148 research outputs found

    Medico-Legal Collaboration Regarding the Sex Offender: Othering and Resistance

    Get PDF
    We examined medico-legal collaboration regarding dangerous sex offenders where state legislators have adopted statutes that determine the criteria for commitment to and discharge from civil commitment programs. The application of these statutes relies on medical diagnoses of pathologies such as paraphilia, anti-social personality disorder, and pedophilia along with prognoses for cure or recidivism. In our study, we examined court opinions from commitment hearings and observed a trial in federal court on the constitutionality of these commitments. We found that one result of this medico-legal collaboration is the marginalization or othering of sex offenders by essentializing, dividing, shaming, and impeaching them. We also found that this group attempted to resist othering by rhetorical strategies such as providing evidence of change in character, distinction within the othered group, and proof of internal controls over unacceptable impulses. Finally, we discovered that such othering relies heavily on medical expertise, even though some medical practitioners may disagree with, or be hesitant in, their roles in this medico-legal collaboration

    Body Weight Dissatisfaction Is Associated with Cardiovascular Health-Risk Behaviors among Brazilian Adolescents: Findings from a National Survey

    Get PDF
    Body weight dissatisfaction (BWD) among adolescents may be a predictor of adoption of health-risk behaviors. The study aimed to assess the gendered association between two forms of BWD (feeling underweight/overweight) and cardiovascular health-risk behaviors among Brazilian adolescents. This cross-sectional study used data from the National Study of Cardiovascular Risks in Adolescents (ERICA) in Brazil, including 71,740 adolescents aged 12–17 years. BWD was defined as satisfied, dissatisfied feeling underweight and dissatisfied feeling overweight. We considered four health-risk behaviors: tobacco use, alcohol use, physical inactivity and skipping breakfast. Assessment of the associations between BWD and these behaviors were undertaken using logistic regression models. All analyses were stratified by gender. Analyses revealed that 14.9% of male adolescents and 14.5% of female adolescents were dissatisfied feeling underweight and 21.5% of males and 39.9% of females were dissatisfied feeling overweight. Among male adolescents, dissatisfied feeling overweight was associated with greater odds of physical inactivity and skipping breakfast. Among female adolescents, dissatisfied feeling underweight and overweight were associated with higher odds of alcohol use and skipping breakfast. These results highlight the importance of BWD and the association with a range of adolescent health behaviors increasing cardiovascular risk over the life course, depending on gender

    Portfolio Vol. IV N 2

    Get PDF
    Mahood, Danner L. War Sonnets. Poetry. 2. Lenser, Eugene. Landscape. Picture. 2. Lay, Mary Virginia. Damned Laughter. Prose. 3-4. Card, Dorothy. They Call It Love. Prose. 5. Kinney, John. Maestro. Prose. 7-9. Anstaett, Joe. Styleglance. Picture. 6. Beckham, Adela. Still the Echo. Poetry. 10. Bridge, Robert. Design for Life. Prose. 11. Seagrave, Dr. Gordon. Letter from Burma. Prose. 12-13. Chin, David K. To know their theatre is to know the Chinese people. Prose. 15. Jones, Charles. The Bookshelf. Prose. 16. Smith, Duke. Keeping the Records Straight. Prose. 17. Beckham, Adela. If Love Could Be. Prose. 19. Raymond, Toby. The Courtship of Miles Standish. Poetry. 20. King, Horace. The Case for Modern Art. Prose. 21-22. Elliot, Frances Gray. Black and White Dancers. Picture. 10

    Portfolio Vol. IV N 1

    Get PDF
    Phillips, Alison. Reflection. Poetry. 2. Rood, John. The Accused. Picture. 2. Lay, Mary Virginia. Irony. Poetry. 6. Lay, Mary Virginia. Not Know God? Poetry. 6. Shields, Margaret. Hope. Poetry. 6. Rogers, Tom. Football and Education. Prose. 7. Hammer, John. Red? Prose. 3-4. Brown, Kenneth I. The Christmas Guest. Prose. 5. Price III, Ira. Thomas Carlyle-Political Reactionary. Prose. 8-10. Tinnerman, Betty. Greater Love Hath No Man. Prose. 11. Hall, Jim. Gentlement--To Arms! Prose. 12-13. Benson, Virginia. Drop That Hammer! Prose. 14-15. Wilson, William. Thomas Wolfe--Volcano. Prose. 16. Seagrave, Leslie. Trelawney. Prose. 16. Chester, Bob. Keeping the Records Straight. Prose. 17. Wurdman, Audrey. I, II, XLIX. Poetry. 18. Auslander, Joseph. These Are the Wounds. Poetry. 19. Auslander, Joseph. Christmas Encyclical. Poetry. 19. Auslander, Joseph. Encounter With Keats. Poetry. 19. Koncana, Jean. Backstage at the Opera House. Prose. 20. Timrud, David. Ward Seventy Tonight. Prose. 21-22. Roach, Margaret. Wedding Bells. Prose. 23-26. Close, Dean. Back Country. Picture. 6

    Nocturnal Lifestyle Behaviours and Risk of Poor Sleep during Pregnancy

    Get PDF
    The extent to which lifestyle practices at night influence sleep quality in pregnant women remains unknown. This study aimed to examine whether nocturnal behaviours were associated with poor sleep during pregnancy. We performed a cross-sectional analysis of a prospective cohort of pregnant women at 18–24 gestation weeks recruited from KK Women’s and Children’s Hospital, Singapore, between 2019 and 2021. Nocturnal behaviours were assessed with questionnaires, and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) with a global score ≥5 indicative of poor sleep quality. Modified Poisson regression and linear regression were used to examine the association between nocturnal behaviour and sleep quality. Of 299 women, 117 (39.1%) experienced poor sleep. In the covariate-adjusted analysis, poor sleep was observed in women with nocturnal eating (risk ratio 1.51; 95% confidence interval [CI] 1.12, 2.04) and nocturnal artificial light exposure (1.63; 1.24, 2.13). Similarly, nocturnal eating (β 0.68; 95% CI 0.03, 1.32) and light exposure (1.99; 1.04, 2.94) were associated with higher PSQI score. Nocturnal physical activity and screen viewing before bedtime were not associated with sleep quality. In conclusion, reducing nocturnal eating and light exposure at night could potentially improve sleep in pregnancy.publishedVersionPeer reviewe

    Behavioural risk factors in two generations of non-Western migrants: do trends converge towards the host population?

    Get PDF
    Migrant mortality does not conform to a single pattern of convergence towards prevalence rates in the host population. To understand better how migrant mortality develops, it is necessary to further investigate how the underlying behavioural determinants change following migration. We studied whether the prevalence of behavioural risk factors over two generations of Turkish and Moroccan migrants converge towards the prevalence rates in the Dutch population. From a random sample from the population register of Amsterdam, 291 Moroccan and 505 Turkish migrants, aged 15–30, participated in a structured interview that included questions on smoking, alcohol consumption, physical inactivity and weight/height. Data from the Dutch population were available from Statistics Netherlands. By calculating age-adjusted Odds Ratio’s, prevalence rates among both generations were compared with prevalence rates in the host population for men and women separately. We found indications of convergence across generations towards the prevalence rates in the host population for smoking in Turkish men, for overweight in Turkish and Moroccan women and for physical inactivity in Turkish women. Alcohol consumption, however, remained low in all subgroups and did not converge towards the higher rates in the host population. In addition, we found a reversed trend among Turkish women regarding smoking: the second generation smoked significantly more, while the first generation did not differ from ethnic Dutch. In general, behavioural risk factors in two generations of non-Western migrants in the Netherlands seem to converge towards the prevalence rates in the Dutch population. However, some subgroups and risk factors showed a different pattern

    A serological framework to investigate acute primary and post-primary dengue cases reporting across the Philippines.

    Get PDF
    BACKGROUND: In dengue-endemic countries, targeting limited control interventions to populations at risk of severe disease could enable increased efficiency. Individuals who have had their first (primary) dengue infection are at risk of developing more severe secondary disease, thus could be targeted for disease prevention. Currently, there is no reliable algorithm for determining primary and post-primary (infection with more than one flavivirus) status from a single serum sample. In this study, we developed and validated an immune status algorithm using single acute serum samples from reporting patients and investigated dengue immuno-epidemiological patterns across the Philippines. METHODS: During 2015/2016, a cross-sectional sample of 10,137 dengue case reports provided serum for molecular (anti-DENV PCR) and serological (anti-DENV IgM/G capture ELISA) assay. Using mixture modelling, we re-assessed IgM/G seroprevalence and estimated functional, disease day-specific, IgG:IgM ratios that categorised the reporting population as negative, historical, primary and post-primary for dengue. We validated our algorithm against WHO gold standard criteria and investigated cross-reactivity with Zika by assaying a random subset for anti-ZIKV IgM and IgG. Lastly, using our algorithm, we explored immuno-epidemiological patterns of dengue across the Philippines. RESULTS: Our modelled IgM and IgG seroprevalence thresholds were lower than kit-provided thresholds. Individuals anti-DENV PCR+ or IgM+ were classified as active dengue infections (83.1%, 6998/8425). IgG- and IgG+ active dengue infections on disease days 1 and 2 were categorised as primary and post-primary, respectively, while those on disease days 3 to 5 with IgG:IgM ratios below and above 0.45 were classified as primary and post-primary, respectively. A significant proportion of post-primary dengue infections had elevated anti-ZIKV IgG inferring previous Zika exposure. Our algorithm achieved 90.5% serological agreement with WHO standard practice. Post-primary dengue infections were more likely to be older and present with severe symptoms. Finally, we identified a spatio-temporal cluster of primary dengue case reporting in northern Luzon during 2016. CONCLUSIONS: Our dengue immune status algorithm can equip surveillance operations with the means to target dengue control efforts. The algorithm accurately identified primary dengue infections who are at risk of future severe disease

    Reference programme: Diagnosis and treatment of headache disorders and facial pain. Danish Headache Society, 2nd Edition, 2012

    Get PDF
    Headache and facial pain are among the most common, disabling and costly disorders in Europe. Correct diagnosis and treatment is important for achieving a high quality of care. As a national organisation whose role is to educate and advocate for the needs of patients with primary headaches, the Danish Headache Society has set up a task force to develop a set of guidelines for the diagnosis, organisation and treatment of the most common types of headaches and for trigeminal neuralgia in Denmark. The guideline was published in Danish in 2010 and has been a great success. The Danish Headache Society decided to translate and publish our guideline in English to stimulate the discussion on optimal organisation and treatment of headache disorders and to encourage other national headache authorities to produce their own guidelines. The recommendations regarding the most common primary headaches and trigeminal neuralgia are largely in accordance with the European guidelines produced by the European Federation of Neurological Societies. The guideline provides a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as well as other health-care professionals treating headache patients. The guideline first describes how to examine and diagnose the headache patient and how headache treatment is organised in Denmark. This description is followed by individual sections on the characteristics, diagnosis, differential diagnosis and treatment of each of the major headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular problems regarding headache in children and headache in relation to female hormones and pregnancy are described
    corecore