3,053 research outputs found

    Analysis of Social Determinants of Health in Justice-Involved Youth: Relevance in the Context of Poverty

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    The current study will address the gap in the literature to identify and understand the significant relationship between the social determinants of health and poverty to target the needs of young offenders more effectively by referring youth to agencies and community-based services relevant for successful rehabilitation. The study reviewed 281 assessment files of young offenders at an urban-based court clinic in London, ON. Results indicated a significant relationship between the extent of poverty and compromised social determinants of health. Offending youth who experienced high poverty also demonstrated higher frequencies in experiencing family structure instability, a lack of parent involvement or concern, greater grade failure and lack of educational attainment, lack of organized leisure activities and greater gang affiliation within the community. Additionally, regression analyses indicated that the degree of experienced poverty predicted likelihood of reoffending and gaining access to relevant services. Implications for clinical practice including sensitivity from service workers and further consideration of changes in social policy and response from the justice system are discussed

    Two \u3ci\u3eEntomophthora\u3c/i\u3e Species Associated with Disease Epizootics of the Alfalfa Weevil, \u3ci\u3eHypera Postica\u3c/i\u3e (Coleoptera: Curculionidae), in Ontario

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    Recent studies have shown that disease epizootics in Ontario populations of the alfalfa weevil, Hypera postica (Gyllenhal), are caused by a complex of two fungi

    A quantified triple bottom line for tourism: experimental results

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    The tradition of tourism businesses and regional tourism industries is to measure their value to the host community by jobs, wages and tax revenues even though every member of that community is impacted on a daily basis though a broad variety of impacts. This paper demonstrates a conceptual approach for measuring the relative importance of the major dimensions of community quality of life that can be influenced by the tourism industry in order to calculate an indication of overall impact on the well being of community residents. Furthermore, we have formulated a conjoint model that values this overall performance in monetary units. A conjoint model for estimating importance is successfully implemented using samples of college students and tourism industry professionals in the US and Cyprus. A monetary version of Triple Bottom Line impacts is calculated for the impacts of a specific hypothetical tourism business development

    Evaluating tourism community preferences

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    A short online survey of Kingman Arizona residents included two approaches for determining the relative importance of social, cultural, environmental, and economic attributes to community quality of life. A simple multiattribute choice approach gave noticeably different results from a standard independent attribute ranking approach and lead researchers to recommend socially oriented tourism development projects over economically oriented ones

    How can I improve provision for mathematics on a primary PGCE Initial Teacher Education programme in a context of national change?

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    In this study, which was the focus for an MA dissertation, I focused on my own practice as subject leader for mathematics on a university-based PGCE Initial Teacher Education (ITE) programme and the ways in which I could examine, critique and ultimately change my practice in a time of change within the ITE sector. By using a mixed methods paradigm and an action research methodology, I explored elements of my practice and placed them in the context of recent developments in the sector, notably the introduction of the revised national curriculum in 2014 and the Carter review in 2015. In particular, I identified how the national context impacted on my own pedagogy in relation to trainees’ acquisition of mathematical subject knowledge, curriculum knowledge and pedagogical knowledge. The study demonstrates that by making small changes to ITE provision to implement national priorities, trainee satisfaction with the quality of their training experience can be improved

    The Extrajudicial Voice

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    Judges communicate outside of the courtroom on a regular basis. They give speeches at universities and to societies; appear before select committees; write for a range of publications; and engage in both media and outreach activities. Existing literature has charted the value and perils of such extrajudicial communication. This paper contributes an explanation of what motivates judges towards such communication, and what shapes their discourse. The work draws on 13 semi-structured interviews with senior serving and recently judges, along with an extensive range of examples of judicial speech beyond the bench. It argues that extrajudicial communication is shaped by a shared conception amongst the judicial community of what is appropriate. This conception of propriety is principally motivated by a communal pursuit of sustaining public confidence in the judicial office. The conception also informs the limits of appropriate discourse and establishes the ramifications for breach

    Regression analysis of protoporphyrin IX measurements obtained during dermatological photodynamic therapy (article)

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    This is the final version. Available from MDPI via the DOI in this record.The dataset associated with this article is located in ORE at: https://doi.org/10.24378/exe.1103Photodynamic therapy (PDT) is a light activated drug therapy that can be used to treat a number of dermatological cancers and precancers. Improvement of efficacy is required to widen its application. Clinical protoporphyrin IX (PpIX) fluorescence data were obtained using a pre-validated, non-invasive imaging system during routine methyl aminolevulinate (MAL)-PDT treatment of 172 patients with licensed dermatological indications (37.2% actinic keratosis, 27.3% superficial basal cell carcinoma and 35.5% Bowen's disease). Linear and logistic regressions were employed to model any relationships between variables that may have affected PpIX accumulation and/or PpIX photobleaching during irradiation and thus clinical outcome at three months. Patient age was found to be associated with lower PpIX accumulation/photobleaching, however only a reduction in PpIX photobleaching appeared to consistently adversely affect treatment efficacy. Clinical clearance was reduced in lesions located on the limbs, hands and feet with lower PpIX accumulation and subsequent photobleaching adversely affecting the outcome achieved. If air cooling pain relief was employed during light irradiation, PpIX photobleaching was lower and this resulted in an approximate three-fold reduction in the likelihood of achieving clinical clearance. PpIX photobleaching during the first treatment was concluded to be an excellent predictor of clinical outcome across all lesion types.Duchy Health Charity Ltd.Killing Cancer, U

    Genetic evidence for causal relationships between maternal obesity-related traits and birth weight

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    Importance  Neonates born to overweight or obese women are larger and at higher risk of birth complications. Many maternal obesity-related traits are observationally associated with birth weight, but the causal nature of these associations is uncertain.Objective  To test for genetic evidence of causal associations of maternal body mass index (BMI) and related traits with birth weight.Design, Setting, and Participants  Mendelian randomization to test whether maternal BMI and obesity-related traits are potentially causally related to offspring birth weight. Data from 30 487 women in 18 studies were analyzed. Participants were of European ancestry from population- or community-based studies in Europe, North America, or Australia and were part of the Early Growth Genetics Consortium. Live, term, singleton offspring born between 1929 and 2013 were included. Exposures  Genetic scores for BMI, fasting glucose level, type 2 diabetes, systolic blood pressure (SBP), triglyceride level, high-density lipoprotein cholesterol (HDL-C) level, vitamin D status, and adiponectin level.Main Outcome and Measure  Offspring birth weight from 18 studies.Results  Among the 30 487 newborns the mean birth weight in the various cohorts ranged from 3325 g to 3679 g. The maternal genetic score for BMI was associated with a 2-g (95% CI, 0 to 3 g) higher offspring birth weight per maternal BMI-raising allele (P = .008). The maternal genetic scores for fasting glucose and SBP were also associated with birth weight with effect sizes of 8 g (95% CI, 6 to 10 g) per glucose-raising allele (P = 7 × 10−14) and −4 g (95% CI, −6 to −2g) per SBP-raising allele (P = 1×10−5), respectively. A 1-SD ( ≈ 4 points) genetically higher maternal BMI was associated with a 55-g higher offspring birth weight (95% CI, 17 to 93 g). A 1-SD ( ≈ 7.2 mg/dL) genetically higher maternal fasting glucose concentration was associated with 114-g higher offspring birth weight (95% CI, 80 to 147 g). However, a 1-SD ( ≈ 10 mm Hg) genetically higher maternal SBP was associated with a 208-g lower offspring birth weight (95% CI, −394 to −21 g). For BMI and fasting glucose, genetic associations were consistent with the observational associations, but for systolic blood pressure, the genetic and observational associations were in opposite directions.Conclusions and Relevance  In this mendelian randomization study, genetically elevated maternal BMI and blood glucose levels were potentially causally associated with higher offspring birth weight, whereas genetically elevated maternal SBP was potentially causally related to lower birth weight. If replicated, these findings may have implications for counseling and managing pregnancies to avoid adverse weight-related birth outcomes

    Optical carrier wave shocking: detection and dispersion

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    Carrier wave shocking is studied using the Pseudo-Spectral Spatial Domain (PSSD) technique. We describe the shock detection diagnostics necessary for this numerical study, and verify them against theoretical shocking predictions for the dispersionless case. These predictions show Carrier Envelope Phase (CEP) and pulse bandwidth sensitivity in the single-cycle regime. The flexible dispersion management offered by PSSD enables us to independently control the linear and nonlinear dispersion. Customized dispersion profiles allow us to analyze the development of both carrier self-steepening and shocks. The results exhibit a marked asymmetry between normal and anomalous dispersion, both in the limits of the shocking regime and in the (near) shocked pulse waveforms. Combining these insights, we offer some suggestions on how carrier shocking (or at least extreme self-steepening) might be realised experimentally.Comment: 9 page
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