Should health professionals screen women for domestic violence? : systematic review

Objective To assess the evidence for the acceptability and effectiveness of screening women for domestic violence in healthcare settings. Design Systematic review of published quantitative studies. Search strategy Three electronic databases (Medline, Embase, and CINAHL) were searched for articles published in the English language up to February 2001. Included studies Surveys that elicited the attitudes of women and health professionals on the screening of women in health settings; comparative studies conducted in healthcare settings that measured rates of identification of domestic violence in the presence and absence of screening; studies measuring outcomes of interventions for women identified in health settings who experience abuse from a male partner or ex­partner compared with abused women not receiving an intervention. Results 20 papers met the inclusion criteria. In four surveys, 43­85% of women respondents found screening in healthcare settings acceptable. Two surveys of health professionals' views found that two thirds of physicians and almost half of emergency department nurses were not in favour of screening. In nine studies of screening compared with no screening, most detected a greater proportion of abused women identified by healthcare professionals. Six studies of interventions used weak study designs and gave inconsistent results. Other than increased referral to outside agencies, little evidence exists for changes in important outcomes such as decreased exposure to violence. No studies measured quality of life, mental health outcomes, or potential harm to women from screening programmes. Conclusion Although domestic violence is a common problem with major health consequences for women, implementation of screening programmes in healthcare settings cannot be justified. Evidence of the benefit of specific interventions and lack of harm from screening is needed

Harvesting alfalfa with a windrow pick-up baler

Excellent quality hay may be made with the windrow pick-up baler. A windrow pick-up baler, operated at Iowa State College during the haymaking season of 1933, showed an average capacity of 1.59 tons of alfalfa per hour and a labor requirement of 2.52 man hours per ton. After the operators had developed some skill, the capacity of the machine in baling one crop from a field was increased to 3 tons per hour, and the labor expenditure lowered to 1.35 man hours per ton

Variability of eta Carinae III

Spectra (1951-78) of the central object in eta Car, taken by A.D. Thackeray, reveal three previously unrecorded epochs of low excitation. Since 1948, at least, these states have occurred regularly in the 2020 day cycle proposed by Damineli et al. They last about 10 percent of each cycle. Early slit spectra (1899-1919) suggest that at that time the object was always in a low state. JHKL photometry is reported for the period 1994-2000. This shows that the secular increase in brightness found in 1972-94 has continued and its rate has increased at the shorter wavelengths. Modulation of the infrared brightness in a period near 2020 days continues. There is a dip in the JHKL light curves near 1998.0, coincident with a dip in the X-ray light curve. Evidence is given that this dip in the infrared repeats in the 2020 day cycle. As suggested by Whitelock & Laney, the dip is best interpreted as an eclipse phenomenon in an interacting binary system; the object eclipsed being a bright region (`hot spot'), possibly on a circumstellar disc or produced by interacting stellar winds. The eclipse coincides in phase and duration with the state of low excitation. It is presumably caused by a plasma column and/or by one of the stars in the system.Comment: 10 pages, 7 postscript figures, accepted for MNRA

Social interactions and the demand for sport: an economic analysis

‘The definitive version is available at www3.interscience.wiley.com '. Copyright Blackwell Publishing DOI: 10.1111/j.1465-7287.2007.00071.xThis paper explores the decision to participate in sports activities in the UK and the subsequent frequency of participation. The paper draws links between economic and other theories of social interaction to motivate the discussion and links these theories to assessing policy initiatives in the UK. Cluster analysis is combined with a Heckman analysis to examine the empirical evidence provided by the General Household Survey in 2002. The results suggest that social and personal capital are of paramount importance in determining sports participation and consequently it is these features that policy should focus upon.Peer reviewe

Dynamics of the infinitely-thin kink

We consider the dynamics of the domain-wall kink soliton, in particular we study the zero mode of translation. In the infinitely-thin kink limit, we show that the zero mode is almost completely frozen out, the only remnant being a dynamically constrained four-dimensional mode of a single but arbitrary frequency. In relation to this result, we show that the usual mode expansion for dealing with zero modes -- implicit collective coordinates -- is not in fact a completely general expansion, and that one must use instead a traditional generalised Fourier analysis.Comment: 13 pages; v2: added references, to appear in Phys Lett

Stealth Branes

We discuss the brane world model of Dvali, Gabadadze and Porrati in which branes evolve in an infinite bulk and the brane curvature term is added to the action. If Z_2 symmetry between the two sides of the brane is not imposed, we show that the model admits the existence of "stealth branes" which follow the standard 4D internal evolution and have no gravitational effect on the bulk space. Stealth branes can nucleate spontaneosly in a Minkowski bulk. This process is described by the standard 4D quantum cosmology formalism with tunneling boundary conditions for the brane world wave function. The notorious ambiguity in the choice of boundary conditions is fixed in this case due to the presence of the embedding spacetime. We also point to some problematic aspects of models admitting stealth brane solutions.Comment: 24 pages; Final version, to appear in Phys. Rev. D. The discussion of "embeddability obstruction" is removed (thanks to Takahiro Tanaka who convinced us that there is no such obstruction