Integrating Knowledge for River Basin Management: Progress in Thailand

Resource /Energy Economics and Policy,

Cocaine, treatment and public health: A case study in Merseyside and Cheshire

Originating from the coca plant in South America, the prevalence of cocaine use has increased in recent times and it has become a global commodity. It is the second most trafficked illicit drug in the world, after cannabis, with world seizures in 2006 amounting to 706 tonnes (EMCDDA, 2008). General population surveys show an increase in cocaine use in many European countries, especially among young people, though this may now be slowing in countries with the highest rates of use. Indicators of cocaine availability in Europe, including seizures of the drug and amounts seized have also increased dramatically in recent years, with the demand for treatment for cocaine use increasing substantially in recent years in some European countries. There is evidence to suggest that the proportions of adults (15-64 year olds) in the UK using the drug are within the top 5% in Europe (EMCDDA, 2007) and the 2008/9 British Crime Survey found that 3.0% of adults had used cocaine in the past year compared to 2.3% in 2007/8 (Hoare, 2009)

Introduction to the Finger Lakes National Forest Archaeology Project

An introduction to the volume, which presents research conducted at the convergence of two projects. One, a surve

Healthy Here Mobile Market: improving equitable access to local, organically grown fruits and vegetables.

Presented at: 2016 Annual Conference of the New Mexico Public Health Association; April 12-13, 2016; Las Cruces, NM.https://digitalrepository.unm.edu/prc-posters-presentations/1019/thumbnail.jp

(Re)Presenting a half-century of the College of Arts and Sciences, University of Rhode Island

This booklet was produced in conjunction with an historical exhibition of the same title held at the Main Gallery, Fine Arts Center Galleries, University of Rhode Island, from October 16 through December 13, 1998 in commemoration of the 50th Anniversary of the University of Rhode Island College of Arts and Sciences

Treatment Outcomes for DIP Clients in Liverpool (July 11 - June 12)

The main objective of the Drug Interventions Programme (DIP) is to identify and engage with drug users in the criminal justice system in order to channel them into appropriate treatment services. In line with research evidence it is assumed that if this treatment is effective it will result in reduced drug use and therefore reduced offending. This report aims to investigate outcomes for DIP clients resident in Liverpool who were referred to treatment between 1st July 2011 and 31st December 2011 as part of their DIP care plan and who had a corresponding treatment journey recorded on the National Drug Treatment Monitoring System (NDTMS) (including data from the Treatment Outcomes Profile) between 1st July 2011 and 30th June 2012

Signal Processing

Contains research objectives, summary of research and reports on two research projects.Joint Services Electronics Programs (U. S. Army, U. S. Navy, and U. S. Air Force) under Contract DAAB07-71-C-0300Clarence J. LeBel Fun

On wealth and the diversity of friendships: high social class people around the world have fewer international friends

Having international social ties carries many potential advantages, including access to novel ideas and greater commercial opportunities. Yet little is known about who forms more international friendships. Here, we propose social class plays a key role in determining people's internationalism. We conducted two studies to test whether social class is related positively to internationalism (the building social class hypothesis) or negatively to internationalism (the restricting social class hypothesis). In Study 1, we found that among individuals in the United States, social class was negatively related to percentage of friends on Facebook that are outside the United States. In Study 2, we extended these findings to the global level by analyzing country-level data on Facebook friends formed in 2011 (nearly 50 billion friendships) across 187 countries. We found that people from higher social class countries (as indexed by GDP per capita) had lower levels of internationalism—that is, they made more friendships domestically than abroad

Staff perspectives on the feasibility of a clinical pathway for anxiety and depression in cancer care, and mid-implementation adaptations.

BACKGROUND: Clinical pathways (CPs) are intended to standardise and improve care but do not always produce positive outcomes, possibly because they were not adapted to suit the specific context in which they were enacted. This qualitative study aimed to explore staff perspectives of implementation of a CP for routine screening, assessment, referral and management of anxiety and depression (the ADAPT CP) for patients with cancer, focussing on perceived feasibility of the CP and negotiated adaptations made during the implementation phase. METHODS: The ADAPT CP was implemented in 12 urban and regional oncology services in Australia. Services were randomised to receive core versus enhanced implementation strategies. Core sites received support until implementation commencement and could access progress reports. Enhanced sites received proactive, ongoing support during the 12-month implementation. Purposively selected staff were interviewed prior to implementation (n = 88) and 6 months later, half-way through the implementation period (n = 89). Monthly meetings with lead multi-disciplinary teams at the eight enhanced sites were recorded. Data were thematically analysed. RESULTS: Six overarching themes were identified: ADAPT is of high value; timing for introducing the CP and screening is difficult; online screening is challenging; a burden too much; no-one to refer patients to; and micro-logistics are key. While early screening was deemed desirable, diverse barriers meant this was complex, with adaptations made to time and screening location. Online screening prompted by email, seen as time-saving and efficient, also proved unsuccessful in some services, with adaptations made to in-clinic or phone screening, or repeated email reminders. Staff negative attitudes to ADAPT, time constraints, and perceived poor fit of ADAPT to work roles and flows, all impacted implementation, with key tasks often devolving to a few key individuals. Nevertheless, services remained committed to the ADAPT CP, and worked hard to create, review and adapt strategies to address challenges to optimise success. CONCLUSIONS: This study demonstrates the interactive nature of health service change, with staff actively engaging with, forming views on, and problem-solving adaptations of the ADAPT CP to overcome barriers. Obtaining staff feedback is critical to ensure health service change is sustainable, meaningful and achieves its promise of improving patient outcomes. TRIAL REGISTRATION: The study was registered prospectively with the ANZCTR on 22/3/2017. Trial ID ACTRN12617000411347