711 research outputs found

    A Discourse, Delivered at Plymouth, December 22, 1820. In Commemoration of the First Settlement of New-England (1821)

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    To celebrate the 200th anniversary of the Mayflower Pilgrims’ Landing at Plymouth Rock, Daniel Webster (1782–1852), former congressman and future senator and secretary of state, delivered this long discourse to the assembled members of the Pilgrim Society. Always the consummate New Englander, Webster sketched 200 years of American history, surveyed the present era, and projected grand future prospects for a nation barely 40 years old, but with deep roots in Reformed Protestant values and English constitutionalism. Underlying all was his belief that “The character of their political institutions was determined by the fundamental laws respecting property.” Webster’s stories highlight the political, economic, intellectual, and moral contributions of the New England migrants and their progeny. His account of their enterprise makes them the ancestors of American democracy and dramatizes the concerns that shaped national politics in the decades before the Civil War. doi:10.32873/unl.dc.zea.1329https://digitalcommons.unl.edu/zeaamericanstudies/1040/thumbnail.jp

    A Discourse, Delivered at Plymouth, December 22, 1820. In Commemoration of the First Settlement of New-England.

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    To celebrate the 200th anniversary of the Mayflower Pilgrims’ Landing at Plymouth Rock, Daniel Webster (1782–1852), former congressman and future senator and secretary of state, delivered this long discourse to the assembled members of the Pilgrim Society. Always the consummate New Englander, Webster sketched 200 years of American history, surveyed the present era, and projected grand future prospects for a nation barely 40 years old, but with deep roots in Reformed Protestant values and English constitutionalism. Underlying all was his belief that “The character of their political institutions was determined by the fundamental laws respecting property.” Webster’s stories highlight the political, economic, intellectual, and moral contributions of the New England migrants and their progeny. His account of their enterprise makes them the ancestors of American democracy and dramatizes the concerns that shaped national politics in the decades before the Civil War

    Facilitating a Collaborative Approach to E-Learning for Program Planners, Instructor Training and Technology Leadership

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    Significant differences in expertise and attitudes towards e-learning technology are not uncommon between those who design the program and maintain the technology (program planners and technicians) and those who use the resources and technology (instructors and trainers). This wide disconnect between the two groups will often result in frustration and a poor quality product. Models of e-learning training and collaboration will be illustrated in three settings: higher education, secondary education, and the corporate level

    Introduction: looking beyond the walls

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    In its consideration of the remarkable extent and variety of non-university researchers, this book takes a broader view of ‘knowledge’ and ‘research’ than in the many hot debates about today’s knowledge society, ‘learning age’, or organisation of research. It goes beyond the commonly held image of ‘knowledge’ as something produced and owned by the full-time experts to take a look at those engaged in active knowledge building outside the university walls

    Integrated delivery of family planning and childhood immunisation services: a mixed methods assessment of service responsiveness.

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    BACKGROUND: Postpartum women represent a considerable share of the global unmet need for modern contraceptives. Evidence suggests that the integration of family planning (FP) with childhood immunisation services could help reduce this unmet need by providing repeat opportunities for timely contact with FP services. However, little is known about the clients' experiences of FP services that are integrated with childhood immunisations, despite being crucial to contraceptive uptake and repeat service utilisation. METHODS: The responsiveness of FP services that were integrated with childhood immunisations in Malawi was assessed using cross-sectional convergent mixed methods. Exit interviews with clients (n=146) and audits (n=15) were conducted in routine outreach clinics. Responsiveness scores across eight domains were determined according to the proportion of clients who rated each domain positively. Text summary analyses of qualitative data from cognitive interviewing probes were also conducted to explain responsiveness scores. Additionally, Spearman rank correlation and Pearson's chi-squared test were used to identify correlations between domain ratings and to examine associations between domain ratings and client, service and clinic characteristics. RESULTS: Responsiveness scores varied across domains: dignity (97.9%); service continuity (90.9%); communication (88.7%); ease of access (77.2%); counselling (66.4%); confidentiality (62.0%); environment (53.9%) and choice of provider (28.4%). Despite some low performing domains, 98.6% of clients said they would recommend the clinic to a friend or family member interested in FP. The choice of provider, communication, confidentiality and counselling ratings were positively associated with clients' exclusive use of one clinic for FP services. Also, the organisation of services in the clinics and the providers' individual behaviours were found to be critical to service responsiveness. CONCLUSIONS: This study establishes that in routine outreach clinics, FP services can be responsive when integrated with childhood immunisations, particularly in terms of the dignity and service continuity afforded to clients, though less so in terms of the choice of provider, environment, and confidentiality experienced. Additionally, it demonstrates the value of combining cognitive interviewing techniques with Likert questions to assess service responsiveness

    Feasibility and Coverage of Implementing Intermittent Preventive Treatment of Malaria in Pregnant women Contacting Private or Public Clinics in Tanzania: Experience-based Viewpoints of Health Managers in Mkuranga and Mufindi districts.

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    Evidence on healthcare managers' experience on operational feasibility of malaria intermittent preventive treatment for malaria during pregnancy (IPTp) using sulphadoxine-pyrimethamine (SP) in Africa is systematically inadequate. This paper elucidates the perspectives of District Council Health Management Team (CHMT)s regarding the feasibility of IPTp with SP strategy, including its acceptability and ability of district health care systems to cope with the contemporary and potential challenges. The study was conducted in Mkuranga and Mufindi districts. Data were collected between November 2005 and December 2007, involving focus group discussion (FGD) with Mufindi CHMT and in-depth interviews were conducted with few CHMT members in Mkuranga where it was difficult to summon all members for FGD. Participants in both districts acknowledged the IPTp strategy, considering the seriousness of malaria in pregnancy problem; government allocation of funds to support healthcare staff training programmes in focused antenatal care (fANC) issues, procuring essential drugs distributed to districts, staff remuneration, distribution of fANC guidelines, and administrative activities performed by CHMTs. The identified weaknesses include late arrival of funds from central level weakening CHMT's performance in health supervision, organising outreach clinics, distributing essential supplies, and delivery of IPTp services. Participants anticipated the public losing confidence in SP for IPTp after government announced artemither-lumefantrine (ALu) as the new first-line drug for uncomplicated malaria replacing SP. Role of private healthcare staff in IPTp services was acknowledged cautiously because CHMTs rarely supplied private clinics with SP for free delivery in fear that clients would be required to pay for the SP contrary to government policy. In Mufindi, the District Council showed a strong political support by supplementing ANC clinics with bottled water; in Mkuranga such support was not experienced. A combination of health facility understaffing, water scarcity and staff non-adherence to directly observed therapy instructions forced healthcare staff to allow clients to take SP at home. Need for investigating in improving adherence to IPTp administration was emphasised. High acceptability of the IPTp strategy at district level is meaningless unless necessary support is assured in terms of number, skills and motivation of caregivers and availability of essential supplies

    Trends in suicide in a Lithuanian urban population over the period 1984–2003

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    BACKGROUND: Throughout the last decade of the twentieth century, Lithuania had the highest suicide rates in Europe among both men and women aged 25–64 years. The rates increased from 1986 until 1995, but later there was a slight decrease. This paper describes the trends in suicide deaths in urban population in Lithuania by gender, dates and suicide method over the period 1984–2003. METHODS: Data from the regional mortality register were used to analyze suicide deaths among all men and women aged 25–64 years in Kaunas city, Lithuania over the period 1984–2003. Age-standardized death rates per 100,000 persons (using European standard population) were calculated by gender, suicide method and dates. A joinpoint regression method was used to estimate annual percentage changes (EPACs) and to detect points where the trends changed significantly. RESULTS: The frequency of death by suicide among males was 48% higher in 1994–2003 than in 1984–1993. The corresponding increase among females was 28%. The most common methods of suicide among men were hanging, strangulation and suffocation (87.4% among all suicide deaths). The proportions of hanging, strangulation and suffocation in males increased by 6.9% – from 83.9% to 89.7% – compared to a 24.2% increase in deaths from handgun, rifle and shotgun firearm discharges and a 216.7% increase in deaths from poisoning with solvents, gases, pesticides and vapors. Among females, the most common methods of suicide were hanging, strangulation and suffocation (68.3% of all suicide deaths). The proportion of hanging deaths among females increased during the time period examined, whereas the proportion of poisonings with solid or liquid substances decreased. CONCLUSION: Suicide rates increased significantly among urban men aged 25–64 years in Lithuania throughout the period 1984–2003, whereas among women an increasing but statistically insignificant trend was observed. There were changes in the suicide methods used by both men and women. Changes in the choice of method may have contributed to the changes in suicide rates

    Seroprevalence following the second wave of pandemic 2009 H1N1 influenza in Pittsburgh, PA, USA

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    Background: In April 2009, a new pandemic strain of influenza infected thousands of persons in Mexico and the United States and spread rapidly worldwide. During the ensuing summer months, cases ebbed in the Northern Hemisphere while the Southern Hemisphere experienced a typical influenza season dominated by the novel strain. In the fall, a second wave of pandemic H1N1 swept through the United States, peaking in most parts of the country by mid October and returning to baseline levels by early December. The objective was to determine the seroprevalence of antibodies against the pandemic 2009 H1N1 influenza strain by decade of birth among Pittsburgh-area residents. Methods and Findings: Anonymous blood samples were obtained from clinical laboratories and categorized by decade of birth from 1920-2009. Using hemagglutination-inhibition assays, approximately 100 samples per decade (n = 846) were tested from blood samples drawn on hospital and clinic patients in mid-November and early December 2009. Age specific seroprevalences against pandemic H1N1 (A/California/7/2009) were measured and compared to seroprevalences against H1N1 strains that had previously circulated in the population in 2007, 1957, and 1918. (A/Brisbane/59/2007, A/Denver/1/ 1957, and A/South Carolina/1/1918). Stored serum samples from healthy, young adults from 2008 were used as a control group (n = 100). Seroprevalences against pandemic 2009 H1N1 influenza varied by age group, with children age 10-19 years having the highest seroprevalence (45%), and persons age 70-79 years having the lowest (5%). The baseline seroprevalence among control samples from 18-24 year-olds was 6%. Overall seroprevalence against pandemic H1N1 across all age groups was approximately 21%. Conclusions: After the peak of the second wave of 2009 H1N1, HAI seroprevalence results suggest that 21% of persons in the Pittsburgh area had become infected and developed immunity. Extrapolating to the entire US population, we estimate that at least 63 million persons became infected in 2009. As was observed among clinical cases, this sero-epidemiological study revealed highest infection rates among school-age children. © 2010 Zimmer et al

    The Neutral Hydrogen Properties of Galaxies in Gas-rich Groups

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    We present an analysis of the integrated neutral hydrogen (Hi) properties for 27 galaxies within nine low mass, gas-rich, late-type dominated groups which we denote \Choirs". We find that majority of the central Choir galaxies have average Hi content: they have a normal gas-mass fraction with respect to isolated galaxies of the same stellar mass. In contrast, we find more satellite galaxies with a lower gas-mass fraction than isolated galaxies of the same stellar mass. A likely reason for the lower gas content in these galaxies is tidal stripping. Both the specific star formation rate and the star formation efficiency of the central group galaxies are similar to galaxies in isolation. The Choir satellite galaxies have similar specific star formation rate as galaxies in isolation, therefore satellites that exhibit a higher star formation efficiency simply owe it to their lower gas-mass fractions. We find that the most Hi massive galaxies have the largest Hi discs and fall neatly onto the Hi size-mass relation, while outliers are galaxies that are experiencing interactions. We find that high specific angular momentum could be a reason for galaxies to retain the large fraction of Hi gas in their discs. This shows that for the Choir groups with no evidence of interactions, as well as those with traces of minor mergers, the internal galaxy properties dominate over the effects of residing in a group. The probed galaxy properties strengthen evidence that the Choir groups represent the early stages of group assembly
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