Cities which plan to transform into a creative engine of innovation may face a long and difficult journey.

Cities across the US are now striving to emulate the successes of Silicon Valley and New York in transitioning to a creative economy. Shade Shutters cautions that despite the successes of some, it is often difficult for cities to make the transition to a creative economy. He argues that such cities face the challenge of moving through their current network of occupations to a more creative one, something that calls for a more comprehensive strategy than simply trying to attract greater numbers of knowledge workers

A study of the changing financial positions of the corporate stockholder and the corporate worker

Call number: LD2668 .R4 1964 S5

Treatment Buddies Improve Clinic Attendance among Women but Not Men on Antiretroviral Therapy in the Nyanza Region of Kenya.

Background. Kenyan antiretroviral (ART) guidelines encourage treatment buddies (TBy) to maximize treatment adherence. This study examined the effect of TBys on clinic attendance in men and women on ART. Methods. This retrospective cohort study included all adult patients initiating ART from August 2007 to December 2011 at four health facilities in Kenya. Data were abstracted from electronic medical records and analyzed using Poisson regression. Results. Of 2,430 patients, 2,199 (91%) had a TBy. Relationship between TBy and clinic attendance differed in females and males (interaction p = 0.09). After demographic and clinic factor adjustment, females with a TBy were 28% more likely to adhere to all appointments than those without (adjusted aRR = 1.28; 95% CI 1.08-1.53), whereas males were no more likely to adhere (aRR = 1.01; 95% CI 0.76-1.32). Males reported partner/spouse (33%) or brother (11%) as the TBy while females reported sister (17%), partner/spouse (14%), or another family member (12%). Multivariable analysis found no association between clinic attendance and TBy relationship in either gender. Conclusion. Clinic attendance was higher among women with TBys but not men. Results support TBys to help women achieve ART success; alternate strategies to bolster TBy benefits are needed for men

Viewing youth and mobile privacy through a digital policy literacy framework

Digital policy literacy is a critical element of digital literacy that emphasizes an understanding of communication policy processes, the political economy of media, and technological infrastructures. This paper introduces an analytical framework of digital policy literacy and illustrates it with examples of young people’s everyday negotiations of mobile privacy, in order to argue for increased policy literacy around privacy and mobile phone communication. The framework is applied to the Canadian context, where a small pilot study engaged 14 undergraduate university students in focus groups about their uses of mobiles and knowledge of mobile privacy issues. Preliminary findings show that while our participants were aware of a variety of privacy threats in mobile communication, they were not likely to participate in policy processes that might protect their privacy rights. The paper concludes with a discussion of why young people may not be motivated to intervene in policy processes and how their digital policy literacy around mobile privacy is mitigated by the construction of youth as a lucrative target consumer market for mobile devices and services

Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya.

HIV departments within Kenyan health facilities are usually better staffed and equipped than departments offering non-HIV services. Integration of HIV services into primary care may address this issue of skewed resource allocation. Between 2008 and 2010, we piloted a system of integrating HIV services into primary care in rural Kenya. Before integration, we conducted a survey among returning adults ≥18-year old attending the HIV clinic. We then integrated HIV and primary care services. Three and twelve months after integration, we administered the same questionnaires to a sample of returning adults attending the integrated clinic. Changes in patient responses were assessed using truncated linear regression and logistic regression. At 12 months after integration, respondents were more likely to be satisfied with reception services (adjusted odds ratio, aOR 2.71, 95% CI 1.32-5.56), HIV education (aOR 3.28, 95% CI 1.92-6.83), and wait time (aOR 1.97 95% CI 1.03-3.76). Men's comfort with receiving care at an integrated clinic did not change (aOR = 0.46 95% CI 0.06-3.86). Women were more likely to express discomfort after integration (aOR 3.37 95% CI 1.33-8.52). Integration of HIV services into primary care services was associated with significant increases in patient satisfaction in certain domains, with no negative effect on satisfaction