7,764 research outputs found
Wages, racial composition, and quality sorting in labor markets
This paper examines the relationship between wage rates and the racial composition of jobs, using large cross-sectional and longitudinal samples constructed from monthly Current Population Surveys for 1983-92. Support is found for a "quality sorting" model that posits an equilibrium in which the racial composition of jobs serves as a skill index of unmeasured labor quality. Estimation of standard wage-level equations shows that wages of both black and white workers are substantially lower in occupations with a high density of blacks. Consistent with the quality sorting hypothesis, the magnitude of the relationship is reduced sharply after accounting for occupational skill measures. Longitudinal wage-change estimates controlling for person-specific quality indicate little if any causal effect of racial composition on wages. Estimates of racial discrimination are reduced only moderately after accounting for racial composition; unexplained differentials occur within occupations or reflect inter-occupational differences uncorrelated with racial composition and occupational skill measures.
Tackling socially determined dental inequalities: ethical aspects of Childsmile, the national child oral health demonstration programme in Scotland
Many ethical issues are posed by public health interventions, including whether they ought to be aimed at improving health across society or reducing specific health inequalities, whether they should be targeted or universal and the issue of which targeting criteria ought to be used. Although abstract theorising about these issues can be useful, it is the application of ethical theory to real cases which will ultimately be of benefit in decision-making.
To this end, this paper will analyse the ethical issues involved in Childsmile, a national oral health demonstration programme in Scotland that aims to improve the oral health of the nation’s children and reduce dental inequalities through a combination of targeted and universal interventions. With Scotland’s level of dental caries among the worst in the Western world, Childsmile represents perhaps the largest programme of work aimed at combating oral health inequalities in the UK. The areas of ethical interest include several contrasting themes: reducing health inequalities and improving health; universal and targeted interventions; political values and evidence base; prevention and treatment; and underlying all of these, justice and utility
A comparison of surface sensible and latent heat fluxes from aircraft and surface measurements in FIFE 1987
Surface fluxes of sensible and latent heat over a tall-grass prairie in central Kansas, as measured by 22 surface stations during FIFE 1987, are compared with values gained indirectly by linear extrapolation of aircraft-measured flux profiles to the surface. The results of 33 such comparisons covering the period 26 June to 13 October 1987 indicate that the sensible heat flux profiles were generally more linear with less scatter in the measurements at each level than were the latent heat flux profiles, the profile extrapolations of sensible heat flux in general underestimate the surface averages by about 30 percent, with slightly better agreement during periods of small flux, and the profile extrapolations of latent heat flux in general underestimate the surface averages by about 15 percent, with overestimates during periods of small fluxes (dry conditions) and overestimates during periods of large fluxes (moist conditions). Possible origins of the differences between the two sets of measurements are discussed, as directions for further research
Advanced electrostatic ion thruster for space propulsion
The suitability of the baseline 30 cm thruster for future space missions was examined. Preliminary design concepts for several advanced thrusters were developed to assess the potential practical difficulties of a new design. Useful methodologies were produced for assessing both planetary and earth orbit missions. Payload performance as a function of propulsion system technology level and cost sensitivity to propulsion system technology level are among the topics assessed. A 50 cm diameter thruster designed to operate with a beam voltage of about 2400 V is suggested to satisfy most of the requirements of future space missions
Effectiveness and reach of a directed-population approach to improving dental health and reducing inequalities: a cross sectional study
Background
Childsmile School adopts a directed-population approach to target fluoride varnish applications to 20% of the primary one (P1) population in priority schools selected on the basis of the proportion of enrolled children considered to be at increased-risk of developing dental caries. The study sought to compare the effectiveness of four different methods for identifying individuals most in need when a directed-population approach is taken. <p></p>
Methods
The 2008 Basic National Dental Inspection Programme (BNDIP) cross-sectional P1 Scottish epidemiological survey dataset was used to model four methods and test three definitions of increased-risk. Effectiveness was determined by the positive predictive value (PPV) and explored in relation to 1-sensitivity and 1-specificity. <p></p>
Results
Complete data was available on 43470 children (87% of the survey). At the Scotland level, at least half (50%) of the children targeted were at increased-risk irrespective of the method used to target or the definition of increased-risk. There was no one method across all definitions of <i>increased-risk</i> that maximised PPV. Instead, PPV was highest when the targeting method complimented the definition of <i>increased-risk</i>. There was a higher percentage of children at <i>increased-risk</i> who were not targeted (1-sensitivity) when caries experience (rather than deprivation) was used to define <i>increased-risk</i>, irrespective of the method used for targeting. Over all three definitions of <i>increased-risk</i>, there was no one method that minimised (1-sensitivity) although this was lowest when the method and definition of <i>increased-risk</i> were complimentary. The false positive rate (1-specificity) for all methods and all definitions of <i>increased-risk</i> was consistently low (<20%), again being lowest when the method and definition of <i>increased-risk</i> were complimentary. <p></p>
Conclusion
Developing a method to reach all (or even the vast majority) of individuals at <i>increased-risk</i> defined by either caries experience or deprivation is difficult using a directed-population approach at a group level. There is a need for a wider debate between politicians and public health experts to decide how best to reach those most at need of intervention to improve health and reduce inequalities. <p></p>
Evaluation of dental therapists undertaking dental examinations in a school setting in Scotland
Objective: To measure agreement between dental therapists and the
Scottish gold-standard dentist undertaking National Dental Inspection
Programme (NDIP) examinations. Methods: A study of interexaminer
agreement between 19 dental therapists and the national gold-standard dentist
was carried out. Pre-calibration training used the caries diagnostic criteria and
examination techniques agreed by the British Association for the Study of
Community Dentistry (BASCD). Twenty-three 5-year-old children (Primary 1)
and 17 11-year-old children (Primary 7) children were examined. Agreement
was assessed using kappa statistics on d 3 mft and D 3 MFT for P1 and P7 children, sensitivity and specificity values, and kappa statistics on d 3 t/D 3 T and
ft/FT. Calibration data on P1 and P7 children from 2009–2012 involving
dentists as examiners were used for comparison. Economic evaluation was
undertaken using a cost minimization analysis approach. Results: The mean
kappa score was 0.84 (SD 0.07) ranging from 0.69 to 0.94. All dental therapists
scored good or very good agreement with the gold-standard dentist. This
compares with historic NDIP calibration data with dentists, against the same
gold-standard dentist, where the mean kappa value was 0.68 (SD 0.22) with a
range of 0.35-1.00. The mean sensitivity score was 0.98 (SD 0.04) (range 0.88-1.0)
and mean specificity score was 0.90 (SD 0.06) (range 0.78-0.96). Health
economic analysis estimated that salary costs would be 33.6% lower if dental
therapists were substituted for dentists in the year 2013, with an estimated
saving of approximately £103 646 per annum on the national budget.
Conclusion: We conclude that dental therapists show a high level of
interexaminer agreement, and with the appropriate annual training and
calibration, they could undertake dental examinations as part of the NDIP
programme
The kaolinitic clay deposits on Beaconsfield, north of Grahamstown
The Grahamstown clay deposits occur below the Grahamstown Formation silcrete, which forms a remnant of an extensive peneplain that developed on the African erosion surface during the Cretaceous–Tertiary period. This paper provides new data on the distribution of the kaolinitic clay deposits in the Beaconsfield area north of Grahamstown. These data include 23 borehole profiles through the deposits, and the chemistry and mineralogy of the clays. Relatively little information is available on this part of the peneplain. It was found that the thickness of the kaolin horizon varies considerably, but reaches 35m in places. It generally occurs under a silcrete cover, which attains a thickness of 8 m in places. Lithological logs enable direct comparison across the Beaconsfield area. The clays are developed in both the Witteberg Group shale and Dwyka Group tillite. The contact between the clay and underlying bedrock is gradational and relatively uneven. Major-element X-ray fluorescence analyses revealed that there is chemical variation, both vertically and laterally. Al2O3 content is generally near 20%, but may reach 29%. SiO2 content varies between 55 and 70+%. SiO2 contents are highest in the silcretes occurring just below soil level. Fe2O3 is high locally in the top part of the profile. K2O and Na2O are generally low, but increase towards the unweathered bedrock as the primary feldspar content increases. These compositional variations are compatible with residual concentrations of kaolinitic clays through deep weathering below the former African erosion surface
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