“Lift Up a Living Nation”: Community and Nation, Socialism and Religion in The English Hymnal, 1906

The lead editors of The English Hymnal (1906), Percy Dearmer and Ralph Vaughan Williams, found Victorian hymnody in need of serious revision, and not just aesthetically. This musical book was intended as an expression of the editors' Christian socialist politics involving in the participation of the congregation. This article examines how they achieved this by the encouragement of active citizenship through communal music-making, using folksong tunes alongside texts which affirmed community. This article argues that the editors wedded religion and high-quality music with a focus on citizenship drawn from British Idealism; using a cultural movement to seek social change

Implementing Pasteur's vision for rabies elimination: the evidence base and the needed policy actions

It has been 129 years since Louis Pasteur's experimental protocol saved the life of a child mauled by a rabid dog, despite incomplete understanding of the etiology or mechanisms by which the miracle cure worked (1). The disease has since been well understood, and highly effective vaccines are available, yet Pasteur's vision for ridding the world of rabies has not been realized. Rabies remains a threat to half the world's population and kills more than 69,000 people each year, most of them children (2). We discuss the basis for this neglect and present evidence supporting the feasibility of eliminating canine-mediated rabies and the required policy actions

Are Guidelines Needed for the Diagnosis and Management of Incipient Alzheimer's Disease and Mild Cognitive Impairment?

Current research is aiming to push the boundaries of the point at which a diagnosis of Alzheimer Disease (AD) can be made. Clinical syndromes such as Mild Cognitive Impairment (MCI) and various clinical and biological markers of AD may help to identify people in the early stage of AD, before a full dementia syndrome is present. In the first part of this paper, we discuss whether MCI represents incipient AD, and examine some of the methods currently used in research to identify AD patients in the preclinical phase. In the second part, we discuss whether specific guidelines are needed for the diagnosis and management of MCI and incipient AD, and consider the potential impact of this on clinical practice and public health from the perspective of patients, caregivers, and healthcare providers

Factors that Contribute to Resident Teaching Effectiveness

Background One of the key components of residency training is to become an educator. Resident physicians teach students, advanced practice providers, nurses, and even faculty on a daily basis. Objective The goal of this study was to identify the objective characteristics of residents, which correlate with perceived overall teaching effectiveness. Methods We conducted a one-year, retrospective study to identify factors that were associated with higher resident teaching evaluations. Senior emergency medicine (EM) teaching residents are evaluated by medical students following clinical teaching shifts. Eighteen factors pertaining to resident teaching effectiveness were chosen. Two items from the medical students' evaluations were analyzed against each factor: teaching effectiveness was measured on a five-point Likert scale and an overall teaching score (1-75). Results A total of 46 EM residents and 843 medical student evaluations were analyzed. The ACGME milestones for systems-based practice (p = 0.02) and accountability (p = 0.05) showed a statistically significant association with a rating of "five" on the Likert scale for teaching effectiveness. Three other ACGME milestones, systems-based practice (p = 0.01), task switching (p = 0.04), and team management (p = 0.03) also showed a statically significant association of receiving a score of 70 or greater on the overall teaching score. Conclusion Residents with higher performance associated with system management and accountability were perceived as highly effective teachers. USMLE and in-service exams were not predictive of higher teaching evaluations. Our data also suggest that effective teachers are working in both academic and community settings, providing a potential resource to academic departments and institutions

The effect of leadership development on first-year college students reported self-regulation and self-efficacy [abstract]

Abstract only availableFaculty Mentor: Dr. Greg Holliday, PsychologyCommon objectives among universities' leadership development programs include development of effective communication skills, identifying personal values, and respecting diversity, which all relate to increased self-regulation and self-efficacy. Thus, this research investigation seeks to determine the effect of involvement in leadership development programs on first year college students' perceived self-regulation and self-efficacy. The research design prompts a comparison of first year students who identified themselves as involved or uninvolved in campus leadership development programs

A Poststructural Analysis of the Health and Wellbeing of Young Lesbian Identified Women in New Zealand

New Zealand is regarded internationally as a forerunner in the recognition of gay rights. Despite the wide circulation of discourses of gay rights and equality, research shows that young women who identify as lesbian continue to be marginalised by society, which constrains their health and wellbeing. This study was an inquiry into the health and wellbeing of young lesbians in New Zealand, from a poststructural feminist perspective. It posed the research question: what are the discourses in play in relation to the health and wellbeing of young lesbian identified women in New Zealand? The methodology employed was a poststructural feminist discourse analysis, drawing on the philosopher Michel Foucault’s concepts of genealogy and the history of the present. Interviews with young lesbians were conducted in 2012 amid public debate around same-sex marriage. Historical data sources were the extant texts Broadsheet, a feminist periodical with strong health and wellbeing emphasis, and Hansard, a record of New Zealand parliamentary debate. Issues of these publications were selected from the early 1970s, during which the second wave feminist movement emerged, and the mid-1980s when the campaign for Homosexual Law Reform took place in New Zealand. The discourse analysis made visible the production of multiple ‘truths’ of young lesbian health and wellbeing. Young lesbian participants were able to position themselves as legitimate subjects endorsed by psychological and biomedical scientific communities, and as lesbian wives and mothers. Queer discourse enabled the refutation of fixed modes of sexual and gender identity. The findings also showed that young lesbians continued to be subject to heteronormative and patriarchal discourses, which legitimised their marginalisation, exclusion, and victimisation, and restricted the spaces in which they could feel safe. Further, the ability of the participants to challenge the effects of heteronormative and patriarchal discourses on their wellbeing was limited by dominant psychological and healthy lifestyles discourses, which produced them as individualised subjects of neoliberal responsibility. Findings also pointed to a restriction of possibilities for young lesbian health and wellbeing in New Zealand. The publically and legally sanctioned availability of lesbian marriage seemed to have pushed lesbian relationships further under the rubric of ‘the family’. Broadsheet magazine in the early 1970s, and mid-1980s was a surface of emergence for alternative discourses of lesbianism such as radical feminism to circulate. Radical feminist discourse problematised heterosexuality and its institutions of marriage and the family, and created space for lesbian community development and a political lesbianism to emerge. Through radical feminist discourse, compulsory heterosexuality could be articulated as a women’s health issue. Addressing the issue of narrowing lesbian possibilities involves supporting young women to creatively expand the range of possible lesbian spaces and selves that are available to them. The rethinking of practices of radical lesbian space-making may facilitate the production and circulation of alternative discourses on lesbianism. Important possibilities for lesbian health may be found in societal health and wellbeing discourses which challenge the notion of individual responsibility, foregrounding analysis of heteropatriarchy, as well as governmental and social responsibility for effecting change

Integrated care for the management of ageing-related non-communicable diseases: current gaps and future directions

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Association between prescription of conventional or atypical antipsychotic drugs and mortality in older persons with Alzheimer's disease.

Background/Aims: To evaluate whether dementia patients prescribed antipsychotic drugs have a higher mortality compared to unexposed patients, and to investigate whether there are differences in mortality associated with exposure to conventional versus atypical antipsychotic drugs. Methods: Retrospective population cohort study with information gathered from the Italian Health Information System. All 4,369 residents of Milan (Italy) aged 60 years or older who were newly prescribed an antidementia drug (donepezil, rivastigmine or galantamine) from January 2002 to June 2008 were included. All new users of antipsychotic drugs in this cohort were categorized according to conventional (n = 156) or atypical (n = 806) drug exposure. The mortality risks of users of conventional or atypical antipsychotics compared to nonusers were evaluated with survival analysis, considering exposure to antipsychotic drugs as a time-dependent variable. Results: Mortality was increased two- and fivefold in users of atypical and conventional antipsychotics, respectively, with respect to nonusers. Conclusions: Dementia patients prescribed antipsychotic drugs had a higher risk of death. This risk was highest for those prescribed conventional antipsychotics. At least part of the excess mortality may be due to the underlying neuropsychiatric symptoms that prompted the use of antipsychotics rather than a direct medication effect

Stream Restoration Databases and Case Studies: A Guide to Information Resources and Their Utility in Advancing the Science and Practice of Restoration

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73128/1/j.1526-100X.2006.00119.x.pd

School holiday food provision in the UK: a qualitative investigation of needs, benefits, and potential for development

Access to an adequate supply of nutritious food has been recognized as a basic human right. However, many families across the UK face food insecurity, which is thought to be exacerbated during school holidays. To address this issue, some schools and community groups have chosen to roll out holiday clubs, though research into the effectiveness of such interventions is limited and no studies to date have evaluated holiday clubs being organized through schools. In an effort to address some of the limitations in the research literature, the current qualitative investigation utilized semi-structured interviews with staff involved in holiday clubs in school and community venues with the aim of gaging their views on the need for and benefits of holiday food provision in addition to potential areas for development. The investigation revealed that staff perceived many families to be facing food insecurity and isolation during the school holidays, which may be alleviated through holiday club provision. Holiday clubs were viewed as a valuable source of support for children and adults, providing food, activities, and learning experiences. Staff were keen to see them implemented on a wider scale in future but suggested some areas that require attention in any future development of such provision. Findings are discussed in relation to current research, policy, and practice surrounding the health and wellbeing of children and families