The abortion-crime link: evidence from England and Wales

We use panel data from 1983 to 1997 for the 42 police force areas in England and Wales to test the hypothesis that legalizing abortion contributes to lower crime rates. We provide an advance on previous work by focusing on the impact of possible endogeneity of effective abortion rates with respect to crime. Our use of U.K. data allows us to exploit regional differences in the provision of free abortions to identify abortion rates. When we use a similar model and estimation methodology, we are able to replicate the negative association between abortion rates and reported crime found by Donohue and Levitt for the U.S. However, when we allow for the potential endogeneity of effective abortion rates with respect to crime, we find no clear connection between the two.

Bilateral Proximal Tibial Sleeve Fractures in a Child: A Case Report

Introduction: A sleeve fracture classically describes an avulsion of cartilage or periosteum with or without osseous fragments and usually occurs at the inferior margin of the patella. Tibial tubercle sleeve fractures in the skeletally immature are extremely rare. Case Presentation: In this report the authors describe a 12-year-old boy with no systemic disease and no steroid use who sustained bilateral proximal tibial sleeve fractures whilst playing football. Both ruptures were associated with rupture of the medial patellofemoral ligament and tear of the medial retinaculum. Treatment was performed with primary end-to-end repair, reinforcement with bone anchors and cerclage wires with an excellent outcome. Conclusions: We feel this rare, currently unclassified variant of a tibial tubercle avulsion fracture should be recognised and consideration taken to adding it to existing classification systems

Stakeholder and citizen roles in public deliberation

This paper explores theoretical and practical distinctions between individual citizens (`citizens) and organized groups ('stakeholder representatives' or `stakeholders for short) in public participation processes convened by government as part of policy development. Distinctions between `citizen and `stakeholder involvement are commonplace in government discourse and practice; public involvement practitioners also sometimes rely on this distinction in designing processes and recruiting for them. Recognizing the complexity of the distinction, we examine both normative and practical reasons why practitioners may lean towardor away fromrecruiting citizens, stakeholders, or both to take part in deliberations, and how citizen and stakeholder roles can be separated or combined within a process. The article draws on a 2012 Canadian-Australian workshop of deliberation researchers and practitioners to identify key challenges and understandings associated with the categories of stakeholder and citizen and their application, and hopes to continue this conversation with the researcher-practitioner community

A network approach to studying research programmes : mobilizing and coordinating public responses to HIV/AIDS

Based on the analysis of the Medical and Public Health Research programme (Commission of the European Communities), the paper shows how new scientific communities are created in response to the HIV/AIDS problem. We analyze how actors are mobilized (three mobilization modes : public impetus, scientists'initiative, scientists' initiative with public networking) and how their work is coordinated. We defend the hypothesis that these new scientific communities are flexible cooperation networks. In the case of AIDS research, there are only a limited number of network types (the data collection structure, the forum, the thematic partition with harmonization of research practices, the starred around a central facility). The coordination of these scientific cooperative networks passes through fixed and circulating intermediaries. The management of these intermediaries is a major activity for involved actors. thus, our aim is not to study the wider social context, but to analyze networking in response to policy initiatives. (Résumé d'auteur

Functional neuroimaging and withdrawal of life-sustaining treatment from vegetative patients

Recent studies using functional magnetic resonance imaging of patients in a vegetative state have raised the possibility that such patients retain some degree of consciousness. In this paper, the ethical implications of such findings are outlined, in particular in relation to decisions about withdrawing life-sustaining treatment. It is sometimes assumed that if there is evidence of consciousness, treatment should not be withdrawn. But, paradoxically, the discovery of consciousness in very severely brain-damaged patients may provide more reason to let them die. Although functional neuroimaging is likely to play an increasing role in the assessment of patients in a vegetative state, caution is needed in the interpretation of neuroimaging findings

Depression and Quality of Life Among Adults with Asthma Presence in Nevada

Asthma is a lung disease that causes coughing, chest tightness, wheezing, and breathlessness. It is often controlled by medication use and avoidance of environmental triggers. It is a leading chronic, non-communicable disease affecting over 19 million adults in the United States (CDC, 2020a). Asthma and severe asthma have been shown to negatively affect mental health and quality of life among adults including limiting physical activity, lowering sleep quality, exacerbating economic challenges, missing work, and increasing healthcare use (Stanescu, et al., 2019). Approximately 8% of adult Nevadans reported current asthma symptoms and 12.6% reported having a diagnosis during their lifetime (CDC, 2018c). The purpose of this study was to evaluate the association between self-reported asthma and depression among adult Nevadans; as well as to explore quality of life factors affecting adult Nevadans with asthma. Using 2017 Behavioral Risk Factor Surveillance System (BRFSS) data, this study evaluated the association between asthma and depression in Nevada with respect to other associated factors that may also play a role. Upon adjustment of relevant covariates, adult Nevadans with current asthma were 3.22 times as likely (95% CI: 2.26-4.58) to be depressed compared to those without asthma. Adult Nevadans with lifetime asthma were 2.6 times as likely (95% CI: 1.88-3.61) to be depressed compared to those without a lifetime asthma diagnosis. Data from the BRFSS Asthma Call-Back Survey (ACBS) were used to determine quality of life factors affecting a sub-sample of survey respondents self-reporting with asthma in Nevada for the same year. Respondents on the ACBS indicated the prevalence of quality of life indicators and quality of life risk factors including depression (38%), activity limitations (40%), sleep disturbance (26%), missing work or other activities (31%), cost-related challenges (20%), healthcare usage (33%), exposure to environmental triggers (96%), and severe asthma as indicated by use of oral corticosteroids (5%). Asthma presence is associated with depression and negatively affects quality of life among adult Nevadans. A public health approach including asthma education and clinical outreach is critical in order to reduce the impact of asthma on mental health and quality of life

Elastic and Raman scattering of 9.0 and 11.4 MeV photons from Au, Dy and In

Monoenergetic photons between 8.8 and 11.4 MeV were scattered elastically and in elastically (Raman) from natural targets of Au, Dy and In.15 new cross sections were measured. Evidence is presented for a slight deformation in the 197Au nucleus, generally believed to be spherical. It is predicted, on the basis of these measurements, that the Giant Dipole Resonance of Dy is very similar to that of 160Gd. A narrow isolated resonance at 9.0 MeV is observed in In.Comment: 31 pages, 11 figure

The Insula and Its Epilepsies

Insular seizures are great mimickers of seizures originating elsewhere in the brain. The insula is a highly connected brain structure. Seizures may only become clinically evident after ictal activity propagates out of the insula with semiology that reflects the propagation pattern. Insular seizures with perisylvian spread, for example, manifest first as throat constriction, followed next by perioral and hemisensory symptoms, and then by unilateral motor symptoms. On the other hand, insular seizures may spread instead to the temporal and frontal lobes and present like seizures originating from these regions. Due to the location of the insula deep in the brain, interictal and ictal scalp electroencephalogram (EEG) changes can be variable and misleading. Magnetic reso- nance imaging, magnetic resonance spectroscopy, magnetoencephalography, positron emission tomography, and single-photon computed tomography imaging may assist in establishing a diagnosis of insular epilepsy. Intracranial EEG recordings from within the insula, using stereo-EEG or depth electrode techniques, can prove insular seizure origin. Seizure onset, most commonly seen as low-voltage, fast gamma activity, however, can be highly localized and easily missed if the insula is only sparsely sampled. Moreover, seizure spread to the contralateral insula and other brain regions may occur rapidly. Extensive sampling of the insula with multiple electrode trajectories is necessary to avoid these pitfalls. Understanding the functional organization of the insula is helpful when interpreting the semiology produced by insular seizures. Electrical stimulation mapping around the central sulcus of the insula results in paresthesias, while stimulation of the posterior insula typically produces painful sensations. Visceral sensations are the next most common result of insular stimulation. Treatment of insular epilepsy is evolving, but poses challenges. Surgical resections of the insula are effective but risk significant morbidity if not carefully planned. Neurostimulation is an emerging option for treatment, especially for seizures with onset in the posterior insula. The close association of the insula with marked autonomic changes has led to interest in the role of the insula in sudden unexpected death in epilepsy and warrants additional study with larger patient cohorts

Mass loss rates of a sample of irregular and semiregular M-type AGB-variables

We have determined mass loss rates and gas expansion velocities for a sample of 69 M-type irregular (IRV; 22 objects) and semiregular (SRV; 47 objects) AGB-variables using a radiative transfer code to model their circumstellar CO radio line emission. We believe that this sample is representative for the mass losing stars of this type. The (molecular hydrogen) mass loss rate distribution has a median value of 2.0E-7 solar masses per year. M-type IRVs and SRVs with a mass loss rate in excess of 5E-7 solar masses per year must be very rare, and among these mass losing stars the number of sources with mass loss rates below a few 10E-8 solar masses per year must be small. We find no significant difference between the IRVs and the SRVs in terms of their mass loss characteristics. Among the SRVs the mass loss rate shows no dependence on the period. Likewise the mass loss rate shows no correlation with the stellar temperature. The gas expansion velocity distribution has a median of 7.0 km/s. The mass loss rate and the gas expansion velocity correlate well, a result in line with theoretical predictions for an optically thin, dust-driven wind. In general, the model produces line profiles which acceptably fit the observed ones. We have compared the results of this M-star sample with a similar C-star sample analysed in the same way. The mass loss rate characteristics are very similar for the two samples. On the contrary, the gas expansion velocity distributions are clearly different. In particular, the number of low-velocity sources is much higher in the M-star sample. We found no example of the sharply double-peaked CO line profile, which is evidence of a large, detached CO-shell, among the M-stars. About 10% of the C-stars show this phenomenon.Comment: 16 pages, 11 figures, accepted by A&