Technical assistance, neo-colonialism or mutual trade? The experience of an Anglo/Ukrainian/Russian social work practice learning project

Since the collapse of the Soviet Union there has been a steady stream of Western consultants ready to work in Eastern Europe and Russia and share professional and academic expertise and experience. Social work, unknown as a discrete discipline or profession in the Soviet Union, has been a growth area with funding from a variety of sources to help promote East-West partnerships.Social work theory and practice emphasises critical appraisal of policy and embraces issues of power, discrimination and oppression. Social work educators should therefore be especially alert to the complex ethical questions which these kinds of collaborations raise, and adept at finding practical solutions or workable compromises. This article explores these ethical and political issues with reference to a project to develop social work practice learning in a Russian oblast' (region). The project was an ambitious partnership of British, Ukrainian and Russian educators, involving numerous Russian social work and related agencies, and four Russian universities and colleges in one oblast'. The authors use a series of vignettes to help the reader achieve insights into these East-West transactions. The article concludes with a discussion of different interpretations of these dealings, using three prisms: technical assistance, neo-colonialism and mutual trade

Perspectives on supporting fathers affected by postnatal depression and a history of violence

Intimate partner violence in the perinatal period is a significant problem that remains underscreened, underdiagnosed and undertreated. The establishment of evidence-based guidelines to enable health visitors to identify couples experiencing violence and offer appropriate support has been hampered by the complex interplay between maternal and paternal mental health problems and violence. This study explored the experiences of UK fathers who voluntarily engaged with services designed to eliminate their ideation to violence. The findings indicate that the tendency to violence is increased by stresses associated with the transition to parenthood. Men felt pressured by concerns for their partner's mental health, changes in the relationship, sleep disturbances and the burden of infant care they assumed when the mother was unable to cope. Health visitors are ideally placed to assess for factors linked to the emergence of violence and put in place interventions to minimise occurrence

School based screening for tuberculosis infection in Norway: comparison of positive tuberculin skin test with interferon-gamma release assay

<p>Abstract</p> <p>Background</p> <p>In Norway, screening for tuberculosis infection by tuberculin skin test (TST) has been offered for several decades to all children in 9th grade of school, prior to BCG-vaccination. The incidence of tuberculosis in Norway is low and infection with <it>M. tuberculosis </it>is considered rare. QuantiFERON^®TB Gold (QFT) is a new and specific blood test for tuberculosis infection. So far, there have been few reports of QFT used in screening of predominantly unexposed, healthy, TST-positive children, including first and second generation immigrants. In order to evaluate the current TST screening and BCG-vaccination programme we aimed to (1) measure the prevalence of QFT positivity among TST positive children identified in the school based screening, and (2) measure the association between demographic and clinical risk factors for tuberculosis infection and QFT positivity.</p> <p>Methods</p> <p>This cross-sectional multi-centre study was conducted during the school year 2005–6 and the TST positive children were recruited from seven public hospitals covering rural and urban areas in Norway. Participation included a QFT test and a questionnaire regarding demographic and clinical risk factors for latent infection. All positive QFT results were confirmed by re-analysis of the same plasma sample. If the confirmatory test was negative the result was reported as non-conclusive and the participant was offered a new test.</p> <p>Results</p> <p>Among 511 TST positive children only 9% (44) had a confirmed positive QFT result. QFT positivity was associated with larger TST induration, origin outside Western countries and known exposure to tuberculosis. Most children (79%) had TST reactions in the range of 6–14 mm; 5% of these were QFT positive. Discrepant results between the tests were common even for TST reactions above 15 mm, as only 22 % had a positive QFT.</p> <p>Conclusion</p> <p>The results support the assumption that factors other than tuberculosis infection are widely contributing to positive TST results in this group and indicate the improved specificity of QFT for latent tuberculosis. Our study suggests a very low prevalence of latent tuberculosis infection among 9th grade school children in Norway. The result will inform the discussion in Norway of the usefulness of the current TST screening and BCG-policy.</p

What is values work? A review of values work in organisations. Kap. 3

I: H.Askeland, G. Espedal, B. Jelstad Løvaas & S. Sirris (Eds.), Understanding values work : Institutional perspectives in organizations and leadershipThrough a review of the existing empirical studies and emerging literature on values work in organisations, this paper aims to disambiguate the phenomenon of values work. Values work is understood as ongoing value performances situated in everyday practice in organisations. As such, values work is identified as social and institutional processes of constructing agency, actions and practice in organisations. In this chapter, I show how values work is part of both a performative tradition of process studies and an institutional work tradition that strives to change, disrupt and maintain institutions. Further, I outline how future studies can broaden the field of values work.publishedVersio

Study of the structure and mechanical properties in 8 mol% yttria-stabilized zirconia coating manufactured by suspension plasma spraying

RESUMEN: El estudio de recubrimientos nanoestructurados fabricados mediante proyección térmica ha generado un gran interés en las últimas dos décadas debido a su considerable mejora en sus propiedades sobre todo en las propiedades físicas y mecánicas. Esta mejora resulta de reducir los tamaños de grano de su materia prima a escalas de 100 a 1000 veces más bajas comparadas con los recubrimientos convencionales microestructurados. Así, estos recubrimientos con estructuras a nivel nano y/o submicrométrica están empezando a ser usados en la industria gracias a sus sobresalientes propiedades y es fundamental el estudio de sus propiedades mecánicas para determinadas aplicaciones. En la actualidad, la indentación es la principal técnica de caracterización de recubrimientos y películas delgadas, a pesar de estar altamente influenciada por los defectos propios del recubrimiento en la vecindad de la indentación. La nanoindentación y la microindentación se presentan como la mejor opción para evaluar el comportamiento mecánico de estos recubrimientos nanoestructurados. Por esta razón, en este trabajo se analizó el efecto de la estructura de un recubrimiento de circona estabilizada con 8% en mol de itria (8YSZ) elaborado por proyección térmica por plasma a partir de suspensiones nanométricas (SPS) y su relación con sus propiedades mecánicas (dureza y módulo de elasticidad) medidas por las técnicas de nanoindentación y microindentación. El análisis de la estructura de la sección transversal mostró que el recubrimiento exhibe una estructura bimodal, la cual está compuesta por una zona con partículas nanométricas semifundidas (ZS) y lamelas con mayor grado de fusión (ZF). Los ensayos de nanoindentación mostraron una distribución de Weibull bimodal de sus propiedades mecánicas, la cual característica de este tipo de recubrimientos; mientras que la dureza (HV) y el módulo de elasticidad evaluados por microindentación, presentaron una distribución monomodal. Estos resultados de microindentación estuvieron influenciados por el área de contacto en las zonas indentadas en la estructura bimodal del recubrimiento. Palabras clave: Recubrimiento por plasma a partir de suspensiones (SPS), estructura, indentación, Distribución Weibull, recubrimiento 8YSZ.ABSTRACT: The study of nanostructured coatings manufactured by thermal spraying has generated a great interest in the last two decades due to their considerable improved properties especially in the physical and mechanical properties. This improvement is to reduce grain sizes of their raw materials at scales of 100-1000 times lower compared to conventional coatings (microstructured). Thus, these coatings structured at the nano and sub micrometric scale start to be used in the industrial applications and, it is essential to study their mechanical properties for certain applications. Currently, the indentation is the main technique for characterizing thin films and coatings, despite being highly influenced by the defects of the coating in the vicinity of the indentation. Nanoindentation and microindentation is presented as the best option for evaluate the mechanical behavior of nanostructured coatings. For this reason, in this work the study of the effect of the structure of the 8 mol% yttria-stabilised zirconia coating (8YSZ) manufactured by suspension plasma spraying (SPS) and the relationship with its mechanical properties (hardness and elastic modulus) measures for nanoindentation and microindentation techniques was analyzed. Analysis of the structure of the cross section of coating exhibit a bimodal structure, which is composed by a zone with semi-molten nanoparticles (ZS) and lamellaes with a higher grade of fusion (ZF). Nanoindentation tests showed a bimodal Weibull distribution of the mechanical properties (hardness and elastic modulus) which is related to the two zones (ZF and ZS) present in the coat-ing, while hardness (HV) and elastic modulus measured by microhardness, showed a monomodal distribu-tion. These results of microhardness were influenced by the contact area of the indentation in zones com-posed of the bimodal structure of the YSZ coating. Keywords: Suspension plasma spraying (SPS), structure, indentation, Weibull distribution, 8YSZ coating

ADVANCE integrated group intervention to address both substance use and intimate partner abuse perpetration by men in substance use treatment: a feasibility randomised controlled trial

Background: Substance use is a risk factor for intimate partner abuse (IPA) perpetration. Delivering perpetrator interventions concurrently with substance use treatment shows promise. Methods: The feasibility of conducting an efficacy and cost-effectiveness trial of the ADVANCE 16-week intervention to reduce IPA by men in substance use treatment was explored. A multicentre, parallel group individually randomised controlled feasibility trial and formative evaluation was conducted. Over three temporal cycles, 104 men who had perpetrated IPA towards a female (ex) partner in the past year were randomly allocated to receive the ADVANCE intervention + substance use treatment as usual (TAU) (n = 54) or TAU only (n = 50) and assessed 16-weeks post-randomisation. Participants’ (ex) partners were offered support and 27 provided outcome data. Thirty-one staff and 12 men who attended the intervention participated in focus groups or interviews that were analysed using the framework approach. Pre-specified criteria assessed the feasibility of progression to a definitive trial: 1) ≥ 60% of eligible male participants recruited; 2) intervention acceptable to staff and male participants; 3) ≥ 70% of participants followed-up and 4) levels of substance use and 5) IPA perpetrated by men in the intervention arm did not increase from average baseline level at 16-weeks post-randomisation. Results: 70.7% (104/147) of eligible men were recruited. The formative evaluation confirmed the intervention’s acceptability. Therapeutic alliance and session satisfaction were rated highly. The overall median rate of intervention session attendance (of 14 compulsory sessions) was 28.6% (range 14.3–64.3% by the third cycle). 49.0% (51/104) of men and 63.0% (17/27) of their (ex) partners were followed-up 16-weeks post-randomisation. This increased to 100% of men and women by cycle three. At follow-up, neither substance use nor IPA perpetration had worsened for men in the intervention arm. Conclusions: It was feasible to deliver the ADVANCE intervention in substance use treatment services, although it proved difficult to collect data from female (ex)partners. While some progression criteria were met, others were not, although improvements were demonstrated by the third cycle. Lessons learned will be implemented into the study design for a definitive trial of the ADVANCE intervention

Intravesical Mycobacterium brumae triggers both local and systemic immunotherapeutic responses against bladder cancer in mice

The standard treatment for high-risk non-muscle invasive bladder cancer (BC) is the intravesical administration of live Mycobacterium bovis BCG. Previous studies suggest improving this therapy by implementing non-pathogenic mycobacteria, such as Mycobacterium brumae, and/or different vehicles for mycobacteria delivery, such as an olive oil (OO)-in-water emulsion. While it has been established that BCG treatment activates the immune system, the immune effects of altering the mycobacterium and/or the preparation remain unknown. In an orthotopic murine BC model, local immune responses were assessed by measuring immune cells into the bladder and macromolecules in the urine by flow cytometry and multiplexing, respectively. Systemic immune responses were analyzed by quantifying sera anti-mycobacteria antibody levels and recall responses of ex vivo splenocytes cultured with mycobacteria antigens. In both BCG- and M. brumae-treated mice, T, NK, and NKT cell infiltration in the bladder was significantly increased. Notably, T cell infiltration was enhanced in OO-in-water emulsified mycobacteria-treated mice, and urine IL-6 and KC concentrations were elevated. Furthermore, mycobacteria treatment augmented IgG antibody production and splenocyte proliferation, especially in mice receiving OO-in-water emulsified mycobacteria. Our data demonstrate that intravesical mycobacterial treatment triggers local and systemic immune responses, which are most significant when OO-in-water emulsified mycobacteria are used