571 research outputs found

    Italian Fertility, 1864 to 1951: An Analysis of Regional Trends

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    Below replacement level fertility rates in Italy have received much attention, with varying explanations offered for the protracted decline in fertility rates since the early 1970s. For a more complete understanding of Italian fertility, an analysis of historical fertility trends is useful. This paper employs Italian regional fertility data generated by the Princeton European Fertility Project to evaluate regional patterns of Italian fertility from 1864 to 1951. Regional fertility trends, both temporal and spatial, are described and basic regional convergence methods are applied. The results show that the regional fertility variation seen in Italy since World War II was well established in the 19th century and that a lack of convergence of regional fertility rates during the years of the demographic transition in Italy (late 1800s) helped emphasize regional differences. The impacts of experiences such as political unification, industrialization, the completion of the demographic transition, and mass emigration are cited as important clues to the change and persistence of regional fertility identities during this time period. This use of a rich historical data set placed in a geographic context not only helps illuminate the past, but also assists in the explanation of patterns of regional fertility seen in today?s Italy.

    Italian Fertility, 1864 to 1951: An Analysis of Regional Trends

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    Below replacement level fertility rates in Italy have received much attention, with varying explanations offered for the protracted decline in fertility rates since the early 1970s. For a more complete understanding of Italian fertility, an analysis of historical fertility trends is useful. This paper employs Italian regional fertility data generated by the Princeton European Fertility Project to evaluate regional patterns of Italian fertility from 1864 to 1951. Regional fertility trends, both temporal and spatial, are described and basic regional convergence methods are applied. The results show that the regional fertility variation seen in Italy since World War II was well established in the 19th century and that a lack of convergence of regional fertility rates during the years of the demographic transition in Italy (late 1800s) helped emphasize regional differences. The impacts of experiences such as political unification, industrialization, the completion of the demographic transition, and mass emigration are cited as important clues to the change and persistence of regional fertility identities during this time period. This use of a rich historical data set placed in a geographic context not only helps illuminate the past, but also assists in the explanation of patterns of regional fertility seen in today's Italy

    Bridging the Gap between Local Public Health and the Healthcare Community: The Public Health Talk

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    Background: District epidemiologists often rely on healthcare providers for medical information regarding reportable diseases in order to properly investigate cases. It becomes difficult when providers do not share patient information due to apprehension and/or lack of knowledge of HIPAA exemption laws. It is also challenging when the provider staff is not knowledgeable regarding disease specific information. When information is withheld, there is a delay in completing investigations, and high priority cases and outbreaks such as emerging infectious diseases can be missed or lost to follow up. Methods: The Public Health Talk (The Talk) initiative was established at Cobb and Douglas Public Health in 2014 by the Epidemiology Department. The Talk includes a comprehensive binder that consists of information about the reportable diseases, emerging infectious diseases, sexually transmitted infections and provides guidelines and protocols as recommended by the Georgia Department of Public Health. It provides a forum for local epidemiologists to informally meet and educate staff of healthcare facilities (physicians, nurses, office managers, administrative assistants, etc). Pre-talk and post-talk surveys were developed to assess knowledge gained of the staff to which The Talk was presented. Results: The initiative is ongoing, however, 31 Talks were completed by March 2016, but only 8 facilities were evaluated due to the delayed development of the surveys. It was found that 38% of staff members were not aware of the reportable diseases prior to the Talk. There was a noted increase in knowledge of local public health and the resources that are offered to healthcare facilities. Conclusions: Healthcare providers have begun to utilize public health to aid in assessing and diagnosing diseases. The initiative is evolving and continuously improving, including the development of newsletters to improve communication and the resource binder will be reorganized to have specific information that is needed by the specialty of the provider

    Dyslexic Adults Can Learn from Repeated Stimulus Presentation but Have Difficulties in Excluding External Noise

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    We examined whether the characteristic impairments of dyslexia are due to a deficit in excluding external noise or a deficit in taking advantage of repeated stimulus presentation. We compared non-impaired adults and adults with poor reading performance on a visual letter detection task that varied two aspects: the presence or absence of background visual noise, and a small or large stimulus set. There was no interaction between group and stimulus set size, indicating that the poor readers took advantage of repeated stimulus presentation as well as the non-impaired readers. The poor readers had higher thresholds than non-impaired readers in the presence of high external noise, but not in the absence of external noise. The results support the hypothesis that an external noise exclusion deficit, not a perceptual anchoring deficit, impairs reading for adults

    Single Synonymous Mutations in KRAS Cause Transformed Phenotypes in NIH3T3 Cells

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    Synonymous mutations in the KRAS gene are clustered at G12, G13, and G60 in human cancers. We constructed 9 stable NIH3T3 cell lines expressing KRAS, each with one of these synonymous mutations. Compared to the negative control cell line expressing the wild type human KRAS gene, all the synonymous mutant lines expressed more KRAS protein, grew more rapidly and to higher densities, and were more invasive in multiple assays. Three of the cell lines showed dramatic loss of contact inhibition, were more refractile under phase contrast, and their refractility was greatly reduced by treatment with trametinib. Codon usage at these glycines is highly conserved in KRAS compared to HRAS, indicating selective pressure. These transformed phenotypes suggest that synonymous mutations found in driver genes such as KRAS may play a role in human cancers

    Lurasidone for the treatment of bipolar depression: an evidence-based review

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    Bipolar disorder (BD) is a debilitating and difficult-to-treat psychiatric disease that presents a serious burden to patients’ lives as well as health care systems around the world. The essential diagnostic criterion for BD is episodes of mania or hypomania; however, the patients report that the majority of their time is spent in a depressive phase. Current treatment options for this component of BD have yet to achieve satisfactory remission rates. Lurasidone is a drug in the benzisothiazole class approved by the US Food and Drug Administration in June 2013 for the acute treatment of bipolar depression. Its pharmacological profile features high-affinity antagonism at D[subscript 2], 5-HT[subscript 2A], and 5-HT[subscript 7] receptors; moderate-affinity antagonism at α[subscript 2C]-adrenergic receptors; low- to very low-affinity antagonism at α[subscript 1A]-adrenergic, α[subscript 2A]-adrenergic, H[subscript 1], M[subscript 1], and 5-HT[subscript 2C] receptors; and high-affinity partial agonism at 5-HT1A. Preliminary findings from two recent double-blinded clinical trials suggest that lurasidone is efficacious in treating bipolar I depression, with clinical effects manifesting as early as the first 2–3 weeks of treatment (as measured by the Montgomery–Åsberg Depression Rating Scale and Clinical Global Impressions Scale for use in bipolar illness). Its therapeutic benefit appears to be comparable to the current US Food and Drug Administration-indicated treatments: quetiapine and olanzapine–fluoxetine, according to a measure of effect size known as number needed to treat. These studies reported relatively limited extrapyramidal and metabolic side effects as a result of treatment with lurasidone, with the most common side effect being nausea. Safety data drawn from these studies, as well as a more extensive body of schizophrenia research, indicate that in comparison with other atypical antipsychotics, treatment with lurasidone is less likely to result in metabolic side effects such as weight gain or disturbances of serum glucose or lipid levels. Lurasidone holds clinical potential as a novel, efficacious pharmacological treatment for bipolar depression. However, current data on its use for the treatment of BD are limited, and more extensive research, both longer in duration as well as independently conducted, is needed

    Method Illustration

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    This article outlines a form of practice formed on BA Illustration at Camberwell College of Arts, called method illustration. It alludes to an embodiment of experience and understanding before or during the production of illustration in relation to a topic or theme, challenging the expectation of illustration always ending on an image. It plays on the term method acting, which is built on techniques from the Stanislavski System and contemporized. The article includes examples of students work and how this practice can be applied

    Relational Contracting In A Digital Age; Panel Discussion

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    If, as it has sometimes been argued, changes in contract rules and theory are strongly affected by changes in economic conditions, we should note that the world has changed a good deal since the early 1960s when relational contract theory began to bloom. The economic world of 2004 is very different from the world of 1964. Modern relational contract theory was born about the same time as its great theoretical competitor, the rational choice approach of the legal economists. It came before the vast changes wrought by the information revolution and the increased globalization of the economy. What has relational theory taught us over the past forty years? How has it changed and adapted in light of those great economic changes? Where is it going in the future? Those were the general topics at a panel discussion which took place June 8, 2004, at the Oxstalls campus of the University of Gloucestershire in Gloucester, England. It was part of a conference entitled, The Common Law of Contracts as a World Force in Two Ages of Revolution, which marked the 150th anniversary of one of the most famous contracts cases of all time, Hadley v. Baxendale, and is the theme of the present Symposium. The Conference\u27s object was to explore how the common law adapts to and influences the kind of revolutionary changes that have swept over our society in the past forty years, and which swept over England in the forty years before Hadley v. Baxendale
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