4,960 research outputs found
Mixed tenure orthodoxy: practitioner reflections on policy effects
This article examines mixed tenure as a policy orthodoxy. It first sets out how mixed tenure may be considered to constitute an orthodoxy within planning, being generally accepted as a theory and practice even in the absence of supporting evidence. Five elements of this orthodoxy are identified, relating to (1) housing and the environment, (2) social change, (3) economic impacts, (4) sustainable communities, (5) and sociospatial integration. Interviews with practitioners involved with three social housing estates that have experienced mixed-tenure policy interventions are reported to consider why the implementation and effects of mixed tenure might not correspond with the orthodox understanding. It is argued that policy ambiguity and weaknesses in policy theory and specification, alongside practical constraints, lie behind incomplete and counterproductive policy implementation, but a belief in pursuing the policy orthodoxy persists nevertheless
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Using shared goal setting to improve access and equity: a mixed methods study of the Good Goals intervention
Background: Access and equity in children’s therapy services may be improved by directing clinicians’ use of resources toward specific goals that are important to patients. A practice-change intervention (titled ‘Good Goals’) was designed to achieve this. This study investigated uptake, adoption, and possible effects of that intervention in children’s occupational therapy services.
Methods: Mixed methods case studies (n = 3 services, including 46 therapists and 558 children) were conducted. The intervention was delivered over 25 weeks through face-to-face training, team workbooks, and ‘tools for change’. Data were collected before, during, and after the intervention on a range of factors using interviews, a focus group, case note analysis, routine data, document analysis, and researchers’ observations.
Results: Factors related to uptake and adoptions were: mode of intervention delivery, competing demands on therapists’ time, and leadership by service manager. Service managers and therapists reported that the intervention: helped therapists establish a shared rationale for clinical decisions; increased clarity in service provision; and improved interactions with families and schools. During the study period, therapists’ behaviours changed: identifying goals, odds ratio 2.4 (95% CI 1.5 to 3.8); agreeing goals, 3.5 (2.4 to 5.1); evaluating progress, 2.0 (1.1 to 3.5). Children’s LoT decreased by two months [95% CI −8 to +4 months] across the services. Cost per therapist trained ranged from £1,003 to £1,277, depending upon service size and therapists’ salary bands.
Conclusions: Good Goals is a promising quality improvement intervention that can be delivered and adopted in practice and may have benefits. Further research is required to evaluate its: (i) impact on patient outcomes, effectiveness, cost-effectiveness, and (ii) transferability to other clinical contexts
The Dimension Six Triple Gluon Operator in Higgs+Jet Observables
Recently a lot of progress has been made towards a full classification of new
physics effects in Higgs observables by means of effective dimension six
operators. Specifically, Higgs production in association with a high transverse
momentum jet has been suggested as a way to discriminate between operators that
modify the Higgs-top coupling and operators that induce an effective
Higgs-gluon coupling---a distinction that is hard to achieve with signal
strength measurements alone. With this article we would like to draw attention
to another source of new physics in Higgs+jet observables: the triple gluon
operator (consisting of three factors of the gluon field strength
tensor). We compute the distortions of kinematic distributions in Higgs+jet
production at a 14 TeV LHC due to and compare them with the
distortions due to dimension six operators involving the Higgs doublet. We find
that the transverse momentum, the jet rapidity and the difference between the
Higgs and jet rapidity are well suited to distinguish between the contributions
from and those from other operators, and that the size of the
distortions are similar if the Wilson coefficients are of the same order as the
expected bounds from other observables. We conclude that a full analysis of new
physics in Higgs+jet observables must take the contributions from into
account.Comment: To appear as a Rapid Communication in Physical Review
Measurement of electron screening in muonic lead
Energies of the transitions between high-lying (n≥6) states of muonic lead were accurately determined. The results are interpreted as a ∼2% test of the electron screening. The agreement between experiment and theory is good if it is assumed that the refilling of the electron K shell is fast. The present results furthermore severely restrict possible ionization of the electron L shell
The Student Athlete Wellness Portal: Translating Student Athletes’ Prescription Opioid Use Narratives into a Targeted Public Health Intervention
Background and Objectives: The opioid epidemic has permeated all strata of society over the last two decades, especially within the adolescent student athletic environment, a group particularly at risk and presenting their own challenges for science and practice. This paper (a) describes the development of a web-based intervention called the Student Athlete Wellness Portal that models effective opioid misuse resistance strategies and (b) details the findings of a single-group design to test its effectiveness. Materials and Methods: Formative research included 35 student athletes residing in the United States, ages 14 to 21, who had been injured in their school-based sport. They participated in in-depth qualitative interviews to explore narratives relating to their injuries and pain management plans. Inductive analyses of interview transcripts revealed themes of the challenges of being a student athlete, manageable vs. unmanageable pain, and ways to stay healthy. These themes were translated into prevention messages for the portal, which was then tested in a single-group design. Results: Users of the portal (n = 102) showed significant decreases in their willingness to misuse opioids and increases in their perceptions of opioid risks. Conclusions: This manuscript illuminates the processes involved in translating basic research knowledge into intervention scripts and reveals the promising effects of a technology-based wellness portal
A Search for Small-Scale Clumpiness in Dense Cores of Molecular Clouds
We have analyzed HCN(1-0) and CS(2-1) line profiles obtained with high
signal-to-noise ratios toward distinct positions in three selected objects in
order to search for small-scale structure in molecular cloud cores associated
with regions of high-mass star formation. In some cases, ripples were detected
in the line profiles, which could be due to the presence of a large number of
unresolved small clumps in the telescope beam. The number of clumps for regions
with linear scales of ~0.2-0.5 pc is determined using an analytical model and
detailed calculations for a clumpy cloud model; this number varies in the
range: ~2 10^4-3 10^5, depending on the source. The clump densities range from
~3 10^5-10^6 cm^{-3}, and the sizes and volume filling factors of the clumps
are ~(1-3) 10^{-3} pc and ~0.03-0.12. The clumps are surrounded by inter-clump
gas with densities not lower than ~(2-7) 10^4 cm^{-3}. The internal thermal
energy of the gas in the model clumps is much higher than their gravitational
energy. Their mean lifetimes can depend on the inter-clump collisional rates,
and vary in the range ~10^4-10^5 yr. These structures are probably connected
with density fluctuations due to turbulence in high-mass star-forming regions.Comment: 23 pages including 4 figures and 4 table
Survey of Revegetated Areas on the Fitzner/Eberhardt Arid Lands Ecology Reserve: Status and Initial Monitoring Results
During 2010, the U.S. Department of Energy (DOE), Richland Operations Office removed a number of facilities and debris from the Fitzner/Eberhardt Arid Lands Ecology Reserve (ALE), which is part of the Hanford Reach National Monument (HRNM). Revegetation of disturbed sites is necessary to stabilize the soil, reduce invasion of these areas by exotic weeds, and to accelerate re-establishment of native plant communities. Seven revegetation units were identified on ALE based on soils and potential native plant communities at the site. Native seed mixes and plant material were identified for each area based on the desired plant community. Revegetation of locations affected by decommissioning of buildings and debris removal was undertaken during the winter and early spring of 2010 and 2011, respectively. This report describes both the details of planting and seeding for each of the units, describes the sampling design for monitoring, and summarizes the data collected during the first year of monitoring. In general, the revegetation efforts were successful in establishing native bunchgrasses and shrubs on most of the sites within the 7 revegetation units. Invasion of the revegetation areas by exotic annual species was minimal for most sites, but was above initial criteria in 3 areas: the Hodges Well subunit of Unit 2, and Units 6 and 7
Developing poetry as a research methodology with rarer forms of dementia: Four research protocols
People living with rarer forms of dementia tend to have progressive cognitive symptoms affecting skills other than memory and/ or onset before the age of 65 years. They are often misdiagnosed and due to symptom profile or age of onset, do not usually fit well with care pathways designed for older people with typical Alzheimer’s disease or vascular dementia. Although the arts have been increasingly used as interventions to support people with dementia, there is very little attention given to rarer dementia forms in arts and health research or practice. The objective of the present international study seeks to systematically explore four diverse forms of poetry writing within this population through virtual and in-person small and large group formats. Our approach includes investigating poetic processes as methodology through the lens of an arts-based methodological approach in order to explore how poems construct knowledge and a felt experience. We will also use more traditional qualitative approaches to understand the experience of writing, reading and listening to poetry as an intervention that can be used with different rarer forms of dementia. To the best of our knowledge, this will be the first study to explore poetry using multiple research protocols. The results will have implications for methodology development, co-constructed poetic inquiry and multiple opportunities for involving poetry in supporting people with dementia and family members
Maine’s Winter Roads: Salt, Safety, Environment and Cost
This report summarizes key findings from a yearlong study of the issues and practices in winter maintenance of Maine’s roads
Cryptosporidium, Enterocytozoon, and Cyclospora Infections in Pediatric and Adult Patients with Diarrhea in Tanzania.
Cryptosporidiosis, microsporidiosis, and cyclosporiasis were studied in four groups of Tanzanian inpatients: adults with AIDS-associated diarrhea, children with chronic diarrhea (of whom 23 of 59 were positive [+] for human immunodeficiency virus [HIV]), children with acute diarrhea (of whom 15 of 55 were HIV+), and HIV control children without diarrhea. Cryptosporidium was identified in specimens from 6/86 adults, 5/59 children with chronic diarrhea (3/5, HIV+), 7/55 children with acute diarrhea (0/7, HIV+), and 0/20 control children. Among children with acute diarrhea, 7/7 with cryptosporidiosis were malnourished, compared with 10/48 without cryptosporidiosis (P < .01). Enterocytozoon was identified in specimens from 3/86 adults, 2/59 children with chronic diarrhea (1 HIV+), 0/55 children with acute diarrhea, and 4/20 control children. All four controls were underweight (P < .01). Cyclospora was identified in specimens from one adult and one child with acute diarrhea (HIV-). Thus, Cryptosporidium was the most frequent and Cyclospora the least frequent pathogen identified. Cryptosporidium and Enterocytozoon were associated with malnutrition. Asymptomatic fecal shedding of Enterocytozoon in otherwise healthy, HIV children has not been described previously
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