291 research outputs found

    The Development and Validation of a Personal Agency Scale Based in the Community Capitals Framework

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    Used in a variety of community contexts and needs, the Community Capitals Framework (CCF) is an analytical tool to holistically examine the complex and unique characteristics that exist at the local level. While CCF—which focuses on social, human, cultural, political, natural, financial, and built capitals—has been used to collect community information to identify and assess suitable programming efforts, a gap currently exists in the literature providing agricultural and extension educators with the tools necessary to examine CCF characteristics, both at the community and individual levels. Designed as a pilot study targeting six counties in [STATE], this research developed a personal agency scale that was based on the seven capitals and intended to measure individuals’ perceived ability within a community. Internal structure validity was established by analyzing the response distributions of the individual items, evaluating internal consistency, and conducting exploratory factor analyses of the hypothesized latent variables. These results indicate that such a scale has potential to serve as a baseline set of data when considering program design, implementation, and evaluation purpose

    The cottage hospital movement in England & Wales 1850–1914 : origins, growth and contribution to the healthcare of the poor

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    This thesis makes a significant contribution to the understanding of healthcare provision for the poor in the second half of the 19th century in England and Wales. It explores the origins behind a new type of hospital which began to emerge in the mid-nineteenth century, the cottage hospital, and attempts to fill a gap in the historiography of the rise of the hospital in the nineteenth century. It compares six cottage hospitals, three based in villages and three based in towns, and reveals marked differences (especially in comparative analyses of admissions by gender) as well as similarities. It highlights the impact of industrialisation and mechanisation on workers revealing work place accidents as the most frequent cause of admission for men. The thesis uses the writings of the founder, and his supporters, of what became known as the Cottage Hospital Movement, studying contemporary arguments, for and against, such an enterprise. It provides in depth insight into the role of the church and philanthropy and the importance of local community in the success of the hospitals, but most importantly highlights the role of the medical men as prime movers. It also exposes how local medical men were not only able to improve their standing in their local communities, but were able to improve their own knowledge and practice through the presence of the hospital. As Steven Cherry has shown, many of these hospitals survived and continue in the NHS today still offering local, in the community care. Now, as then, they are in the firing line of the ongoing debate between the desirability of small/local/familiar institutions versus the specialist/ technical but distant ‘super hospitals’. This thesis adds significantly to the historical cannon of nineteenth century medical care for the working poor, and the databases created as part of this research offer future historians the opportunity to explore the subject further

    VCU Day of Service Toolkit (VCU-DST)

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    This team designed and developed a digital Day of Service Toolkit (VCU-DST) to help facilitate the planning and execution of community service projects by VCU students, faculty and staff. The VCU-DST includes guidance and relevant procedures for all the aspects of planning needed to execute both large-scale and small-scale projects, including resources for strategic partnerships, financial planning and event logistics and evaluation. The VCU-DST is designed to be utilized for day-of-service projects planned and initiated by VCU students, student leaders, and organizations at all levels (undergraduate, graduate, and professional). The VCU-DST is designed to be flexible and adaptable, assisting in the planning of events of all types and sizes for execution at future dates as the students and their leaders see fit. At the completion of this project, the digital VCU-DST will be delivered to our sponsor, Joyce Lloyd, the faculty advisor for the Graduate Student Government Association. It will also be made available to student leadership and service organizations to assist them in planning their community service project

    Wheat Production in Texas.

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    24 p

    Genetic basis of control of Rhynchosporium secalis infection and symptom expression in barley

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    The genetic basis of several different components of resistance to Rhynchosporium secalis in barley was investigated in a mapping population derived from a cross between winter and spring barley types. Both the severity of visual disease symptoms and amount of R. secalis DNA in leaf tissues were assessed in field trials in Scotland in the 2007/2008 and 2008/2009 growing seasons. Relative expression of symptoms was defined as the residual values from a linear regression of amount of R. secalis DNA against visual plot disease score at GS 50. Amount of R. secalis DNA and visual disease score were highly correlated traits and identified nearly identical QTL. The genetic control of relative expression of symptoms was less clear. However, a QTL on chromosome 7H was identified as having a significant effect on the expression of visual disease symptoms relative to overall amount of R. secalis colonisationPeer reviewedFinal Accepted Versio

    Integrating forest structural diversity measurement into ecological research

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    The measurement of forest structure has evolved steadily due to advances in technology, methodology, and theory. Such advances have greatly increased our capacity to describe key forest structural elements and resulted in a range of measurement approaches from traditional analog tools such as measurement tapes to highly derived and computationally intensive methods such as advanced remote sensing tools (e.g., lidar, radar). This assortment of measurement approaches results in structural metrics unique to each method, with the caveat that metrics may be biased or constrained by the measurement approach taken. While forest structural diversity (FSD) metrics foster novel research opportunities, understanding how they are measured or derived, limitations of the measurement approach taken, as well as their biological interpretation is crucial for proper application. We review the measurement of forest structure and structural diversity—an umbrella term that includes quantification of the distribution of functional and biotic components of forests. We consider how and where these approaches can be used, the role of technology in measuring structure, how measurement impacts extend beyond research, and current limitations and potential opportunities for future research

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
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