Educating Tourists for Global Citizenship:A Microfinance Tourism Providers’ Perspective

Ethical tourism initiatives have increasingly been framed as tools to educate tourists about global citizenship (GC), yet it is unclear how these initiatives are conceptualised, planned and implemented by tourism providers. This paper focuses on a form of ethical tourism known as microfinance tourism (MFT). It critically explores MFT providers’ perspectives on what constitutes the goals of educating tourists about GC and how MFT can be designed and implemented to achieve these goals. The study adopted a qualitative approach utilising in-depth interviews with 12 key informants from 6 MFT organisations in Tanzania, Mexico, Jordan and Vietnam. The results reveal that MFT providers rely on an experiential learning process to educate tourists. However, as part of this learning process, MFT initiatives are located on a continuum, constituting those initiatives designed to increase tourists’ compassion and philanthropic actions (i.e. ‘thin’ GC) through to those initiatives seeking to build solidarity and global discussions between tourists in order to challenge the structures that perpetuate global injustice (i.e. ‘thick’ GC). These results highlight the diversity of tourism providers’ perspectives pertaining to GC, the effect diversity has on the design of tourism initiatives and the resultant outcomes of GC education utilising ethical tourism.Griffith Business School, Department of Tourism, Sport and Hotel ManagementNo Full Tex

Perioperative Management of Patients Undergoing Total Pancreatectomy with/without Islet Cell Autotransplantation: A Single Center Experience

Total pancreatectomy (TP) and islet cell autotransplantation (IAT) are complex operations that require intensive postoperative monitoring with standardized protocols. There are few studies detailing immediate perioperative management. The purpose of this study was to describe the perioperative management of post-pancreatectomy patients in the first week following surgery to guide clinicians in addressing salient points from different organ systems. This is a retrospective cohort review of prospectively collected data from September 2017 to September 2022 at a single institution, including patients 16 years and older who underwent TP or TPIAT for chronic pancreatitis. Patients were maintained on a heparin drip (TPIAT), insulin drip, and ketamine infusion. Primary outcomes were complications in the first 5 days following surgery and ICU length of stay (LOS). Secondary outcomes included overall LOS and mortality. Of 31 patients, 26 underwent TPIAT, and 5 underwent TP. Median ICU LOS was five days (IQR 4–6). The most common immediate postoperative complications were reintubation [n = 5 (16%)] and bleeding [n = 2 (6%)]. Median insulin drip use was 70 h (IQR 20–124). There was no mortality. Patients were extubated quickly and progressed well on the protocol. Immediate postoperative complications were generally minor and without long-term effects

A Perfect Storm: Mapping the Life Course Trajectories of Serial Killers

Since the 1970s, scholars have produced a large body of research attempting to establish the mechanisms by which serial killers come to arrive at a life of repeat fatal violence. Traits such as psychopathy, biomarkers such as abnormal dopamine concentrations, and other developmental correlates such as early family environment have all been offered as proximal explanations for the motivations, psychopathology, and etiology of serial homicide. Unfortunately, however, from the standpoint of developmental psychology, these insights are far too limited in scope. Human thought, functioning, and behaviour are the product of complex reciprocal transactions that occur between the individual and their environment throughout their lifespan. Processes that serve to shape human development include neural plasticity, modifiability, resilience and adaptation, among others. Yet, these vital processes are never discussed in the developmental literature on serial homicide. Additionally, research in this area tends to lack the ‘voice of the killer.’ Instead of as active participants, offenders are viewed as objects of research and as passive participants in their own life experiences. Again, this is problematic from the standpoint of developmental psychology. Every person’s actions are formed by years of contextual experience which reinforce dominant patterns of thinking which eventually come to dominate behaviour. Thus, in order to develop a comprehensive understanding of human psychopathology, behaviour, and development one must also endeavor to understand how patterns of thought and/or behaviour were shaped, expressed, and reinforced throughout one’s lifespan. Embracing a developmental model that is complex, and dynamic, and that honors the multisystem aspects of human development is necessary should we hope to understand the motivations, psychopathology, and etiology of serial homicide. Using lifespan developmental psychology as a guiding framework, this paper traces the developmental mechanisms that come together to shape the lives and criminal trajectories of serial killers.Ph.D

Introduction: Starting a Conversation

Breaking Ground Ireland is the first publication of its kind: it highlights writers and illustrators from ethnic minority backgrounds in Ireland, including those from Irish Traveller backgrounds. Based on Breaking Ground, an original concept and project by London-based organisation Speaking Volumes, this brochure is brought to you by Lindsay Ann Reid of NUI Galway and Sasha de Buyl of Cúirt International Festival of Literature, with mentorship from Speaking Volumes, support from the Irish Writers Centre and funding from the Irish Research Council.non-peer-reviewe

Failed intussusception reduction in children: correlation between radiologic, surgical, and pathologic findings

OBJECTIVE: The objective of this study was to identify causes of irreducible intussusception after contrast enema and to correlate imaging findings with surgical and histopathologic findings. MATERIALS AND METHODS: Between 2005 and 2013, a total of 543 children underwent reduction of intussusception with the use of an enema technique (hereafter referred to as "enema reduction"). The medical records of 72 children (56 boys [mean age, 24.8 months; range, 3.8 months to 10.9 years] and 16 girls [mean age, 14.2 months; range, 1.5 months to 6.9 years) who underwent unsuccessful reduction and were treated surgically were retrospectively analyzed. The data collected included information on the cause of intussusception, the risk factors noted on ultrasound, operative management, outcome, and the length of the hospital stay. The imaging findings for these patients were compared with findings for statistically similar age-matched control subjects. RESULTS: Ultrasound detected 56 of 57 cases of intussusception, but it failed to detect the lead point in three cases and failed to detect ischemic necrosis in seven cases. Positive predictors of failed enema reduction were the presence of a distal mass and observation of the dissecting sign. Of the 72 patients who underwent surgical treatment of intussusception, 26 (36.1%) underwent laparoscopy, 38 (52.8%) underwent laparotomy, and eight (11.1%) underwent conversion from laparoscopy to laparotomy. Surgical reduction was performed in 61.1% of cases, small bowel resection in 19.4%, ileocecectomy in 12.5%, and self-reduction in 69%. Pathologic lead points (noted in 25% of cases) included lymphoid hyperplasia (n = 7), Meckel diverticulum (n = 3), Burkitt lymphoma (n = 3), enteric duplication cyst (n = 2), juvenile polyp (n = 2), and adenovirus appendicitis (n = 1). The length of the hospital stay was significantly longer after laparotomy. CONCLUSION: The distalmost location of the intussusception mass and presence of the dissecting sign on images obtained during contrast enema have a higher positive predictive value for failed reduction. Screening ultrasound decreases the number of unnecessary contrast enemas performed; however, classic pathologic lead points, such as Burkitt lymphoma and Meckel diverticulum, may be difficult to diagnose with the use of ultrasound. Laparotomy and laparoscopy are equally safe and efficacious in reducing intussusception, with the length of the hospital stay after laparoscopy significantly shorter than that noted after laparotomy. Most failed enema reductions are idiopathic, and pathologic lead points are noted in 25% of cases

How property title impacts urban consolidation:a life cycle examination of multi-title developments

Continuing urbanisation is triggering an increase in multi-titled housing internationally. This trend has given rise to a substantial research interest in the social consequences of higher density living. Fewer enquiries have been directed to examining how property title subdivisions generate social issues in multi-titled housing. This is a significant gap in the literature, as the tensions inherent in multi-title developments have significant implications for individuals, developments and entire metropolitan areas. This article employs a life cycle framework to examine the profound operational and governance challenges that are associated with the fusion of private lot ownership with common property ownership. The article calls for a more explicit recognition of these challenges by academics, policymakers, practitioners and the broader community

Supplementary_Material – Supplemental material for Using Behavior Sequence Analysis to Map Serial Killers’ Life Histories

<p>Supplemental material, Supplementary_Material for Using Behavior Sequence Analysis to Map Serial Killers’ Life Histories by David A. Keatley, Hayley Golightly, Rebecca Shephard, Enzo Yaksic and Sasha Reid in Journal of Interpersonal Violence</p

Bacterial community structure transformed after thermophilically composting human waste in Haiti.

Recycling human waste for beneficial use has been practiced for millennia. Aerobic (thermophilic) composting of sewage sludge has been shown to reduce populations of opportunistically pathogenic bacteria and to inactivate both Ascaris eggs and culturable Escherichia coli in raw waste, but there is still a question about the fate of most fecal bacteria when raw material is composted directly. This study undertook a comprehensive microbial community analysis of composting material at various stages collected over 6 months at two composting facilities in Haiti. The fecal microbiota signal was monitored using a high-density DNA microarray (PhyloChip). Thermophilic composting altered the bacterial community structure of the starting material. Typical fecal bacteria classified in the following groups were present in at least half the starting material samples, yet were reduced below detection in finished compost: Prevotella and Erysipelotrichaceae (100% reduction of initial presence), Ruminococcaceae (98-99%), Lachnospiraceae (83-94%, primarily unclassified taxa remained), Escherichia and Shigella (100%). Opportunistic pathogens were reduced below the level of detection in the final product with the exception of Clostridium tetani, which could have survived in a spore state or been reintroduced late in the outdoor maturation process. Conversely, thermotolerant or thermophilic Actinomycetes and Firmicutes (e.g., Thermobifida, Bacillus, Geobacillus) typically found in compost increased substantially during the thermophilic stage. This community DNA-based assessment of the fate of human fecal microbiota during thermophilic composting will help optimize this process as a sanitation solution in areas where infrastructure and resources are limited