALS) study

Abstract Introduction: Uptake of lung cancer screening (LCS) with low dose computed tomography is poor nationwide. The U.S. Native American (NA) population has a high prevalence of smoking and lung cancer mortality but low rates of LCS completion. Awareness and perceptions of LCS among NA men and women have rarely been studied. Methods: Using a community-engaged research approach in partnership with the Choctaw Nation Health Services Authority in Oklahoma, the “Tribally Engaged Approaches to Lung Screening” study developed and implemented a cluster-randomized controlled trial of a coordinated LCS program. In 2022, NA men and women eligible for LCS from six tribal health clinics completed a baseline survey prior to being referred for LCS. Surveys included demographic characteristics, smoking history, use of cancer preventive services, beliefs regarding personal risk of lung cancer, and perceptions toward LCS. Findings: Among 210 participants (57% women, 43% men), mean age was 63 years; 50% reported annual household income below $25,000, 83% completed high school or equivalent, with 40% having some college education. The median pack years of smoking was 46 years. The proportion of participants who currently smoke was 72%. Current cigarette users were slightly younger than former users (median age 61 vs 64 years, respectively) and similarly had lower maximum estimates of pack-years of use (median, 44 vs 52). Most (93%) had more than one primary care visit within the past 12 months, and 76% completed an annual physical or wellness visit in the past year. Overall, 73% had completed colonoscopy and, among women, 80% had a mammogram. Only 62% had heard about LCS. However, 74% agreed with the statement “It is likely that I will get lung cancer sometime in my lifetime”. More than 90% of participants agreed that LCS would help with each of the following: early detection, chances of dying from lung cancer, reduce personal worry about lung cancer, reduce their family’s worries, improve planning for the future and peace of mind. However, 44% worried that LCS would find “something wrong”, 15% endorsed that they would rather not know if they had any lung problems, and 10% were afraid the scan would damage their lungs. About 20% worried about being a social outcast or being blamed for having smoked. Regarding potential barriers, 32% felt that cost would be a problem, 28% felt they did not have the time, and 17% that transportation would be a problem. Overall,14% reported bad experiences with healthcare or a provider, and 8% did not trust the healthcare system. Regarding LCS, 28% felt they did not know enough about the test, 11% felt they were too old to benefit from LCS, and 8% felt LCS was not worth the effort. Conclusions: Perceptions of the potential benefits from LCS were overall favorable in this sample of NA adults. However, up to 30% perceived significant barriers to LCS uptake. Greater awareness of LCS and mitigation of barriers to LCS would help to reduce the marked disparities in lung cancer mortality among NA patients. Citation Format: Dorothy A. Rhoades, Cara Vaught, Ann Chou, Kathleen Dwyer, Mark P Doescher, Michele Gibson, Zsolt Nagykaldi. Perceptions of lung cancer screening among Native American patients: The Tribally Engaged Approaches to Lung Screening (TEALS) study [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A148.

“It seemed like she just wanted me to suffer”: Acts of obstetric racism and birthing rights violations against Black women

IntroductionStudies that examine obstetric violence and mistreatment during perinatal care demonstrate that Black women experience higher levels of harm and abuse than other racialized groups. Yet these gender-based concepts do not fully recognize the intersectional gender-and race-based harms that Black women experience within the context of quality, safety, and human rights violations in the U.S. healthcare system. MethodsWe performed qualitative secondary analysis from Black women participants in the Giving Voice to Mothers (GVtM) study (n = 304). Primary data collection for the GVtM survey spanned from 2016 to 2017, and our analysis occurred in 2023, focusing on the interpretation of open-ended responses to three categories of inquiry: worst experiences with perinatal care, experiences of being pressured to undergo medical interventions, and desired revisions to birthing experiences. We employed a deductive approach and applied two analytic frameworks – obstetric racism and the Black Birthing Bill of Rights (BBBR)– to categorize Black women's narratives of harm during perinatal care as quality, safety, and human rights violations. ResultsBlack women described perinatal care experiences with considerable violations of the BBBR, including disrupted time with babies, racially discordant care, and unaffordable care. These experiences illustrated all six domains of obstetric racism. ConclusionThis study contributes to an emerging body of Black feminist approaches to knowledge production in obstetric patient safety, emphasizing the critical intersection of gender and race. Furthermore, this study underscores the value of using Black-women-defined frameworks with typologies to interpret the distinct experiences of Black women instead of the more limited gender-based concepts of obstetric violence, mistreatment, and respectful maternity care that lack historical context and contemporary implications of anti-Black racism and misogynoir.

Predicting Online Advertisement Avoidance for the Google Ads System Selected Antecedents and Outcome

Indonesia is the third-largest country that utilizes ad-blockers, despite online advertising there expanding quickly. In addition to consumers generally viewing internet use as common. This study aimed to examine how prior bad experiences and perceived goal impediments affect online advertisement avoidance. Students who used the internet the most during the Covid-19 pandemic in 2021 were chosen as research participants. The F-test demonstrated that perceived aim hindrance, advertisement clutter, and prior terrible experience all impacted advertisement avoidance simultaneously using the Partial Least Square - Structural Equation Modeling (PLS-SEM) technique. The results are anticipated to guide marketing professionals and businesses in choosing how to develop and arrange adverts that are precisely on target without upsetting internet users. The results of this study should help policymakers assess how to create a welcoming and secure online environment.

Identification and Management of Dental Anxiety by New Zealand Dentists.

More than 1 in 8 New Zealand (NZ) adults are dentally anxious, which can lead to avoiding dental care and a higher risk of poor oral health. However, little is known about how dentally anxious patients are identified and managed by NZ general dentists. This survey aimed to investigate how NZ dentists identify and manage dentally anxious patients. We conducted an email survey of NZ dentists in 2022, obtaining 212 responses. Along with demographic information, respondents were queried about whether they ask patients about past/current dental fears and their likely origin, how they assessed those fears, their usual management of dentally anxious patients, and how the management of dentally anxious patients could be improved. Almost three-quarters reported personally asking patients about past and/or current dental fears, and half enquired about bad life experiences that had led to those fears. Only 6 respondents (2.8%) reported using a formal dental anxiety/phobia assessment tool prior to treatment. For managing severely anxious adult dental patients, all dentists used at least 1 pharmacologic or psychological technique or referral to a colleague. The study identified several weaknesses among NZ dentists in identifying and managing dental anxiety patients. The use of formal dental anxiety/phobia assessment tools prior to treatment needs improvement. Addressing dental anxiety is a complex issue that requires a multipronged approach involving improved education, the development and implementation of better assessment tools, and a greater understanding of how dentists' current assessment and management of dental anxiety can be improved.

Negative Sentiments Study of Buton Kraton Fortress: How Environmental Factors Play Role in Maintaining the Historical and Cultural Site

Baubau City has the Buton Kraton Fortress, which is the largest fort in the world and an iconic tourist attraction in the city. Studies regarding tourists' bad experiences related to tourism at the Buton Kraton Fortress have not yet been explored. Bad experiences in cultural tourism activities can give rise to negative sentiments that influence visits to a destination. We used three approaches to explore this negative sentiment, namely interviews with five tourists who had come to enjoy the fort as well as a key person, autoethnography, and netnography. This study aims to explore negative sentiment in the Buton Kraton Fortress. The results show that negative sentiment by tourists, the local community, and online communities most often highlight the problems of waste, spatial and green planning, and city infrastructure. Talking about Buton Kraton Fortress cannot be limited to just the area surrounded by the fort structure but also the surrounding environment. It is very important to note that in planning and managing Buton Kraton Fortress, the approach used must be in line with history and culture itself. The aspects of authenticity, originality, uniqueness, variety, beauty, and integrity are the basis that must always be used because negative sentiment arises when these six aspects are not considered in the planning and management of the Buton Palace Fortress and its surrounding environment.

Motivation, Cues to Action, and Barriers to COVID-19 Vaccine Uptake: A Qualitative Application of the Health Belief Model among Women in Rural Zambia.

Vaccine hesitancy has played a major role in slowing the global COVID-19 response. Using cross-sectional, primarily qualitative data collected in four rural districts in Zambia, we aimed to explore community perceptions of COVID-19 disease and vaccines, including perceived motivators, cues to action, benefits, and barriers to vaccine uptake as guided by the Health Belief Model. In-depth interviews (IDIs) were conducted in late 2021 with women of reproductive age who were enrolled in an early childhood development study. Although two-thirds of the 106 respondents reported low perceived risk of catching COVID-19, they expressed concern that the COVID-19 pandemic had impacted their daily lives and feared effects of the disease. They had generally positive beliefs that the vaccine would be accepted among their communities when it became more widely available. Reported motivators to vaccine uptake included desire for protection against COVID-19 and understanding vaccine purpose, due to ongoing education from health personnel, neighbors, friends, radio, and church leaders. Misinformation or reported bad experiences served as cues away from vaccine uptake. Examples of misinformation included the vaccine causing COVID-19 or another disease and death and vaccines being associated with the devil and against Christian beliefs. Accounts of pain after receiving the vaccine also discouraged uptake. Perceived benefits included a desire to be protected from the disease, belief in the effectiveness of the vaccine, fear of catching COVID-19, and belief the vaccine would limit negative effects. Health system implementers and policy makers should consider recipient motivators and cues to action to further increase vaccination rates.

Emergency department visits as a potential opportunity to promote primary care attachment and modify utilization patterns – results of a pilot study in Berlin, Germany

BackgroundUtilization by low acuity patients contributes to emergency department (ED) crowding. Both knowledge deficits about adequate care levels and access barriers in primary care are important promoters of such presentations. Concurrently, not having a general practitioner (GP) increases the likelihood of low-acuity ED utilization. This pilot study thus investigated feasibility, acceptance, and potential effects of an ED-delivered intervention for low-acuity patients with no regular primary care provider, consisting of an educational leaflet on acute care options and an optional GP appointment scheduling service.MethodsLow-acuity ED consulters not attached to a GP were given an information leaflet about alternative care offers for acute health problems and offered optional personal appointment scheduling at a local GP practice. Patients were surveyed on demographics, medical characteristics, health care utilization, valuation of the intervention, and reasons for not being attached to a GP and visiting the ED. A follow-up survey was conducted after twelve months. Trends in health and health care utilization were evaluated.ResultsBetween December 2020 and April 2022, n = 160 patients were enrolled, n = 114 were followed up. The study population was characterized by young age (mean 30.6 years) and predominantly good general health. Besides good health, personal mobility was a central reason for not being attached to a GP, but general preference for specialists and bad experiences with primary care were also mentioned. Most frequently stated motives for the ED consultation were subjective distress and anxiety, a belief in the superiority of the hospital, and access problems in primary care. The interventional offers were favorably valued, 52.5% (n = 84) accepted the GP appointment scheduling service offer. At follow-up, GP utilization had significantly increased, while there were no significant changes regarding utilization of other providers, including ED. An additional practice survey showed a 63.0% take-up rate for the appointment service.ConclusionsWith this pilot study, we were able to show that a personalized appointment scheduling service seems to be a promising approach to promote GP attachment and increase primary care utilization in patients without a regular GP in a highly urbanized setting. Further larger-scale studies are needed to investigate potential quantitative effects on ED visits.Trial RegistrationGerman Clinical Trials Register (DRKS00023480); date 2020/11/27.

Pengaruh Store Atmosphere dan Harga terhadap Revisit Intention Konsumen pada Kawisari Coffee dan Eatery Jakarta

Food and beverages are a component of the tourism industry that draws people to a location. Price and the atmosphere of the store, in addition to taste and product quality, can influence a customer's decision to shop. Kawisari Coffee & Eatery is a food and beverage retailer based in Jakarta. Many people who went to Kawisari Coffee & Eatery Jakarta had bad experiences because the hot environment made them feel uncomfortable and the prices weren't what they expected. Their decision to return may be influenced by this. The motivation behind this examination is to figure out how clients' expectations to get back to Kawisari Espresso and Restaurant Jakarta are impacted by the shop environment and costs. This study used quantitative descriptive methods. The sample for this study consists of customers who have made purchases at Kawisari Coffee & Eatery Jakarta. To gather information, polls were disseminated to 100 respondents utilizing the purposive inspecting methodology. SPSS Experiences 25 was used to play out different straight backslide examination on the data. With a normal t worth of 4.473 which is more unmistakable than the t table of 1.661 and a significance level of 0.000 which is more noticeable than 0.05, this investigation shows that (1) shop air basically influences plan to get back to. (2) Cost influences mean to get back to, with a basic worth of 0.317 more conspicuous than 0.05 and a normal t worth of 1.005 t table of 1.661. (3) The goal is to return to the combination of store climate and cost impacts, with an expected f-count value of 10.419 higher than the f-table value of 3.09 and an importance level of 0.000 higher than 0.05. The ideas that can be given for Kawisari Espresso and Restaurant Jakarta are to expand the quantity of climate control systems to keep clients from feeling overheated and focusing entirely on reasonable and cutthroat costs for clients to increment client encounters and animate client interests to visit once more.

Challenges and support systems of nurses caring for women with advanced cervical cancer in Accra, Ghana

IntroductionCervical cancer is one of the causes of female deaths worldwide. Cervical cancer incidence is rising with almost three thousand (2797) women in Ghana being diagnosed with the condition each year, with almost two thousand (1,699) of them dying from its complications Nurses caring for cervical cancer patients are exposed to emotional and psychological distress due to late presentation, the burden of care, patients’ suffering and the alarming number of deaths associated with it. Improving positive patient outcomes require identifying the challenges and support systems available to nursing staff so as to harness these support systems for improving care outcomes.AimThis study explored the challenges and support systems of nurses caring for women with advanced cervical cancer in Accra, Ghana.MethodIn this study, we adopted an exploratory qualitative design. The study was conducted among eleven (11) nurses and nine (9) midwives engaged at the national referral hospital in Ghana who were providing care for patients with advanced cervical cancer for over a year who were purposively sampled. The data was collected using in-depth interviews with a pre-tested semi-structure interview guide from the twenty participants. We recorded the interviews using an audio-tape. The audio files were transcribed verbatim and thematic analysis was undertaken with the aid of Nvivo 10.0.ResultsThe challenges when rendering nursing care faced by participants of this study were exposure to frequent deaths, inadequate resources, and workload. Most participants lamented that they received absolutely no support from their workplace, hence their only form of support was from their family and friends. They also added that most of them were general nurses and midwives with no special training in oncology nursing or palliative nursing.ConclusionNurses and midwives experience resource, knowledge and skill challenges when caring for patients with advanced cervical cancer. However, the nurses and midwives had emotional attachment to their jobs and their patients and were not distracted by their bad experiences. We recommend improving resource allocation for cervical cancer care through the National Health Insurance Authority (NHIA), Ghana and increased training of nurses in oncology and palliative nursing by the Ministry of Health, Ghana to improve knowledge and skills of the nurses and midwives caring for women with advanced cervical cancer to improve their quality of care. Further, hospitals must make it a priority to have more nurses and midwives trained in oncology and end of life care to improve the knowledge and skills of nurses and midwives caring for advanced cervical cancer patients. Also, these findings should trigger policy-level discussions at the Ministry of Health, Ghana on the training of specialized nurses and midwives in cancer and end of life care to help Ghana meet the sustainable development goal targets related to health.

Waiting Line System in Health Sector of Bangladesh:

Waiting is inevitable in any service organization. Hence queues are formed. A long queue makes customer dissatisfied whereas increasing server to decrease the length of a queue requires costs. Waiting Line Theory provides a platform to that notion. The health sector of Bangladesh has been facing a bad experience for any citizen of Bangladesh. One of the reasons behind this is the queuing system prevailing in this sector. This paper presents an investigation into the prevailing queuing system in the private practices of Dhaka city. On the basis of investigation suggestions are put forward to improve the situation.

Stressors and Coping Strategies Employed by Post Cesarean Birth Mothers in North Central, Nigeria

Objectives: Childbirth is exciting, and a very joyful experience in women’s live. As much as its beauty, childbirth often bring about a lot of stress, which requires coping and adaptation for the mother; especially for mothers who undergo caesarean birth. Most importantly, whether or not the caesarean birth was successful, it however creates memories, sometimes bad experiences and unmet expectations difficult for post caesarean birth mothers (PCBM) to cope and in some cases may leave the mother with those memories for life. Thus, this study explored lived experiences related to stressors and coping strategies employed by PCBM in Asokoro District Hospital, Abuja, Nigeria.Material and Methods: a phenomenological-hermeneutics research design, a sample of 19 PCBM who were able to consent for themselves were purposively included in the study and data collected through an in-depth face-to-face interview with a semi-structured interview guide. Three major themes emerged from the data analytic process.Results: Although, few PCBMs (five) sees caesarean birth as being scary, unwomanly and cause body image dissatisfaction; majority (ten) PCBM see the process as life saving for them and their baby which is the most important advantage of a caesarean birth. Hence, pregnant women should be prepared early for possibility of caesarean birth during antenatal periods and visits.Conclusion: Due to lack of physical accessibility to medical services which is an important barrier to maternal health care access; improving accessibility should be a focus of reforms.

MASA DEPAN MASYARAKAT HINDU NUAULU DI MALUKU TENGAH

Fearing discrimination from the Indonesian government, the Nuaulu tribe in Central Maluku have chosen to declare themselves as “Hindu”. Their ancestral customs are similar to mainstream Hindu beliefs and traditions. However, they lack the Hindu Gods, the Sanskrit mantras and the unifying scripture of the Vedas. What is left is a local indigenous religion. However, their bad experience with being categorized as an ancestral faith (aliran kepercayaan) has led them to be self-declared Hindus. In such a circumstance, Hinduism can either unconditionally accept them despite the lack of evident resemblance, or the Nuaulu tribe can alter their religion’s façade to duplicate crucial Hindu identifiers. This paper questions what it means to be a Hindu, what Hinduization is, and how discriminatory definitions torment indigenous religions.

Analysis of basic shooting technique abilities in soccer games

This study was conducted for several reasons. Some students have bad experiences understanding and applying the correct basic shooting techniques. Moreover, a lack of adequate practice or understanding of the technique can cause it. Besides, students have trouble maintaining consistency when implementing basic shooting techniques. Some factors, such as physical fatigue, lack of concentration, or lack of regular exercise, can cause it. Thus, this research aimed to analyze basic shooting technical abilities in soccer games. This research applied quantitative research involving 30 high school students actively participating in extracurricular activities as the research participants. The instrument was the shooting test. The data analysis technique used descriptive statistics entered predetermined categories. The categorization was grouped into 5: excellent, good, fair, poor, and very poor. Then, the data were entered into the data processing technique in percentages. The results show that students' basic shooting technical abilities were in a good category, with a percentage of 40%, and the lowest is 3%. From the results of research on basic skills in soccer shooting techniques, several main points were concluded, namely that from the sample size, most students (53%) were still in the category of basic skills in good shooting techniques. Students who fall into the poor and very poor categories need special attention and extra guidance to improve their abilities in basic shooting techniques.

MRFS: Mining Rating Fraud Subgraph in Bipartite Graph for Users and Products

Fraud in e-commerce fields (e.g., Amazon, Taobao, and so on) and social networks (e.g., Twitter and Weibo) has recently brought a very bad user experience. Rating fraud detection is an urgent issue for improving user experiences. However, existing methods have lots of limitations in some respects, because it is always very hard to acquire sufficient labeled data for fraud detection and detect new fraud patterns. Fortunately, the relationship for users rating (e.g., purchasing and following) products can be represented as a bipartite graph. So the problem of rating fraud detection can be transformed into the problem of abnormal subgraph detection in the bipartite graph. The major challenge of fraud detection is to distinguish fake rates from real user rates. In this article, we focus on mining rating fraud-connected subgraphs in a bipartite graph. The motivation for this work is fraud detection tasks, which can usually be formulated as mining a bipartite graph formed by source nodes (followers and users) and target nodes (followees and products) for malicious patterns. Now, smart fraudsters evade existing detection methods by buying a large pool of users and hijacking honest users, making them look “normal”-this behavior is called “ <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">camouflage</i> .” Accordingly, we propose a fraud detection approach for mining rating fraud subgraph (MRFS), which addresses the problem from the intrinsic metric (e.g., fraudulence, badness and unreliability). The proposed MRFS mines the intrinsic characteristics of nodes and edges from node behavior information, which is an effective and scalable (linear on the input size) algorithm. A large number of comparative experimental results on real-world rating networks show that our proposed MRFS is efficient and universal.

A Scoping Review of Medical Mistrust Among Racial, Ethnic, and Gender Minorities With Breast and Ovarian Cancer.

An overarching theme in clinical literature suggests an inherent mistrust among populations of color within the healthcare system and the importance of healthcare professionals to bridge this gap in care. This is especially true when addressing cancer care in underserved populations due to mistrust in providers, diagnostic tools, and treatments. Ovarian cancer is difficult to diagnose early in all populations; however, women of color who have an intrinsic mistrust of the medical community will delay or refuse screenings or treatments that could be greatly beneficial. Similarly, although breast cancer rates are high in women of color, many are reluctant to utilize genetic screenings or counseling services due to bad experiences with healthcare, both personally and within their community. Moreover, transgender patients are at a unique disadvantage, as they face barriers to accessing culturally competent care while also being at a higher risk for developing cancer. The objective of this study was to conduct a scoping review of the literature in order to synthesize knowledge about the climate of mistrust between medical providers and racial, ethnic, and gender minorities with breast cancer and ovarian cancer. It is imperative for healthcare workers to acknowledge medical mistrust and strive to reduce internalized bias, increase their availability to patients, and ensure patients feel heard, respected, and well cared for during visits. Improving care by physicians can enhance trust between underserved communities and healthcare workers, encouraging all people to actively seek proper medical care and cancer screening, potentially resulting in a reduction of mortality and morbidity rates.

Understanding College Students' Healthcare Avoidance: From Early Maladaptive Schemas, through Healthcare Institutional Betrayal and Betrayal Trauma Appraisal of Worst Healthcare Experiences.

Understanding healthcare avoidance among college students is critical. In this study, we consider two broad cognitive contributors to greater healthcare avoidance: specific early maladaptive schema and negative appraisals of students' prior worst healthcare experiences. From schema theory, we proposed college students holding greater levels of two early maladaptive schema (disconnection/rejection and impaired autonomy/performance EMS) would be more likely to appraise their problematic healthcare experience as both containing healthcare institutional betrayal (HIB) behaviors and as traumatic and betrayal-inducing; both EMS and these appraisals would predict healthcare avoidance. Using a cross-sectional survey in a large, diverse college student sample (n = 1383, 61.1% female, 18.9% African American, 7.2% Asian, 6.4% Hispanic/Latino), as predicted, both EMS were significantly related to healthcare avoidance. Furthermore, a sequential mediation model was supported, indicating students holding greater EMS of disconnection/rejection or impaired autonomy/rejection reported more HIB in their worst healthcare experience, and appraised that experience as more betraying. Taken altogether, this model accounted for 23% of the variance in students' reports of healthcare avoidance. Core beliefs formed early in life may be a foundational lens through which potentially traumatic healthcare experiences are processed in ways that can impact emerging adults' future healthcare engagement. Findings also support the importance of addressing HIB actions and repairing trauma appraisals accrued during problematic healthcare experiences to prevent healthcare avoidance by emerging adults.