Pray for the People Who Feed You : Voices of Pauper Children in the Industrial Age

Following the Industrial Revolution in the late nineteenth and early twentieth centuries, countries such as the United States and England experienced a widening gap between the rich industrialists and the impoverished working class. As a result, poverty quickly shifted from a localized problem to a national epidemic. Each country was faced with the challenges of addressing and alleviating poverty on a national scale. With a limited amount of resources, questions arose about who should receive relief. What should it look like? How should it be administered? And how would poverty and policy affect political, economic, social and familial structures? [excerpt]https://cupola.gettysburg.edu/artcatalogs/1016/thumbnail.jp

Reliability of Addenbrooke's Cognitive Examination III in differentiating between dementia, mild cognitive impairment and older adults who have not reported cognitive problems.

Diagnosing dementia can be challenging for clinicians, given the array of factors that contribute to changes in cognitive function. The Addenbrooke’s Cognitive Examination III (ACE-III) is commonly used in dementia assessments, covering the domains of attention, memory, fluency, visuospatial and language. This study aims to (1) assess the reliability of ACE-III to differentiate between dementia, mild cognitive impairment (MCI) and controls and (2) establish whether the ACE-III is useful for diagnosing dementia subtypes. Client records from the Northern Health and Social Care Trust (NHSCT) Memory Service (n = 2,331, 2013–2019) were used in the analysis including people diagnosed with Alzheimer’s disease (n = 637), vascular dementia (n = 252), mixed dementia (n = 490), MCI (n = 920) and controls (n = 32). There were significant differences in total ACE-III and subdomain scores between people with dementia, MCI and controls (p  73%) and thus the differences are not clinically relevant. The results suggest that ACE-III is a useful tool for discriminating between dementia, MCI and controls, but it is not reliable for discriminating between dementia subtypes. Nonetheless, the ACE-III is still a reliable tool for clinicians that can assist in making a dementia diagnosis in combination with other factors at assessment

THE OAK ORCHARD SOIL WATER ASSESSMENT TOOL A decision support system for watershed management Part 1: Calibration and Validation

A hydrologic model (SWAT) was developed and calibrated for the Oak Orchard watershed to evaluate sources and sinks of sediment and nutrients. The model included the most important anthropogenic features that impacted water flow and nonpoint source pollution in the watershed. These features included reservoirs at the Iroquois National Wildlife Refuge, Waterport and Medina; point sources such as the Erie Canal, US Gypsum, Allen Canning, wastewater treatment plants at Medina, Oakfield and Elba, and tiledrains at the mucklands, an intensely farmed area that was drained to combat malaria in the 19th century. The model included point sources for every subbasin so that the effects of future point sources can be evaluated. The model was calibrated for waterflow and sediment using observed loading data collected by Makarewicz and Lewis (2000, 2009). To achieve the proper water balance observed at the watershed, seasonal inputs of water had to be added from the Erie Canal and the Onondaga escarpment. This water came from outside of the watershed. The resulting calibration had a Nash-Sutcliffe (NS) prediction efficiency of 0.81 for the calibration period (1997-1999). The total cumulative sediment loading was within 2%, of observed and the monthly sediment loads fell within the uncertainty of the observed data (NS=0.31). Cumulative total phosphorous loads were within 2% of observed and the NS prediction efficiency was 0.91. The model validated very poorly in the 2008 time period primarily because of inaccurate precipitation data and incorrect groundwater fluxes from the escarpment. Further research needs to evaluate the timing and amount of groundwater flow from the escarpment because it has a significant impact on monthly flows in this watershed. It is likely that other watersheds that are nestled against the Onondaga escarpment are impacted by spring flows from this geologic feature

Comparison of spin anisotropy and exchange alternation

Quasi‐1‐D magnetic systems with on the one hand an Ising‐Heisenberg type spin anisotropy and on the other hand an alternating (dimerized) character have many interesting features in common and a few interesting differences in their phase behavior and general magnetic properties. This report reviews results rather scattered in the literature in addition to presenting new results. These rather complex quantum models present a theoretical challenge. It is also hoped that this work will be helpful to magnetochemists interested in identifying the underlying magnetic character of their systems, and to experimentalists in general

Disrupted prevention: condom and contraception access and use among young people during the initial months of the COVID-19 pandemic

No abstract available

Disrupted prevention: Condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey

Background: The initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic. Methods: We analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland. Results: Among those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care. Conclusions: Emerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people

Disrupted prevention: Condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey

Background: The initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic. Methods: We analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland. Results: Among those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care. Conclusions: Emerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people

Visually assessed breast density, breast cancer risk and the importance of the craniocaudal view

Contains fulltext : 69403.pdf (publisher's version ) (Open Access)INTRODUCTION: Mammographic density is known to be a strong risk factor for breast cancer. A particularly strong association with risk has been observed when density is measured using interactive threshold software. This, however, is a labour-intensive process for large-scale studies. METHODS: Our aim was to determine the performance of visually assessed percent breast density as an indicator of breast cancer risk. We compared the effect on risk of density as measured with the mediolateral oblique view only versus that estimated as the average density from the mediolateral oblique view and the craniocaudal view. Density was assessed using a visual analogue scale in 10,048 screening mammograms, including 311 breast cancer cases diagnosed at that screening episode or within the following 6 years. RESULTS: Where only the mediolateral oblique view was available, there was a modest effect of breast density on risk with an odds ratio for the 76% to 100% density relative to 0% to 25% of 1.51 (95% confidence interval 0.71 to 3.18). When two views were available, there was a considerably stronger association, with the corresponding odds ratio being 6.77 (95% confidence interval 2.75 to 16.67). CONCLUSION: This indicates that a substantial amount of information on risk from percentage breast density is contained in the second view. It also suggests that visually assessed breast density has predictive potential for breast cancer risk comparable to that of density measured using the interactive threshold software when two views are available. This observation needs to be confirmed by studies applying the different measurement methods to the same individuals

The prevalence and incidence of mental ill-health in adults with autism and intellectual disabilities

The prevalence, and incidence, of mental ill-health in adults with intellectual disabilities and autism were compared with the whole population with intellectual disabilities, and with controls, matched individually for age, gender, ability-level, and Down syndrome. Although the adults with autism had a higher point prevalence of problem behaviours compared with the whole adult population with intellectual disabilities, compared with individually matched controls there was no difference in prevalence, or incidence of either problem behaviours or other mental ill-health. Adults with autism who had problem behaviours were less likely to recover over a two-year period than were their matched controls. Apparent differences in rates of mental ill-health are accounted for by factors other than autism, including Down syndrome and ability level