Bodies Of Evidence

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Jenni Israelsen

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Aug 3, 2024, 5:02:05 PM8/3/24
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Kimberly Ruffin is a Certified Nature and Forest Therapy Guide who leads walks and gives talks in the Chicagoland area and wherever else she is called to serve. She is the author of Black on Earth: African American Ecoliterary Traditions and Associate Professor of English at Roosevelt University.

Dawline-Jane Oni-Eseleh is an Oakland-based visual artist whose current work is focused primarily on the shifting urban landscape. An avid observer and photographer, she uses a range of media in her work, including relief printmaking, pen and ink, photo transfer, and encaustic.

The church is one of my faith facts too. This body of evidence was built by Black folks. Wherever we lived in my Navy-brat childhood, from Virginia to California, we went to church. Sometimes it was a church on a Navy base with a chaplain, orange juice, White people, and lots of guitar. More often, it was a Black church with a gospel choir and long sermons peppered with call and response. Mom looked extra hard for the Black churches, and now I see why.

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Objective: To evaluate the agreement between diet-disease effect estimates of bodies of evidence from randomised controlled trials and those from cohort studies in nutrition research, and to investigate potential factors for disagreement.

Review methods: Population, intervention or exposure, comparator, outcome (PI/ECO) elements from a body of evidence from cohort studies (BoE(CS)) were matched with corresponding elements of a body of evidence from randomised controlled trials (BoE(RCT)). Pooled ratio of risk ratios or difference of mean differences across all diet-disease outcome pairs were calculated. Subgroup analyses were conducted to explore factors for disagreement. Heterogeneity was assessed through I2 and τ2. Prediction intervals were calculated to assess the range of possible values for the difference in the results between evidence from randomised controlled trials and evidence from cohort studies in future comparisons.

Results: 97 diet-disease outcome pairs (that is, matched BoE(RCT) and BoE(CS)) were identified overall. For binary outcomes, the pooled ratio of risk ratios comparing estimates from BoE(RCT) with BoE(CS) was 1.09 (95% confidence interval 1.04 to 1.14; I2=68%; τ2=0.021; 95% prediction interval 0.81 to 1.46). The prediction interval indicated that the difference could be much more substantial, in either direction. We further explored heterogeneity and found that PI/ECO dissimilarities, especially for the comparisons of dietary supplements in randomised controlled trials and nutrient status in cohort studies, explained most of the differences. When the type of intake or exposure between both types of evidence was identical, the estimates were similar. For continuous outcomes, small differences were observed between randomised controlled trials and cohort studies.

Conclusion: On average, the difference in pooled results between estimates from BoE(RCT) and BoE(CS) was small. But wide prediction intervals and some substantial statistical heterogeneity in cohort studies indicate that important differences or potential bias in individual comparisons or studies cannot be excluded. Observed differences were mainly driven by dissimilarities in population, intervention or exposure, comparator, and outcome. These findings could help researchers further understand the integration of such evidence into prospective nutrition evidence syntheses and improve evidence based dietary guidelines.

In the course of hostilities between Greek and Turkish Cypriots between 1963 and 1974, over 2000 persons, both Greek and Turkish Cypriots, went "missing" in Cyprus, an island in the Mediterranean with a population distribution of 80% Greeks and 18% Turks. This represents a significant number for a population of only 600,000. Few bodies have been recovered; most will probably not be. All are still mourned by their surviving friends and relatives. The conflict has still not been resolved and the memories are still alive.

Paul Sant Cassia is Reader in Anthropology at the University of Durham, UK, and Editor of History and Anthropology. He previously lectured at the University of Cambridge, UK, where he was Curator of the Anthropology Collections at the Cambridge University Museum of Archaeology and Anthropology (1985-1990). He was Visiting Professor at the Universities of Paris (Nanterre) (2000), Aix en Provence, and Malta (1992-94). He has conducted anthropological research in the Mediterranean (Cyprus, Greece, Tunisia, and Malta), and has published on politics, banditry and violence, oratory, property transmissions, family and kinship, and ethnomusicology. He is the author (with Constantina Bada) of The Making of the Modern Greek Family (Cambridge University Press, 1992).

I would like to recommend Bodies of Evidence Burial, Memory and the Recovery of Missing Persons in Cyprus for the library. Please include it in your next purchasing review with my strong recommendation. The RRP is: $135.00

Predominant approaches to teen pregnancy focus on decreasing numbers of teen mothers, babies born to them, and state dollars spent to support their families. This overshadows the structural violence interwoven into daily existence for these young parents. This paper argues for the increased use of participatory visual methods to compliment traditional research methods in shifting notions of what counts as evidence in response to teen pregnancy and parenting. We present the methods and results from a body mapping workshop as part of 'Hear Our Stories: Diasporic Youth for Sexual Rights and Justice', a project that examines structural barriers faced by young parenting Latinas and seeks to develop relevant messaging and programming to support and engage youth. Body mapping, as an engaging, innovative participatory visual methodology, involves young parenting women and other marginalised populations in drawing out a deeper understanding of sexual health inequities. Our findings highlight the ways body mapping elicits bodies as evidence to understand young motherhood and wellbeing.

This report is based on research conducted by the Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Centers' 2014 Methods Workgroup 3. The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies may not be stated or implied.

This document is in the public domain and may be used and reprinted without permission except those copyrighted materials that are clearly noted in the document. Further reproduction of those copyrighted materials is prohibited without the specific permission of copyright holders.

1Johns Hopkins University Evidence-based Practice Center, Baltimore, MD
2Pacific Northwest Evidence-based Practice Center, Portland, OR
3RTI-University of North Carolina Evidence-based Practice Center, Research Triangle Park, NC
4Southern California Evidence-based Practice Center, RAND, Santa Monica, CA
5Scientific Resource Center for the AHRQ Effective Health Care Program, Portland VA Research Foundation, VA Portland Health Care Systems, Portland, OR
6Department of Pediatrics, University of Alberta, Edmonton, Canada
7Minnesota Evidence-based Practice Center, Minneapolis, MN
8Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, Rockville, MD

The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and private-sector organizations in their efforts to improve the quality of health care in the United States. The reports and assessments provide organizations with comprehensive, science-based information on common, costly medical conditions and new health care technologies and strategies. The EPCs systematically review the relevant scientific literature on topics assigned to them by AHRQ and conduct additional analyses when appropriate prior to developing their reports and assessments.

Strong methodological approaches to systematic review improve the transparency, consistency, and scientific rigor of these reports. Through a collaborative effort of the Effective Health Care (EHC) Program, the Agency for Healthcare Research and Quality (AHRQ), the EHC Program Scientific Resource Center, and the AHRQ Evidence-based Practice Centers have developed a Methods Guide for Comparative Effectiveness Reviews. This Guide presents issues key to the development of Systematic Reviews and describes recommended approaches for addressing difficult, frequently encountered methodological issues.

The Methods Guide for Comparative Effectiveness Reviews is a living document, and will be updated as further empiric evidence develops and our understanding of better methods improves. We welcome comments on this Methods Guide paper. They may be sent by mail to the Task Order Officer named below at: Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, or by email to e...@ahrq.hhs.gov.

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