465 research outputs found

    Collective Action and Football Fandom A Relational Sociological Approach

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    This book draws upon a relational sociological paradigm to explore the processes of collective action in football fandom across Europe and the UK. Through a range of case studies, the authors address pertinent themes in football fandom, ..

    Incorporation, a theory of grammatical function changing

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    Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Linguistics and Philosophy, 1985.MICROFICHE COPY AVAILABLE IN ARCHIVES AND HUMANITIESBibliography: v.3, leaves 680-691.by Mark Cleland Baker.Ph.D

    Selecting the most suitable classification algorithm for supporting assistive technology adoption for people with dementia: a multicriteria framework

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    The number of people with dementia (PwD) is increasing dramatically. PwD exhibit impairments of reasoning, memory, and thought that require some form of self‐management intervention to support the completion of everyday activities while maintaining a level of independence. To address this need, efforts have been directed to the development of assistive technology solutions, which may provide an opportunity to alleviate the burden faced by the PwD and their carers. Nevertheless, uptake of such solutions has been limited. It is therefore necessary to use classifiers to discriminate between adopters and nonadopters of these technologies in order to avoid cost overruns and potential negative effects on quality of life. As multiple classification algorithms have been developed, choosing the most suitable classifier has become a critical step in technology adoption. To select the most appropriate classifier, a set of criteria from various domains need to be taken into account by decision makers. In addition, it is crucial to define the most appropriate multicriteria decision‐making approach for the modelling of technology adoption. Considering the above‐mentioned aspects, this paper presents the integration of a five‐phase methodology based on the Fuzzy Analytic Hierarchy Process and the Technique for Order of Preference by Similarity to Ideal Solution to determine the most suitable classifier for supporting assistive technology adoption studies. Fuzzy Analytic Hierarchy Process is used to determine the relative weights of criteria and subcriteria under uncertainty and Technique for Order of Preference by Similarity to Ideal Solution is applied to rank the classifier alternatives. A case study considering a mobile‐based self‐management and reminding solution for PwD is described to validate the proposed approach. The results revealed that the best classifier was k‐nearest‐neighbour with a closeness coefficient of 0.804, and the most important criterion when selecting classifiers is scalability. The paper also discusses the strengths and weaknesses of each algorithm that should be addressed in future research

    Six-minute walk distance after coronary artery bypass grafting compared with medical therapy in ischaemic cardiomyopathy

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    Background: In patients with ischaemic left ventricular dysfunction, coronary artery bypass surgery (CABG) may decrease mortality, but it is not known whether CABG improves functional capacity. Objective: To determine whether CABG compared with medical therapy alone (MED) increases 6 min walk distance in patients with ischaemic left ventricular dysfunction and coronary artery disease amenable to revascularisation. Methods: The Surgical Treatment in Ischemic Heart disease trial randomised 1212 patients with ischaemic left ventricular dysfunction to CABG or MED. A 6 min walk distance test was performed both at baseline and at least one follow-up assessment at 4, 12, 24 and/or 36 months in 409 patients randomised to CABG and 466 to MED. Change in 6 min walk distance between baseline and follow-up were compared by treatment allocation. Results: 6 min walk distance at baseline for CABG was mean 340±117 m and for MED 339±118 m. Change in walk distance from baseline was similar for CABG and MED groups at 4 months (mean +38 vs +28 m), 12 months (+47 vs +36 m), 24 months (+31 vs +34 m) and 36 months (−7 vs +7 m), P>0.10 for all. Change in walk distance between CABG and MED groups over all assessments was also similar after adjusting for covariates and imputation for missing values (+8 m, 95% CI −7 to 23 m, P=0.29). Results were consistent for subgroups defined by angina, New York Heart Association class ≥3, left ventricular ejection fraction, baseline walk distance and geographic region. Conclusion: In patients with ischaemic left ventricular dysfunction CABG compared with MED alone is known to reduce mortality but is unlikely to result in a clinically significant improvement in functional capacity

    Linguistics

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    Contains research summary and abstracts for five theses

    Distance Traveled and Cross-State Commuting to Opioid Treatment Programs in the United States

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    This study examined commuting patterns among 23,141 methadone patients enrolling in 84 opioid treatment programs (OTPs) in the United States. Patients completed an anonymous one-page survey. A linear mixed model analysis was used to predict distance traveled to the OTP. More than half (60%) the patients traveled <10 miles and 6% travelled between 50 and 200 miles to attend an OTP; 8% travelled across a state border to attend an OTP. In the multivariate model (n = 17,792), factors significantly (P < .05) associated with distance were, residing in the Southeast or Midwest, low urbanicity, area of the patient's ZIP code, younger age, non-Hispanic white race/ethnicity, prescription opioid abuse, and no heroin use. A significant number of OTP patients travel considerable distances to access treatment. To reduce obstacles to OTP access, policy makers and treatment providers should be alert to patients' commuting patterns and to factors associated with them

    Urban Family Planning in Low- and Middle-Income Countries: A Critical Scoping Review

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    Health agendas for low- and middle-income countries (LMICs) should embrace and afford greater priority to urban family planning to help achieve a number of the global Sustainable Development Goals. The urgency of doing so is heightened by emerging evidence of urban fertility stalls and reversals in some sub-Saharan African contexts as well as the significance of natural increase over migration in driving rapid urban growth. Moreover, there is new evidence from evaluations of large programmatic interventions focused on urban family planning that suggest ways to inform future programmes and policies that are adapted to local contexts. We present the key dimensions and challenges of urban growth in LMICs, offer a critical scoping review of recent research findings on urban family planning and fertility dynamics, and highlight priorities for future research

    Referral for specialist follow-up and its association with post-discharge mortality among patients with systolic heart failure (from the National Heart Failure Audit for England and Wales)

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    For patients admitted with worsening heart failure, early follow-up after discharge is recommended. Whether outcomes can be improved when follow-up is done by cardiologists is uncertain. We aimed to determine the association between cardiology follow-up and risk of death for patients with heart failure discharged from hospital. Using data from the National Heart Failure Audit (England &amp; Wales), we investigated the effect of referral to cardiology follow-up on 30-day and one-year mortality in 68 772 patients with heart failure and a reduced left ventricular ejection fraction (HFREF) discharged from 185 hospitals between 2007 to 2013. The primary analyses used instrumental variable analysis complemented by hierarchical logistic and propensity matched models. At the hospital level, rates of referral to cardiologists varied from 6% to 96%. The median odds ratio (OR) for referral to cardiologist was 2.3 (95% confidence interval [CI] 2.1, 2.5), suggesting that, on average, the odds of a patient being referred for cardiologist follow-up after discharge differed approximately 2.3 times from one randomly selected hospital to another one. Based on the proportion of patients (per region) referred for cardiology follow-up, referral for cardiology follow-up was associated with lower 30-day (OR 0.70; CI 0.55, 0.89) and one-year mortality (OR 0.81; CI 0.68, 0.95) compared with no plans for cardiology follow-up (i.e., standard follow-up done by family doctors). Results from hierarchical logistic models and propensity matched models were consistent (30-day mortality OR 0.66; CI 0.61, 0.72 and 0.66; CI 0.58, 0.76 for hierarchical and propensity matched models, respectively). For patients with HFREF admitted to hospital with worsening symptoms, referral to cardiology services for follow-up after discharge is strongly associated with reduced mortality, both early and late
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