What barriers delay treatment in patients with hepatitis C?

Q: What barriers delay treatment in patients with hepatitis C? Evidence-based answer: Multiple patient-specific and provider-perceived factors delay initiation of treatment in patients with hepatitis C. Patient-specific barriers to initiation of treatment for hepatitis C virus (HCV) include age, race, gender, economic status, insurance status, and comorbidities such as HIV coinfection, psychiatric illness, and other psychosocial factors. Provider-perceived patient factors include substance abuse history, older age, psychiatric illness, medical comorbidities, treatment adverse effect risks, and factors that might limit adherence (eg, comprehension level). Study limitations included problems with generalizability of the populations studied and variability in reporting or interpreting data associated with substance or alcohol use disorders (strength of recommendation: B, based on 2 prospective and 5 retrospective cohort studies).Kimberly Crosby, PharmD; Simone Bigelow, DO; Viviane Sachs, MD; Jennifer Weakley, MD; Helga Skaftason, MD, MPH University of Oklahoma School of Community Medicine, Department of Family and Community Medicine, Tulsa Toni Hoberecht, MA, MLIS, AHIP University of Oklahoma-- Tulsa, Schusterman LibraryIncludes bibliographical reference

The Fountain District: Framework Plan

The \u27South Auditorium\u27 neighborhood established itself in the days when loggers and other workers filled the district’s hotels due to its proximity to the river. In the wake of the Great Depression and as the logging trade declined, the area began to fall into disrepair and development shifted away from the Willamette River. By the 1950s, many of its 2,000+ inhabitants were low-income or elderly and living in small, poorly maintained apartments, shuffling from one to the next as they were forced out of their prior home. The neighborhood was also extremely diverse, housing numerous immigrant families, particularly Italian, Jewish, Chinese, and African American families. In 1955, the newly formed Portland Development Commission targeted a block of land in what was then considered part of South Portland as a test of the new Urban Renewal philosophy making the rounds in planning circles, at the behest of the Mayor’s Advisory Committee. It was decided that a 110 acre portion of the district would be razed in two phases. Interestingly, the district had originally been intended as the home for a new expo center or coliseum, with the remaining redevelopment occurring around it. This center would be just the sort of attraction to lure people to the city center, it was believed; these plans were scrapped, however, after conflicts between interested parties on each side of the Willamette resulted in the centerpiece of the project (later to be Veterans’ Memorial Coliseum) being relocated to the eastern side of the river. Inspired by the design principles of Le Corbusier and the budgets of major firms such as Skidmore, Owings, and Merrill (SOM), renewal pressed onward, with the forthcoming towers and plazas to be punctuated by greenspaces, among them a set of fountains crafted by Lawrence Halprin. Little, if anything, remains of the district as it had existed prior to the removal of the area’s residences, businesses, and the communities who resided there. This project was conducted under the supervision of Donald J. Stastny and Edward Starkie

How global biodiversity hotspots may go unrecognized: Lessons from the North American Coastal Plain

© 2014 John Wiley & Sons Ltd. Biodiversity hotspots are conservation priorities. We identify the North American Coastal Plain (NACP) as a global hotspot based on the classic definition, a region with \u3e 1500 endemic plant species and \u3e 70% habitat loss. This region has been bypassed in prior designations due to misconceptions and myths about its ecology and history. These fallacies include: (1) young age of the NACP, climatic instability over time and submergence during high sea-level stands; (2) climatic and environmental homogeneity; (3) closed forest as the climax vegetation; and (4) fire regimes that are mostly anthropogenic. We show that the NACP is older and more climatically stable than usually assumed, spatially heterogeneous and extremely rich in species and endemics for its range of latitude, especially within pine savannas and other mostly herbaceous and fire-dependent communities. We suspect systematic biases and misconceptions, in addition to missing information, obscure the existence of similarly biologically significant regions world-wide. Potential solutions to this problem include (1) increased field biological surveys and taxonomic determinations, especially within grassy biomes and regions with low soil fertility, which tend to have much overlooked biodiversity; (2) more research on the climatic refugium role of hotspots, given that regions of high endemism often coincide with regions with low velocity of climate change; (3) in low-lying coastal regions, consideration of the heterogeneity in land area generated by historically fluctuating sea levels, which likely enhanced opportunities for evolution of endemic species; and (4) immediate actions to establish new protected areas and implement science-based management to restore evolutionary environmental conditions in newly recognized hotspots

Developing a capabilities wellbeing framework with children, young people and stakeholders: Clydebank, West Dunbartonshire

This report presents the wellbeing framework devised by children and young people in two schools in Clydebank. It offers detailed insights into what young people need to achieve their potential and draws on the expertise of local stakeholder to identify the resources that support or hinder the achievement of youth wellbeing goals. The aim of the framework is to provide an evaluative tool to assess the effectiveness of policies and services in supporting children and young people to achieve their desired goals

The impact of COVID-19 on families, children and young people in South Lanarkshire

No abstract available

COVID-19 South Lanarkshire Research Briefing: Collaboration

No abstract available

COVID-19 Glasgow Research Briefing: Local Service Responses

No abstract available

COVID-19 Glasgow Research Briefing: Family Wellbeing in Glasgow

No abstract available

The Impact of COVID-19 on Families, Children and Young People in Glasgow

Summary: The COVID-19 pandemic has brought into sharp focus the inequalities affecting children and families in Glasgow’s high poverty neighbourhoods, and how these have been heightened by the crisis. Children’s Neighbourhoods Scotland (CNS) conducted new research on the perspectives of service providers in the third sector and public sector, including frontline professionals working in local neighbourhoods and managers working at a strategic level across the city. The findings provide insights into the impacts of COVID-19 on children and families and how services have collaborated across sectors to respond to the urgent needs of communities and families during the pandemic

COVID-19 South Lanarkshire Research Briefing: Local Service Responses

No abstract available