Reaching people at the periphery - Can the World Bank's population, health and nutrition operations do better?

Many population, health and nutrition (PHN) programs are designed to elicit behaviour changes in poor people living at the geographic and social peripheries. Few programs specifically target the disadvantaged, however, and research about clients focuses mainly on routine statistics rather than on whether education and services do or will meet clients needs. This paper looks at the Bank's past and present PHN work to see whether the approaches being used are likely to be effective in reaching clients at the periphery, and to suggest some directions for the future. The focus is on design and management of direct efforts to deliver services and education aimed at behavioral change, and hence on the interface between worker and client.Health Monitoring&Evaluation,Health Economics&Finance,ICT Policy and Strategies,Agricultural Knowledge&Information Systems,Housing&Human Habitats

Using field visits to improve the quality of family planning, health, and nutrition programs : a supervisor's manual

Most health professionals who have worked in rural areas have had the experience of being supervised badly: the flying visit by a superiorwho inspects the records, delivers a critical speech, and disappears without ever finding out what is really going on in the health center area. Such visits seem designed more to demonstrate the supervisor's authority than to help the field worker to serve local people better. This manual is designed to help field supervisors supervise in a way that deepens insights into local situations, supports health workers, and focuses on improving the quality of service to the poor. The checklist of questions is not intended to be definitive or rigidly applied. Depending on the needs of a given program, some areas may need to be probed more deeply, and others shortened or omitted altogether. The author provides guidelines for: planning visits to a program area; visiting villages and talking with mothers; visiting health care workers; visiting nutrition workers; and using findings to make changes in program design or implementation, to reorient the way supervision is done, and to change worker behavior. He also provides a sample field visit report.Agricultural Knowledge&Information Systems,Health Systems Development&Reform,Regional Rural Development,Housing&Human Habitats,Health Monitoring&Evaluation

Keeping an eye on the truth: Pupil size, recognition memory and malingering

Background: Estimates of the incidence of malingering in patient populations vary from 1 to 12%, rising to ∼25% in patients seeking financial compensation. Malingering is particularly difficult to detect when patients feign poor performance on neuropsychological tests (see Hutchinson, 2001). One strategy to detect malingering has been to identify psychophysiological markers associated with deception. Tardif, Barry, Fox and Johnstone (2000) used electroencephalogram (EEG) recording to measure event related potentials (ERPs) during a standard recognition memory test. Previous research has documented an ERP “old/new effect” – late positive parietal ERPs are larger when participants view old, learned words compared to new words during recognition. Tardif et al. reasoned that if this effect is not under conscious control, then it should be equally detectable in people feigning amnesia as in participants performing to their best ability. As predicted, they found no difference in the magnitude and topography of the old/new ERP effect between participants who were asked to feign amnesia whilst performing the test and those asked to perform to their best ability. Whilst this approach shows some promise, EEG is comparatively time consuming and expensive. Previous research has shown that during recognition memory tests, participants' pupils dilate more when they view old items compared to new items (Otero, Weeks, and Hutton, 2006; Vo et al., 2008). This pupil “old/new effect” may present a simpler means by which to establish whether participants are feigning amnesia. Method: We used video-based oculography to compare changes in pupil size during a recognition memory test when participants were given standard recognition memory instructions, instructions to feign amnesia and instructions to report all items as new. Due to constant fluctuation in pupil size over time, and variation between individuals, a pupil dilation ratio (PDR) was calculated that represented the maximum pupil size during the trial as a proportion of the maximum during baseline. Results: Participants' pupils dilated more to old items compared to new items under all three instruction conditions (F(1.25) = 47.02, MSE < 0.001, p < .001, ηp2 = .65). There were no significant differences between baseline pupil size (F(1.63,40.76) = 1.90, p = .17, ns). Conclusions: The finding that under standard recognition memory instructions, participants' relative increase in pupil size is greater when they view old items compared to new items replicates previous research documenting the pupil old/new effect. That the effect persists, even when participants give erroneous responses during recognition, suggests that the “pupil old/new effect” is not under conscious control and may therefore have potential use in clinical settings as a simple means with which to detect whether patients are feigning amnesia

Psychophysiological indices of recognition memory

It has recently been found that during recognition memory tests participants’ pupils dilate more when they view old items compared to novel items. This thesis sought to replicate this novel ‘‘Pupil Old/New Effect’’ (PONE) and to determine its relationship to implicit and explicit mnemonic processes, the veracity of participants’ responses, and the analogous Event-Related Potential (ERP) old/new effect. Across 9 experiments, pupil-size was measured with a video-based eye-tracker during a variety of recognition tasks, and, in the case of Experiment 8, with concurrent Electroencephalography (EEG). The main findings of this thesis are that: - the PONE occurs in a standard explicit test of recognition memory but not in “implicit” tests of either perceptual fluency or artificial grammar learning; - the PONE is present even when participants are asked to give false behavioural answers in a malingering task, or are asked not to respond at all; - the PONE is present when attention is divided both at learning and during recognition; - the PONE is accompanied by a posterior ERP old/new effect; - the PONE does not occur when participants are asked to read previously encountered words without making a recognition decision; - the PONE does not occur if participants preload an “old/new” response; - the PONE is not enhanced by repetition during learning. These findings are discussed in the context of current models of recognition memory and other psychophysiological indices of mnemonic processes. It is argued that together these findings suggest that the increase in pupil-size which occurs when participants encounter previously studied items is not under conscious control and may reflect primarily recollective processes associated with recognition memory

Evaluating resilience-based programs for schools using a systematic consultative review

Resilient approaches to working in school contexts take many different forms. This makes them difficult to evaluate, copy and compare. Conventional academic literature reviews of these approaches are often unable to deal with the complexity of the interventions in a way that leads to a meaningful comparative appraisal. Further, they rarelysummarise and critique the literature in a way that is of practical use to people actually wishing to learn how to intervene in an educational context, such as parents andpractitioners. This includes teachers and classroom assistants, who can experience reviews as frustrating, difficult to digest and hard to learn from. Applying findings to their own particular settings, without precisely replicating the approach described, presents serious challenges to them. The aim of this paper is to explain how and why school-basedresilience approaches for young people aged 12-18 do (or do not) work in particular contexts, holding in mind the parents and practitioners who engage with young people on a daily basis, and whom we consulted in the empirical element of our work, as our audience.Further, we attempt to present the results in a way that answer parents’ and practitioners’ most commonly asked questions about how best to work with young people usingresilience-based approaches. The review is part of a broader study looking more generally at resilience-based interventions for this age group and young adults. We offer a critical overview of approaches and techniques that might best support those young people who need them the most.Resilient approaches to working in school contexts take many different forms. This makes them difficult to evaluate, copy and compare. Conventional academic literature reviews of these approaches are often unable to deal with the complexity of the interventions in a way that leads to a meaningful comparative appraisal. Further, they rarelysummarise and critique the literature in a way that is of practical use to people actually wishing to learn how to intervene in an educational context, such as parents andpractitioners. This includes teachers and classroom assistants, who can experience reviews as frustrating, difficult to digest and hard to learn from. Applying findings to their own particular settings, without precisely replicating the approach described, presents serious challenges to them. The aim of this paper is to explain how and why school-basedresilience approaches for young people aged 12-18 do (or do not) work in particular contexts, holding in mind the parents and practitioners who engage with young people on a daily basis, and whom we consulted in the empirical element of our work, as our audience.Further, we attempt to present the results in a way that answer parents’ and practitioners’ most commonly asked questions about how best to work with young people usingresilience-based approaches. The review is part of a broader study looking more generally at resilience-based interventions for this age group and young adults. We offer a critical overview of approaches and techniques that might best support those young people who need them the most

A retrospective study of mortality in Eurasian lynx (Lynx lynx) in UK zoos

IUCN currently classifies the Eurasian lynx (Lynx lynx) as “Least Concern,” however, across its six to nine subspecies, some isolated populations are classified as “Endangered” or “Critically Endangered.” Despite this and the species’ relative ubiquity in European zoos, a retrospective mortality study of a captive population has not previously been performed. By analyzing necropsy reports, animal records, and the European studbook, we were able to ascertain a cause of death for 38 (73%) of the 52 recorded lynx deaths in UK zoos during the study period (January 1, 2000 to November 1, 2015). “Culling” as part of population management was the most common cause of death (21%) followed by neoplastic (16%), circulatory (11%), neurological (11%), and genitourinary (11%) disease. “Geriatric” individuals accounted for 62% of lynx to die within the study period, 23% were “neonates” and 15% “adults.” Neoplasia, circulatory disease, and culling were the leading causes of death in each of these age categories, respectively. Excluding “culls” and “neonates,” the mean age at death was 18.81 ± 0.42 years, consistent with existing data. Squamous cell carcinoma was reported in three individuals (8%) and suspected idiopathic epilepsy in four individuals (11%), warranting further investigation. Intraspecific killing (3%) and neonatal mortality, excluding culls, (14%) were reported with lower prevalence than expected based on previous studies of similar species. The lack of data available and high incidence of culling of individuals with a high inbreeding coefficient highlights the need for improved record‐keeping and consultation with the studbook coordinator, respectively

Valuation of aircraft noise by time of day: a comparison of two approaches

This paper reports an innovative application of stated preference techniques to derive values of aircraft noise by time of day and day of week. Revealed preference techniques cannot provide such segmentations which would clearly be of use in policy development especially relating to airport operations. Given the lack of research on this issue the work reported here is highly experimental. Two stated preference experiments were designed. The first focussed on a single time period whilst the second asked respondents to trade between time periods. Both approaches yielded results that are plausible and mutually consistent in terms of relative values by time period. We conclude that stated preference techniques are particularly useful in this context where the use of aggregated values may lead to non-optimal policy decisions