Sexual violence: Raising the conversations, a literature review

This literature review is intended to contribute to efforts to raise awareness and conversations around sexual violence. It is focused on men’s sexual violence against adolescent and adult women. We begin our review by briefly considering the definition of sexual violence, its prevalence, and its impact. In Section 2, following the lead of public health theorists, we use an ecological framework to discuss factors which contribute to – or are protective of – sexual violence. That is, we adopt a multi‐level approach, considering risk factors at societal, community, relationship and individual levels. Although we look at each of these levels in turn, as will become evident, it is also important to consider the interactions between levels. In Section 3, we review evaluations of various attempts to prevent sexual violence. Mostly, these evaluations have focused on individual level prevention efforts: prevention at community and societal levels seem to have received little attention from evaluators. Nevertheless, there are some useful lessons to be gained from the evaluation literature. In section 4, we attempt to integrate the material considered in sections 2 and 3 into a framework proposed by the (US) National Sexual Violence Resource Center (Davis, Parks, & Cohen, 2006). Consistent with a public health approach, the Spectrum of Prevention is a multi‐level model

'Letting the children lead: The Jeely Nursery' - A second interim report for the Robertson Trust

This is the second interim report undertaken for the Robertson Trust of an ongoing project developed by the Jeely Nursery (JN) in Castlemilk, Glasgow, from 2007-10

Piano proficiency among choral directors

The purpose of this study was to examine the practice of using piano in the secondary choral rehearsal setting by examining the functional piano skills used and advocated for by current choral educators with the goal of determining if the level and type of preparation provided by university and college music education teacher preparation programs is adequate in terms of meeting choral directors’ “real world” needs. An electronic survey was disseminated to 514 middle school and high school choral directors currently serving in the Commonwealth of Virginia. Research was conducted based on usable responses (N=190) from two groups, those who had completed their undergraduate studies as keyboard majors, and those who had majored in voice or another instrument or related music field. The results of this study point to a number of key points that question how piano proficiency is developed in undergraduate music education programs. For example, when asked if participants were required to take a proficiency exam, 9% reported not having been given any such requirements. Such a response suggests that there is still no general curriculum alignment in higher education with regard to functional piano skills for pre-service choral educators. Also, one-third of the group which reported majoring in voice or another instrument were not given the opportunity to practice accompanying skills, and three-fourths were not given specific instruction in the functional keyboard skill of accompanying. Additionally, 23 % of the tested population reported having no ability to accompany an ensemble - a higher number than expected by the researcher

CD8+ T Cell Serotype-Cross-Reactivity is a Predominant Feature of Dengue Virus Infections in Humans: A Dissertation

The four serotypes of dengue virus (DENV 1-4) have a significant and growing impact on global health. Dengue disease encompasses a wide range of clinical symptoms, usually presenting as an uncomplicated febrile illness lasting 5-7 days; however, a small percentage of infections are associated with plasma leakage and bleeding tendency (called dengue hemorrhagic fever, DHF), which can result in shock. Epidemiological studies indicate that severe dengue disease most often occurs during secondary heterotypic DENV infection. Additionally, plasma leakage (the hallmark of DHF) coincides with defervescence and viral clearance, suggesting that severe disease arises from the immune response to infection rather than a direct effect of the virus. A number of studies have found increased levels of markers of immune cell activation in patients with DHF compared to patients with the less severe form of disease (DF). These markers include IFNγ, TNFα, soluble CD8, soluble IL-2 receptor, soluble TNF receptor, and CD69, which support a role for T cells in mediating immunopathology. Because of the high homology of DENV 1-4, some degree of serotype-cross-reactivity is seen for most T cell epitopes. A high percentage of DENV-specific T cells recognize multiple DENV serotypes, as demonstrated by peptide-MHC (pMHC) tetramer binding and in vitro functional assays performed on PBMC from subjects vaccinated with an experimental DENV vaccine or naturally-infected subjects with secondary (\u3e1) DENV infection. This thesis sought to address several gaps in the literature, specifically whether T cell responses differ in primary versus secondary (natural) infection. We studied the frequency, phenotype, and function of DENV-specific T cells. We demonstrated substantial serotype-cross-reactivity of antigen-specific T cells generated in response to naturally-acquired primary as well as secondary DENV infection. The frequency of A11-NS3133 epitope-specific T cells during acute infection did not correlate with disease severity. However, the peak frequency occurred earlier in primary infection while the frequency of CD45RA+ T cells declined quicker in secondary infection, suggesting the expansion of DENV-specific memory T cells. DENV-immune T cells exhibited different functional capabilities that were dependent on the particular serotype of infection. Specifically, DENV-1 or -3 stimulation of A11-NS3133 epitope-specific T cell lines resulted in robust function that included IFNγ production, whereas DENV-2 stimulation resulted in limited function that often included MIP-1β but not IFNγ production. These data support a role for T cells in DENV infection and offer new insights into their potential contribution to dengue pathology

Level of impaired control predicts outcome of moderation-oriented treatment for alcohol problems

Aims To examine the ability of the Impaired Control Scale (ICS) to predict outcome of moderation-oriented treatment for alcohol problems and to compare this predictive ability directly with that of a widely used measure of alcohol dependence, the Severity of Alcohol Dependence Questionnaire (SADQ). Design Prospective follow-up study. Setting Out-patient treatment centres. Participants A combined sample 154 problem drinkers taking part in two clinical trials of Moderation-oriented Cue Exposure in the UK and Australia. Clients were followed-up 6 (UK) and 8 (Australia) months after the end of reatment. Measurements Outcome was categorized by combining drinking behaviour at follow-up with changes on the Alcohol Problems Questionnaire from before treatment to follow-up. Controlling for research site, baseline scores on Part 2 of the ICS (substitution method) and the SADQ-C were entered in logistic regression analyses with three outcome dichotomies as dependent variables. Findings Five per cent of clients were abstinent at follow-up, 13% non-problem drinkers, 25% much improved, 24% somewhat improved and 34% unimproved. Location of treatment and ICS2 scores were significant predictors of whether or not clients achieved a successful outcome (abstinence or non-problem drinking). Using a cut-point of 25 on the ICS, two-thirds of outcomes were classified correctly as either treatment successes or failures. SADQ-C score was not a significant predictor of treatment outcome. Conclusions The ICS predicts outcome of moderation-oriented treatment among moderately dependent problem drinkers recruited mainly via newspaper advertisements. The ICS should replace the SADQ as the basis for advice to clients in this population of problem drinkers regarding whether or not a moderation goal of treatment should be pursued

Counselor Educator, Supervisor, and Practitioner Perspectives on Distance Counseling and Telemental Health Training and Practice

As distance counseling and telemental health practices continue to grow, it is unclear how counselor training programs are responding to the change or how frequently supervisors and practitioners utilize distance modalities. Counseling professionals (N =103) were surveyed to examine their perceptions of distance counseling training and practice. Respondents indicated multiple roles as Counselor Educators (CE, n = 74), Counseling Supervisors (CS, n = 61), and Counseling Practitioners (CP, n = 86). The majority of CE expressed dissatisfaction with amount of distance counseling content in their training program yet felt confident to teach distance counseling and TMH concepts. Personal experience with distance supervision or distance counseling was low among CS and CP, although these groups exhibited high confidence in practicing distance supervision and distance counseling. Nearly all respondents had sought additional professional development training in distance counseling and/or TMH. The findings emphasize a need for consistency in TMH professional development training, as well as opportunities to infuse distance counseling content into student training programs and curricula

Starting a conservation collection of Sorbus pseudomeinichii

There are three endemic Sorbus species on the Isle of Arran in Scotland: Sorbus arranensis, S. pseudofennica and S. pseudomeinichii. The latter is the most recently discovered and is represented in the wild by a single individual. Seed propagation and vegetative propagation by chip budding were initiated for all three species at the Royal Botanic Garden Edinburgh (RBGE). This has been successful and there are now conservation collections of these species growing at RBGE

A pro-poor community based approach for water and sanitation in small Mekong region towns

Achievement of the water and sanitation related Millennium Development Goals (MDGs), to halve the proportion of people without access to improved water supply and sanitation services by 2015, is a major challenge for governments of the Greater Mekong Sub-region (GMS). Rapid urbanisation is increasing the need for services in the small towns to which many rural migrants are moving, yet there are limited financial resources to improve coverage. Under the Mekong Region Water and Sanitation Initiative (MEK-WATSAN), UN-Habitat has partnered with GMS governments with the aim of achieving the water and sanitation related MDG. With a pro-poor emphasis MEK-WATSAN has developed a community-based water supply and sanitation model which has leveraged partnerships with existing institutions to effectively improve water supply and sanitation services to the urban poor in the Mekong Region