245 research outputs found
Trends in the Socioeconomic Achievement of the University Educated: A Status Attainment Model Interpretation
The paper examines the contribution the sociologist's status attainment model makes towards comprehending reasons for the decline, since the mid 1960's, in the economic prospects of university graduates. The assumptions of the model are compared with those underlying an economist's labour market approach, in which explanations are phrased in terms of aggregate demand and supply for the university educated. Tested in the paper is the hypothesis that decline in background endowments among university graduates, a consequence of the policy commitment to democratize access to Canadian universities, accounts for some of the downward trend in the level of job obtained by graduates entering the labour market. The statistical analysis uses data from Ontario and Canada-wide surveys, and finds that changes in father's mean status explain only a small part of the drop in son's first job status. Th e mod el suggests that deterioration in univer- sity completion rates can account for more of the decline.Le travail examine la contribution que le modèle de l'accession au rang social fournit par le déclin des perspectives économiques des diplômés universitaires dès la moitié des années 60. On compare les hypothèses du modèle avac celles qui servent de base aux économistes pour l'étude du marché de travail, dans laquelle les explications sont formulées en terme d'offre et demande collective des universitaires. On test l'hypothèse selon laquelle là baisse du niveau général des universitaires, conséquence de la politique adoptée de démocratisation de l'accès aux études universitaires au Canada, explique une certaine tendance à la baisse du niveau de travail obtenu par les diplômés qui s'introduisent sur le marché de travail. L'analyse statistique emploie des données obtenues en Ontario et partout au Canada et conclut que des changements dans le statut moyen du père n 'explique qu 'en partie la baisse de niveau du premier emploi du fils. Le modèle suggère que la détérioration des études universitaires menées à bien explique davantage ce déclin
The Growth of the Canadian Education System: An Analysis of Transition Probabilities
Canada is shown, in a comparison with 23 other industrialized nations, to have distinctively low rates of school attendance from age seventeen onwards. Closely comparable data from a Canadian and an American national survey make a detailed comparison of the two nations possible. There has been a strong trend towards virtually universal completion of grade and high school in the U.S. Canada has followed this trend at the lower levels, but retains a low rate of secondary school completion. Rates of attending post-secondary and post-graduate training show little trend in either country. The "transition probability" analysis, in which each level of schooling is examined separately, is further pursued in an assessment of the effects of social background factors, called "ascription," upon progress through the system. Background factors are found to have generally weaker effects upon higher levels of education in Canada, as in the U.S. They are especially weak at the crucial point, the completion of high school, showing that social background is not a significant element in the creation of Canada's high rates of dropping out of high school. The overall effects of background seem higher in Canada, and especially so for females.Si l'on compare le Canada à vingt-trois autres pays industrialisés, on remarque que celui-ci a un taux particulièrement bas de jeunes qui fréquentent l'école après dix-sept ans. On a pu comparer de façon précise la situation du Canada et celle des États-Unis, grâce à des sondages organisés à l'échelle nationale dans les deux pays, sondages dont les données étaient très semblables. On a ainsi pu constater qu'aux Etats-Unis, il semblait de plus en plus fréquent que tous les élèves, ou presque, finissent l'école secondaire tandis qu'au Canada, cette tendance n'apparaissait qu'à un niveau inférieur, le nombre d'élèves capables d'aller jusqu'au bout de leurs études secondaires restant très faible. Quant à l'inscription dans des établissements postsecondaires ou dans des centres professionnels, elle ne semble indiquer aucune tendance particulière dans les deux pays. L'analyse de « transition-probabilité », pour laquelle on a considéré chaque niveau d'enseigne-ment séparément, est complétée ici par une évaluation des effets du milieu social, ou « ascription », sur la progression dans le système. Les facteurs sociaux semblent avoir des effets moindres dans les classes les plus élevées de l'école secondaire, au Canada comme aux Etats-Unis. Or, s'ils sont particulièrement faibles à ce moment crucial, en fin d'études secondaires, cela montre que le milieu social n'est pas un facteur qui contribue à déterminer de façon significative le taux élevé d'abandon dans les écoles secondaires du Canada. Malgré tout, le milieu semble jouer un rôle plus marqué au Canada qu'aux États-Unis, surtout pour les femmes
What do we know about different models of providing palliative care? Findings from a systematic review of reviews.
BACKGROUND: A wide range of organisational models of palliative care exist. However, decision makers need more information about which models are likely to be most effective in different settings and for different patient groups. AIM: To identify the existing range of models of palliative care that have been evaluated, what is already known and what further information is essential if the most effective and cost-effective models are to be identified and replicated more widely. DESIGN: A review of systematic and narrative reviews according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Study quality was assessed using the AMSTAR (A MeaSurement Tool to Assess Reviews) tool. DATA SOURCES: MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Library, Web of Science and ASSIA were searched for reviews about models of service provision from 2000 to 2014 and supplemented with Google searches of the grey literature. RESULTS: Much of the evidence relates to home-based palliative care, although some models are delivered across care settings. Reviews report several potential advantages and few disadvantages of models of palliative care delivery. However, under-reporting of the components of intervention and comparator models are major barriers to the evaluation and implementation of models of palliative care. CONCLUSION: Irrespective of setting or patient characteristics, models of palliative care appear to show benefits and some models of palliative care may reduce total healthcare costs. However, much more detailed and systematic reporting of components and agreement about outcome measures is essential in order to understand the key components and successfully replicate effective organisational models
The lack of variability of the iron line in MCG-6-30-15: general relativistic effects
The spectrum and variability of the Seyfert galaxy MCG-6-30-15 can be
decomposed into two apparently disconnected components: a highly variable power
law and an almost constant component which contains a broad and strong iron
line. We explore a possible explanation of the puzzling lack of variability of
the iron line, by assuming that the variations of the power law component are
due to changes in the height of the primary source in the near vicinity of a
rotating black hole. Due to the bending of light in the strong field of the
central black hole, the apparent brightness of the power-law component can vary
by about a factor 4 according to its position, while the total iron line flux
variability is less than 20 percent. This behaviour is obtained if the primary
source is located within 3-4 gravitational radii () from the
rotation axis with a variable height of between 3 and 8 .
These results revive the possibility that future X-ray observations of
MCG-6-30-15 can map out the strong gravity regime of accreting black holes.Comment: accepted for publication in MNRAS Letter
A comparison of the World Health Organisation's HEAT model results using a non-linear physical activity dose response function with results from the existing tool [under peer review]
Introduction
The WHO-Europe’s Health Economic Assessment Tool is a tool used to estimate the costs and benefits of changes in walking and cycling. Due to data limitations the tool’s physical activity module assumes a linear dose response relationship be-tween physical activity and mortality.
Methods
This study estimates baseline population physical activity distributions for 44 countries included in the HEAT. It then compares, for three different scenarios, the results generated by the current method, using a linear dose-response relationship, with results generated using a non-linear dose-response relationship.
Results
The study finds that estimated deaths averted are relatively higher (lower) using the non-linear effect in countries with less (more) active populations. This difference is largest for interventions which affect the activity levels of the least active the most. Since more active populations, e.g. in Eastern Europe, also tend to have lower Value of a Statistical Life estimates the net monetary benefit estimated by the scenarios are much higher in western-Europe than eastern-Europe.
Conclusions
Using a non-linear dose response function results in materially different estimates where populations are particularly inactive or particularly active. Estimating base-line distributions is possible with limited additional data requirements, although the method has yet to be validated. Given the significant role of the physical activity module within the HEAT tool it is likely that in the evaluation of many interventions the monetary benefit estimates will be sensitive to the choice of the physical activity dose response function
A comparison of the World Health Organisation's HEAT model results using a non-linear physical activity dose response function with results from the existing tool
Introduction: The WHO-Europe’s Health Economic Assessment Tool is a tool used to estimate the costs and benefits of changes in walking and cycling. Due to data limitations the tool’s physical activity module assumes a linear dose response relationship be-tween physical activity and mortality.
Methods: This study estimates baseline population physical activity distributions for 44 countries included in the HEAT. It then compares, for three different scenarios, the results generated by the current method, using a linear dose-response relationship, with results generated using a non-linear dose-response relationship.
Results: The study finds that estimated deaths averted are relatively higher (lower) using the non-linear effect in countries with less (more) active populations. This difference is largest for interventions which affect the activity levels of the least active the most. Since more active populations, e.g. in Eastern Europe, also tend to have lower Value of a Statistical Life estimates the net monetary benefit estimated by the scenarios are much higher in western-Europe than eastern-Europe.
Conclusions: Using a non-linear dose response function results in materially different estimates where populations are particularly inactive or particularly active. Estimating base-line distributions is possible with limited additional data requirements, although the method has yet to be validated. Given the significant role of the physical activity module within the HEAT tool it is likely that in the evaluation of many interventions the monetary benefit estimates will be sensitive to the choice of the physical activity dose response function
Informal learning in the workplace: Approaches to learning and perceptions of the context
Questionnaires have been devised to investigate informal learning in the workplace based on an analogy with approaches to studying in higher education. This chapter focuses attention on issues of theory by critically evaluating different models of the relationship between employees’ approaches to workplace learning and their perceptions of the workplace context. In addition, this chapter focuses attention on issues of method by critically evaluating two particular instruments that have been devised in order to measure employees’ approaches to workplace learning and their perceptions of the workplace context. We use data from an online survey in which the Approaches to Work Questionnaire and the Workplace Climate Questionnaire were administered to employees who were taking courses by distance learning with the UK Open University. Factor analyses confirmed that both questionnaires measured three distinct scales. Canonical correlation analysis showed that the employees’ scores on the two instruments shared 43% of their variance. Path analysis found evidence that variations in approaches to learning lead to variations in perceptions of the workplace climate but not for the converse relationship
The price of precision: trade-offs between usability and validity in the World Health Organization Health Economic Assessment Tool for walking and cycling
Objectives
The widely used World Health Organization (WHO) Health Economic Assessment Tool (HEAT) for walking and cycling quantifies health impacts in terms of premature deaths avoided or caused as a result of changes in active transport. This article attempts to assess the effect of incorporating ‘life-years’ as an impact measure to increase the precision of the model and assess the effect on the tool's usability.
Study design
This article is a methods paper, using simulation to estimate the effect of a methodological change to the HEAT 4.2 physical activity module.
Methods
We use the widely used WHO HEAT for walking and cycling as a case study. HEAT currently quantifies health impacts in terms of premature deaths avoided or caused as a result of changes in active transport. We assess the effect of incorporating “duration of life gained” as an impact measure to increase the precision of the model without substantially affecting usability or increasing data requirements.
Results
Compared with the existing tool (HEAT version 4.2), which values premature deaths avoided, estimates derived by valuing life-years gained are more sensitive to the age of the population affected by an intervention, with results for older and younger age groups being markedly different between the two methods. This is likely to improve the precision of the tool, especially where it is applied to interventions that affect age groups differentially. The life-years method requires additional background data (obtained and used in this analysis) and minimal additional user inputs; however, this may also make the tool harder to explain to users.
Conclusions
Methodological improvements in the precision of widely used tools, such as the HEAT, may also inadvertently reduce their practical usability. It is therefore important to consider the overall impact on the tool's value to stakeholders and explore ways of mitigating potential reductions in usability
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