26 research outputs found

    No need to renew: The end of Japan’s teacher license renewal system and the future

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    In 2007, the Japanese Ministry of Education revised the Education Law to pave the way for the introduction of a teaching license renewal system in 2009. The reform required all teachers to complete at least 30 hours of training in specially tailored university courses as a prerequisite for renewal of their teaching licenses every 10 years. In late 2021, however, the government abruptly announced it was ending the scheme in 2022 in a policy about face reminiscent of the abolition of yutori kyƍiku (“education without pressure”) in 2007. This qualitative study aims to examine the background, outline and issues of Japan’s license renewal system in order to understand the reasons for its demise and illustrate the similarities with the yutori kyƍiku experiment. Drawing on interview data and reflections from the author’s experiences with the system over 12 years, it looks at some of Japan’s unique training opportunities and, employing examples from other countries, examines what kind of ‘training’ is needed moving forward. It concludes by calling for a widening of the interpretation of ‘training,’ and indeed, the license itself, so as to increase diversity in what is a considerably restrictive employment sector

    Can incontinence be cured? A systematic review of cure rates

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    Background Incontinence constitutes a major health problem affecting millions of people worldwide. The present study aims to assess cure rates from treating urinary (UI) or fecal incontinence (FI) and the number of people who may remain dependent on containment strategies. Methods Medline, Embase, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL, and PEDro were searched from January 2005 to June 2015. Supplementary searches included conference abstracts and trials registers (2013–2015). Included studies had patients ≄ 18 years with UI or FI, reported treatment cure or success rates, had ≄ 50 patients treated with any intervention recognized in international guideline algorithms, a follow-up ≄ 3 months, and were published from 2005 onwards. Title and abstract screening, full paper screening, data extraction and risk-of-bias assessment were performed independently by two reviewers. Disagreements were resolved through discussion or referral to a third reviewer where necessary. A narrative summary of included studies is presented. Results Most evidence was found for UI: Surgical interventions for stress UI showed a median cure rate of 82.3% (interquartile range (IQR), 72–89.5%); people with urgency UI were mostly treated using medications (median cure rate for antimuscarinics = 49%; IQR, 35.6–58%). Pelvic floor muscle training and bulking agents showed lower cure rates for UI. Sacral neuromodulation for FI had a median cure rate of 38.6% (IQR, 35.6–40.6%). Conclusions Many individuals were not cured and hence may continue to rely on containment. No studies were found assessing success of containment strategies. There was a lack of data in the disabled and in those with neurological diseases, in the elderly and those with cognitive impairment. Surgical interventions were effective for stress UI. Other interventions for UI and FI showed lower cure rates. Many individuals are likely to be reliant on containment strategies

    Global Spatial Risk Assessment of Sharks Under the Footprint of Fisheries

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    Effective ocean management and conservation of highly migratory species depends on resolving overlap between animal movements and distributions and fishing effort. Yet, this information is lacking at a global scale. Here we show, using a big-data approach combining satellite-tracked movements of pelagic sharks and global fishing fleets, that 24% of the mean monthly space used by sharks falls under the footprint of pelagic longline fisheries. Space use hotspots of commercially valuable sharks and of internationally protected species had the highest overlap with longlines (up to 76% and 64%, respectively) and were also associated with significant increases in fishing effort. We conclude that pelagic sharks have limited spatial refuge from current levels of high-seas fishing effort. Results demonstrate an urgent need for conservation and management measures at high-seas shark hotspots and highlight the potential of simultaneous satellite surveillance of megafauna and fishers as a tool for near-real time, dynamic management

    Diversity in Parliaments of Germany: Turkey-origin Members of Parliament in Germany

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    Nergiz DD. Diversity in Parliaments of Germany: Turkey-origin Members of Parliament in Germany. In: Chapple J, ed. Boundaries: Dichotomies of Keeping In and Keeping Out. Oxfordshire: Inter-Disciplinary Press; 2010: 119-132

    A new approach to patients with lower urinary tract symptoms (LUTS)

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