2,772 research outputs found
The limits of social class in explaining ethnic gaps in educational attainment
This paper reports an analysis of the educational attainment and progress between age 11 and age 14 of over 14,500 students from the nationally representative Longitudinal Study of Young People in England (LSYPE). The mean attainment gap in national tests at age 14 between White British and several ethnic minority groups were large, more than three times the size of the gender gap, but at the same time only about one-third of the size of the social class gap. Socio-economic variables could account for the attainment gaps for Black African, Pakistani and Bangladeshi students, but not for Black Caribbean students. Further controls for parental and student attitudes, expectations and behaviours indicated minority ethnic groups were on average more advantaged on these measures than White British students, but this was not reflected proportionately in their levels of attainment. Black Caribbean students were distinctive as the only group making less progress than White British students between age 11 and 14 and this could not be accounted for by any of the measured contextual variables. Possible explanations for the White British-Black Caribbean gap are considered
A framework for accessible m-government implementation
The great popularity and rapid diffusion of mobile technologies at worldwide level has also been recognised by the public sector, leading to the creation of m-government. A major challenge for m-government is accessibility – the provision of an equal service to all citizens irrespective of their psychical, mental or technical capabilities. This paper sketches the profiles of six citizen groups: Visually Impaired, Hearing Impaired, Motor Impaired, Speech Impaired, Cognitive Impaired and Elderly. M-government examples that target the aforementioned groups are discussed and a framework for accessible m-government implementation with reference to the W3C Mobile Web Best Practices is proposed
Longitudinal genetic analysis for loneliness in Dutch twins.
In previous studies we obtained evidence that variation in loneliness has a genetic component. Based on adult twin data, the heritability estimate for loneliness, which was assessed as an ordinal trait, was 48%. These analyses were done on loneliness scores averaged over items ('I feel lonely' and 'Nobody loves me') and over time points. In this article we present a longitudinal analysis of loneliness data assessed in 5 surveys (1991 through 2002) in Dutch twins (N = 8389) for the two separate items of the loneliness scale. From the longitudinal growth modeling it was found sufficient to have non-zero variance for the intercept only, while the other effects (linear, quadratic and cubic slope) had zero variance. For the item 'I feel lonely' we observed an increasing age trend up to age 30, followed by a decline to age 50. Heritability for individual differences in the intercept was estimated at 77%. For the item 'Nobody loves me' no significant trend over age was seen; the heritability of the intercept was estimated at 70%
Modeling of the Temporal Patterns of Fluoxetine Prescriptions and Suicide Rates in the United States
BACKGROUND: To study the potential association of antidepressant use and suicide at a population level, we analyzed the associations between suicide rates and dispensing of the prototypic SSRI antidepressant fluoxetine in the United States during the period 1960–2002. METHODS AND FINDINGS: Sources of data included Centers of Disease Control and US Census Bureau age-adjusted suicide rates since 1960 and numbers of fluoxetine sales in the US, since its introduction in 1988. We conducted statistical analysis of age-adjusted population data and prescription numbers. Suicide rates fluctuated between 12.2 and 13.7 per 100,000 for the entire population from the early 1960s until 1988. Since then, suicide rates have gradually declined, with the lowest value of 10.4 per 100,000 in 2000. This steady decline is significantly associated with increased numbers of fluoxetine prescriptions dispensed from 2,469,000 in 1988 to 33,320,000 in 2002 (r(s) = −0.92; p < 0.001). Mathematical modeling of what suicide rates would have been during the 1988–2002 period based on pre-1988 data indicates that since the introduction of fluoxetine in 1988 through 2002 there has been a cumulative decrease in expected suicide mortality of 33,600 individuals (posterior median, 95% Bayesian credible interval 22,400–45,000). CONCLUSIONS: The introduction of SSRIs in 1988 has been temporally associated with a substantial reduction in the number of suicides. This effect may have been more apparent in the female population, whom we postulate might have particularly benefited from SSRI treatment. While these types of data cannot lead to conclusions on causality, we suggest here that in the context of untreated depression being the major cause of suicide, antidepressant treatment could have had a contributory role in the reduction of suicide rates in the period 1988–2002
Disarmament and Development: An Idea Whose Time Should Have Come
SUMMARY In 1982 the General Assembly advised governments ‘to start to plan and prepare for a conversion process which could be implemented in a disarmament situation’. But to make the required decisions and actions, drastic changes were needed in the behaviour of political leaders, particularly those of the dominant military powers. So far, efforts to create a political constituency for disarmament and development have not been successful. Only the Swedish government has undertaken a study, resulting in the report, In Pursuit of Disarmament . Although this study does not necessarily establish a model that can be replicated in other countries, it does show that the UN's recommendations can in principle be put into effect. SOMMAIRE Désarmement et développement: II n'est jamais trop tard pour y penser En 1982 l'Assemblée Générale conseillait aux gouvernements 'de commencer à planifier et à préparer un procédé de conversion qui pourrait être rendu effectif dans une situation de désarmement. ‘Mais afin de prendre les décisions correctes et d'agir en conséquence, il faudrait des changements radicaux dans l'attitude des chefs politiques, particulièrement ceux des puissances militaires dominantes’. Jusqu'à présent les efforts dirigés à la création d'une circonscription électorale politique en faveur du désarmement et du développement n'ont pas abouti. Seul le gouvernement Suédois a entrepris une étude, figurant dans mon rapport, In Pursuit of Disarmament . Quoique cette étude n'établit pas nécessairement un modèle qui pourrait être adapté dans d'autres pays, il montre que les recommendations des Nations Unies peuvent en principe être mise en pratique. RESUMEN Desarme y desarrollo: una idea cuyo turno debiera haber llegado En 1982, la Asamblea General le recomendó a los gobiernos ‘que empezaran a planificar y a prepararse para un proceso de conversión a implementarse en una situación de desarme’. El comportamiento de los dirigentes políticos, especialmente de aquellos dé las potencias militares dominantes tiene que cambiar drásticamente si se quiere adoptar las decisiones y llevar a cabo acciones necesarias. Hasta ahora, los esfuerzos desplegados para crear un entorno político favorable al desarme y el desarrollo no han tenido éxito. Sólo el gobierno sueco ha realizado un estudio que culminó en mi informe En Búsqueda del Desarme . A pesar de que este estudio no establece necesariamente un modelo que se pueda copiar en otros países, demuestra que las recomendaciones de las Naciones Unidas pueden, en principio, ponerse en práctica
The Modern Census: Evolution, Examples and Evaluation
A national census provides important information on a country's population that is used in government planning and to underpin the national statistical system. Therefore, the quality of such information is paramount but is not as simple as the crude accuracy of population totals. Furthermore, changes in the pace and nature of modern life, such as the growing geographical mobility of the population, increasingly pose challenges to census practice and data quality. More recently, even the need for a census has been questioned on grounds of financial austerity and widespread availability of alternative population information sources. This article reviews how the modern census originated and how it evolved to confront these challenges, driven by indicators of quality and needs of users, and provides reflections on the future of the census within the national statistical infrastructure. To illustrate our discussions, we use case studies from a diverse range of national contexts. We demonstrate the implications that a country's needs, circumstances and experiences have on the census approach and practice while identifying the fundamental demographic assumptions
Cost-effectiveness of Implementing Low-Tidal Volume Ventilation in Patients With Acute Lung Injury
Background: Despite widespread guidelines recommending the use of lung-protective ventilation (LPV) in patients with acute lung injury (ALI), many patients do not receive this lifesaving therapy. We sought to estimate the incremental clinical and economic outcomes associated with LPV and determined the maximum cost of a hypothetical intervention to improve adherence with LPV that remained cost-effective.
Methods: Adopting a societal perspective, we developed a theoretical decision model to determine the cost-effectiveness of LPV compared to non-LPV care. Model inputs were derived from the literature and a large population-based cohort of patients with ALI. Cost-effectiveness was determined as the cost per life saved and the cost per quality-adjusted life-years (QALYs) gained.
Results: Application of LPV resulted in an increase in QALYs gained by 15% (4.21 years for non-LPV vs 4.83 years for LPV), and an increase in lifetime costs of 99,588 for non-LPV vs 22,566 per life saved at hospital discharge and 9,482. Results were robust to a wide range of economic and patient parameter assumptions.
Conclusions: Even a costly intervention to improve adherence with low-tidal volume ventilation in patients with ALI reduces death and is cost-effective by current societal standards.NIH F32HL090220.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/84154/1/Cooke - CEA LPV.pd
Paradox of Health Care in the World's Greatest Nation: Commentary on the 2013 Annual American Public Health Association Conference in Boston
Crowdworker Economics in the Gig Economy
The nature of work is changing. As labor increasingly trends to casual work in the emerging gig economy, understanding the broader economic context is crucial to effective engage- ment with a contingent workforce. Crowdsourcing represents an early manifestation of this fluid, laisser-faire, on-demand workforce. This work analyzes the results of four large-scale surveys of US-based Amazon Mechanical Turk workers recorded over a six-year period, providing compa- rable measures to national statistics. Our results show that despite unemployment far higher than national levels, crowd- workers are seeing positive shifts in employment status and household income. Our most recent surveys indicate a trend away from full-time-equivalent crowdwork, coupled with a reduction in estimated poverty levels to below national figures. These trends are indicative of an increasingly flexible workforce, able to maximize their opportunities in a rapidly changing national labor market, which may have material impacts on existing models of crowdworker behavior.This work was supported by an EPSRC studentship and EPSRC grants EP/N010558/1 and EP/R004471/1
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Considerations for reducing food system energy demand while scaling up urban agriculture
There is an increasing global interest in scaling up urban agriculture (UA) in its various forms, from private gardens to sophisticated commercial operations. Much of this interest is in the spirit of environmental protection, with reduced waste and transportation energy highlighted as some of the proposed benefits of UA; however, explicit consideration of energy and resource requirements needs to be made in order to realize these anticipated environmental benefits. A literature review is undertaken here to provide new insight into the energy implications of scaling up UA in cities in high-income countries, considering UA classification, direct/indirect energy pressures, and
interactions with other components of the food–energy–water nexus. This is followed by an exploration of ways in which these cities can plan for the exploitation of waste flows for resource-efficient UA.
Given that it is estimated that the food system contributes nearly 15% of total US energy demand, optimization of resource use in food production, distribution, consumption, and waste systems may have a significant energy impact. There are limited data available that quantify resource demand implications directly associated with UA systems, highlighting that the literature is not yet sufficiently
robust to make universal claims on benefits. This letter explores energy demand from conventional resource inputs, various production systems, water/energy trade-offs, alternative irrigation, packaging materials, and transportation/supply chains to shed light on UA-focused research needs.
By analyzing data and cases from the existing literature, we propose that gains in energy efficiency could be realized through the co-location of UA operations with waste streams (e.g. heat, CO2, greywater, wastewater, compost), potentially increasing yields and offsetting life cycle energy demands relative to conventional approaches. This begs a number of energy-focused UA research questions that explore the opportunities for integrating the variety of UA structures and technologies, so that they are better able to exploit these urban waste flows and achieve whole-system reductions in energy demand. Any planning approach to implement these must, as always, assess how context will
influence the viability and value added from the promotion of UA
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