Do consumer voices in health-care citizens’ juries matter?

Background There is widespread agreement that the public should be engaged in health-care decision making. One method of engagement that is gaining prominence is the citizens’ jury, which places citizens at the centre of the deliberative process. However, little is known about how the jury process works in a health-care context. There is even less clarity about how consumer perspectives are heard within citizens’ juries and with what consequences. Objectives This paper focuses on what is known about the role of consumer voices within health-care citizens’ juries, how these voices are heard by jurors and whether and in what ways the inclusion or exclusion of such voices may matter. Results Consumer voices are not always included in health-care citizens’ juries. There is a dearth of research on the conditions under which consumer voices emerge (or not), from which sources and why. As a result, little is known about what stories are voiced or silenced, and how such stories are heard by jurors, with what consequences for jurors, deliberation, decision-makers, policy and practice. Discussion and Conclusion The potential role of consumer voices in influencing deliberations and recommendations of citizens’ juries requires greater attention. Much needed knowledge about the nuances of deliberative processes will contribute to an assessment of the usefulness of citizens’ juries as a public engagement mechanism

Individual Insurance: Health Insurers Try to Tap Potential Market Growth

Examines the challenges the current individual health insurance market poses for insurers and consumers, the market's growth potential, market and regulatory conditions across states, and trends in marketing strategies. Considers policy implications

A Computational Approach for Exploring Carbohydrate Recognition by Lectins in Innate Immunity

Recognition of pathogen-associated carbohydrates by a broad range of carbohydrate-binding proteins is central to both adaptive and innate immunity. A large functionally diverse group of mammalian carbohydrate-binding proteins are lectins, which often display calcium-dependent carbohydrate interactions mediated by one or more carbohydrate recognition domains. We report here the application of molecular docking and site mapping to study carbohydrate recognition by several lectins involved in innate immunity or in modulating adaptive immune responses. It was found that molecular docking programs can identify the correct carbohydrate-binding mode, but often have difficulty in ranking it as the best pose. This is largely attributed to the broad and shallow nature of lectin binding sites, and the high flexibility of carbohydrates. Site mapping is very effective at identifying lectin residues involved in carbohydrate recognition, especially with cases that were found to be particularly difficult to characterize via molecular docking. This study highlights the need for alternative strategies to examine carbohydrate–lectin interactions, and specifically demonstrates the potential for mapping methods to extract additional and relevant information from the ensembles of binding poses generated by molecular docking

Psychosocial Characteristics and Obstetric Health of Women Attending a Specialist Substance Use Antenatal Clinic in a Large Metropolitan Hospital

Objective. This paper reports the findings comparing the obstetrical health, antenatal care, and psychosocial characteristics of pregnant women with a known history of substance dependence (n = 41) and a comparison group of pregnant women attending a general antenatal clinic (n = 47). Method. Face-to-face interviews were used to assess obstetrical health, antenatal care, physical and mental functioning, substance use, and exposure to violence. Results. The substance-dependent group had more difficulty accessing antenatal care and reported more obstetrical health complications during pregnancy. Women in the substance-dependent group were more likely to report not wanting to become pregnant and were less likely to report using birth control at the time of conception. Conclusions. The profile of pregnant women (in specialised antenatal care for substance dependence) is one of severe disadvantage and poor health. The challenge is to develop and resource innovative and effective multisectoral systems to educate women and provide effective care for both women and infants

Gaussian and non-Gaussian fluctuations in pure classical fluids

Citation: Naleem, N., Ploetz, E. A., & Smith, P. E. (2017). Gaussian and non-Gaussian fluctuations in pure classical fluids. Journal of Chemical Physics, 146(9), 13. doi:10.1063/1.4977455The particle number, energy, and volume probability distributions in the canonical, isothermal-isobaric, grand canonical, and isobaric-isenthalpic ensembles are investigated. In particular, we consider Gaussian and non-Gaussian behavior and formulate the results in terms of a single expression valid for all the ensembles employing common, experimentally accessible, thermodynamic derivatives. This is achieved using Fluctuation Solution Theory to help manipulate derivatives of the entropy. The properties of the distributions are then investigated using available equations of state for fluid water and argon. Purely Gaussian behavior is not observed for any of the state points considered here. A set of simple measures, involving thermodynamic derivatives, indicating non-Gaussian behavior is proposed. Ageneral expression, valid in the high temperature limit, for small energy fluctuations in the canonical ensemble is provided. Published by AIP Publishing

The Establishment of International Mechanisms for Enforcing Provisional Orders and Final Judgments Arising From Securities Law Violations

In the 1980s and early 1990s, securities regulators have made substantial progress in developing cooperative relationships to reduce the value of international borders as barriers to the detection and prosecution of securities fraud, but there needs to be an establishment of international mechanisms for enforcing provisional orders and final judgments. The development of mechanisms pursuant to which regulators can assist each other in freezing assets and recovering illicit profits is discussed

The best-kept secret(s) of evidence based policing

This paper draws on the work of the Evidence and Insight Team, a dedicated research function based within the Metropolitan Police Service for over a decade. The aim of the paper is to make readers aware of the obliquely hidden data goldmine that exists within UK policing. Such data captures the decisions police make routinely, the kinds of situations police encounter and with whom. This rich data seam goes beyond crime – and should be used more outside of policing. The authors argue that interested academics need a better roadmap of the data in order to stimulate basic knowledge and usage. Three case studies are presented that illustrate the scope and challenges of working with such data