Home About us Contact | |||
Extreme Ends (extreme + end)
Selected AbstractsPutting harm reduction into an adolescent contextJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 1 2001YA Bonomo Abstract: Drug use is now widespread amongst Australian youth. Substance abuse and dependence are becoming increasingly significant health problems. Approximately 50% of 17-year-old Australians report regular consumption of alcohol and nearly 30% report tobacco smoking. The age of onset of substance use is reported to be decreasing. Between 1993 and 1995 the proportion of heroin users who had used the drug before the age of 16 years increased from 2% to 14%. The debate about youth substance use tends to be polarized between the views of Zero Tolerance and Legalization of drugs. The harm reduction approach spans between these two extremes. Examples of harm reduction strategies, such as education campaigns on safe injecting and needle exchange programs, have been effective in curbing the spread of blood-borne viruses such as HIV amongst intravenous drug using youth. The harm reduction approach, taking social context and developmental stage of the individual into account, may also be applied to adolescents at the less extreme end of the substance use spectrum. It is proposed that the harm reduction framework used in this way enables a rational, relevant and consistent response to contemporary youth substance use, aiming to minimize drug related harm. [source] Harmonising Higher Education and Innovation Policies: Canada from an International PerspectiveHIGHER EDUCATION QUARTERLY, Issue 1 2009Marie Lavoie Abstract This paper focuses on the relevance of harmonising higher education and innovation strategies in the context of fostering economic growth, illustrated by the particular weak point in the case of Canada. The present-day market for highly-skilled labour is global and therefore increasingly porous. A government that wishes to avoid losing its highly-skilled workers to countries that can provide more attractive conditions must aim at investing simultaneously in tertiary education and science and engineering infrastructure. Ideally, supply (higher education) and demand side (innovation) policies would interact in a balanced way. Canada is located at the two extreme ends of investment in higher education and innovation and will be compared to other OECD countries. The paper concludes that seeking policy convergence in innovation and higher education with leading countries is not sufficient to reach growth and can produce disappointing results for talented people whose career expectations may remain unfulfilled. It is therefore crucial for a country to develop higher education and innovation ,in harmony' with the global context and also to achieve harmony between other policies and institutions in its own national context. [source] Facilitation research in marine systems: state of the art, emerging patterns and insights for future developmentsJOURNAL OF ECOLOGY, Issue 6 2009Fabio Bulleri Summary 1. Positive species interactions are increasingly recognized as important drivers of community structure and ecosystem functioning. Although the literature on facilitative interactions in terrestrial environments has been reviewed and emerging patterns have been synthesized, comparable attempts are lacking for the marine realm. 2. By means of a quantitative survey of the literature, I provide a critical summary of current knowledge on positive species interactions in marine environments. In particular, I (i) assess how marine facilitation research compares to that carried out in terrestrial environments in terms of focus and philosophical approach; (ii) illustrate the mechanisms by which facilitation takes place in different habitats; (iii) assess whether benefactor and beneficiary species are more likely to belong to the same or to a different trophic level; and (iv) provide examples of how including facilitation into ecological theory might advance our understanding of the mechanisms that regulate ecosystem functioning. 3. Except for some studies in intertidal habitats, few studies in marine environments have been framed within mainstream facilitation theory (e.g. the Stress Gradient Hypothesis) and research does not seem to be organized in a self-contained theme. Amelioration of physical conditions appears to be the most common mechanism of facilitation in intertidal habitats, whilst associational defence predominates in the subtidal. 4. In contrast to the terrestrial literature, dominated by plant,plant interactions, marine benefactors and beneficiary species often belong to different trophic levels. This might imply little overlapping of resource niches or a differential response to environmental conditions or consumer pressure, with implications for the persistence of facilitative effects at the extreme ends of stress gradients. 5. Recent research shows that facilitation can enhance temporal variability and invasibility of marine communities and emphasizes the central role of positive species interactions in regulating the functioning of natural ecosystems. 6.Synthesis. Studies encompassing a wide variety of life histories and environmental conditions are central to achieving a unified facilitation theory. Research in marine environments can provide new insights into the mechanisms underlying variations in the strength and direction of species interactions, but this will require greater awareness and consideration of facilitation. [source] Trends in self-reported sleep duration and insomnia-related symptoms in Finland from 1972 to 2005: a comparative review and re-analysis of Finnish population samplesJOURNAL OF SLEEP RESEARCH, Issue 1 2008ERKKI KRONHOLM Summary A hypothesis concerning habitual sleep reduction and its adverse consequences among general population in modern societies has received wide publicity in the mass media, although scientific evidence supporting the hypothesis is scarce. Similarly, there is an extensively distributed belief, at least in Finland, that the prevalence of insomnia-related symptoms is increasing, but evidence for this is even sparser. These issues are important because of the known increased risk of mortality and health risks associated with sleep duration deviating from 7 to 8 h. To reveal possible trends in self-reported sleep duration and insomnia-related symptoms, we reanalyzed all available data from surveys carried out in Finland from 1972 to 2005. The main results were that a minor decrease of self-reported sleep duration has taken place in Finland, especially among working aged men. However, the size of the reduction (about 4%) was relatively small, approximately 5.5 min per each 10 years during the 33 years' time interval under study. The proportion of 7 h sleepers has increased and, correspondingly, the proportion of 8 h sleepers has decreased, but the extreme ends of the sleep duration distribution remained unchanged. Tentative evidence suggesting an increase in insomnia-related symptoms among working aged population during the last 10 years was found. In conclusion, the Finnish data during the past 33 years indicate a general decrease in self-reported sleep duration of about 18 min and an increase of sleep complaints, especially among the employed middle-aged population. [source] Histopathologic grading of medulloblastomasCANCER, Issue 2 2002A Pediatric Oncology Group Study Abstract BACKGROUND Medulloblastomas are small cell embryonal tumors of the cerebellum found predominantly in children, only slightly more than half of whom survive. Predicting favorable outcome has been difficult, and improved stratification clearly is required to avoid both undertreatment and overtreatment. Patients currently are staged clinically, but no pathologic staging system is in use. Two rare subtypes at extreme ends of the histologic spectrum, i.e., medulloblastomas with extensive nodularity and large cell/anaplastic medulloblastomas, are associated with better and worse clinical outcomes, respectively. However, there is little data about correlations between histologic features and clinical outcome for most patients with medulloblastomas that fall between these histologic extremes of nodularity and anaplasia. Therefore, the authors evaluated the clinical effects of increasing anaplasia and nodularity in a large group of children with medulloblastomas, hypothesizing that increasing nodularity would predict better clinical outcomes and that increasing anaplasia would presage less favorable results. METHODS Medulloblastomas from 330 Pediatric Oncology Group patients were evaluated histologically with respect to extent of nodularity, presence of desmoplasia, grade of anaplasia, and extent of anaplasia. Pathologic and clinical data were then compared using Kaplan,Meier and log-rank analyses. RESULTS Increasing grade of anaplasia and extent of anaplasia were associated strongly with progressively worse clinical outcomes (P < 0.0001 for both). Significant anaplasia (moderate or severe) was identified in 24% of medulloblastoma specimens. Neither increasing degrees of nodularity nor desmoplasia were associated significantly with longer survival. CONCLUSIONS Moderate anaplasia and severe anaplasia were associated with aggressive clinical behavior in patients with medulloblastomas and were detected in a significant number of specimens (24%). Pathologic grading of medulloblastomas with respect to anaplasia may be of clinical utility. Cancer 2002;94:552,60. © 2002 American Cancer Society. [source] |