717 research outputs found

    The tyranny of regional unemployment rates

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    Although there is a substantial body of literature on labour market analysis, most of it ignores the spatial dimension of the labour market. A spatial perspective in analysing labour market processes is important for several reasons. FIRST, labour markets are by no means as homogeneous as conventional labour market theories assume. SECOND, most countries are displaying strong regional variations in the dynamics of unemployment. THIRD, geographical space exerts a frictional effect on labour market processes. Regional unemployment rates appear to be the most important indicators for analysing labour market processes from a spatial perspective. The paper aims to discuss some of the problems that are associated with the use of regional unemployment rates. We will focus attention on conceptual problems, problems of data quality and on some of the new problems that have arisen due to the widespread use of new computer technology. Solutions to many of the problems are obvious, but many of the new problems will require some extra effort for their solution. The tyranny that threatens the research community is that regional unemployment data exercise a power over us that can lead the naive to misinterpretations. The data may mislead even the most righteous among us. A good deal of research effort is often given to overcome the tyranny that is found in the columns and rows that the lay public likes to call statistics. The discussion will be enriched by means of a study utilizing regional unemployment rates at the district level in West Germany.

    Counseling, Testing, and Referral: Improving Access to HIV and STI Services in the Hispanic Community

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    IMPACT. 1: Reached out to more than 100 individuals with educational and promotional materials -- 2. Provided 26 HIV, 25 chlamydia and gonorrhea, and 24 syphilis tests.COMMUNITY PARTNERS: The project agency is Columbus Public Health (CPH), which serves the community through clinical, environmental, health promotion, and population-based services. Other collaborators were OSU Latino Free Clinic, Panadería Guadelupana, a bakery in the Northland neighborhood of Columbus, and other local agencies.PRIMARY CONTACT: Courtney MaierhoferIn the US, Hispanics are disproportionately affected by HIV and sexually transmitted infections (STI). In 2011, Hispanics accounted for 21% of newly-diagnosed HIV infections, but only represented 17% of the US population. Language barriers may lead to limited access to health care services, and contribute to a higher prevalence of HIV in this population. The mission of this program is to improve access to HIV and STI services in the Hispanic community

    Weiblichkeit in den Titelkupfern und Monatskupfern der Erstveröffentlichung von Schillers Geschichte des Dreißigjährigen Krieges im Historischen Kalender für Damen

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    Schillers Geschichte des Dreißigjährigen Kriegs wurde in der Kalenderausgabe dieser Publikationsform entsprechend mit Titel- und Monatskupfern ausgestattet, die programmatische Allegorien, wichtige Szenen und zusätzlich Portraits der Hauptpersonen zeigten. Dieser Beitrag untersucht die Titelkupfer und Monatsbilder auf ihre Darstellung von historischen Frauen und Weiblichkeit sowie die Porträts von Christina von Schweden und Amalia von Hessen und vergleicht sie mit Schillers Text

    Needs Assessment to Improve Sepsis Bundle Compliance in the Emergency Department

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    Sepsis is a leading cause of morbidity and mortality worldwide. Treatment depends on time-sensitive antibiotic initiation, fluid resuscitation, and vasoactive support. Early recognition and bundled care are core tenets of management. Thus, this project aims to identify barriers to sepsis bundle compliance in a local community emergency department. Specifically, how do perceived barriers to sepsis bundle compliance as identified by staff correspond with quantitative delays in care as demonstrated by chart data? This mixed-methods needs assessment consists of staff surveys and analysis of extracted chart data. Staff surveys revealed barriers including staffing shortages, difficulty with intravenous (IV) access, and lack of recognition in triage. Case reviews showed that many patients receive components of the 1-hour sepsis bundle before they screen SIRS+ (57% of patients for lactate draws, 34% of patients for blood culture draws, n=35). Across cases, average door-to-antibiotic time was 137.06 minutes (SD 88.66 minutes). Thus, the department has yet to meet its target of door-to-antibiotic time less than one hour. Survey data and case reviews provide a launchpad for future quality improvement (QI) initiatives in the emergency department

    Accelerated epigenetic aging in Werner syndrome.

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    Individuals suffering from Werner syndrome (WS) exhibit many clinical signs of accelerated aging. While the underlying constitutional mutation leads to accelerated rates of DNA damage, it is not yet known whether WS is also associated with an increased epigenetic age according to a DNA methylation based biomarker of aging (the "Epigenetic Clock"). Using whole blood methylation data from 18 WS cases and 18 age matched controls, we find that WS is associated with increased extrinsic epigenetic age acceleration (p=0.0072) and intrinsic epigenetic age acceleration (p=0.04), the latter of which is independent of age-related changes in the composition of peripheral blood cells. A multivariate model analysis reveals that WS is associated with an increase in DNA methylation age (on average 6.4 years, p=0.011) even after adjusting for chronological age, gender, and blood cell counts. Further, WS might be associated with a reduction in naïve CD8+ T cells (p=0.025) according to imputed measures of blood cell counts. Overall, this study shows that WS is associated with an increased epigenetic age of blood cells which is independent of changes in blood cell composition. The extent to which this alteration is a cause or effect of WS disease phenotypes remains unknown
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