Perceived Health Issues: A perspective from East-African immigrants

This Study explores Somali and Ethiopian community leaders’ perceptions about health issues in their communities and the barriers to access and utilization of primary health care services. Fourteen in-depth interviews were conducted with community leaders and thematic analysis was used to analyze interviews. Participants identified chronic diseases, the unhealthy behaviors associated with them, and mental health as major health issues. Infectious diseases were secondarily mentioned as important health concerns. Lack of insurance and limited understanding of the health system were viewed as barriers to utilizing health care services. Other identified needs were: better education within immigrant communities about major health issues, enhanced cultural awareness of health care providers, improved health care access, and assistance with the acculturation process. Recommendations to improve the communities’ health status included enhancing providers' cultural competence, educating immigrants about major health issues, and increasing mental health care access

Perceived Health Issues: A perspective from East-African immigrants

<span style="font-family: Times New Roman; font-size: small;"> </span><p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;">This Study explores Somali and Ethiopian community leaders’ perceptions about health issues in their communities and the barriers to access and utilization of primary health care services.</span></span></p><span style="font-family: Times New Roman; font-size: small;"> </span><p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;">Fourteen in-depth interviews were conducted with community leaders and thematic analysis was used to analyze interviews.</span></span></p><span style="font-family: Times New Roman; font-size: small;"> </span><p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;">Participants identified chronic diseases, the unhealthy behaviors associated with them, <span style="mso-spacerun: yes;"> </span>and mental health as major health issues. Infectious diseases were secondarily mentioned as important health concerns. Lack of insurance and limited understanding of the health system were viewed as barriers to utilizing health care services.<span style="mso-spacerun: yes;"> </span>Other identified needs were: better education within immigrant communities about major health issues, enhanced cultural awareness of health care providers, improved health care access, and assistance with the acculturation process.</span></span></p><span style="font-family: Times New Roman; font-size: small;"> </span><p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;">Recommendations to improve the communities’ health status included enhancing providers' cultural competence, educating immigrants about major health issues, and increasing mental health care access.<span style="mso-spacerun: yes;"> </span></span></span></p><span style="font-family: Times New Roman; font-size: small;"> </span

Place-based Politics and Nested Deprivation in the U.K.: Beyond Cities-towns, ‘Two Englands’ and the ‘Left Behind’

‘Place-based explanations’ of politics in the U.K. tell sweeping narratives about ‘Two Englands’, or of sizeable regions of the country that have been ‘Left Behind’, reinforcing popular accounts of a North–South or city-town divide. We introduce the concept of nested deprivation – deprivation that may occur in just one housing estate or even one row of flats within neighbourhoods that are otherwise affluent. We report on intensive fieldwork in 8 neighbourhoods varying in relative affluence and density of population (including urban, suburban/satellite, market town or rural village). Three key themes and consequences emerge for those living in nested deprivation in relatively affluent and geographically dispersed contexts: (a) either disconnection from or entrapment within the local economy; (b) social isolation and atomisation; and (c) powerlessness to affect politics. ‘Place-based’ explanations of rapid and radical changes to political participation in Britain need to take fine-grained geographical distinctions much more seriously. Our study provides evidence that the rising tides in affluent areas are drowning some residents rather than lifting all boats. Where deprivation is dispersed and then nested within mostly affluent constituencies it does not allow for the political mobilisation among communities of interest that is a necessary condition for pluralist representative democracies

Development Toward a Ground-Based Interferometric Phased Array for Radio Detection of High Energy Neutrinos

The in-ice radio interferometric phased array technique for detection of high energy neutrinos looks for Askaryan emission from neutrinos interacting in large volumes of glacial ice, and is being developed as a way to achieve a low energy threshold and a large effective volume at high energies. The technique is based on coherently summing the impulsive Askaryan signal from multiple antennas, which increases the signal-to-noise ratio for weak signals. We report here on measurements and a simulation of thermal noise correlations between nearby antennas, beamforming of impulsive signals, and a measurement of the expected improvement in trigger efficiency through the phased array technique. We also discuss the noise environment observed with an analog phased array at Summit Station, Greenland, a possible site for an interferometric phased array for radio detection of high energy neutrinos.Comment: 13 Pages, 14 Figure

The consequences of (not) seeing eye-to-eye about the past:The role of supervisor–team fit in past temporal focus for supervisors' leadership behavior

This study seeks to advance our understanding of the leadership consequences that may ensue when supervisors and their teams have similar versus differing orientations toward the past. Integrating a leader–team fit perspective with functional leadership theory, we cast incongruence between supervisor and team past temporal focus as a key antecedent of supervisors' active (i.e., task-oriented and relationship-oriented) and passive (i.e., laissez-faire) leadership behaviors toward the team. We tested our hypotheses in a team-level study that included a field sample of 84 super-visors and their teams using polynomial regression and response surface analyses.Results illustrated that supervisors demonstrated more task-oriented and relationship-oriented leadership when supervisors' and their team's past temporal focus were incongruent rather than aligned. Furthermore, in situations of supervisor–team congruence, supervisors engaged in less task-oriented and relationship-oriented leadership and more laissez-faire leadership with higher (rather than lower)levels of supervisor and team past temporal focus. In sum, these findings support a complex (mis)fit model such that supervisors' attention to the past may hinder their productive leadership behaviors in some team contexts but not in others. Hence, this research advances a novel, multiple-stakeholder perspective on the role of both supervisors' and their team's past temporal focus for important leadership behavio

Prospects For Gulf of Mexico Environmental Recovery and Restoration

Previous oil spills provide clear evidence that ecosystem restoration efforts are challenging, and recovery can take decades. Similar to the Ixtoc 1 well blowout in 1979, the Deepwater Horizon (DWH) oil spill was enormous both in volume of oil spilled and duration, resulting in environmental impacts from the deep ocean to the Gulf of Mexico coastline. Data collected during the National Resource Damage Assessment showed significant damage to coastal areas (especially marshes), marine organisms, and deep-sea habitat. Previous spills have shown that disparate regions recover at different rates, with especially long-term effects in salt marshes and deepsea habitat. Environmental recovery and restoration in the northern Gulf of Mexico are dependent upon fundamental knowledge of ecosystem processes in the region. PostDWH research data provide a starting point for better understanding baselines and ecosystem processes. It is imperative to use the best science available to fully understand DWH environmental impacts and determine the appropriate means to ameliorate those impacts through restoration. Filling data gaps will be necessary to make better restoration decisions, and establishing new baselines will require long-term studies. Future research, especially via NOAA’s RESTORE Science Program and the state-based Centers of Excellence, should provide a path to understanding the potential for restoration and recovery of this vital marine ecosystem

Bayesian hierarchical clustering for studying cancer gene expression data with unknown statistics

Clustering analysis is an important tool in studying gene expression data. The Bayesian hierarchical clustering (BHC) algorithm can automatically infer the number of clusters and uses Bayesian model selection to improve clustering quality. In this paper, we present an extension of the BHC algorithm. Our Gaussian BHC (GBHC) algorithm represents data as a mixture of Gaussian distributions. It uses normal-gamma distribution as a conjugate prior on the mean and precision of each of the Gaussian components. We tested GBHC over 11 cancer and 3 synthetic datasets. The results on cancer datasets show that in sample clustering, GBHC on average produces a clustering partition that is more concordant with the ground truth than those obtained from other commonly used algorithms. Furthermore, GBHC frequently infers the number of clusters that is often close to the ground truth. In gene clustering, GBHC also produces a clustering partition that is more biologically plausible than several other state-of-the-art methods. This suggests GBHC as an alternative tool for studying gene expression data. The implementation of GBHC is available at https://sites. google.com/site/gaussianbhc

Examining the Classification Accuracy of TSVMs with Feature Selection in Comparison with the GLAD Algorithm

Gene expression data sets are used to classify and predict patient diagnostic categories. As we know, it is extremely difficult and expensive to obtain gene expression labelled examples. Moreover, conventional supervised approaches cannot function properly when labelled data (training examples) are insufficient using Support Vector Machines (SVM) algorithms. Therefore, in this paper, we suggest Transductive Support Vector Machines (TSVMs) as semi-supervised learning algorithms, learning with both labelled samples data and unlabelled samples to perform the classification of microarray data. To prune the superfluous genes and samples we used a feature selection method called Recursive Feature Elimination (RFE), which is supposed to enhance the output of classification and avoid the local optimization problem. We examined the classification prediction accuracy of the TSVM-RFE algorithm in comparison with the Genetic Learning Across Datasets (GLAD) algorithm, as both are semi-supervised learning methods. Comparing these two methods, we found that the TSVM-RFE surpassed both a SVM using RFE and GLAD

The Daalbirrwirr Gamambigu (Safe Children) Model: Embedding Cultural Safety in Child Protection Responses for Australian Aboriginal Children in Hospital Settings.

The aim of this paper is to describe the development of a model of care to embed cultural safety for Aboriginal children into paediatric hospital settings. The Daalbirrwirr Gamambigu (pronounced "Dahl-beer-weer gum-um-be-goo" in the Gumbaynggirr language means 'safe children') model encompasses child protection responses at clinical, managerial and organisational levels of health services. A review of scholarly articles and grey literature followed by qualitative interviews with Aboriginal health professionals formed the evidence base for the model, which then underwent rounds of consultation for cultural suitability and clinical utility. Culturally appropriate communication with children and their families using clinical yarning and a culturally adapted version of ISBAR (a mnemonic for Identify, Situation, Background, Assessment and Recommendation) for interprofessional communication is recommended. The model guides the development of a critical consciousness about cultural safety in health care settings, and privileges the cultural voices of many diverse Aboriginal peoples. When adapted appropriately for local clinical and cultural contexts, it will contribute to a patient journey experience of respect, dignity and empowerment