519 research outputs found

    An exploration of the role of cognitive, behavioural and emotional processes in people with psychotic disorders who commit offences

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    There is growing research evidence about the role of cognitive, behavioural and emotional factors in psychotic disorders. This has led to the development of successful assessment and treatment packages for people with psychosis based on the CBT model. Research has attempted to use this model to examine crimes committed by people with psychotic disorders. This relationship remains controversial and is widely debated. The current study aimed to draw together the literature on CBT in psychosis and on mentally disordered offenders to further investigate the nature of any interaction. This has implications for successful outcome with this population. It was hypothesised that cognitive, behavioural and emotional measures would differ across three groups comprising non-offenders and people with minor and major offending histories. Twenty six subjects were recruited from a secure psychiatric forensic unit and general psychiatric services; all subjects completed five measures. The Locus of Control questionnaire and Conviction of Beliefs scale were used to examine cognitive processes; the Coping Responses Inventory and clinical interview were used to examine behavioural processes and the Beck Depression Inventory-2nd edition and Beck Anxiety Inventory were used to examine emotional processes. Analyses using parametric and non-parametric tests were not significant; results are interpreted in light of methodological difficulties. Results were discussed in the context of relevant literature, clinical utility and future research

    Improving access to Foreign Direct Investment for Pacific Island Countries: Pursuit of International Investment Agreements from a development perspective

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    With aims of economic development and its associated benefits, most countries have established networks of treaties, inclusively termed International Investment Agreements (IIAs), which liberalise, promote, protect and regulate investment flows between the parties. The average number of Bilateral Investment Treaties concluded and in force per country is around 11. Except for Papua New Guinea, the Pacific Island States each have 1 (three of 16 included States) or no IIAs in force – limiting access and control over incoming international investment in their economies. This paper analyses the potential of IIAs in promoting Foreign Direct Investment (FDI), economic development and its associated benefits in Pacific island nations. It examines the existing IIAs reached by Pacific island countries and compares them with IIAs in place in other Small Island Developing States outside the Pacific. Finally, it explores the best practices for the design of a model IIA which might be suited to the investment and development policies, and particular economic conditions of Pacific island states, with the explicit aim of enhancing the contributions to the development outcomes of those economies. This research uses treaty analysis alongside social and political science approaches to development and economic data. Key legal sources include identified treaties and their mapping data from the UNCTAD database, economic data, arbitral proceedings and awards, and public policy statements on foreign investment from Pacific island countries. It will assume underlying principles of sovereign self-determination and pursuit of the Sustainable Development Goals. Included economies: Cook Islands; Fiji; Kiribati; Micronesia, Federated States of; Marshall Islands; Nauru; Niue; Palau; Papua New Guinea; Samoa; Solomon Islands; Timor; Tonga; Tuvalu; Vanuatu

    Reconceptualising teacher education for teachers of learners with severe to profound disabilities

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    This paper considers teacher education for teachers of learners withsevere to profound disabilities (SPD) in South Africa, in both formaland non-formal learning programmes within a disability studies ineducation framework. Qualitative data were collected from a rangeof education stakeholders including non-governmental (NGOs) anddisabled people organisations (DPOs). Based on a thematic analysis,findings show limited pre-service teacher education programmesfocused on teaching learners with SPD. In-service teacher trainingthrough education departments and NGOs and DPOs, is usuallythrough basic short courses or workshops and are notcomplemented by on-going support

    Use of a renal-specific oral supplement by haemodialysis patients with low protein intake does not increase the need for phosphate binders and may prevent a decline in nutritional status and quality of life

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    Background. Protein-energy wasting is a frequent and debilitating condition in maintenance dialysis. We randomly tested if an energy-dense, phosphate-restricted, renal-specific oral supplement could maintain adequate nutritional intake and prevent malnutrition in maintenance haemodialysis patients with insufficient intake. Methods. Eighty-six patients were assigned to a standard care (CTRL) group or were prescribed two 125-ml packs of Renilon 7.5® daily for 3 months (SUPP). Dietary intake, serum (S) albumin, prealbumin, protein nitrogen appearance (nPNA), C-reactive protein, subjective global assessment (SGA) and quality of life (QOL) were recorded at baseline and after 3 months. Results. While intention to treat analysis (ITT) did not reveal strong statistically significant changes in dietary intake between groups, per protocol (PP) analysis showed that the SUPP group increased protein (P < 0.01) and energy (P < 0.01) intakes. In contrast, protein and energy intakes further deteriorated in the CTRL group (PP). Although there was no difference in serum albumin and prealbumin changes between groups, in the total population serum albumin and prealbumin changes were positively associated with the increment in protein intake (r = 0.29, P = 0.01 and r = 0.27, P = 0.02, respectively). The SUPP group did not increase phosphate intake, phosphataemia remained unaffected, and the use of phosphate binders remained stable or decreased. The SUPP group exhibited improved SGA and QOL (P < 0.05). Conclusion. This study shows that providing maintenance haemodialysis patients with insufficient intake with a renal-specific oral supplement may prevent deterioration in nutritional indices and QOL without increasing the need for phosphate binder

    Effect of Oatmeal on Postprandial Vascular Compliance Following a High Fat Meal

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    Background and aim: Postprandial hyperlipidaemia has been associated with acute cardiovascular effects e.g. endothelial dysfunction and peripheral vasodilatation. Oats have known health benefits, and may reduce the transient, post-prandial endothelial dysfunction. The aim of this short study was to investigate if markers of endothelial function pulse wave velocity (PWV) and augmentation index corrected for heart rate (AIx@75) are affected by a meal with varying levels of saturated fat, with or without oatmeal. Methods and results: Fourteen subjects (aged between 22 and 51 years) were recruited. On their first visit, following baseline measurements of anthropometry, blood pressure (BP), heart rate (HR), PWV and AIx@75, they were given one of three meals (low fat, high fat, and high fat with 60g oatmeal) in a randomised order. Subjects returned three hours later for re-assessment of BP, PWV and AIx@75. Visits two and three followed the same protocol, but only BP, HR, PWV and AIx@75 were measured. There was a significant correlation between baseline PWV and systolic pressure (p&lt;0.02), and AIx@75 and diastolic pressure (p&lt;0.005). AIx@75 was positively related to BMI and waist circumference (p&lt;0.01 and p&lt;0.005 respectively). AIx@75 fell following the high fat meal (p&lt;0.05), but not when oats were taken. Heart rate increased following the high fat meal with oats (p&lt;0.05), but no differences were found between fasting and postprandial PWV after any of the meals. Conclusion: AIx@75 was correlated with BMI and waist circumference. The decrease in AIx@75 following the high fat meal requires further investigation, and AIx@75 is possibly a more sensitive marker of arterial compliance than PWV in a young healthy population.sch_die2pub4327pub
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