156 research outputs found

    Building Back Better? An Assessment of Sustainability and Resiliency in Post-­‐Disaster Recovery and Rebuilding Plans in New York and New Jersey Following Superstorm Sandy

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    On October 29, 2012, the United States was delivered a devastating reminder of exactly how vulnerable our coastal cities and communities remain, particularly in light of the likelihood of sea level rise resulting from global climate change. By Executive Order, President Barack Obama directed Superstorm Sandy recovery efforts to address these vulnerabilities via the development of a plan for rebuilding, focusing on increasing resiliency and sustainability. The concepts of resiliency and sustainability are, of course, not unfamiliar to planners- they are both increasingly recognized to be crucial elements in the long-term success of any community. Through this lens, the on-going recovery of select communities within the States of New York and New Jersey will be evaluated using identified indicators of resiliency and sustainability. In addition to evaluating the recovery of the case study communities, state-local intergovernmental cooperation frameworks, for both New York and New Jersey, will be investigated by examining each state’s planning mandates and policies. It is believed that identifying the cooperation typologies of each state will allow for an evaluation of the likely implications of each framework type on: 1) the quality of local planning; 2) the incorporation of greater sustainability into local planning; and 3) the increase in the resiliency of local communities. The findings derived from the indicator evaluation, and the implications of the cooperation frameworks, will allow for a discussion of the degree to which the directive for greater resiliency and sustainability, contained within President Obama’s Executive Order, has been met. Additionally, these findings may help inform the nascent national recovery policy that has emerged following the criticisms of the federal government’s response to Hurricane Katrina and the on-going recovery along the Gulf Coast.Master of City and Regional Plannin

    Tetratrichomonas and Trichomonas spp.-Associated Disease in Free-Ranging Common Eiders (Somateria mollissima) from Wellfleet Bay, MA and Description of ITS1 Region Genotypes

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    During an outbreak of Wellfleet Bay virus (WFBV) in common eiders (Somateria mollissima) from the Cape Cod region of Massachusetts, several birds were diagnosed with trichomonosis consisting of multiple trichomonad species. Six birds were examined, with trichomonads found in ceca in four birds and associated typhlitis in three of these four birds. PCR and DNA sequencing utilizing trichomonad-specific primers targeting the ITS1 region of the ribosomal DNA (rDNA) revealed the presence of Tetratrichomonas gallinarum in the gastrointestinal tracts of five birds and Trichomonas spp. in the livers of two birds, one of which had a dual Te. gallinarum-Trichomonas gallinae infection. Sequence analysis revealed no variation between Te. gallinarum sequences whereas the ITS1 sequences obtained from the other Trichomonas spp. demonstrated the presence of multiple genotypes. One sequence had 100% identity to a Trichomonas sp. previously isolated from a Cooper\u27s hawk (Accipiter cooperii) and the other sequence was 100% identical to a previously described Tr. gallinae isolate obtained from a Pacific Coast band-tailed pigeon (Patagioenas fasciata monilis). These findings suggest Te. gallinarum and other Trichomonas spp. possibly contributed to morbidity and mortality in this species. Furthermore, to the authors\u27 knowledge, this is the first report of trichomonad-associated disease in a free-ranging sea duck

    Business models, consumer experiences and regulation of retirement villages

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    This research looks at the appeal, benefits and disadvantages of living in retirement villages, as well as at the business models employed and how the Australian Government can help the sector to expand. Retirement villages are a fast-growing housing sector: in 2014 approximately 184,000 Australians lived in retirement villages, equivalent to 5.7 per cent of the population aged 65 and over, a rate projected to increase to 7.5 per cent by 2025. Living in retirement villages saves the health care system 2.16billion,with2.16 billion, with 1.98 billion of those savings achieved by postponing residents’ entry into government funded aged care facilities; however the sector does not currently receive direct funding from Commonwealth or state and territory governments. Retirement villages are governed by state and territory legislation in Australia, with each jurisdiction enacting its own set of regulations. A state tribunal in each jurisdiction provides independent, low cost and accessible dispute resolution in consumer or tenancy disputes. The major providers active in the retirement village industry are for-profit companies who market their product as a ‘lifestyle choice’ to entice wealthy Australians to purchase accommodation. There is little prospect that small not-for-profit organisations will expand their retirement provision without significant government funding (in the form of tax breaks, subsidies etc.). This research makes a number of recommendations, including a national ombudsman to support and advocate for the rights of older people navigating disputes with retirement village operators; greater transparency into fees and ongoing charges for retirement village residents; and building standards that ensure retirement village operators are responsible for providing accessible, universally designed residences and facilities

    A short-form version of the Australian English Communicative Development Inventory

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    Published online: 06 Oct 2021.Purpose: The Australian English Communicative Development Inventory (OZI) is a 558-item parent report tool for assessing language development at 12–30 months. Here, we introduce the short form (OZI-SF), a 100-item, picture-supported, online instrument with substantially lower time and literacy demands. Method: In tool development (Study 1), 95 items were drawn from the OZI to match its item distribution by age of acquisition and semantic categories. Five items were added from four other semantic categories, plus 12 gestures and six games/routines. Simulations computed OZI-SF scores from existing long-form OZI norm data, and OZI and projected OZI-SF scores were correlated. In an independent norming sample (Study 2), parents (n¼230) completed the OZI-SF for their children aged 12–30 months. Child scores were analysed by age and sex. Result: OZI-SF and OZI scores correlate highly across age and language development levels. Vocabulary scores (receptive, expressive) correlate with age and the median for girls is higher until 24 months. By 24 months, 50% of the sample combine words “often”. The median time to OZI-SF completion was 12 minutes. Conclusion: Fitted percentiles permit working guidelines for typical (median) performance and lower cut-offs for children who may be behind on age-based expectations and/or at risk for a communication difficulty. The OZI-SF is a short-form of the OZI that has promise for research and clinical/educational use with Australian families.This work was supported by the Australian Research Council Centre of Excellence for the Dynamics of Language (ARC CoEDL, CE140100041)

    Imaginary homelessness prevention with prison leavers in Wales

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    Despite a move towards more preventative practices, we have reported that policy objectives to help prison leavers find accommodation on release in Wales have not translated into improved outcomes for this group. In this article we engage in a critical examination of why this might be and how local authority Housing Solutions staff in Wales, newly placed centre stage in the process, go about preventing homelessness amongst prison leavers. Drawing on Carlen’s concept of ‘imaginary penalities’, we suggest that practice with this group is performed only ritualistically. Drawing on Ugelvik’s notion of ‘legitimation work’ we suggest this state of affairs is legitimised by focusing on prison leavers’ responsibility for their homelessness over their rights to housing, and public protection over promoting resettlement. In response we advocate for less-punitive justice and housing policies, underpinned by the right to permanent housing for all and wherein stable accommodation is understood as the starting point for resettlement for prison leavers. The analysis presented in this article provides insights to how homelessness policies could play out in jurisdictions where more joint working between housing and criminal justice agencies are being pursued and/or preventative approaches to managing homelessness are being considered

    Developing a parent vocabulary checklist for young Indigenous children growing up multilingual in the Katherine region of Australia's Northern Territory

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    Purpose: The aim of this study was to develop a checklist to assess vocabulary development in Indigenous Australian children, with a local focus on Indigenous Australian children growing up in the towns and communities of the Katherine Region in the Northern Territory of Australia. In this region, many families are multilingual and/or multidialectal and children’s home languages include varieties of Aboriginal English, Kriol, traditional Aboriginal languages, and/or other languages. Method: Over four years, a checklist was iteratively developed from parent interviews, comparisons of potential items to the content and structure of the Communicative Development Inventories (CDI): Words & Gestures (Short Form), team discussions and pilot testing with 33 parents of infants aged 0–4 years. Result: The Early Language Inventory (ERLI) checklist offers new content compared with the CDI: Words & Gestures (short form) and the OZI (Australian English CDI, long form). Initial data from 33 parents suggests the checklist has desirable features: scores correlated positively with age and related to word combining, reaching ceiling around 3 years of age for many children. Infants whose parents had concerns tended to have lower scores. Conclusion: ERLI is a new local adaptation of the CDI (Words & Gestures) for assessing early communication among Indigenous infants growing up in the Katherine region of the Northern Territory, Australia

    Insider and Outsider Perspectives: Reflections on Researcher Identities in Research with Lesbian and Bisexual Women

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    © Taylor & Francis Group, LLC. In this article, we reflect on the concept of the insider and the outsider in qualitative research. We draw on our different experiences of conducting research with lesbian and bisexual women, using our PhD research projects as case studies to consider our similarities to and differences from our research participants. We highlight the impact that insider/outsider status can have at each stage of the research process, from deciding on a research topic, the design of materials, communicating with and recruiting participants through to data collection and analysis. We discuss the advantages and disadvantages of both insider and outsider positions and reflect on our own experiences. We conclude that, in reality, insider/outsider boundaries may be more blurred than the terms imply and highlight some of the ethical considerations that need to be taken into consideration during qualitative research

    Beyond modernisation? Social care and the transformation of welfare governance

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    This article reflects on the process and outcomes of modernisation in adult social care in England and Wales, drawing particularly on the recently completed Modernising Adult Social Care (MASC) research programme commissioned by the Department of Health. We begin by exploring the contested status of ‘modernisation’ as a descriptor of reform. We then outline some of the distinctive features of adult social care services and suggest that these features introduce dynamics likely to shape both the experiences and outcomes of policy ambitions for modernisation. We then reflect on the evidence emerging from the MASC studies and develop a model for illuminating some of the dynamics of welfare governance. Finally, we highlight the emerging focus on individualisation and on user-directed and controlled services. We argue that the current focus of modernisation involves a reduced emphasis on structural and institutional approaches to change and an increased emphasis on changes in the behaviours and roles of adult social care service users. This focus has implications for both the future dynamics of welfare governance and for conceptions of citizenship

    Combining Clinical With Cognitive or Magnetic Resonance Imaging Data for Predicting Transition to Psychosis in Ultra High-Risk Patients:Data From the PACE 400 Cohort

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    Background: Multimodal modeling that combines biological and clinical data shows promise in predicting transition to psychosis in individuals who are at ultra-high risk. Individuals who transition to psychosis are known to have deficits at baseline in cognitive function and reductions in gray matter volume in multiple brain regions identified by magnetic resonance imaging.Methods: In this study, we used Cox proportional hazards regression models to assess the additive predictive value of each modality—cognition, cortical structure information, and the neuroanatomical measure of brain age gap—to a previously developed clinical model using functioning and duration of symptoms prior to service entry as predictors in the Personal Assessment and Crisis Evaluation (PACE) 400 cohort. The PACE 400 study is a well-characterized cohort of Australian youths who were identified as ultra-high risk of transitioning to psychosis using the Comprehensive Assessment of At Risk Mental States (CAARMS) and followed for up to 18 years; it contains clinical data (from N = 416 participants), cognitive data (n = 213), and magnetic resonance imaging cortical parameters extracted using FreeSurfer (n = 231).Results: The results showed that neuroimaging, brain age gap, and cognition added marginal predictive information to the previously developed clinical model (fraction of new information: neuroimaging 0%–12%, brain age gap 7%, cognition 0%–16%).Conclusions: In summary, adding a second modality to a clinical risk model predicting the onset of a psychotic disorder in the PACE 400 cohort showed little improvement in the fit of the model for long-term prediction of transition to psychosis

    The feasibility of delivering the ADVANCE digital intervention to reduce intimate partner abuse by men receiving substance use treatment:protocol for a non-randomised multi-centre feasibility study and embedded process evaluation

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    BACKGROUND: Compared to men in the general population, men in substance use treatment are more likely to perpetrate intimate partner abuse (IPA). The ADVANCE group intervention for men in substance use treatment is tailored to address substance use and IPA in an integrated way. In a feasibility trial pre-COVID, men who received the ADVANCE intervention via face-to-face group delivery showed reductions in IPA perpetration. Due to COVID-19, ADVANCE was adapted for remote digital delivery. METHODS/DESIGN: This mixed-methods non-randomised feasibility study, with a nested process evaluation, will explore the feasibility and acceptability of delivering the ADVANCE digital intervention to men in substance use treatment who have perpetrated IPA towards a female partner in the past year. Sixty men will be recruited from seven substance use treatment services in Great Britain. The ADVANCE digital intervention comprises a preparatory one-to-one session with a facilitator to set goals, develop a personal safety plan, and increase motivation and a preparatory online group to prepare men for taking part in the intervention. The core intervention comprises six fortnightly online group sessions and 12 weekly self-directed website sessions to recap and practise skills learned in the online group sessions. Each website session is followed by a one-to-one video/phone coaching session with a facilitator. Men will also receive their usual substance use treatment. Men’s female (ex) partners will be invited to provide outcome data and offered support from integrated safety services (ISS). Outcome measures for men and women will be sought post intervention (approximately 4 months post male baseline interview). Feasibility parameters to be estimated include eligibility, suitability, consent, recruitment, attendance, retention and follow-up rates. In-depth interviews or focus groups will explore the intervention’s acceptability to participants, facilitators and ISS workers. A secondary focus of the study will estimate pre-post-differences in outcome measures covering substance use, IPA, mental health, self-management, health and social care service use, criminal justice contacts and quality of life. DISCUSSION: Findings will inform the design of a multicentre randomised controlled trial evaluating the efficacy and cost-effectiveness of the ADVANCE digital intervention for reducing IPA. TRIAL REGISTRATION: The feasibility study was prospectively registered: ISRCTN66619273
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