Celebrating 25 Years of the UN Convention on the Rights of the Child, but where to next?

Ruth Taylor is a current MSc Human Rights student at LSE. She is also the International Development Manager for Student Hubs, where she leads on the Impact International programme for the UK, which aims to promote global citizenship amongst UK students

Aide-memoire diaries in longitudinal research

Background: Diaries can be used as contemporaneous tools for gathering data, frequently in combination with interviews. However, diaries can also be used by study participants as personal records to improve their recall during interviews, without having to be collected for analysis. Aim: To discuss the use of diaries as aide-memoires by participants in a study exploring women’s views and experiences of the quality of maternity care they received in community maternity units in Scotland. Discussion: The use of aide-memoire diaries was an effective way to enhance the quality of data collected during interviews. Conclusion: This use of diaries would help longitudinal research in different contexts, including long-term care, as an aide-memoire to help participants recall their experiences throughout their care. Implications for practice: Aide-memoire diaries provide a private platform for contemporaneously and honestly recording participants’ reflective accounts throughout their experiences of care

The views of migrant health workers living in Austria and Belgium on return migration to sub-Saharan Africa

Background: The negative consequences of the brain drain of sub-Saharan African health workers for source countries are well documented and include understaffed facilities, decreased standards of care and higher workloads. However, studies suggest that, if migrated health workers eventually return to their home countries, this may lead to beneficial effects following the transfer of their acquired skills and knowledge (brain gain). The present study aims to explore the factors influencing the intentions for return migration of sub-Saharan African health workers who emigrated to Austria and Belgium, and gain further insight into the potential of circular migration. Methods: Semi-structured interviews with 27 sub-Saharan African health workers in Belgium and Austria were conducted. Results: As mentioned by the respondents, the main barriers for returning were family, structural crises in the source country, and insecurity. These barriers overrule the perceived drivers, which were nearly all pull factors and emotion driven. Despite the fact that only a minority plans to return permanently, many wish to return regularly to work in the healthcare sector or to contribute to the development of their source country. Conclusion: As long as safety and structural stability cannot be guaranteed in source countries, the number of return migrants is likely to remain low. National governments and regional organizations could play a role in facilitating the engagement of migrant health workers in the development of the healthcare system in source countries

Probabilistic modeling of one dimensional water movement and leaching from highway embankments containing secondary materials

Predictive methods for contaminant release from virgin and secondary road construction materials are important for evaluating potential long-term soil and groundwater contamination from highways. The objective of this research was to describe the field hydrology in a highway embankment and to investigate leaching under unsaturated conditions by use of a contaminant fate and transport model. The HYDRUS2D code was used to solve the Richards equation and the advection–dispersion equation with retardation. Water flow in a Minnesota highway embankment was successfully modeled in one dimension for several rain events after Bayesian calibration of the hydraulic parameters against water content data at a point 0.32 m from the surface of the embankment. The hypothetical leaching of Cadmium from coal fly ash was probabilistically simulated in a scenario where the top 0.50 m of the embankment was replaced by coal fly ash. Simulation results were compared to the percolation equation method where the solubility is multiplied by the liquid-to-solid ratio to estimate total release. If a low solubility value is used for Cadmium, the release estimates obtained using the percolation/equilibrium model are close to those predicted from HYDRUS2D simulations (10–4–10–2 mg Cd/kg ash). If high solubility is used, the percolation equation over predicts the actual release (0.1–1.0 mg Cd/kg ash). At the 90th percentile of uncertainty, the 10-year liquid-to-solid ratio for the coal fly ash embankment was 9.48 L/kg, and the fraction of precipitation that infiltrated the coal fly ash embankment was 92%. Probabilistic modeling with HYDRUS2D appears to be a promising realistic approach to predicting field hydrology and subsequent leaching in embankments

Executive Director’s Note

This edition is the first to be published under a reorganized Publications Committee with a new program and a new editor. Dr. Elizabeth C. Stevens is the editor of Rhode Island History, the scholarly journal of the Rhode Island Historical Society. She was an associate editor of the Papers of General Nathanael Greene, a thirteen-volume NEH-sponsored project at the Rhode Island Historical Society that was completed in 2005. She has also worked on another historical editing project, volume two of The Jane Addams Papers. Elizabeth has a doctorate in American Studies from Brown University (1993) and is the author of Elizabeth Buffum Chace and Lillie Chace Wyman: A Century of Abolitionist, Suffragist, and Workers’ Rights Activism. (McFarland, 2004

The challenge of water provision in rural Tanzania

Despite significant recent investment, levels of access to clean drinking water in Tanzania remain similar to those of 20 years ago. Why is it that although money has been flowing, water continues to trickle

The Dutch language version of the Toronto structured interview for Alexithymia: reliability, concurrent validity, and factor structure

The aim of this study was to evaluate the psychometric properties of the Dutch version of the Toronto Structured Interview for Alexithymia (TSIA) in a clinical sample. The TSIA and the 20-item Toronto Alexithymia Scale (TAS-20) were administered to 85 psychiatric inpatients and to 76 medical outpatients with the symptom of tinnitus. Both internal and inter-rater reliability were acceptable. Confirmatory factor analyses supported the hierarchical, 4-factor structure with 4 lower-order factors nested within 2 higher-order latent factors, previously obtained with English, German, and Italian versions. Concurrent validity was supported by significant correlations between the TSIA and the TAS-20 total scores although there were some differences between the psychiatric subsample and the medical subsample. While further studies are needed to assess the convergent and discriminant validity of the TSIA, the results support its use as a measure of alexithymia

The fear of others: a qualitative analysis of interpersonal threat in social phobia and paranoia

The cognitive models indicate that people with social phobia and paranoia share a common fear of others. While we recognize clinical differences, it is likely that some of the same psychological processes contribute to the maintenance of both presentations, yet the nature and extent of these similarities and differences are not yet clearly understood. This study explored threat experiences in people with social phobia and persecutory delusions in order to elucidate these aspects of the respective cognitive models. Accounts of interpersonal threat experiences were examined in nine people with social phobia and nine people with persecutory delusions. Verbatim transcripts were analyzed using thematic analysis. Three major themes emerged from the data: participants’ experience of threat, reactions while under threat, and subsequent reflections. Narrative coherence emerged as a superordinate theme. Typical fear responses were found in both groups, particularly in their reactions to threat. The key differences were in participants’ perceptual experiences, ability to stand back from the threat following the event, and narrative coherence. The findings are discussed in relation to current cognitive models of social phobia and paranoia. Theoretical and clinical implications are drawn out, and highlight the need to examine attentional and metacognitive processes more closely if we are to understand the maintenance of perceived threat in these groups, and means of alleviating associated distress

The Ethical Review of Health Care Quality Improvement Initiatives: Findings From the Field

Based on surveys, examines the review mechanisms of quality improvement initiatives, including frequency; type, such as use of independent review boards; and consideration for ethical issues such as minimal risk and patient privacy and confidentiality