242 research outputs found

    Body Like a Rocket: Performing Technologies of Naturalization

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    This article examines how athletes embody and perform technologies in ways that question the "natural" human form. Through a historical review of the political implications of science and technology in the modern Olympics and a close analysis of Speedo bodysuit swimwear featured since the 2000 Summer Olympics, I explore how technologies produce boundaries between "natural" bodies fit for competition and deviant bodies along lines of power. The interaction of material technologies and athletic bodies allow both the athlete and viewing community to participate in myths of human progress that is both separate from and reliant on technological enhancement. The sporting event becomes simultaneously a performance of the natural abilities of the human body and the physical enhancement of human ability through a high-tech product available for purchase to anyone with enough capital. Building on the work of feminist and science studies scholars, a close analysis of the material-discursive production of technologies reveals the tangled political investments of powerful groups, nations, and corporations in perpetuating modern narratives of progress. These networks mobilize technologies to define what constitutes "natural" human bodies, creating power differentials across subject positions of gender, class, race, nationality, and ability

    Comparing Antonovsky's sense of coherence scale across three UK post-industrial cities

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    Objectives: High levels of ‘excess’ mortality (ie, that seemingly not explained by deprivation) have been shown for Scotland compared to England and Wales and, especially, for its largest city, Glasgow, compared to the similarly deprived English cities of Liverpool and Manchester. It has been suggested that this excess may be related to differences in ‘Sense of Coherence’ (SoC) between the populations. The aim of this study was to ascertain whether levels of SoC differed between these cities and whether, therefore, this could be a plausible explanation for the ‘excess’. Setting: Three post-industrial UK cities: Glasgow, Liverpool and Manchester. Participants: A representative sample of more than 3700 adults (over 1200 in each city). Primary and secondary outcome measures: SoC was measured using Antonovsky's 13-item scale (SOC-13). Multivariate linear regression was used to compare SoC between the cities while controlling for characteristics (age, gender, SES etc) of the samples. Additional modelling explored whether differences in SoC moderated city differences in levels of self-assessed health (SAH). Results: SoC was higher, not lower, among the Glasgow sample. Fully adjusted mean SoC scores for residents of Liverpool and Manchester were, respectively, 5.1 (−5.1 (95% CI −6.0 to −4.1)) and 8.1 (−8.1 (−9.1 to −7.2)) lower than those in Glasgow. The additional modelling confirmed the relationship between SoC and SAH: a 1 unit increase in SoC predicted approximately 3% lower likelihood of reporting bad/very bad health (OR=0.97 (95% CI 0.96 to 0.98)): given the slightly worse SAH in Glasgow, this resulted in slightly lower odds of reporting bad/very bad health for the Liverpool and Manchester samples compared to Glasgow. Conclusions: The reasons for the high levels of ‘excess’ mortality seen in Scotland and particularly Glasgow remain unclear. However, on the basis of these analyses, it appears unlikely that a low SoC provides any explanation

    Sustainability of Housing and Support Programs Implemented at the Winnipeg Site

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    This report is the final Winnipeg Site Report of the Mental Health Commission of Canada’s At Home/Chez Soi project. The research examined the sustainability of Canada’s At Home/Chez Soi Housing First (HF) programs for homeless persons with mental illness leading up to and after the end of the demonstration phase of the randomized controlled trial. It covers the final period of the project when Sustainability of the project was being planned and implemented, and tells the sustainability story of the project—what happened and why. The objective was to examine to what extent the HF programs were sustained in terms of continuation, fidelity to the HF model, systems integration, and expansion, and to identify factors that facilitated or impeded sustainability outcomes. The findings in the report result from key informant interviews, focus groups, and HF fidelity self-assessment questionnaires from each of the service teams. The Sustainability story is told across three periods of time: a Sustainability Planning period during the last year of the project; a Transition period when the programs were receiving interim funding and were gradually integrated into provincial systems; and a New System period following program integration. The Sustainability Story is followed by a brief overview of factors that impacted the success of sustainability at the Winnipeg site and Cross-Cutting themes and lessons that emerged.MHC

    Older Adults’ Engagement with Further and Higher Education in the West of Scotland: Tracking Educational Journeys

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    In this qualitative study, the motivations and trigger events for learning of West of Scotland older adults are explored. The range of purposes for formal learning in later adulthood is broader than most conventional typologies would suggest and work-related motives are shown to be very strong, linked to on-going vocational aspirations

    Coming Back Better: Leveraging Crisis-Response Task Forces to Advance Racial Equity and Worker Justice

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    As the United States enters its third year of navigating the global Covid-19 pandemic, the coronavirus continues to disrupt the lives of millions of workers and their families. About a quarter of the US workforce—nearly 41 million workers -- experienced at least one spell of unemployment due to the coronavirus. As of February 2022, some 3 million fewer people are employed than before the pandemic. While nearly all workers have been affected, yet these impacts are highly unequal: low-wage workers, Black workers, and other workers of color, particularly women of color, have experienced the greatest health and economic harms. This lop-sided labor market recovery has done little to buoy low-wage workers of color who continue to face heavy burdens in terms of rent debt and childcare access

    Preparing Manitoba's Non-Profit Housing Secotr

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    The Manitoba Non-Profit Housing Association (MNPHA) contracted the Institute of Urban Studies (IUS) at The University of Winnipeg to undertake research on the End of Operating Agreements (EOA) in Manitoba. The ultimate goals of the project are to assist social housing providers in Manitoba plan and prepare for the end of their individual agreements, to strengthen each provider’s capacity, and to increase their sustainability. The primary intended outcome is the development of a comprehensive ‘training’ program or tool that can be used to assist individual providers with the creation of individualized plans for EOA

    Information Needs Assessment for the City of Hermiston

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    33 pagesThe goal of this report is to understand the existing information ecosystem in Hermiston and Hermiston residents’ information needs. Recommendations emphasize how the City of Hermiston and other local entities can improve information flow. The Engaged Journalism class conducted a survey, led four facilitated conversations, and visited the site to better understand and meet the needs of Hermiston residents. Overall, residents report feeling well informed about their community, with an average rating of seven on a scale of one to 10. The local Facebook group “What’s Happening in Hermiston” is the first place many residents look to find information on the community, and some residents mentioned that the Facebook group posts important events faster than the local news outlets do. In regards to local news outlets, the Hermiston Herald is the most popular. More than half of all survey respondents said the newspaper is where they find local news. Finally, the Hermiston Public Library was not as popular among respondents. Less than 20% of respondents indicated that they found out about local events from the library, and less than 10% considered it a physical gathering space for community members. Based on these findings, students compiled seven categories of suggestions that could help Hermiston better meet its residents’ information needs: enhancing the Hermiston Library with physical upgrades and more events, translating more text and media into Spanish, taking advantage of online information sharing platforms, fostering physical gathering spaces such as at the Food Pods in Hermiston, creating a community advisory board, and sharing communication platforms

    Clinician-targeted interventions to reduce antibiotic prescribing for acute respiratory infections in primary care:An overview of systematic reviews

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    This is the protocol for a review and there is no abstract. The objectives are as follows: To systematically review the literature and appraise the existing evidence from systematic reviews regarding the effects of interventions, aimed at changing clinician behaviour, to reduce antibiotic prescribing for ARIs in primary care

    Clinician-targeted interventions to influence antibiotic prescribing behaviour for acute respiratory infections in primary care: An overview of systematic reviews

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    Background: Antibiotic resistance is a worldwide health threat. Interventions that reduce antibiotic prescribing by clinicians are expected to reduce antibiotic resistance. Disparate interventions to change antibiotic prescribing behaviour for acute respiratory infections (ARIs) have been trialled and meta-analysed, but not yet synthesised in an overview. This overview synthesises evidence from systematic reviews, rather than individual trials. Objectives: To systematically review the existing evidence from systematic reviews on the effects of interventions aimed at influencing clinician antibiotic prescribing behaviour for ARIs in primary care. Methods: We searched the Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects (DARE), MEDLINE, Embase, CINAHL, PsycINFO, and Science Citation Index to June 2016. We also searched the reference lists of all included reviews. We ran a pre-publication search in May 2017 and placed additional studies in 'awaiting classification'. We included both Cochrane and non-Cochrane reviews of randomised controlled trials evaluating the effect of any clinician-focussed intervention on antibiotic prescribing behaviour in primary care. Two overview authors independently extracted data and assessed the methodological quality of included reviews using the ROBIS tool, with disagreements reached by consensus or by discussion with a third overview author. We used the GRADE system to assess the quality of evidence in included reviews. The results are presented as a narrative overview. Main results: We included eight reviews in this overview: five Cochrane Reviews (33 included trials) and three non-Cochrane reviews (11 included trials). Three reviews (all Cochrane Reviews) scored low risk across all the ROBIS domains in Phase 2 and low risk of bias overall. The remaining five reviews scored high risk on Domain 4 of Phase 2 because the 'Risk of bias' assessment had not been specifically considered and discussed in the review Results and Conclusions. The trials included in the reviews varied in both size and risk of bias. Interventions were compared to usual care. Moderate-quality evidence indicated that C-reactive protein (CRP) point-of-care testing (risk ratio (RR) 0.78, 95% confidence interval (CI) 0.66 to 0.92, 3284 participants, 6 trials), shared decision making (odds ratio (OR) 0.44, 95% CI 0.26 to 0.75, 3274 participants, 3 trials; RR 0.64, 95% CI 0.49 to 0.84, 4623 participants, 2 trials; risk difference -18.44, 95% CI -27.24 to -9.65, 481,807 participants, 4 trials), and procalcitonin-guided management (adjusted OR 0.10, 95% CI 0.07 to 0.14, 1008 participants, 2 trials) probably reduce antibiotic prescribing in general practice. We found moderate-quality evidence that procalcitonin-guided management probably reduces antibiotic prescribing in emergency departments (adjusted OR 0.34, 95% CI 0.28 to 0.43, 2605 participants, 7 trials). The overall effect of these interventions was small (few achieving greater than 50% reduction in antibiotic prescribing, most about a quarter or less), but likely to be clinically important. Compared to usual care, shared decision making probably makes little or no difference to reconsultation for the same illness (RR 0.87, 95% CI 0.74 to 1.03, 1860 participants, 4 trials, moderate-quality evidence), and may make little or no difference to patient satisfaction (RR 0.86, 95% CI 0.57 to 1.30, 1110 participants, 2 trials, low-quality evidence). Similarly, CRP testing probably has little or no effect on patient satisfaction (RR 0.79, 95% CI 0.57 to 1.08, 689 participants, 2 trials, moderate-quality evidence) or reconsultation (RR 1.08, 95% CI 0.93 to 1.27, 5132 participants, 4 trials, moderate-quality evidence). Procalcitonin-guided management probably results in little or no difference in treatment failure in general practice compared to normal care (adjusted OR 0.95, 95% CI 0.73 to 1.24, 1008 participants, 2 trials, moderate-quality evidence), however it probably reduces treatment failure in the emergency department compared to usual care (adjusted OR 0.76, 95% CI 0.61 to 0.95, 2605 participants, 7 trials, moderate-quality evidence). The quality of evidence for interventions focused on clinician educational materials and decision support in reducing antibiotic prescribing in general practice was either low or very low (no pooled result reported) and trial results were highly heterogeneous, therefore we were unable draw conclusions about the effects of these interventions. The use of rapid viral diagnostics in emergency departments may have little or no effect on antibiotic prescribing (RR 0.86, 95% CI 0.61 to 1.22, 891 participants, 3 trials, low-quality evidence) and may result in little to no difference in reconsultation (RR 0.86, 95% CI 0.59 to 1.25, 200 participants, 1 trial, low-quality evidence). None of the trials in the included reviews reported on management costs for the treatment of an ARI or any associated complications. Authors' conclusions: We found evidence that CRP testing, shared decision making, and procalcitonin-guided management reduce antibiotic prescribing for patients with ARIs in primary care. These interventions may therefore reduce overall antibiotic consumption and consequently antibiotic resistance. There do not appear to be negative effects of these interventions on the outcomes of patient satisfaction and reconsultation, although there was limited measurement of these outcomes in the trials. This should be rectified in future trials. We could gather no information about the costs of management, and this along with the paucity of measurements meant that it was difficult to weigh the benefits and costs of implementing these interventions in practice. Most of this research was undertaken in high-income countries, and it may not generalise to other settings. The quality of evidence for the interventions of educational materials and tools for patients and clinicians was either low or very low, which prevented us from drawing any conclusions. High-quality trials are needed to further investigate these interventions. </p

    Effects of Dehydration on Resistance Training: An Ongoing Study

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    Introduction: Dehydration via hot bath has been shown to impair resistance training performance when performed the same day. The performance decrements in this instance could potentially be due to a combination of the dehydration and residual effects of the heat exposure and not of the dehydration alone. To date, no research has examined the effects of previous night dehydration on resistance training performance. Purpose: The purpose of this ongoing study was to determine the effects of previous night dehydration on performance and perceptual measures during a full-body resistance training protocol. Methods: Healthy, resistance trained males (n = 4) completed two bouts of a full body resistance training protocol (three sets to failure for bench press, lat pull, overhead press, bicep curl, triceps push down, and leg press), dehydrated (~3% body weight) (DT), or heat exposed with fluid replacement (HT). Heart rate (HR) was taken after every set, and participants estimated ratings of perceived exertion (RPE) after each exercise. Session RPE (SRPE) was estimated 5 minutes following completion of the protocol and estimations for feelings of recovery (PRS), perceived readiness to exercise (PR), thirst, and sleep quality. Results: Analysis revealed a significantly less (p = \u3c 0.001) total reps were completed for DT (163.0 ± 4.8) compared to HT (191.3 ± 10.3), though no differences were found for reps per exercise. No significant differences were found for HR (DT vs HT) at any time point. RPE was significantly higher for DT following bicep curl (p = 0.03) (DT: 7.8 ± 0.96, HT: 6.0 ± 0.82) and triceps push down (p = 0.03) (DT: 7.5 ± 0.58, HT: 6.0 ± 0.82). SRPE was significantly higher (p = 0.003) for DT (8.0 ± 0.0) vs HT (6.3 ± 0.5). Significant differences for PRS (p = 0.004) (DT: 5.0 ± 1.4, HT: 7.5 ± 0.58) and PR (p = \u3c 0.001) (DT: 5.0 ± 0.0, HT: 2.5 ± 0.58) indicate participants expected impaired performance during DT. Feelings of thirst were significantly higher (p = 0.001) for DT (7.98 ± 0.94) vs HT (2.73 ± 1.11). No differences were found for estimations of sleep quality (p = 0.59). Conclusion: Even though only preliminary data from a study presently ongoing, the present results suggest that previous night dehydration has a negative influence on both performance and perceptual measures
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