Children’s travel as pedestrians: an international survey of policy and practice

A survey of OECD member countries was carried out to provide high level data on a consistent basis to identify and account for current patterns of child road safety . This paper reports the findings relating to children, aged 0-14 years, as pedestrians. Key survey elements included analyses of fatality data, relationships between socio-economic, demographic factors and fatality rates, and a questionnaire based survey. League tables based on average child pedestrian fatality rates were constructed for each OECD member country participating in our questionnaire enabling identification of the top five countries with the lowest pedestrian fatality rate as Sweden, The Netherlands, Finland, Germany, and Denmark. Few countries had quantitative information about children’s travel and its absence means that assessments are difficult about children’s safety and the relative risks they face, especially as pedestrians. There are large variations in the amount of walking between countries and growing car use is becoming an issue in one third of OECD countries. The main findings from the questionnaire survey were that the majority of countries did not have information on high risk groups but of those that did, the cross cutting themes of socio-economic and ethnic minority groups, young children and urban areas were identified. Three characteristics distinguish top countries in the League table from those doing less well: a strong approach to the introduction of infrastructure measures for pedestrian safety, including low speed limits in residential areas; conducting road safety campaigns at least once a year; and having legislation which assumes driver responsibility in an accident involving a child pedestrian. Having compulsory road safety education for children aged 6-9 years was a characteristic shared by most countries, as was the promotion of child pedestrian education and training initiatives and the commissioning of research. However there is lower research activity in less well performing countries

The role of Melancholia in prostate cancer patients' depression

BACKGROUND: Although it is well established that prostate cancer (PCa) patients are more likely to experience clinical depression than their age-matched non-prostate cancer peers, and that such depression can have negative effects upon survival, little is known about the underlying nature of the depressive symptomatology that these men experience. In particular, the incidence of melancholic symptoms of depression, which are signs of increased risk of suicide and resistance to treatment, has not previously been reported in PCa patients. The present study aimed to measure the incidence and nature of Melancholia in PCa depression. METHOD: A sample of 507 PCa patients in Queensland, Australia, completed anonymous and confidential questionnaires about their background, treatment status, and depression. Data were analysed to select depressive symptoms that were part of the definition of Melancholia vs those which were not. Regression was used to determine the links between Melancholia and overall depressive status, and factor analysis revealed the underlying components of Melancholia, which were mapped over time since diagnosis for 3 years. RESULTS: Psychometric data were satisfactory. Melancholia significantly predicted depressive status for the most depressed subset of patients, but not for the total sample. Melancholia was factored into its components of Anhedonia and Agitation, and the first of these was more powerful in predicting Melancholia. Variability over the 3 years following diagnosis was noted for each of these two components of Melancholia. CONCLUSIONS: The strong presence of Melancholia in the depressive symptomatology of this sample of PCa patients suggests that some forms of treatment for depression may be more likely to succeed than others. The dominance of Anhedonia and Agitation over other symptoms of Melancholia also holds implications for treatment options when assisting these men to cope with their depression

Fatal injuries to car occupants: analysis of health and population data

Although this report was commissioned by the Department for Transport (DfT), the findings and recommendations are those of the authors and do not necessarily represent the views of the DfT. While the DfT has made every effort to ensure the information in this document is accurate, DfT does not guarantee the accuracy, completeness or usefulness of that information; and it cannot accept liability for any loss or damages of any kind resulting from reliance on the information or guidance this document contains

Oral History Interview: Christie H. Meadows

This interview is one of series conducted concerning the Oral History of Appalachia. Mr. Christie Meadows was born to a long line of farmers, miners, and loggers in rural Raleigh County, West Virginia. He discusses: his family; his childhood and lessons he learned; different types of trees and their uses; signs of the moon and how to plant by them; farming; his education; technology he had access to; jobs; recreation; livestock; mining (including strip mining); Future Farmers of America; folk medicine; a brief mention of beekeeping; as well as other topics.https://mds.marshall.edu/oral_history/1476/thumbnail.jp

Superhero as Metaphor: Using Creative Pedagogies to Engage

Video case studies of realistic scenarios have long been used to illustrate course concepts and provide variety in the classroom. The growing popularity of superheroes in film suggests an openness to experience beyond the traditional fare. This qualitative study uses content analysis to explore how students’ understanding of ethics concepts changed over time after viewing a superhero film and writing with metaphor. A pre-test post-test design was used, where students in an undergraduate management course completed a writing assignment before and after experiencing the film. Results suggest that after students were exposed to the treatment, they had a deeper understanding of the role of personal ethics and were better able to articulate their new knowledge in writing. Implications for future research are discussed

A history of the telephone in the Midwest (1875-1920)

The purpose of this study is to present in an orderly manner a history of the early telephone companies and, at the same time, give a semi-technical description of some of the early practices, procedures, and equipment developed and employed by the many telephone pioneers. The importance of the telephone on population growth, comparison of the telephone industry with other industries, or the importance of the telephone in helping to overcome the extremes of nature, as well as many other areas of study were necessarily omitted in order to keep the subject within reasonable limits. In the future, those areas of study might be profitably explored in separate projects

Magnetic resonance imaging of myocardial strain after acute ST-segment-elevation myocardial infarction: a systematic review

The purpose of this systematic review is to provide a clinically relevant, disease-based perspective on myocardial strain imaging in patients with acute myocardial infarction or stable ischemic heart disease. Cardiac magnetic resonance imaging uniquely integrates myocardial function with pathology. Therefore, this review focuses on strain imaging with cardiac magnetic resonance. We have specifically considered the relationships between left ventricular (LV) strain, infarct pathologies, and their associations with prognosis. A comprehensive literature review was conducted in accordance with the PRISMA guidelines. Publications were identified that (1) described the relationship between strain and infarct pathologies, (2) assessed the relationship between strain and subsequent LV outcomes, and (3) assessed the relationship between strain and health outcomes. In patients with acute myocardial infarction, circumferential strain predicts the recovery of LV systolic function in the longer term. The prognostic value of longitudinal strain is less certain. Strain differentiates between infarcted versus noninfarcted myocardium, even in patients with stable ischemic heart disease with preserved LV ejection fraction. Strain recovery is impaired in infarcted segments with intramyocardial hemorrhage or microvascular obstruction. There are practical limitations to measuring strain with cardiac magnetic resonance in the acute setting, and knowledge gaps, including the lack of data showing incremental value in clinical practice. Critically, studies of cardiac magnetic resonance strain imaging in patients with ischemic heart disease have been limited by sample size and design. Strain imaging has potential as a tool to assess for early or subclinical changes in LV function, and strain is now being included as a surrogate measure of outcome in therapeutic trials

Factor structure of the Gotland Scale of male depression in two samples of men with prostate cancer:Implications for treating male depression

Up to a quarter of all prostate cancer (PCa) patients suffer from clinically significant depression but treatments are inconsistent and short-lived in their efficacy. One possible reason could be that 'male depression' is not adequately diagnosed by the criteria for major depressive disorder (MDD) used in many clinical settings.In response to this limitation, the Gotland Scale of Male Depression (GSMD) was developed to identify the extra symptoms of MDD in men. Although the factor structure of the GSMD has been reported in non-PCa samples, it has not been determined for this group of men. Two samples of PCa patients were recruited, 191 from Australia and 138 from the United Kingdom and all patients received the GSMD individually, plus a background questionnaire. Two-factor solutions were identified for each of the two samples. The Australian sample was characterized by changes in emotional and somatic function, followed by depressed mood. The U.K. sample exhibited the same two-factor solution but in reverse order of weighting. Targeted treatments for depression in PCa patients may benefit from identification of the loadings that individual patients have on these two GSMD factors so that specific clinical profiles and treatment needs may be based on this information about their depression