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Selected AbstractsViolence among schizophrenia out-patients compliant with medication: prevalence and associated factorsACTA PSYCHIATRICA SCANDINAVICA, Issue 3 2009J. Bobes Objective:, Aggressive behaviour has been related to schizophrenia both in in-patient and out-patient samples. In this study, we aimed to assess the prevalence and factors associated with aggressive behaviour in out-patient compliant with their prescribed medication. Method:, Eight hundred and ninety-five patients were interviewed at Community-Based Mental Health Services about aggressive,violent behaviour within the week prior to the study visit. Adult patients diagnosed with schizophrenia and receiving stable pharmacological treatment were enrolled. Presence of aggressive episodes, including type of aggression, severity and frequency, was assessed with the Modified Overt Aggression Scale (MOAS). Violence was defined as a score of 3 or more in any of the MOAS subscores. Results:, Prevalence of recent aggressive behaviour was 5.07%, (95% CI 5.04,5.10), where 47% (43 behaviours 91) reached the violent threshold. Among the 91 violent episodes rated, most episodes were verbal (44%), followed by physical violence towards objects (29%), violence towards others (19%) and self-directed violence (8%). Recent episodes of any severity were more likely among patients with a history of violence and also with relapses within the previous year and with low treatment satisfaction. Conclusion:, Five per cent of the studied cases showed aggressive behaviour in the week prior to assessment, despite having been compliant with their medication. Most aggressive behaviour was verbal rather than physical. [source] Mastoid subperiosteal abscess as a first sign of unnoticed cholesteatoma in childrenACTA PAEDIATRICA, Issue 1 2010L Migirov Abstract Aim:, To present children who underwent mastoidectomy for congenital cholesteatoma presented as a subperiosteal abscess. Results:, All seven children (age range 7,14 years, six boys) presented with retroauricular swelling, erythema and fluctuation in the mastoid area, and one child also had a mastoid-cutaneous fistula. Five children had otorrhoea, while the other two had normal-appearing tympanic membranes. None of the children had a history of middle ear disease. Four children were treated with antibiotics for a recent episode of otitis media prior to admission. The main findings at surgery were pus, granulations and erosion of the mastoid cortex. Pseudomonas aeruginosa and Proteus sp. were isolated from the abscess in two patients, and the other five cultures were negative. All the patients demonstrated some degree of hearing impairment after surgery. Conclusion:, Surgical eradication of a mastoid SA in older children is essential as it may be the first indication of an underlying CC. [source] Late anastomotic leaks in pancreas transplant recipients , clinical characteristics and predisposing factorsCLINICAL TRANSPLANTATION, Issue 2 2005Dilip S Nath Abstract:, Background:, Anastomotic leaks after pancreas transplants usually occur early in the postoperative course, but may also be seen late post-transplant. We studied such leaks to determine predisposing factors, methods of management, and outcomes. Results:, Between January 1, 1994 and December 31, 2002, a total of 25 pancreas transplant recipients at our institution experienced a late leak (defined as one occurring more than 3 months post-transplant). We excluded recipients with an early leak or with a leak seen immediately after an enteric conversion. The mean recipient age was 40.3 yr; mean donor age, 31.3 yr. The category of transplant was as follows: simultaneous pancreas,kidney (n = 5, 20%), pancreas after kidney (n = 10, 40%), and pancreas transplant alone (n = 10, 40%). At the time of their leak, most recipients (n = 23, 92%) had bladder-drained pancreas grafts; only two recipients (8%) had enteric-drained grafts. The mean time from transplant to the late leak was 20.5 months (range = 3.5,74 months). A direct predisposing event or risk factor occurring in the 6 wk preceding leak diagnosis was identified in 10 (40%) of the recipients. Such events or risk factors included a biopsy-proven episode of acute rejection (n = 4, 16%), a history of blunt abdominal trauma (n = 3, 12%), a recent episode of cytomegalovirus infection (n = 2, 8%), and obstructive uropathy from acute prostatitis (n = 1, 4%). Non-operative or conservative care (Foley catheter placement with or without percutaneous abdominal drains) was the initial treatment in 14 (56%) of the recipients. Such care was successful in nine (64%) of the 14 recipients; the other five (36%) required surgical repair after failure of conservative care at a mean of 10 d after Foley catheter placement. Of the 25 recipients, 11 underwent surgery as their initial leak treatment: repair in nine and pancreatectomy because of severe peritonitis in two. After appropriate management (conservative or operative) of the initial leak, five (20%) of the 25 recipients had a recurrent leak; the mean length of time from initial leak to recurrent leak was 5.6 months. All five recipients with a recurrent leak ultimately required surgery. Conclusions:, Late anastomotic leaks are not uncommon; they may be more common with bladder-drained grafts. One-third of the recipients with a late leak had experienced some obvious preceding event that predisposed to the leak. For two-thirds of our stable recipients with bladder-drained grafts, non-operative treatment of the leak was successful. [source] THE NON-TRADED SECTOR, LOBBYING, AND THE CHOICE BETWEEN THE CUSTOMS UNION AND THE COMMON MARKETECONOMICS & POLITICS, Issue 3 2008CYRILLE SCHWELLNUS This paper models immigration policy as the outcome of political competition between interest groups representing individuals employed in different sectors. In standard positive theory, restrictive immigration policy results from a low-skilled median voter voting against predominantly low-skilled immigration. In the present paper, in contrast, once trade policies are liberalized, restrictive immigration policy results from anti-immigration lobbying by interest groups representing the non-traded sectors. It is shown that this is in line with empirical regularities from recent episodes of restrictive immigration legislation in the European Union. It is further shown that if governments negotiate bilaterally over trade and migration policy regimes, the equilibrium regime depends (i) on the sequencing of the international negotiation process and (ii) on the set of available trade and migration policy regimes. In particular, the most comprehensive and most welfare-beneficial type of liberalization may be rejected only because a less comprehensive type of liberalization is available. [source] Social Networks and Corporate GovernanceEUROPEAN FINANCIAL MANAGEMENT, Issue 4 2008Avanidhar Subrahmanyam G30; G34 Abstract We analyse frameworks that link corporate governance and firm values to governing boards' social networks and innovations in technology. Because agents create social networks with individuals with whom they share commonalities along the dimensions of social status and income, among other attributes, CEOs may participate in board members' social networks, which interferes with the quality of governance. At the same time, social connections with members of a board can allow for better evaluation of the members' abilities. Thus, in choosing whether to have board members with social ties to management, one must trade off the benefit of members successfully identifying high ability CEOs against the cost of inadequate monitoring due to social connections. Further, technologies like the Internet and electronic mail that reduce the extent of face-to-face networking cause agents to seek satisfaction of their social needs at the workplace, which exacerbates the impact of social networks on governance. The predictions of our model are consistent with recent episodes that appear to signify inadequate monitoring of corporate disclosures as well as with high levels of executive compensation. Additionally, empirical tests support the model's key implication that there is better governance and lower executive compensation in firms where networks are less likely to form. [source] Dust emission in the far-infrared as a star formation tracer at z= 0: systematic trends with luminosityMONTHLY NOTICES OF THE ROYAL ASTRONOMICAL SOCIETY, Issue 3 2003D. Pierini ABSTRACT We investigate whether dust emission in the far-infrared (far-IR) continuum provides a robust estimate of the star formation rate (SFR) for a nearby, normal late-type galaxy. We focus on the ratio of the 40,1000 ,m luminosity (Ldust) to the far-ultraviolet (far-UV) (0.165 ,m) luminosity, which is connected to recent episodes of star formation. Available total photometry at 0.165, 60, 100 and 170 ,m limits the statistics to 30 galaxies, which, however, span a large range in observed (and, thus, attenuated by dust) K -band (2.2 ,m) luminosity, morphology and inclination (i). This sample shows that the ratio of Ldust to the observed far-UV luminosity depends not only on i, as expected, but also on morphology and, in a tighter way, on observed K -band luminosity. We find that Ldust/LFUV, eLK0.62, where LFUV and LK are the unattenuated stellar luminosities in far-UV and K, respectively, and , is the ratio of the attenuation optical depths at 0.165 ,m (,FUV) and 2.2 ,m (,K). This relation is to zeroth order independent of i and morphology. It may be further expressed as Ldust/LFUV,L,K, where ,= 0.61 , 0.02,, under the observationally motivated assumption that, for an average inclination, e,L,0.02K. We adopt calculations of two different models of attenuation of stellar light by internal dust to derive solid-angle-averaged values of ,. We find that , is positive and decreases towards 0 from the more luminous to the less luminous galaxies. This means that there is no universal ratio of far-IR luminosity to unattenuated far-UV luminosity for nearby, normal late-type galaxies. The far-IR luminosity systematically overestimates SFR in more luminous, earlier-type spirals, owing to the increased fractional contribution to dust heating of optical/near-IR photons in these objects. Conversely, it systematically underestimates SFR in fainter, later-type galaxies, the ,FUV of which is reduced. The limited statistics and the uncertainty affecting the previous scaling relations do not allow us to establish quantitative conclusions, but an analogous analysis making use of larger data sets, available in the near future (e.g. from GALEX, ASTRO-F and SIRTF), and of more advanced models will allow a quantitative test of our conclusions. [source] Next Step: State Funding for the Parties?THE POLITICAL QUARTERLY, Issue 4 2002Justin Fisher The Political Parties, Elections and Referendums Act 2000 marked the most comprehensive and radical overhaul of British party finance for over 100 years. It instituted reforms in many areas, with the notable exception of the comprehensive extension of state funding for political parties. However, despite the radicalism of the Act, questions have already arisen as to whether further state funding should occur. This article argues that in order to examine the case for more comprehensive state funding, policy,makers need to look beyond the current calls and make a decision by evaluating several criteria on the basis of empirical evidence rather than assumptions. First, however, it is worth outlining the stage we are at presently by summarising the new Act, looking at its impact to date and examining the claims made in recent episodes which have led to calls for more comprehensive state funding of political parties. [source] | |||||||||||||