Examination of the Attitudes Towards Substance Use Treatment Approaches by Substance Use Professionals

This quantitative study focuses on substance use professionals and students who are seeking employment in substance use treatment or support services. The substance use treatment profession started as a group of people who were supporting each other in recovery through abstinence based practices and has developed in to a recognized profession with multiple methods of treatment approaches. Abstinence based treatment has been and continues to be the primary method of treatment preferred in the United States. Since the 1980, harm reduction increased in application in the profession, but remains a less popular method of treatment. This study examines substance use professional and students (N = 141) interested in employment in substance use treatment or support attitudes in harm reduction and whether their beliefs towards these treatment approaches were associated with their personal characteristics. Goddard’s (2003) Harm Reduction Acceptability Scale and a demographic survey form were utilized to measure the variables. Overall, results from One-Way Analysis of Variance showed that current and aspiring substance use professionals have favorable attitudes towards harm reduction. In addition, results showed there was a difference in attitudes towards harm reduction based on age, ethnicity/race, level of education, U.S. regions, licenses/certifications, and employment settings

Youth and the Millennium Development Goals (MDGs): Challenges and Opportunities for Implementation

Young people ages 15 to 24 are 1.2 billion of the world’s human capital. Around the world, many of them are already making contributions to the Millennium Development Goals (MDGs), and their work should be further acknowledged and strengthened. Increasingly, youth are recognized as key participants in decision-making and development, as reflected in the growing presence of non-governmental youth organizations and the upsurge of youth advisory boards and committees to international institutions and programmes. Yet building the capacity of and creating sustained partnerships with young people are crucial strategies to achieving the MDGs that have not been fully realized by the international community. This paper aims to provide an overview of youth participation as it currently exists, to outline the ways in which youth are directly involved and affected by each Goal, to demonstrate the ways in which young people are contributing to the MDGs, and to provide ‘Options for Action’ that governments, the United Nations system, donors and other actors can harness, support, and scale-up in order to support young people in making significant contributions to achieving the MDGs. Part I outlines the existing mechanisms for youth participation in development policy. These channels can be used by governments and institutions to strengthen and mobilize young people as partners in policy formulation. Successful modes of participation should be recognized and replicated, and also adapted to the challenging political and socio-economic realities facing many youth-led and youth-serving organizations. Part II presents youth participation as it relates directly to the MDGs. Each goal is analyzed with respect to its effect on young peoples lives as well as how young people can play – and indeed are playing — a role in its implementation. Under each goal are a number of “Options for Action” that governments, the UN and multilateral organizations can use to fully harness the contributions that youth can make to achieving the MDGs. Part III outlines the synergies between the Options for Action presented in this report and the Quick Wins proposed by the Millennium Project. The Options for Action are complimentary and provide a process to implement the Quick Win actions, using young people as key implementing agents and service providers. Part III also outlines a number of youth-focused Quick Wins that can make a significant and measurable difference to the state of young people in target countries. Part IV elaborates on how youth can participate in achieving the MDGs and contains cross-cutting recommendations on youth engagement in all 8 Goals. Overall, the report demonstrates that investing in youth will provide the longest and most effective dividend towards meeting the Millennium Development Goals (MDGs) by building the social capital needed to foster pragmatic development. Indeed, without the involvement of young people, a demographic that comprises one fifth of the world’s total population, the full achievement of the MDGs will remain elusive and their long-term sustainability will be compromised. Youth participation is currently quite varied, ranging from effective, to sometimes tokenistic, to often non-existent. There are specific ways in which youth and youth organizations can contribute to the design and implementation of MDG-based strategies, some of which are outlined in this document. Many projects are already happening, but there is much work left still to be done.Youth participation; Millennium Development Goals (MDGs); Poverty Eradication

Multicultural and Social Justice Counseling within the Scope of Rehabilitation Counseling

Historically, people with disabilities are a marginalized cultural group in that their lived world is less well represented in mainstream services. The rehabilitation counseling profession has the goal to prioritize and empower people with disabilities for thriving in their personal and community lives. However, cultures exist within social systems often characterized by inequities, obliging a need to go beyond multicultural counseling to address social injustices that would occur to populations with historical disadvantages such as people with disabilities. The present study discusses the multicultural counseling movement and its impact in the field of rehabilitation counseling. The study first introduces the birth of multicultural counseling and how it has landed in the field of counseling. From a chronological perspective, authors then extended their discussion to address controversies and debates in the phase of the multicultural counseling movement that contributed to tailoring the concept of multicultural counseling. Authors further elaborated discussion on the future direction of multicultural counseling in the field of rehabilitation counseling by emphasizing the importance of individualized service needs one of the philosophical tenants of rehabilitation counseling, and how diversity and cultural differences can be further empowered within the commonality we have as human beings

Differential rotation of main-sequence dwarfs and its dynamo-efficiency

A new version of a numerical model of stellar differential rotation based on mean-field hydrodynamics is presented and tested by computing the differential rotation of the Sun. The model is then applied to four individual stars including two moderate and two fast rotators to reproduce their observed differential rotation quite closely. A series of models for rapidly rotating ($P_{rot} = 1$ day) stars of different masses and compositions is generated. The effective temperature is found convenient to parameterize the differential rotation: variations with metallicity, that are quite pronounced when the differential rotation is considered as a function of the stellar mass, almost disappear in the dependence of differential rotation on temperature. The differential rotation increases steadily with surface temperature to exceed the largest differential rotation observed to date for the hottest F-stars we considered. This strong differential rotation is, however, found not to be efficient for dynamos when the efficiency is estimated with the standard $C_\Omega$-parameter of dynamo models. On the contrary, the small differential rotation of M-stars is the most dynamo-efficient. The meridional flow near the bottom of the convection zone is not small compared to the flow at the top in all our computations. The flow is distributed over the entire convection zone in slow rotators but retreats to the convection zone boundaries with increasing rotation rate, to consist of two near-boundary jets in rapid rotators. The implications of the change of the flow structure for stellar dynamos are briefly discussed.Comment: 9 pages, 11 figures, submitted to MNRA

Improving conservation practice with principles and tools from systems thinking and evaluation

Achieving nature conservation goals require grappling with ‘wicked’ problems. These intractable problems arise from the complexity and dynamism of the social–ecological systems in which they are embedded. To enhance their ability to address these problems, conservation professionals are increasingly looking to the transdisciplines of systems thinking and evaluation, which provide philosophies, theories, methods, tools and approaches that show promise for addressing intractable problems in a variety of other sectors. These transdisciplines come together especially around praxis, i.e., the process by which a theory or idea is enacted, embodied or realized. We present a review and synthesis of the learnings about praxis that have emerged from The Silwood Group, a consortium of conservation professionals, professional evaluators, and complexity and systems thinkers. The Silwood Group believes that for conservation activities to achieve ambitious goals, we should benefit nature without compromising the well-being of people, and that framing a praxis for conservation in the context of social–ecological systems will provide the greatest potential for positive impact. The learnings are presented as four key principles of a ‘praxis for effective conservation’. The four principles are: (1) attend to the whole with humility; (2) engage constructively with the values, cultures, politics, and histories of stakeholders; (3) learn through evaluative, systemic enquiry, and (4) exercise wisdom in judgement and action. We also provide descriptions and references for tools and methods to support such praxis and discuss how the thinking and approaches used by conservation professionals can be transformed to achieve greater effectiveness

A mixed-method approach for the assessment of local community perception towards wind farms

The implementation of wind power projects can have significant impacts on local communities. If on one hand the project can bring important economic benefits, on the other hand it can represent a source of conflicts and discontentment. This paper aims to revisit this topic, addressing impacts and their perceptions from the local community point of view. A mixed method approach was proposed and implemented in a Portuguese region (municipality) used as case study. Semi-structured interviews directed towards local stakeholders were conducted to evaluate the acceptance of these wind power projects and the perceived impacts. The qualitative study was subsequently complemented and validated by a quantitative approach, through a questionnaire targeting local population. In general, the collected opinions seem mainly driven by the perceived socio-economic benefits resulting from wind farm deployment, with generally positive attitude towards wind farms. Identified local positive impacts include "community funds", "benefits in kind" and "indirect local employment". The key role of benefit sharing mechanisms on ensuring public acceptance and effective local development is confirmed.- This work has been supported by FCT - Fundacao para a Ciencia e Tecnologia (Portugal) within the Project Scope: UID/CEC/00319/2019

Youth and the Millennium Development Goals (MDGs): Challenges and Opportunities for Implementation

Young people ages 15 to 24 are 1.2 billion of the world’s human capital. Around the world, many of them are already making contributions to the Millennium Development Goals (MDGs), and their work should be further acknowledged and strengthened. Increasingly, youth are recognized as key participants in decision-making and development, as reflected in the growing presence of non-governmental youth organizations and the upsurge of youth advisory boards and committees to international institutions and programmes. Yet building the capacity of and creating sustained partnerships with young people are crucial strategies to achieving the MDGs that have not been fully realized by the international community. This paper aims to provide an overview of youth participation as it currently exists, to outline the ways in which youth are directly involved and affected by each Goal, to demonstrate the ways in which young people are contributing to the MDGs, and to provide ‘Options for Action’ that governments, the United Nations system, donors and other actors can harness, support, and scale-up in order to support young people in making significant contributions to achieving the MDGs. Part I outlines the existing mechanisms for youth participation in development policy. These channels can be used by governments and institutions to strengthen and mobilize young people as partners in policy formulation. Successful modes of participation should be recognized and replicated, and also adapted to the challenging political and socio-economic realities facing many youth-led and youth-serving organizations. Part II presents youth participation as it relates directly to the MDGs. Each goal is analyzed with respect to its effect on young peoples lives as well as how young people can play – and indeed are playing — a role in its implementation. Under each goal are a number of “Options for Action” that governments, the UN and multilateral organizations can use to fully harness the contributions that youth can make to achieving the MDGs. Part III outlines the synergies between the Options for Action presented in this report and the Quick Wins proposed by the Millennium Project. The Options for Action are complimentary and provide a process to implement the Quick Win actions, using young people as key implementing agents and service providers. Part III also outlines a number of youth-focused Quick Wins that can make a significant and measurable difference to the state of young people in target countries. Part IV elaborates on how youth can participate in achieving the MDGs and contains cross-cutting recommendations on youth engagement in all 8 Goals. Overall, the report demonstrates that investing in youth will provide the longest and most effective dividend towards meeting the Millennium Development Goals (MDGs) by building the social capital needed to foster pragmatic development. Indeed, without the involvement of young people, a demographic that comprises one fifth of the world’s total population, the full achievement of the MDGs will remain elusive and their long-term sustainability will be compromised. Youth participation is currently quite varied, ranging from effective, to sometimes tokenistic, to often non-existent. There are specific ways in which youth and youth organizations can contribute to the design and implementation of MDG-based strategies, some of which are outlined in this document. Many projects are already happening, but there is much work left still to be done

The debris disk host star HD 61005: a member of the Argus Association?

HD 61005 is a nearby young solar type star that shows a large infrared excess due to a debris disk. The disk has been recently imaged from ground and space, with indications of several components. Some characteristics of the disk suggest the presence of planetary companions around the star, that remain undetected in deep adaptive optics imaging. For a better understanding of the system we aim to refine the determination of the stellar parameters, with emphasis on the stellar age and system orientation. We used ASAS and Hipparcos photometry and FEROS spectra to determine the rotation period, radial and rotational velocity, chromospheric emission, effective temperature, and chemical composition. We find no indication of any misalignment between the star rotation axis and the disk. The standard age calibrations applied to several indicators yield an age close to that of the Pleiades (120 Myr); however the kinematic properties strongly support its membership in the younger (40 Myr) Argus association, which also includes the IC 2391 open cluster. Detailed comparison of the properties of HD 61005 and IC 2391 members shows that the characteristics of HD 61005 are compatible with membership to the Argus association, once its rather slow rotation is taken into account, because lithium and other age indicators are somewhat correlated with stellar rotation at a fixed age. We also identify systematic differences between the field and cluster population of the Argus association, which are probably selection effects, so we suggest that additional members with slower rotation and lower activity level are waiting to be identified.Comment: A&A, in press, 13 pages, 11 figure

Changes in serogroup and genotype prevalence among carried meningococci in the United Kingdom during vaccine implementation.

BACKGROUND: Herd immunity is important in the effectiveness of conjugate polysaccharide vaccines against encapsulated bacteria. A large multicenter study investigated the effect of meningococcal serogroup C conjugate vaccine introduction on the meningococcal population. METHODS: Carried meningococci in individuals aged 15-19 years attending education establishments were investigated before and for 2 years after vaccine introduction. Isolates were characterized by multilocus sequence typing, serogroup, and capsular region genotype and changes in phenotypes and genotypes assessed. RESULTS: A total of 8462 meningococci were isolated from 47 765 participants (17.7%). Serogroup prevalence was similar over the 3 years, except for decreases of 80% for serogroup C and 40% for serogroup 29E. Clonal complexes were associated with particular serogroups and their relative proportions fluctuated, with 12 statistically significant changes (6 up, 6 down). The reduction of ST-11 complex serogroup C meningococci was probably due to vaccine introduction. Reasons for a decrease in serogroup 29E ST-254 meningococci (from 1.8% to 0.7%) and an increase in serogroup B ST-213 complex meningococci (from 6.7% to 10.6%) were less clear. CONCLUSIONS: Natural fluctuations in carried meningococcal genotypes and phenotypes a can be affected by the use of conjugate vaccines, and not all of these changes are anticipatable in advance of vaccine introduction

Uptake of infant and preschool immunisations in Scotland and England during the COVID-19 pandemic: An observational study of routinely collected data

Funding: This analysis was part of the EAVE II project. EAVE II is funded by the Medical Research Council (MC_PC_19075), https://mrc.ukri.org/, with the support of BREATHE: the Health Data Research Hub for Respiratory Health (MC_PC_19004), https://www.hdruk.ac.uk/helping-with-health-data/health-data-research-hubs/breathe, which is funded through the UK Research and Innovation Industrial Strategy Challenge Fund and delivered through Health Data Research UK.Background In 2020, the SARS-CoV-2 (COVID-19) pandemic and lockdown control measures threatened to disrupt routine childhood immunisation programmes with early reports suggesting uptake would fall. In response, public health bodies in Scotland and England collected national data for childhood immunisations on a weekly or monthly basis to allow for rapid analysis of trends. The aim of this study was to use these data to assess the impact of different phases of the pandemic on infant and preschool immunisation uptake rates. Methods and findings We conducted an observational study using routinely collected data for the year prior to the pandemic (2019) and immediately before (22 January to March 2020), during (23 March to 26 July), and after (27 July to 4 October) the first UK “lockdown”. Data were obtained for Scotland from the Public Health Scotland “COVID19 wider impacts on the health care system” dashboard and for England from ImmForm. Five vaccinations delivered at different ages were evaluated; 3 doses of “6-in-1” diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type b, and hepatitis B vaccine (DTaP/IPV/Hib/HepB) and 2 doses of measles, mumps, and rubella (MMR) vaccine. This represented 439,754 invitations to be vaccinated in Scotland and 4.1 million for England. Uptake during the 2020 periods was compared to the previous year (2019) using binary logistic regression analysis. For Scotland, uptake within 4 weeks of a child becoming eligible by age was analysed along with geographical region and indices of deprivation. For Scotland and England, we assessed whether immunisations were up-to-date at approximately 6 months (all doses 6-in-1) and 16 to 18 months (first MMR) of age. We found that uptake within 4 weeks of eligibility in Scotland for all the 5 vaccines was higher during lockdown than in 2019. Differences ranged from 1.3% for first dose 6-in-1 vaccine (95.3 versus 94%, odds ratio [OR] compared to 2019 1.28, 95% confidence intervals [CIs] 1.18 to 1.39) to 14.3% for second MMR dose (66.1 versus 51.8%, OR compared to 2019 1.8, 95% CI 1.74 to 1.87). Significant increases in uptake were seen across all deprivation levels. In England, fewer children due to receive their immunisations during the lockdown period were up to date at 6 months (6-in-1) or 18 months (first dose MMR). The fall in percentage uptake ranged from 0.5% for first 6-in-1 (95.8 versus 96.3%, OR compared to 2019 0.89, 95% CI 0.86– to 0.91) to 2.1% for third 6-in-1 (86.6 versus 88.7%, OR compared to 2019 0.82, 95% CI 0.81 to 0.83). The use of routinely collected data used in this study was a limiting factor as detailed information on potential confounding factors were not available and we were unable to eliminate the possibility of seasonal trends in immunisation uptake. Conclusions In this study, we observed that the national lockdown in Scotland was associated with an increase in timely childhood immunisation uptake; however, in England, uptake fell slightly. Reasons for the improved uptake in Scotland may include active measures taken to promote immunisation at local and national levels during this period and should be explored further. Promoting immunisation uptake and addressing potential vaccine hesitancy is particularly important given the ongoing pandemic and COVID-19 vaccination campaigns.Publisher PDFPeer reviewe