509 research outputs found

    Exploring the belief systems of domestic abuse victims using Smallest Space Analysis (SSA)

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    Research exploring domestic abuse victims has primarily focused on the shorter term avenues of support for victims and the risk factors which put women at risk of victimization. There is limited research exploring the belief systems of domestically abused women that need to be targeted to achieve longer term effects. The present study therefore explored the association between the beliefs of abused women and their experiences as victims. Twenty-one women with a history of domestic abuse were asked about their attitudes towards authority figures and perceived opportunities around the time of their abusive experience. Data were analyzed using Smallest Space Analysis (SSA). Four distinct belief themes (personal responsibility, antisocial attitudes, environmental factors, and negative police attitudes) were found in the analysis. The findings highlighted not only the importance of considering the long standing and personalized beliefs of abuse victims, but also demonstrates the need for support services to offer more personalized support to abuse victims to help change their belief systems. Although this research sets the groundwork in understanding the beliefs of domestic abuse victims, these results need to be built upon with future research examining the wider implications of targeting the belief systems of domestically abused women

    Analysis of innovation management in German enterprises

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    Abstract: In the drive towards economic globalization, companies are faced with both opportunities and challenges. As the global landscape changes, company and by extension countries increasingly grasp the level of importance innovation has to their survival and continued development. The element of innovation, within the business environment, has become the necessary condition for sustainable development of a country or nation. In the case of Germany, the authors acknowledge the country's fascinating ability in innovation management; therefore have sought to gain a better understanding through a sampled analysis of German private enterprises. In the process, quantitative model and qualitative model were utilized together. On the one hand, a qualitative method is adopted to collect primary data. On the other hand, a quantitative process is used to collect secondary data. According to the data analysis of the sampled corporations and businesses, the indices of each factor vary across the different industries. Results also suggested that stronger enterprises give greater attention to innovation (factors) and therefore reap higher gains. In such companies, various rules and regulations are designed to stimulate the employees' creativity; while communication is established across all parts of companies. Similarly, the company would be design on the basis of adapting different market strategies. Worthy of note is that companies in each industr

    Mode of delivery among HIV-Infected pregnant women in Philadelphia, 2005-2013

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    Objective Current guidelines call for HIV-infected women to deliver via scheduled Caesarean when the maternal HIV viral load (VL) is >1,000 copies/ml. We describe the mode of delivery among HIV-infected women and evaluate adherence to relevant recommendations. Study Design We performed a population-based surveillance analysis of HIV-infected pregnant women in Philadelphia from 2005 to 2013, comparing mode of delivery (vaginal, scheduled Caesarean, or emergent Caesarean) by VL during pregnancy, closest to the time of delivery (≤1,000 copies/ml versus an unknown VL or VL >1,000 copies/ml) and associated factors in multivariable analysis. Results Our cohort included 824 deliveries from 648 HIV-infected women, of whom 69.4% had a VL ≤1,000 copies/ml and 30.6% lacked a VL or had a VL >1,000 copies/ml during pregnancy, closest to the time of delivery. Mode of delivery varied by VL: 56.6% of births were vaginal, 30.1% scheduled Caesarean, and 13.3% emergent Caesarean when the VL was ≤1,000 copies/ml; when the VL was unknown or >1,000 copies/ml, 32.9% of births were vaginal, 49.9% scheduled Caesarean and 17.5% emergent Caesarean. In multivariable analyses, Hispanic women (adjusted odds ratio (AOR) 0.17, 95% Confidence Interval (CI) 0.04–0.76) and non-Hispanic black women (AOR 0.27, 95% CI 0.10–0.77) were less to likely to deliver via scheduled Caesarean compared to non-Hispanic white women. Women who delivered prior to 38 weeks’ gestation (AOR 0.37, 95% CI 0.18–0.76) were also less likely to deliver via scheduled Caesarean compared to women who delivered after 38 weeks’ gestation. An interaction term for race and gestational age at delivery was significant in multivariable analysis. Non-Hispanic black (AOR 0.06, 95% CI 0.01–0.36) and Hispanic women (AOR 0.03, 95% CI 0.00–0.59) were more likely to deliver prematurely and less likely to deliver via scheduled C-section compared to non-Hispanic white women. Having a previous Caesarean (AOR 27.77, 95% CI 8.94–86.18) increased the odds of scheduled Caesarean delivery. Conclusions Only half of deliveries for women with an unknown VL or VL >1,000 copies/ml occurred via scheduled Caesarean. Delivery prior to 38 weeks, particularly among minority women, resulted in a missed opportunity to receive a scheduled Caesarean. However, even when delivering at or after 38 weeks’ gestation, a significant proportion of women did not get a scheduled Caesarean when indicated, suggesting a need for focused public health interventions to increase the proportion of women achieving viral suppression during pregnancy and delivering via scheduled Caesarean when indicated

    New Horizons

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    Air-Coupled Ultrasonic Transducers for the Detection of Defects in Plates

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    In order to minimise the problems due to the acoustic impedance mismatch between solids and air, the non destructive testing of materials using ultrasonic transducers generally requires either contact transducers or immersion transducers to be used [1]. Air-coupled transducers however would be very advantageous for testing structures which must be not contaminated with couplant and also for all in-situ industrial applications. Although the propagation of ultrasonic waves from laser generation [2] involves air-coupling, the difficulties due to the experimental set-up of this technique and the financial investment it implies are two major disadvantages

    Cleaning Turbomachinery Without Disassembly, Online And Offline.

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    LecturePg. 117-128Turbomachinery is designed for optimum aerodynamic and mechanical performance at given user conditions. Before shipment, this performance is usually verified on the OEM's test floor, based on specified design conditions. However, in operation, the gas composition can vary and include unanticipated solid and liquid ingestion into the turbomachinery, causing a buildup of foreign materials. The resulting fouling has an adverse effect on aerodynamic and mechanical performance of the unit. Fouling comes from external dust, dirt or dissolved matter, process materials, condensation and/or chemical reactions. Depending on the rate and composition of the deposits, the effect could range from a fast buildup, causing immediate shutdown of the unit due to high vibration and possible parts damage, to a slow buildup causing increased vibration and/or reduction in performance. An overview is presented of the cause, effect, and prevention of fouling on turbomachinery, with its main purpose to present tested and proven methods of cleaning turbomachinery. Presented are methods of online and offline (without disassembly) cleaning of multistage centrifugal compressors, axial compressors, and steam turbines. The operating environment will encompass hydrogen recycle gas, steam, and air. Methods include online cleaning using saturated steam, liquid spray and abrasive solids, and offline cleaning using acidized saturated steam for turbines and crank-washing for compressors

    Denying humanness to victims: How gang members justify violent behavior

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    The high prevalence of violent offending amongst gang-involved youth has been established in the literature. Yet the underlying psychological mechanisms that enable youth to engage in such acts of violence remain unclear. 189 young people were recruited from areas in London, UK, known for their gang activity. We found that gang members, in comparison to non-gang youth, described the groups they belong to as having recognized leaders, specific rules and codes, initiation rituals, and special clothing. Gang members were also more likely than non-gang youth to engage in violent behavior and endorse moral disengagement strategies (i.e., moral justification, euphemistic language, advantageous comparison, displacement of responsibility, attribution of blame, and dehumanization). Finally, we found that dehumanizing victims partially mediated the relationship between gang membership and violent behavior. These findings highlight the effects of groups at the individual level and an underlying psychological mechanism that explains, in part, how gang members engage in violence

    Rehabilitation Exercise and psycholoGical support After covid-19 InfectioN' (REGAIN):a structured summary of a study protocol for a randomised controlled trial

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    OBJECTIVES The primary objective is to determine which of two interventions: 1) an eight week, online, home-based, supervised, group rehabilitation programme (REGAIN); or 2) a single online session of advice (best-practice usual care); is the most clinically and cost-effective treatment for people with ongoing COVID-19 sequelae more than three months after hospital discharge. TRIAL DESIGN Multi-centre, 2-arm (1:1 ratio) parallel group, randomised controlled trial with embedded process evaluation and health economic evaluation. PARTICIPANTS Adults with ongoing COVID-19 sequelae more than three months after hospital discharge Inclusion criteria: 1) Adults ≥18 years; 2) ≥ 3 months after any hospital discharge related to COVID-19 infection, regardless of need for critical care or ventilatory support; 3) substantial (as defined by the participant) COVID-19 related physical and/or mental health problems; 4) access to, and able/supported to use email and internet audio/video; 4) able to provide informed consent; 5) able to understand spoken and written English, Bengali, Gujarati, Urdu, Punjabi or Mandarin, themselves or supported by family/friends. EXCLUSION CRITERIA 1) exercise contraindicated; 2) severe mental health problems preventing engagement; 3) previous randomisation in the present study; 4) already engaged in, or planning to engage in an alternative NHS rehabilitation programme in the next 12 weeks; 5) a member of the same household previously randomised in the present study. INTERVENTION AND COMPARATOR Intervention 1: The Rehabilitation Exercise and psycholoGical support After covid-19 InfectioN (REGAIN) programme: an eight week, online, home-based, supervised, group rehabilitation programme. Intervention 2: A thirty-minute, on-line, one-to-one consultation with a REGAIN practitioner (best-practice usual care). MAIN OUTCOMES The primary outcome is health-related quality of life (HRQoL) - PROMIS® 29+2 Profile v2.1 (PROPr) - measured at three months post-randomisation. Secondary outcomes include dyspnoea, cognitive function, health utility, physical activity participation, post-traumatic stress disorder (PTSD) symptom severity, depressive and anxiety symptoms, work status, health and social care resource use, death - measured at three, six and 12 months post-randomisation. RANDOMISATION Participants will be randomised to best practice usual care or the REGAIN programme on a 1:1.03 basis using a computer-generated randomisation sequence, performed by minimisation and stratified by age, level of hospital care, and case level mental health symptomatology. Once consent and baseline questionnaires have been completed by the participant online at home, randomisation will be performed automatically by a bespoke web-based system. BLINDING (MASKING) To ensure allocation concealment from both participant and REGAIN practitioner at baseline, randomisation will be performed only after the baseline questionnaires have been completed online at home by the participant. After randomisation has been performed, participants and REGAIN practitioners cannot be blind to group allocation. Follow-up outcome assessments will be completed by participants online at home. NUMBERS TO BE RANDOMISED (SAMPLE SIZE) A total of 535 participants will be randomised: 263 to the best-practice usual care arm, and 272 participants to the REGAIN programme arm. TRIAL STATUS Current protocol: Version 3.0 (27th October 2020) Recruitment will begin in December 2020 and is anticipated to complete by September 2021. TRIAL REGISTRATION ISRCTN:11466448 , 23rd November 2020 FULL PROTOCOL: The full protocol Version 3.0 (27th October 2020) is attached as an additional file, accessible from the Trials website (Additional file 1). In the interests of expediting dissemination of this material, the familiar formatting has been eliminated; this Letter serves as a summary of the key elements of the full protocol. The study protocol has been reported in accordance with the Standard Protocol Items: Recommendations for Clinical Interventional Trials (SPIRIT) guidelines
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