Risk: young women and sexual decision-making

This paper considers young people's sexual decision-making in the context of New Labour's policies on teenage pregnancy. In 1999, the newly formed Social Exclusion Unit sought to understand why the UK had the highest number of teenage conceptions in Europe (SEU 1999). One of the conclusions was that young people in the UK are engaging in "risky" rather than "safe" sex. Although New Labour has since developed policies designed to help young people avoid what is seen as risky sexual activity, there is a tension in sexual health policy between the overall aim of providing young people with the knowledge and confidence to practice "safe sex", and an underlying belief amongst many in the undesirability of "underage sex". This is partly a legacy of disagreements evident in the 1980s and 1990s when some organisations argued against sex education and contraceptive provision for young people on the grounds that it encouraged promiscuous and risky behaviour. The paper shows how alternative meanings of risk and responsibility are present in young mothers' own representations of their sexual decision-making. It does this through an analysis of two research projects on Young Women, Sex and Choices

Camden Childcare Needs Assessment

The Camden Childcare Needs Assessment is a mixed methods study that has sought to consider the childcare needs of parents in the borough, including considering where there is unmet demand, the adequacy of the timing of childcare provision and parental views on the cost and quality of provision. The study aims to contribute to the planning of future childcare in the borough. Aims The Camden Childcare Needs Assessment aims to: - develop a clear and concise picture of the demand for childcare from Camden residents - identify unmet needs in childcare provision in Camden The objective of the project is to enable the Local Authority to plan childcare expansion and support sustainable service development

Moral dilemmas and abortion decision-making: Lessons learnt from abortion research in England and Wales

This paper scrutinises the concepts of moral reasoning and personal reasoning, problematising the binary model by looking at young women's pregnancy decision-making. Data from two UK empirical studies are subjected to theoretically driven qualitative secondary analysis, and illustrative cases show how complex decision-making is characterised by an intertwining of the personal and the moral, and is thus best understood by drawing on moral relativism

Implementation and second-year impacts for New Deal 25 Plus customers in the UK Employment Retention and Advancement (ERA) demonstration

This report presents findings on the implementation and effectiveness of Britain's Employment Retention and Advancement (ERA) demonstration programme for New Deal 25 Plus customers (ND25 Plus) two years after entering the programme. The effectiveness of this programme is being evaluated using a random assignment research design. Over 16,000 people were randomly assigned onto the programme, making this study one of the largest randomised social policy trials ever undertaken in Britain. The analysis relies heavily on data from two waves of a longitudinal customer survey administered at 12 and 24 months respectively, following each individual's date of random assignment (when they entered the study). The survey respondents (around 6,000) are a representative sub-sample of the full sample of ND25 Plus customers enrolled in the study. The analysis also used data on employment, earnings and benefits receipt from administrative records for the entire sample. To provide a richer understanding of the Jobcentre Plus offices' experience of implementing ERA and customers experiences of ERA, the analysis also uses qualitative research involving in-depth interviews with ERA staff and customers

Back to the Future: The Uses of Television in the Digital Age

This article considers some of the present-day issues, challenges and possibilities facing television broadcasting via a critical examination of the recently published Goldsmiths report on the future of public service television in the twenty-first century. Focusing mainly on UK terrestrial broadcasters (BBC, ITV, Channel 4 and Channel 5), the article summarises and expands on the report's key findings and recommendations, particularly in relation to questions concerning digitalisation, content, diversity, quality, marketisation, funding and national and regional heritage. The article argues that, despite the rise of the Internet and the proliferation of digital platforms, television viewing remains a common source of information and entertainment and is characterised by meaningful continuities. Additionally, the article outlines the vitally important role played by David Puttnam, chair of the Goldsmiths inquiry, in defending public service television through his active engagement with relevant parliamentary committees and as a widely respected media professional. Finally, the article reflects on the continuing relevance of the 1962 Pilkington Report on Broadcasting, which was similarly commissioned in order to evaluate the purposes of television. In so doing, the article suggests that Pilkington's criticisms of creeping commercialism and the ensuing regulatory proposals still represent a cogent engagement with the idea of public service broadcasting as a primary facilitator of deliberative democracy

Diagnosis of Kawasaki disease using a minimal whole blood gene expression signature

Importance There is no diagnostic test for Kawasaki disease (KD). Diagnosis is based on clinical features shared with other febrile conditions, frequently resulting in delayed or missed treatment and an increased risk of coronary artery aneurysms. Objective To identify a whole blood gene expression signature that distinguishes children with KD in the first week of illness from other febrile conditions. Design Case-control discovery study groups comprising training, test, and validation groups of children with KD or comparator febrile illness. Setting Hospitals in the UK, Spain, Netherlands and USA. Participants The training and test discovery group comprised 404 children with infectious and inflammatory conditions (78 KD, 84 other inflammatory diseases, 242 bacterial or viral infections) and 55 healthy controls. The independent validation group included 130 febrile children and 102 KD patients, including 72 in the first 7 days of illness. Exposures Whole blood gene expression was evaluated using microarrays, and minimal transcript sets distinguishing KD were identified using a novel variable selection method (Parallel Deterministic Model Search). Main outcomes and measures The ability of transcript signatures - implemented as Disease Risk Scores - to discriminate KD cases from controls, was assessed by Area Under the Curve (AUC), sensitivity, and specificity at the optimal cut-point according to Youden’s index. Results A 13-transcript signature identified in the discovery training set distinguished KD from other infectious and inflammatory conditions in the discovery test set with AUC, sensitivity, and specificity (95% confidence intervals (CI)) of 96.2% (92.5-99.9), 81.7% (60.0-94.8), and 92.1% (84.0-97.0), respectively. In the validation set, the signature distinguished KD from febrile controls with AUC, sensitivity, and specificity (95% CI) of 94.6% (91.3-98.0), 85.9% (76.8-92.6), and 89.1% (83.0-93.7) respectively. The signature was applied to clinically defined categories of Definite, Highly Probable and Possible KD resulting in AUCs of 98.1%, 96.3% and 70.0% respectively, mirroring clinical certainty. Conclusions and relevance A 13-transcript blood gene expression signature distinguished KD from other febrile conditions. Diagnostic accuracy increased with certainty of clinical diagnosis. A test incorporating the 13-transcript Disease Risk Score may enable earlier diagnosis and treatment of KD, and reduce inappropriate treatment in those with other diagnoses