947 research outputs found
An Open Corridor ESL Workshop: A Supplemental English Program at SIT
This report is a description of the creation and workings of an Open Corridor ESL Workshop designed as a supplement to an intensive ESL program. The workshop\u27s form is based on the beliefs that learners learn in different ways, have different needs and interests which should be reflected in the content of activities, and can take the responsibility for their learning. An assessment of the strengths and weaknesses of this workshop and recommendations for improvement and use in different situations are presented in the final section
Consequences of a changing US strategy in the global HIV investment landscape.
OBJECTIVE: The global fight against HIV/AIDS in Africa has long been a focus of US foreign policy, but this could change if the federal budget for 2018 proposed by the US Office of Management and Budget is adopted. We aim to inform public and Congressional debate around this issue by evaluating the historical and potential future impact of US investment in the African HIV response. DESIGN/METHODS: We use a previously published mathematical model of HIV transmission to characterize the possible impact of a series of financial scenarios for the historical and future AIDS response across Sub-Saharan Africa. RESULTS: We find that US funding has saved nearly five million adults in Sub-Saharan Africa from AIDS-related deaths. In the coming 15 years, if current numbers on antiretroviral treatment are maintained without further expansion of programs (the proposed US strategy), nearly 26 million new HIV infections and 4.4 million AIDS deaths may occur. A 10% increase in US funding, together with ambitious domestic spending and focused attention on optimizing resources, can avert up to 22 million HIV infections and save 2.3 million lives in Sub-Saharan Africa compared with the proposed strategy. CONCLUSION: Our synthesis of available evidence shows that the United States has played, and could continue to play, a vital role in the global HIV response. Reduced investment could allow more than two million avoidable AIDS deaths by 2032, whereas continued leadership by the United States and other countries could bring UNAIDS targets for ending the epidemic into reach
The impact of armed conflict on cancer among civilian populations in low- and middle-income countries: a systematic review
Commitee On Publication Ethics ecancermedicalscience Submit article Articles Editorials Special issues Author interviews Category Sub-category Article type Volume Keyword Bookmark and Share Article metrics: 204 views https://doi.org/10.3332/ecancer.2020.1039 Abstract | Full Article | PDF Review The impact of armed conflict on cancer among civilian populations in low- and middle-income countries: a systematic review Mohammed Jawad1, Christopher Millett1, Richard Sullivan2, Fadel Alturki3, Bayard Roberts4 and Eszter P Vamos1 1Public Health Policy Evaluation Unit, Imperial College London, Hammersmith, London W6 8RP, UK 2Institute of Cancer Policy, Cancer Epidemiology, Population and Global Health, King's College London and Guy's & St Thomas' NHS Trust, London, UK 3Faculty of Medicine, American University of Beirut, Lebanon 4Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK Abstract Background: Armed conflicts are increasingly impacting countries with a high burden of cancer. The aim of this study is to systematically review the literature on the impact of armed conflict on cancer in low- and middle-income countries (LMICs). Methods: In November 2019, we searched five medical databases (Embase, Medline, Global Health, PsychINFO and the Web of Science) without date, language or study design restrictions. We included studies assessing the association between armed conflict and any cancer among civilian populations in LMICs. We systematically re-analysed the data from original studies and assessed quality using the Newcastle-Ottawa Scale. Data were analysed descriptively by cancer site. Results: Of 1,543 citations screened, we included 20 studies assessing 8 armed conflicts and 13 site-specific cancers (total study population: 70,172). Two-thirds of the studies were of low methodological quality (score <5) and their findings were often conflicting. However, among outcomes assessed by three or more studies, we found some evidence that armed conflict was associated with increases in the incidence and mortality of non-specific cancers, breast cancer and cervical cancer. Single studies reported a positive association between armed conflict and the incidence of stomach and testicular cancers, some as early as 3 years after the onset of conflict. Some studies reported a post-conflict impact on time to diagnosis. Conclusion: Our findings support the need for more rigorous longitudinal and cohort studies of populations in and immediately post-conflict to inform the development of basic packages of cancer services, and post-conflict cancer control planning and development
Vulnerability of Northern Prairie Wetlands to Climate Change
The prairie pothole region (PPR) lies in the heart of North America and contains millions of glacially formed, depressional wetlands embedded in a landscape matrix of natural grassland and agriculture. These wetlands provide valuable ecosystem services and produce 50% to 80% of the continent\u27s ducks. We explored the broad spatial and temporal patterns across the PPR between climate and wetland water levels and vegetation by applying a wetland simulation model (WETSIM) to 18 stations with 95-year weather records. Simulations suggest that the most productive habitat for breeding waterfowl would shift under a drier climate from the center of the PPR (the Dakotas and southeastern Saskatchewan) to the wetter eastern and northern fringes, areas currently less productive or where most wetlands have been drained. Unless these wetlands are protected and restored, there is little insurance for waterfowl against future climate warming. WETSIM can assist wetland managers in allocating restoration dollars in an uncertain climate future
Reviews
The following publications have been reviewed by the mentioned authors;Introducing Craft Design and Technology by A. Breckon and D. Prest, reviewed by Richard KimbellThe Design Process by The Design Council, reviewed by R. MillettDesign Project No. 2 Heavy Plant by John Jeffrey and Nigel Billington, reviewed by R. LightfootThe Eighteenth Century Art, Design and Society, 1689-1789 by Bernard Denvir, reviewed by Marjorie A. CruickshankIndustrial Design Requirements of Industry by C. Hayes and K. Dorsey, reviewed by B. SmithModern Design in Plastics by D. P. Greenwood, reviewed by J. EgglestonWoodturning Projects for Dining by J. A. Sainsbury, reviewed by J. EgglestonWood Turning Music Boxes by J. A. Jacobson, reviewed by J. EgglestonYoung Blood: Britain's Art and Design Schools Today and Tomorrow edited by Kate Baynes, reviewed by A. E. LambethA. Century of Art Education 1882-1982 Hornsey College of Art Centenary Book by Clive Ashwin, reviewed by Oberta de Joi
"Over-reviewing" of research? An analysis of orthodontic reviews
INTRODUCTION: Research overviews may be undertaken to identify gaps in the literature, evaluate existing systematic reviews (SRs), and summarize evidence. This paper aims to profile overviews that have been conducted in orthodontics and related interventions since 2012 and to evaluate the degree of overlap among these overviews. METHODS: Overviews published between January 1, 2012 and June 20, 2023 were identified using an electronic search involving Google Scholar and PubMed. A descriptive summary was produced, and citation matrices were used to evaluate the percentage of overlap between overviews using corrected covered area and covered area. This was classified as slight, moderate, high, or very high. RESULTS: A total of 35 overviews were identified across a wide range of topics. Eight overviews included 20 SRs (median no. of SRs per overview, 15; range, 3-62). Meta-analysis was conducted in only 5 overviews. Overlap between overviews on the same topic ranged from slight (2.7%) to very high (53.8%). CONCLUSIONS: Almost all overview topics address treatments and their effects, with a wide variation in the number and quality of SRs included. There is considerable overlap in some orthodontic overviews, suggesting unnecessary duplication and research waste. Researchers should be encouraged to focus on primary data collection to add more high-quality data to SRs, which will ultimately enhance the yield from secondary and tertiary orthodontic research
Record linkage under suboptimal conditions for data-intensive evaluation of primary care in Rio de Janeiro, Brazil
Background Linking Brazilian databases demands the development of algorithms and processes to deal with various challenges including the large size of the databases, the low number and poor quality of personal identifiers available to be compared (national security number not mandatory), and some characteristics of Brazilian names that make the linkage process prone to errors. This study aims to describe and evaluate the quality of the processes used to create an individual-linked database for data-intensive research on the impacts on health indicators of the expansion of primary care in Rio de Janeiro City, Brazil. Methods We created an individual-level dataset linking social benefits recipients, primary health care, hospital admission and mortality data. The databases were pre-processed, and we adopted a multiple approach strategy combining deterministic and probabilistic record linkage techniques, and an extensive clerical review of the potential matches. Relying on manual review as the gold standard, we estimated the false match (false-positive) proportion of each approach (deterministic, probabilistic, clerical review) and the missed match proportion (false-negative) of the clerical review approach. To assess the sensitivity (recall) to identifying social benefits recipientsâ deaths, we used their vital status registered on the primary care database as the gold standard. Results In all linkage processes, the deterministic approach identified most of the matches. However, the proportion of matches identified in each approach varied. The false match proportion was around 1% or less in almost all approaches. The missed match proportion in the clerical review approach of all linkage processes were under 3%. We estimated a recall of 93.6% (95% CI 92.8â94.3) for the linkage between social benefits recipients and mortality data. Conclusion The adoption of a linkage strategy combining pre-processing routines, deterministic, and probabilistic strategies, as well as an extensive clerical review approach minimized linkage errors in the context of suboptimal data quality
The hypertension cascade of care in the midst of conflict: the case of the Gaza Strip
Although hypertension constitutes a substantial burden in conflict-affected areas, little is known about its prevalence, control, and management in Gaza. This study aims to estimate the prevalence and correlates of hypertension, its diagnosis and control among adults in Gaza. We conducted a representative, cross-sectional, anonymous, household survey of 4576 persons older than 40 years in Gaza in mid-2020. Data were collected through face-to-face interviews, anthropometric, and blood pressure measurements. Hypertension was defined in anyone with an average systolic blood pressure â„140âmmHg or average diastolic blood pressure â„90âmmHg from two consecutive readings or a hypertension diagnosis. The mean age of participants was 56.9â±â10.5 years, 54.0% were female and 68.5% were Palestinian refugees. The prevalence of hypertension was 56.5%, of whom 71.5% had been diagnosed. Hypertension was significantly higher among older participants, refugees, ex-smokers, those who were overweight or obese, and had other co-morbidities including mental illnesses. Two-thirds (68.3%) of those with hypertension were on treatment with one in three (35.6%) having their hypertension controlled. Having controlled hypertension was significantly higher in females, those receiving all medications for high blood pressure and those who never or rarely added salt to food. Investing in comprehensive but cost-effective initiatives that strengthen the prevention, early detection and timely treatment of hypertension in conflict settings is critical. It is essential to better understand the underlying barriers behind the lack of control and develop multi-sectoral programs to address these barriers
Women, know your limits: Cultural sexism in academia
Despite the considerable advances of the feminist movement across Western societies, in Universities women are less likely to be promoted, or paid as much as their male colleagues, or even get jobs in the first place. One way in which we can start to reflect on why this might be the case is through hearing the experiences of women academics themselves. Using feminist methodology, this article attempts to unpack and explore just some examples of
âcultural sexismâ which characterise the working lives of many women in British academia.This article uses qualitative methods to describe and make sense of just some of those experiences. In so doing, the argument is also made that the activity of academia is profoundly gendered and this explicit acknowledgement may contribute to our
understanding of the under-representation of women in senior positions
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