Alternatives to prohibition illicit drugs: how we can stop killing and criminalising young Australians

This report follows from a Roundtable discussion held in July 2012 to consider new approaches to public policy about illicit drugs in Australia. An earlier Australia21 report launched in April 2012 had concluded that attempts to control drug use through the criminal justice system have clearly failed. They have also caused the needless and damaging criminalisation of too many young people, often with adverse life-changing consequences, including premature death from overdose

Racial/Ethnic Disparities in Infectious Disease Hospitalizations in Arizona

Infectious disease (ID) hospitalizations in Arizona, a diverse population with nearly complete race/ethnicity data, were analyzed using the State Inpatient Database for 2005-2008. ID hospitalizations rates were calculated and compared by ID group, race/ethnicity, age, and sex. During 2005-2008, there were 383,597 ID hospitalizations reported in Arizona, resulting in an age-adjusted rate of 1498.1 per 100,000 persons. A range of racial/ethnic disparities in ID hospitalization rates were noted. Persons of Native American and black race/ethnicity had overall ID hospitalization rates higher than the rate for persons of white race/ethnicity; persons of Asian or Pacific Islander race/ethnicity had a lower rate. The lower respiratory tract infection (LRTI) hospitalization rate was the highest rate of all ID groups, followed by cellulitis and septicemia. Persons of black and Native American race had higher LRTI hospitalization rates than persons of white race. Racial/ethnic disparities persist for ID hospitalizations in Arizona. Persons of Native American and black race/ethnicity experience high age-adjusted rates of ID hospitalization. Prevention efforts should focus on high risk race/ethnicity groups and disease groups

Modernist Extremism: Camden and the Quranic Society

This paper examines the 2007-2008 controversy regarding the proposed construction of a ‘Muslim school’ outside Camden, NSW, through reference to the values of ‘tradition’ and ‘Modernity’. The Camden controversy provoked substantial public debate on what role ‘traditional’ Australian perspectives and mores should play in a multicultural society, and the prospects for harmonious relations between Muslim and Christian communities in Australia. This paper argues that prevailing media discourses on the dispute, presenting the school’s opponents as sentimental ‘traditionalists’ without ideological content, unnecessarily simplifies the real issues in dispute. Instead, this paper argues that the ‘traditional’ values of Camden defended were the values of ‘Modernity’, as understood within a particular cultural paradigm. The protagonists of the anti-school movement did not solely see themselves as defending ‘tradition for tradition’s sake’. Rather, opponents of the school drew upon the ideologies of Modernity, with particular reference to Enlightenment perspectives on secularism and religion in the public sphere. Furthermore, this paper argues that the Camden dispute, and the role of ‘culturally-specific Modernity’ in the perspectives of the school’s proponents and opponents, indicates the subjectivity and non-universality of Modernity. Instead of an ‘objective’ series of values and methodologies for assessing worth, Modernity must be understood as a philosophical creation of 19th-century Europe, and inextricable from Christianity. When integrated into the traditions of a society, Modernity may prove as hostile to ‘change’ and ‘progress’ as any other value system. ‘Progress’ is valued, within Modernity, merely as a means by which non-Modern values and beliefs may be replaced with the secularism, development, and empiricism which characterise Western Modernity

A discrete event simulation model for unstructured supervisory control of unmanned vehicles

Thesis (S.B.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering, 2010.Cataloged from PDF version of thesis.Includes bibliographical references (p. 33).Most current Unmanned Vehicle (UV) systems consist of teams of operators controlling a single UV. Technological advances will likely lead to the inversion of this ratio, and automation of low level tasking. These advances will also lead to a growth in UV use in large-scale applications such as urban search and rescue, which will require the use of both teams of operators and teams of UVs. This growth will in turn require research and development in the area of team supervisory control of multiple UVs. Human-in-the- loop experimentation is often used during this research but can be time consuming and expensive. The time and cost of experimentation can often be drastically reduced by using predictive models. However there is a lack of such models in the area of multiple-operator supervisory control of multiple- UVs. This problem is addressed in this thesis through the following method: First, current predictive models of human supervisory control of UVs are analyzed, and attributes of systems related to this modeling space are identified. Second, a queuing-based multiple-operator multiple-vehicle discrete event simulation model (MO-MUVDES) is developed which captures these attributes, including the ability to predict performance in situations with low observable exogenous event arrivals. MO-MUVDES also incorporates traditional system variables such as level of vehicle autonomy, vehicle and operator team structure, and operator switching strategy. The accuracy and robustness of the MO-MUVDES model were measured by a two-stage validation process using data from a human-in-the-loop supervisory control experiment, and a Monte Carlo simulation. The first stage of the validation process used data from the experiment as input for the MOMUVDES model which was then used to generate predictions of operator performance. In the second stage of validation, a sensitivity analysis was performed on the MO-MUVDES model. This validation process achieved confidence in the model's ability to predict operator performance and a measurement of the robustness of the model under varying input conditions. Additionally, the process indicated that discrete event simulation is an effective technique for modeling team supervisory control of UVs in a situation where exogenous event arrivals are not clearly observable. As a result, the MO-MUVDES model could be used to reduce development time for systems within its modeled space.by Anthony D. McDonald.S.B

Probability Discounting in a Sample of American Indians: Gambling as an Escape Predicts Discounting of Monetary, But Not Non-Monetary, Outcomes

The present study investigated the relationship between measures of gambling and the process of probability discounting in a sample of participants from a population that has historically shown high rates of gambling problems. Thirty nine American Indian university students complete the South Oaks Gambling Screen, the Gambling Functional Assessment – Revised, and a probability-discounting task involving two monetary and two non-monetary outcomes. Consistent with results from previous research focusing on majority-population participants, severity of gambling problems was more strongly associated with endorsing gambling as an escape than with gambling for positive reinforcement. Endorsing gambling as an escape, but not for positive reinforcement, was also a significant predictor of discounting the monetary outcomes. Specifically, greater endorsement of escape predicted greater tendencies toward risk taking. Neither subscale predicted discounting of the non-monetary outcomes. The results potentially inform researchers about the relationship between measures of gambling behavior and the process of discounting, as well as factors that influence the gambling behavior of American Indians

Modeling the Effect of Out-of-Plane Fiber Orientation in Lumber Specimens

A method is presented to account for the effect of three-dimensional fiber orientations near knots in a two-dimensional lumber tensile strength prediction model. Data we have collected show that grain angles dive from 15 to 90 degrees out of the wide face plane of flat-grained lumber within a region of about one knot radius from the visual edge of a knot. The diving nature of the grain angles is accounted for in a two-dimensional model, called GASPP+, by transforming a three-dimensional material compliance matrix, and extracting the appropriate coefficients for use in a two-dimensional compliance matrix. Failure criteria are modified to reflect the decreased strength associated with nonzero dive angles. These modifications led to accurate tensile behavior predictions, as evidenced by load-displacement plots and ultimate load measurements of lumber specimens. It is shown that consideration of dive angles is important in predicting the tensile strength and failure mode of thin lumber specimens. Lumber specimen thickness and the manner of loading influence the magnitude of the dive effect on strength

Patient-Reported Outcomes Measurement Information System physical function correlates with Toronto Extremity Salvage Score in an orthopaedic oncology population

Background: The National Institute of Health\u27s Patient-Reported Outcomes Measurement Information System (PROMIS) uses computerised-adaptive testing to reduce survey burden and improve sensitivity. PROMIS is being used across medical and surgical disciplines but has not been studied in orthopaedic oncology. Questions/purposes: The aim of the study was to compare PROMIS measures with upper extremity (UE) and lower extremity (LE) Toronto Extremity Salvage Score (TESS) by assessing the following: (1) responder burden, (2) correlation between scores and (3) floor/ceiling effects. Patients and methods: This cross-sectional trial analysed all 97 adult patients treated surgically for a bone or soft tissue tumour at a tertiary institution between November 2015 and March 2016. TESS (UE or LE) and PROMIS (Physical Function, Pain Interference and Depression) surveys were administered preoperatively. Pearson correlations between each PROMIS domain and TESS were calculated, as were floor/ceiling effects of each outcome measure. Results: (1) Completion of three PROMIS questionnaires required a mean total of 16.8 (+/- 5.8 standard deviation) questions, compared with 31 and 32 questions for the LE and UE TESS questionnaires, respectively. (2) The PROMIS Physical Function scores demonstrated a strong positive correlation with the LE TESS (r = 0.84; 95% confidence interval [CI], 0.72-0.91; p \u3c 0.001) and moderate positive correlation with the UE TESS (r = 0.64; 95% CI, 0.34-0.83; p = 0.055). The PROMIS Depression scores demonstrated a weak negative correlation with both the LE TESS (r = -0.38; 95% CI, -0.61 to -0.10; p = 0.010) and with UE TESS (r = -0.38; 95% CI, -0.67 to -0.01; p = 0.055). The PROMIS Pain Interference scores demonstrated a strong negative correlation with the LE TESS (r = -0.71; 95% CI, -0.83 to -0.52; p \u3c 0.001) and a moderate negative correlation with the UE TESS (r = -0.62; 95% CI, -0.81 to -0.30; p = 0.001). (3) The UE TESS had a range of scores from 16 to 100 with a 27% ceiling effect and no floor effect, and the LE TESS had a range from 10 to 98 with no floor or ceiling effect. There was no floor or ceiling effect for any PROMIS measures. Conclusions: In an orthopaedic oncology population, the PROMIS Physical Function and Pain Interference scores correlate with the TESS and have the benefit of reduced survey burden and ceiling effect. The PROMIS Depression scores may provide additional information regarding patient outcomes not captured by the TESS. Level of Evidence: Level III. The translational potential of this article: Patient reported outcome measures asses patients\u27 symptoms, function and health-related quality of life and are designed to capture more clinical information than can be gathered by objective medial testing alone. As reimbursements and the understanding of patient outcomes are becoming tied to performance on PROMIS measures, it is an important step to establish how PROMIS measures correlate and compare to traditional legacy measures

Wi-Fi Enabled Healthcare

Focusing on its recent proliferation in hospital systems, Wi-Fi Enabled Healthcare explains how Wi-Fi is transforming clinical work flows and infusing new life into the types of mobile devices being implemented in hospitals. Drawing on first-hand experiences from one of the largest healthcare systems in the United States, it covers the key areas associated with wireless network design, security, and support. Reporting on cutting-edge developments and emerging standards in Wi-Fi technologies, the book explores security implications for each device type. It covers real-time location services and emerging trends in cloud-based wireless architecture. It also outlines several options and design consideration for employee wireless coverage, voice over wireless (including smart phones), mobile medical devices, and wireless guest services. This book presents authoritative insight into the challenges that exist in adding Wi-Fi within a healthcare setting. It explores several solutions in each space along with design considerations and pros and cons. It also supplies an in-depth look at voice over wireless, mobile medical devices, and wireless guest services. The authors provide readers with the technical knowhow required to ensure their systems provide the reliable, end-to-end communications necessary to surmount today’s challenges and capitalize on new opportunities. The shared experience and lessons learned provide essential guidance for large and small healthcare organizations in the United States and around the world. This book is an ideal reference for network design engineers and high-level hospital executives that are thinking about adding or improving upon Wi-Fi in their hospitals or hospital systems