87 research outputs found

    Emotions in Place: The Creation of the Suburban ‘Other’ in Early Modern London

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    Following Henri Lefebvre’s suggestion that space is socially constructed and constituted, cities have been reclassified from static ‘maps’ for human activities to performed spaces that draw together human behaviour, meaning, discourse, and material conditions in their production. Cities are not simply a background for movement, but a function of cultural and emotional practice. Responding specifically to Lefebvre’s call for a ‘history of the representations of space’, this thesis interrogates the role emotion played in visual and literary representations of early modern London. Tracing the impact that these representations had on social and cultural power structures in the city, this thesis argues they could be used as ‘emotional tools’ to designate the ‘other’ within the city, both spatially and socially. Historically based (1580-1750), the project applies contemporary cultural and spatial theory to emotions research on the city. The project follows ideas and ideologies through the early modern period, tracking the changing conceptions and constructions of spatialised otherness within the city. The thesis questions how spatial boundaries are produced through and with emotion and how emotional communities form and define themselves in relation to urban space. Importantly, it interrogates how the emotionally charged imaginings of urban environments impacted on their histories, identities and communities. The project sits at the intersection between cultural studies and the history of emotions and is informed by urban history. However, it is not another urban history of London; rather it aims to re-imagine the vast body of work on the city in the early modern period in order to understand how emotion is entangled with the city and its people. The work focuses primarily on the suburb of Cripplegate Without, an area just north of the London Wall, however it also takes into account the wider cultural and social contexts of the city during the period. Building on Sara Ahmed’s concept of ‘emotional stickiness’, a way of explaining how emotion could become ‘stuck’ to objects and subjects, the thesis posits a further question: why does emotion stick there? The thesis argues that the notion of otherness in early modern London was not a static concept. The boundaries of what was considered ‘other’ could, and did, shift over time, both spatially within the city and socially within London society. The negotiation of these boundaries was linked with the concepts of emotion and place within the city.Thesis (Ph.D.) -- University of Adelaide, School of Architecture and Built Environment, 201

    Standing with our American Indian and Alaska Native Women, Girls, and Two-Spirit People: Exploring the Impact of and Resources for Survivors of Human Trafficking

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    Despite the violence against Indigenous women, girls, and two-spirit people occurring at epidemic levels there is little national visibility and data pertaining to the lived experiences of American Indian/Alaska Native (AI/AN) individuals and communities. The purpose of this manuscript is to specifically focus on violence regarding the missing and murdered Indigenous women, girls, and two-spirit people with a concentration on human trafficking. AI/AN leaders have identified human trafficking as a major contributor to the disappearance of AI/AN women, girls, and two-spirit people (Department of Justice, 2018). In a trauma-informed intersectional approach we review available data discussing the negative impacts on the brain, the role of complex trauma, and behavioral outcomes while highlighting cultural strengths and resilience. We conclude with culturally relevant and research-informed recommendations to continue to help raise awareness and action to end human trafficking

    Deworming children for soil-transmitted helminths in low and middle-income countries: Systematic review and individual participant data network meta-analysis

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    Intestinal parasites affect millions of children globally. We aimed to assess effects of deworming children on nutritional and cognitive outcomes across potential effect modifiers using individual participant data (IPD). We searched multiple databases to 27 March 2018, grey literature, and other sources. We included randomised and quasi randomised trials of deworming compared to placebo or other nutritional interventions with data on baseline infection. We used a random-effects network meta-analysis with IPD and assessed overall quality, following a pre-specified protocol. We received IPD from 19 trials of STH deworming. Overall risk of bias was low. There were no statistically significant subgroup effects across age, sex, nutritional status or infection intensity for each type of STH. These analyses showed that children with moderate or heavy intensity infections, deworming for STH may increase weight gain (very low certainty). The added value of this review is an exploration of effects on growth and cognition in children with moderate to heavy infections as well as replicating prior systematic review results of small effects at the population level. Policy implications are that complementary public health strategies need to be assessed and considered to achieve growth and cognition benefits for children in helminth endemic areas

    eOrganic: The organic agriculture community of practice for eXtension

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    eOrganic is the organic agriculture community of practice (CoP) and resource area for eXtension. eOrganic\u27s primary community of interest (CoI) is organic farmers and the agricultural professionals who support them. The 250 members of the eOrganic CoP include farmers, researchers, certifiers, and extension/other agricultural professionals. eOrganic\u27s mission is to build a diverse national CoP and use web technologies to synthesize existing information, emerging science, and practical knowledge into information resources and training materials for its CoI. eOrganic strategies to achieve that mission include collaborative publication, stakeholder engagement, community development, projectmanagement, evaluation, and fundraising. eOrganic\u27s public site currently offers 240 articles, 250 videos, 80 webinars and broadcasts, and 100 frequently asked questions (FAQs). eOrganic CoP members have answered more than 1000 \u27Ask an Expert\u27 questions. eOrganic authors collaboratively develop articles in eOrganic\u27s collaborative workspace, which undergo review by two anonymous reviewers andNational Organic Program (NOP) compliance review. eOrganic will offer online courses in 2012. eOrganic stakeholders evaluated eOrganic articles and videos in 2010 and overall they stated that they were relevant, science-based, and useful. Three quarters of webinar and broadcast participants said the webinar improved their understanding of the topic, and 83% said they would recommend the webinar to others. Sixty-nine percent of webinar survey respondents stated that they changed practices or provided others with information as the result of the webinar. eOrganic surveyed active CoP members in 2011. Members view eOrganic as important because it is the only national organic agriculture resource with direct ties to university research and they considered all of eOrganic\u27s core activities important. eOrganic is supported by small grants from eXtension and subawards in more than 20 U.S. Department of Agriculture (USDA), National Institute of Food and Agriculture (NIFA) research/extension projects. To enhance its financial sustainability, eOrganic will work to solidify its partnership with NIFA programs and diversify its funding sources to include course fees and underwriters

    Mass deworming for improving health and cognition of children in endemic helminth areas: A systematic review and individual participant data network meta‐analysis

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    Background: Soil transmitted (or intestinal) helminths and schistosomes affect millions of children worldwide. Objectives: To use individual participant data network meta-analysis (NMA) to explore the effects of different types and frequency of deworming drugs on anaemia, cognition and growth across potential effect modifiers. Search Methods: We developed a search strategy with an information scientist to search MEDLINE, CINAHL, LILACS, Embase, the Cochrane Library, Econlit, Internet Documents in Economics Access Service (IDEAS), Public Affairs Information Service (PAIS), Social Services Abstracts, Global Health CABI and CAB Abstracts up to March 27, 2018. We also searched grey literature, websites, contacted authors and screened references of relevant systematic reviews. Selection Criteria: We included randomised and quasirandomised deworming trials in children for deworming compared to placebo or other interventions with data on baseline infection. Data Collection and Analysis: We conducted NMA with individual participant data (IPD), using a frequentist approach for random-effects NMA. The covariates were: age, sex, weight, height, haemoglobin and infection intensity. The effect estimate chosen was the mean difference for the continuous outcome of interest. Results: We received data from 19 randomized controlled trials with 31,945 participants. Overall risk of bias was low. There were no statistically significant subgroup effects across any of the potential effect modifiers. However, analyses showed that there may be greater effects on weight for moderate to heavily infected children (very low certainty evidence). Authors' Conclusions: This analysis reinforces the case against mass deworming at a population-level, finding little effect on nutritional status or cognition. However, children with heavier intensity infections may benefit more. We urge the global community to adopt calls to make data available in open repositories to facilitate IPD analyses such as this, which aim to assess effects for the most vulnerable individuals

    PRIME-IPD SERIES Part 1. The PRIME-IPD tool promoted verification and standardization of study datasets retrieved for IPD meta-analysis

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    OBJECTIVES: We describe a systematic approach to preparing data in the conduct of Individual Participant Data (IPD) analysis. STUDY DESIGN AND SETTING: A guidance paper proposing methods for preparing individual participant data for meta-analysis from multiple study sources, developed by consultation of relevant guidance and experts in IPD. We present an example of how these steps were applied in checking data for our own IPD meta analysis (IPD-MA). RESULTS: We propose five steps of Processing, Replication, Imputation, Merging, and Evaluation to prepare individual participant data for meta-analysis (PRIME-IPD). Using our own IPD-MA as an exemplar, we found that this approach identified missing variables and potential inconsistencies in the data, facilitated the standardization of indicators across studies, confirmed that the correct data were received from investigators, and resulted in a single, verified dataset for IPD-MA. CONCLUSION: The PRIME-IPD approach can assist researchers to systematically prepare, manage and conduct important quality checks on IPD from multiple studies for meta-analyses. Further testing of this framework in IPD-MA would be useful to refine these steps

    Patients’ and family caregivers’ experiences with a newly implemented hospital at home program in British Columbia, Canada: Preliminary results

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    The Hospital at Home (HaH) model of care, which enables the provision of acute-level care in the patient’s own home as an alternative to brick and mortar hospital admission, was introduced in British Columbia, Canada in November 2020, starting with 9 inpatient “beds” in the community. The AT-HOME research group applied a patient-oriented approach to evaluate the patients’ and family caregivers’ (FCGs) experiences with the program as it was implemented and expanded throughout Victoria, BC. In this paper, we discuss the development of the survey instruments, including process and timelines (three phases); and present preliminary findings of the observational research study (six months of patient and FCG feedback data). The preliminary results show that 100% of patients (n=75) and 95% of FCGs (n=57) had an overall positive experience with the program (rated 6-10 on a 10-point scale where 0 meant ‘very poor’ and 10 ‘very good’). 100% of these patients and 96% of these FCGs would recommend the program to their friends and family and 97% of these patients and 96% of these FCGs would choose the program again if faced with the same situation. The preliminary results on metrics pertaining to care quality; information sharing and experiences with the admission and discharge processes; FCG’s roles, medication management, and more are discussed here. The final results of the patient and FCG experiences will be reported at the end of the data collection period. We can conclude that this new HaH program has been positively received by patients and FCGs thus far and they support program expansion Experience Framework This article is associated with the Innovation & Technology lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework). Access other PXJ articles related to this lens. Access other resources related to this len

    Engaging patients and families in developing, implementing, and evaluating hospital at home: A Canadian case study

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    The Hospital at Home (HaH) care model is naturally patient-centred, with improved patient and family experiences and outcomes firmly anchoring the innovative approach to care. Existing literature focuses largely on the health care and patient care outcomes of HaH; however, to date, none of the identified literature has reported on engaging patients and families in the development, implementation, or evaluation of the HaH model of care. A multi-stakeholder, Patient-Oriented Research team in Victoria, British Columbia, Canada engaged patients and family/friend caregivers (PFCs) across all components of the HaH program. Guided by best practices in patient and public engagement, the team collaborated to 1) explore the potential impact of in-home acute care on PFCs’ experiences; 2) identify health, social, and practice outcomes that matter to PFCs; 3) examine the social and environmental factors which may impact delivery of HaH; and 4) inform the HaH evaluation framework that includes PFC priority measures related to experience and outcomes. A public, online survey (n=543 PFC respondents) revealed both program-specific and evaluation-specific themes. These included a focus on patients achieving their own health goals and standard health outcomes, as well as patients and caregivers receiving training to support care at home. Engaging PFCs throughout HaH conception and implementation ensured the end program accurately reflected the priorities, concerns, and values of those that HaH is meant to serve. Experience Framework This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework). Access other PXJ articles related to this lens. Access other resources related to this lens

    The state of the Martian climate

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    60°N was +2.0°C, relative to the 1981–2010 average value (Fig. 5.1). This marks a new high for the record. The average annual surface air temperature (SAT) anomaly for 2016 for land stations north of starting in 1900, and is a significant increase over the previous highest value of +1.2°C, which was observed in 2007, 2011, and 2015. Average global annual temperatures also showed record values in 2015 and 2016. Currently, the Arctic is warming at more than twice the rate of lower latitudes

    Mass deworming for improving health and cognition of children in endemic helminth areas: A systematic review and individual participant data network meta‐analysis

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    BackgroundSoil transmitted (or intestinal) helminths and schistosomes affect millions of children worldwide.ObjectivesTo use individual participant data network meta‐analysis (NMA) to explore the effects of different types and frequency of deworming drugs on anaemia, cognition and growth across potential effect modifiers.Search MethodsWe developed a search strategy with an information scientist to search MEDLINE, CINAHL, LILACS, Embase, the Cochrane Library, Econlit, Internet Documents in Economics Access Service (IDEAS), Public Affairs Information Service (PAIS), Social Services Abstracts, Global Health CABI and CAB Abstracts up to March 27, 2018. We also searched grey literature, websites, contacted authors and screened references of relevant systematic reviews.Selection CriteriaWe included randomised and quasirandomised deworming trials in children for deworming compared to placebo or other interventions with data on baseline infection.Data Collection and AnalysisWe conducted NMA with individual participant data (IPD), using a frequentist approach for random‐effects NMA. The covariates were: age, sex, weight, height, haemoglobin and infection intensity. The effect estimate chosen was the mean difference for the continuous outcome of interest.ResultsWe received data from 19 randomized controlled trials with 31,945 participants. Overall risk of bias was low. There were no statistically significant subgroup effects across any of the potential effect modifiers. However, analyses showed that there may be greater effects on weight for moderate to heavily infected children (very low certainty evidence).Authors' ConclusionsThis analysis reinforces the case against mass deworming at a population‐level, finding little effect on nutritional status or cognition. However, children with heavier intensity infections may benefit more. We urge the global community to adopt calls to make data available in open repositories to facilitate IPD analyses such as this, which aim to assess effects for the most vulnerable individuals.</div
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