356 research outputs found

    The South African Rebellion of 1914: The industrialisation, poverty and 'poor whiteism'

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    African Studies Seminar series. Paper presented June, 198

    Filling the dark spot: fifteen injured workers shine a light on the workers compensation system to improve it for others

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    Executive summary   The Creative Ministries Network (CMN) provides support to people affected by workplace injury and work-related death. Over the last fifteen years CMN has undertaken a number of projects examining the relationship between work and suicide. These earlier studies highlighted a gap in the research into work injury and compensation in relation to workers’ mental health.[1]   Existing research has concentrated on examining the health and/or return-to-work outcomes of compensation processes rather than considering the impact of the process itself on workers’ health and recovery. The research has also largely been epidemiological and/or focused on particular industry settings, injury types or points in the process from injury through compensation, rehabilitation and return to work. Very little work has been undertaken on compensation systems[2] from the perspectives of injured workers.   This study is intended to continue CMN’s commitment to develop a better understanding of the role played by work injury in mental health and suicidality by understanding the ways in which the Victorian WorkCover system impacts on the mental health of workers with long-term injuries. The purpose was to identify how workers might be better supported after an injury, and identify changes that compensation authorities, employers and unions can make to reduce mental distress amongst injured workers who are clients of the WorkCover system.   Workers who took part in the study noted a number of positives in the current WorkCover system:   The existence of a system that had provided workers with income and financial assistance with medical and other expenses related to their injury.   The focus on return to work and the support provided to retrain and re-enter the workplace was seen as helpful.   The capabilities of insurers’ case managers and the return-to-work co-ordinators made a difference. Where these individuals were skilled both technically and interpersonally, able to show empathy and humanity, the injured workers reported a better experience and one that enhanced their mental health and recovery.   Largely positive interactions with healthcare providers.   From the perspective of the workers interviewed, the study also revealed a number of problems associated with Victoria’s WorkCover system:   Overall, workers experienced the system as unfair and unjust, believed it prioritised the interests of employers and failed to remedy the situation that had caused them injury in the first place.   The majority of workers reported being treated disrespectfully, dismissively or without humanity by the system.   Workers reported inefficiencies, errors and the complex requirements of the system combined to create a sense of being trapped in a game, where winning and disproving the worker’s version of events was the main aim.   Workers were not prepared for the evidentiary and adversarial nature of the process. This took a toll on their sense of trust, as did the poor interpersonal treatment they received from WorkCover personnel and, for some, their own employers.   Overall, workers struggled with the requirements of the process, especially at a time when the experience of being injured in the workplace affected their ability to function. The accumulation of these impacts left workers feeling devalued and dehumanised.   Specific points in the process that appeared to have the potential for particular impact on workers’ mental health were:   At the beginning, when workers were at their most anxious about whether their claim would be accepted.   Attending insurers’ doctors for medical assessment and medical panels.   Returning to work.   Workers identified several elements of their experience as helpful in terms of managing the process and contributing to better mental health and recovery. The most valued was support they had received to engage with the process. One aspect of this is technical support, independent advice to assist them to navigate the system. But workers also stressed the importance of emotional support, someone who believed their version of events without question, someone who could see the workers’ desire to return to work and could hold onto the good worker identity of the individual.   It was less important where this came from (union, family, friends, GP and psychologist were all mentioned). What was seen as vital was the person who provided the support understood what the WorkCover experience was like and could assist the worker to navigate it.   This finding highlights the important issue of how the system might better utilise trained peer support workers to assist injured workers, a topic CMN is particularly keen to engage with WorkCover on.   The project makes the following recommendations:   Recommendation 1 Funding is sought for a pilot project to develop, trial and evaluate an intervention that utilises trained peer support workers in assisting injured workers’ recovery for life and work.   Recommendation 2 A course outline be developed, drawing on workers’ lived experience knowledge, for the professional development of WorkCover insurance case managers aimed at improving their ability to deal with traumatised and ill clients.   Recommendation 3 That injured workers and/or their representatives are included in future relevant research reference groups and policy development processes.   Recommendation 4 Further research is undertaken in relation to workers’ lived experience and what supports their recovery, including interactions with the WorkCover system. This research would deliberately target workers with serious physical and psychosocial injuries but who have recovered. This research could identify what was different in the workers’ experience and how they understand their experience.     [1] Mental health’ in this report refers to the workers’ self-described experience of their own mental, emotional and psychological well-being. This definition of ‘mental health’ draws on the notion of a ‘lived experience’ knowledge base and is consistent with the conceptualisation of mental health, ill-health, distress found in the literature on mental health recovery.   [2] The ‘system’ referred to throughout this report is that of Victorian WorkCover, constituted by legislation and administered by the Victorian WorkCover Authority. The system has defined roles for private insurers, employers, trade unions, health providers, workers and injured workers. &nbsp

    Infections of the Biliary Passages

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    Treatment of a large pulmonary artery pseudoaneurysm secondary to fungal infection using Amplatzer plugs: New embolisation devices for the management of haemoptysis

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    AbstractPulmonary artery pseudoaneurysms (PAP) may result in life threatening haemoptysis but are fortunately uncommon. Most are caused by trauma, iatrogenic injury or infection. We describe a case of large PAP secondary to fungal infection in an immunocompromised patient, which was successfully treated percutaneously using Amplatzer embolisation plugs. The technical considerations and advantages of these new devices are explained

    Workers’ compensation and mental health : examining the mental health impacts of involvement in the Victorian Work Cover system from the perspective of long-­term injured workers

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    The project aimed to explore long--term injured workers&rsquo; experiences and perceptions of their mental health as they progressed through the Victorian WorkCover process. The purpose of the project was to assist in understanding these factors in order to identify how workers might be better supported, and to identify changes that compensation authorities, employers and unions can make to reduce mental distress amongst injured workers. As a project based on workers&rsquo; accounts of their experiences, it aimed to provide a narrative basis for the development of supportive policy and practice to reduce mental distress amongst people who are clients of the WorkCover system. The project was a qualitative study based on fifteen in--depth interviews with people who had been injured at work and who had been off work for at least six months. The workers who took part in the study were recruited with the assistance of their trade unions, using an advertisement that was distributed via the unions&rsquo; regular communication channels. Workers were asked to tell their story of injury and recovery with a particular focus on how they felt and the factors that affected them, both positively and negatively. They were also asked what could or should be changed to support workers&rsquo; recovery and improve their experience of the WorkCover system. The workers who took part in the study came from a variety of industry sectors (education, textile and clothing manufacturing and meat industries) and different occupational categories (professional, trade/technical and manual). They included people whose primary injury was physical and those whose primary injury was psychosocial. <br /

    Relative age effect in elite soccer: more early-born players, but no better valued, and no paragon clubs or countries

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    The paper analyses two datasets of elite soccer players (top 1000 professionals and UEFA Under-19 Youth League). In both, we find a Relative Age Effect (RAE) for frequency, but not for value. That is, while there are more players born at the start of the competition year, their transfer values are no higher, nor are they given more game time. We use Poisson regression to derive a transparent index of the discrimination present in RAE. Also, because Poisson is valid for small frequency counts, it supports analysis at the disaggregated levels of country and club. From this, we conclude there are no paragon clubs or countries immune to RAE; that is clubs and countries do not differ systematically in the RAE they experience; also, that Poisson regression is a powerful and flexible method of analysing RAE data

    The relative age effect in European elite soccer: A practical guide to Poisson regression modelling

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    <div><p>Many disciplines of scholarship are interested in the Relative Age Effect (RAE), whereby age-banding confers advantages on older members of the cohort over younger ones. Most research does not test this relationship in a manner consistent with theory (which requires a decline in frequency across the cohort year), instead resorting to non-parametric, non-directional approaches. In this article, the authors address this disconnect, provide an overview of the benefits associated with Poisson regression modelling, and two managerially useful measures for quantifying RAE bias, namely the Indices of Discrimination and Wastage. In a tutorial-like exposition, applications and extensions of this approach are illustrated using data on professional soccer players competing in the top two tiers of the “Big Five” European football leagues in the search to identify paragon clubs, leagues, and countries from which others may learn to mitigate this form of age-discrimination in the talent identification process. As with OLS regression, Poisson regression may include more than one independent variable. In this way we test competing explanations of RAE; control for unwanted sources of covariation; model interaction effects (that different clubs and countries may not all be subject to RAE to the same degree); and test for non-monotonic versions of RAE suggested in the literature.</p></div

    Identification of novel immunogens in Pasteurella multocida

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    P. multocida is a Gram-negative pathogen responsible for causing diseases in animals of economic significance to livestock industries throughout the world. Current vaccines include bacterins, which provide only limited protection against homologous serotypes. Therefore there is a need for more effective vaccines to control diseases caused by P. multocida. As a step towards developing vaccines against fowl cholera, a genomics based approach was applied for the identification of novel immunogens. RESULTS: Bioinformatics analysis of the P. multocida genome predicted 129 proteins as secreted, located in the outer membrane, or lipoproteins. 105 of the genes encoding these proteins were cloned and recombinant protein expressed in Escherichia coli. Polyclonal serum from P. multocida-infected chickens reacted with a subset of these proteins. CONCLUSION: These data show the range of bacterial immunogens recognized by the chicken immune system, including 6 novel immunoreactive proteins

    Small heat-shock proteins interact with a flanking domain to suppress polyglutamine aggregation

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    Small heat-shock proteins (sHsps) are molecular chaperones that play an important protective role against cellular protein misfolding by interacting with partially unfolded proteins on their off-folding pathway, preventing their aggregation. Polyglutamine (polyQ) repeat expansion leads to the formation of fibrillar protein aggregates and neuronal cell death in nine diseases, including Huntington disease and the spinocerebellar ataxias (SCAs). There is evidence that sHsps have a role in suppression of polyQ-induced neurodegeneration; for example, the sHsp alphaB-crystallin (αB-c) has been identified as a suppressor of SCA3 toxicity in a Drosophila model. However, the molecular mechanism for this suppression is unknown. In this study we tested the ability of αB-c to suppress the aggregation of a polyQ protein. We found that αB-c does not inhibit the formation of SDS-insoluble polyQ fibrils. We further tested the effect of αB-c on the aggregation of ataxin-3, a polyQ protein that aggregates via a two-stage aggregation mechanism. The first stage involves association of the N-terminal Josephin domain followed by polyQ-mediated interactions and the formation of SDS-resistant mature fibrils. Our data show that αB-c potently inhibits the first stage of ataxin-3 aggregation; however, the second polyQ-dependent stage can still proceed. By using NMR spectroscopy, we have determined that αB-c interacts with an extensive region on the surface of the Josephin domain. These data provide an example of a domain/region flanking an amyloidogenic sequence that has a critical role in modulating aggregation of a polypeptide and plays a role in the interaction with molecular chaperones to prevent this aggregation
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