Despite the growing body of health information available online, patients with limited health literacy may lack either internet access or skills necessary to utilize this information. Nonetheless, patients at all health literacy levels may prefer other primary sources to obtain health information. We conducted a cross-sectional study to measure health literacy of patients attending two clinics in Dallas, TX and determine associations between health literacy, health information access and internet usage before and after controlling for confounders. Patients from both clinics (county N = 265; private N = 233) completed a brief survey which included sociodemographics, internet patterns, confidence in filling out medical forms and a self-administered Newest Vital Sign to measure health literacy. In the county clinic, most patients (61.5 %) were Hispanic, had low income (<$19,000/year), limited education (<11th grade) and a high likelihood or possibility of limited health literacy (68.5 %). In the private clinic, participants were mostly black (40.4 %) or white (38.6 %), had higher incomes (≥$46,000), higher education (technical college or college) and adequate health literacy (75.1 %). The primary source of obtaining health information in both clinics was their health care professional (50.6 % county; 40.1 % private). In multivariate analyses to determine differences by health literacy level, there were no statistically significant differences between patients with limited and adequate health literacy and their primary information source. Regardless of health literacy, patients rely on their health care providers to obtain health information. These results showcase the importance of providers' effective communication with patients to make shared decisions about their health regardless of other factors.

The investigation of unmatched ancient objects is an attentive and arduous activity to conservation scientists. An important aspect of art analysis is the question on sampling and avoiding damage on the artefact during the study. A possible way to maximize the information that is extracted from the historical object is using several sensitive micro-analytical techniques on the same micro samples. As an illustration of this multi-method approach, in this work, a canvas painting 'Virgin of Sorrows' was studied and its materials were analysed in order to roughly date and to authenticate this object of art. Proton induced X-ray emission (PIXE), neutron activation analysis (NAA), optical microscopy, scanning electron microscopy (SEM), micro-Raman spectroscopy (MRS) and Fourier transform infrared spectroscopy (FT-IR) were used, obtaining successful results. These methods allowed identifying the different inorganic pigments (iron oxide, carbon black, white lead, Prussian blue) as well as indigo. Optical microscopy and SEM revealed the layered structure of the samples, while FT-IR enabled to determine the nature of the varnish used (shellac). By using these complementary techniques, it was possible to identify the materials in the painting, which are indicative for the period of manufacturing the artwork.

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Dans le cadre du développement d’une campagne de prévention du passage à l’injection de drogues chez les jeunes de la rue, nous avons mené sept groupes de discussion auprès de 37 d’entre eux âgés de 15 à 23 ans. L’analyse, à la fois déductive et inductive, a permis d’identifier les dimensions reflétant le point de vue des jeunes à propos de l’injection de drogues et des éléments qui favorisent le passage à l’injection dans leur milieu. Les résultats montrent que l’injection est généralement désapprouvée par les jeunes de la rue. Plusieurs ont des réserves, celles-ci étant liées aux conséquences négatives de l’injection. Ce que les jeunes redoutent le plus, c’est de devenir « accro », un risque qu’ils associent davantage à l’injection qu’aux autres modes de consommation. Malgré la désapprobation générale, au contact des utilisateurs de drogues par injection (UDI), il se produit une sorte de désensibilisation qui entraîne vers l’injection les plus vulnérables, soit les plus jeunes, surtout ceux qui satisfont leur besoin de sensations fortes à travers la drogue et recherchent une valorisation dans le monde de la rue. Divers éléments d’ordre individuel et social agissent alors pour amener ces jeunes à s’initier à l’injection. Plusieurs de ces éléments peuvent être modifiables par des interventions préventives.During the development of a media campaign, aimed at preventing initiation into injection drug use among street youth, we conducted seven focus groups with 37 youth aged between 15 and 23 years. The analysis process, at the same time deductive and inductive, permitted us to identify dimensions reflecting the viewpoint of street youth concerning injection drug use and the factors that favour initiation in their milieu. The results show that injection is generally disapproved of among street youth. Many have reservations because of the negative consequences linked to this behaviour. What youth fear most is becoming “an addict”, a risk that they associate especially with injection compared with other forms of drug use. Despite widespread disapproval, with continuing contact with injection drug user (IDUs), a kind of desensitization occurs which affects the most vulnerable youth, mainly the youngest, mostly those who satisfy their need for strong sensations through drugs and seek social valorisation in the street scene. Different factors, both on an individual level as well as a social level, influence these youth to start injecting. Some of these factors may be modifiable through preventive interventions.En el marco del desarrollo de una campaña de prevención del pasaje a la inyección de drogas en los jóvenes de la calle, hemos dirigido siete grupos de discusión en los que participaron 37 jóvenes de 15 a 23 años. El análisis, a la vez deductivo e inductivo, ha permitido identificar las dimensiones que reflejan el punto de vista de los jóvenes sobre la inyección de drogas y los elementos que favorecen el pasaje a la inyección en su medio. Los resultados muestran que los jóvenes de la calle desaprueban en general el ...

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