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Selected AbstractsAcademic Achievement Through FLES: A Case for Promoting Greater Access to Foreign Language Study Among Young LearnersMODERN LANGUAGE JOURNAL, Issue 1 2010CAROLYN TAYLOR The No Child Left Behind Act of 2001 established foreign languages as a core curricular content area; however, instructional emphasis continues to be placed on curricular areas that factor into state educational accountability programs. The present study explored whether foreign language study of first-year Grade 3 foreign language students who continued their foreign language study through Grade 5 in Louisiana public schools contributed to their academic achievement in curricular areas tested on the Iowa Tests of Basic Skills (ITBS) and the Louisiana Educational Assessment Program for the 21st Century (LEAP 21) test. Notable findings emerged. First, foreign language (FL) students significantly outperformed their non-FL peers on every test (English language arts, mathematics, science, and social studies) of the Grade 4 LEAP 21. Second, the present research suggested that regardless of the test, whether the Grade 4 criterion-referenced LEAP 21 or the Grade 5 norm-referenced ITBS, at each grade level FL students significantly outperformed their non-FL counterparts on language achievement tests. [source] Roads, Development, and Conservation in the Congo BasinCONSERVATION BIOLOGY, Issue 6 2000David Wilkie Research in the Republic of Congo shows that roads established and maintained by logging concessions intensify bushmeat hunting by providing hunters greater access to relatively unexploited populations of forest wildlife and by lowering hunters' costs to transport bushmeat to market. Reconciling the contrary effects of roads on economic development and biodiversity conservation is one of the key challenges to wildlife managers in all nations. As the Democratic Republic of Congo prepares to reconstruct its almost completely collapsed road system, the government, donors, and conservation organizations have a unique opportunity to strategically prioritize investment in segments of the network that would maximize local and national economic benefits while minimizing adverse effects on forest wildlife. Resumen: La densidad de carreteras está estrechamente ligada al acceso a mercados, el crecimiento económico, la explotación de recursos naturales, la fragmentación del hábitat, la deforestación y la desaparición de tierras y vida silvestre. Investigación en la República del Congo muestra que las carreteras establecidas y mantenidas por las concesiones para tala de árboles intensifican la cacería al proveer a los cazadores un mayor acceso a poblaciones forestales de vida silvestre relativamente sin explotar y al disminuir el costo de transporte de la carne obtenida por la caza hacia el mercado. La reconciliación de los efectos contrarios de las carreteras en el desarrollo económico y la conservación de la biodiversidad es uno de los retos clave para los manejadores de vida silvestre en todas las naciones. A medida que la República Democrática del Congo se prepara para reconstruir su casi completamente colapsado sistema carretero, el gobierno, los donadores y las organizaciones no gubernamentales conservacionistas tienen una oportunidad única para priorizar estratégicamente las inversiones en segmentos de la red carretera que podrían maximizar los beneficios económicos locales y nacionales al mismo tiempo que se minimicen los impactos adversos sobre la vida silvestre forestal. [source] The stability of correlates of labour force activityACTA PSYCHIATRICA SCANDINAVICA, Issue 5 2009G. Waghorn Objective:, To investigate the stability of correlates of labour force activity among people with affective and anxiety disorders, compared with healthy adults, between 1998 and 2003. Method:, Secondary analyses of multi-stage probability samples of community residents (n1998 = 37 580 and n2003 = 36 088) obtained from repeat administrations of an Australian population survey. Results:, Proportionally, fewer people with affective or anxiety disorders were employed compared with well controls. Extent of employment restrictions, sex, age left school, country of birth, age and educational attainment were strong correlates of labour force participation and current employment. These effects were stable despite improved labour market conditions in 2003. Conclusion:, These results can inform decisions about access to substantial forms of employment assistance. Subgroups of people with anxiety and depression, with severe employment restrictions, low education, low language proficiency, aged 15,24 years, or aged 55 years or more, may require greater access to substantial employment assistance. [source] Natal Attraction in Adult Female Baboons (Papio cynocephalus ursinus) in the Moremi Reserve, BotswanaETHOLOGY, Issue 8 2003Joan B. Silk Mammalian females are strongly attracted to infants and interact regularly with them. Female baboons make persistent attempts to touch, nuzzle, smell and inspect other females' infants, but do not hold them for long periods, carry them, or provide other kinds of care for them. Mothers generally tolerate these interactions, but never initiate them. The function of these brief alloparental interactions is not well understood. Infant handling might be a form of reproductive competition if females' interest in infants causes distress to mothers or harm to their infants. Alternatively, infant handling might be the product of selection for appropriate maternal care if females who are highly responsive to infants are the most successful mothers. We test several predictions derived from these hypotheses with data collected in a free-ranging group of baboons (Papio cynocephalus ursinus) in the Moremi Reserve of Botswana. Infants were most attractive when they were very young. Mothers of young infants were approached by other adult females on average once every 6 min, and other females attempted to handle their infants approximately once every 9 min. By the time infants were a year old, their mothers were being approached only once every 30 min and infants were being handled only once every 5 h. Females were more strongly attracted to other females' infants when they had young infants of their own, and their interest in other females' infants declined as their own infants matured. Females seemed to be equally attracted to all infants, but had greater access to offspring of their relatives and subordinate females. Females nearly always grunted as they handled infants. As in other contexts grunts are a reliable predictive signal that non-aggressive behavior will follow, the use of grunts before handling suggests that these interactions were not a form of deliberate harassment. [source] Has Finance Made the World Riskier?EUROPEAN FINANCIAL MANAGEMENT, Issue 4 2006Raghuram G. Rajan G20; G21; G22 Abstract Developments in the financial sector have led to an expansion in its ability to spread risks. The increase in the risk bearing capacity of economies, as well as in actual risk taking, has led to a range of financial transactions that hitherto were not possible, and has created much greater access to finance for firms and households. On net, this has made the world much better off. Concurrently, however, we have also seen the emergence of a whole range of intermediaries, whose size and appetite for risk may expand over the cycle. Not only can these intermediaries accentuate real fluctuations, they can also leave themselves exposed to certain small probability risks that their own collective behaviour makes more likely. As a result, under some conditions, economies may be more exposed to financial-sector-induced turmoil than in the past. The paper discusses the implications for monetary policy and prudential supervision. In particular, it suggests market-friendly policies that would reduce the incentive of intermediary managers to take excessive risk. [source] Factors influencing the acceptance of web-based training in Malaysia: applying the technology acceptance modelINTERNATIONAL JOURNAL OF TRAINING AND DEVELOPMENT, Issue 4 2008Junaidah Hashim Companies in Malaysia are beginning to use web-based training to reduce the cost of training and to provide employees with greater access to instruction. However, some people are uncomfortable with technology and prefer person-to-person methods of training. This study examines the acceptance of web-based training among a convenience sample of 261 employees in Malaysia using the technology acceptance model. The research uses a self-developed questionnaire with a five-point Likert scale. The findings reveal that Malaysian employees accept web-based training to some extent, despite their weak use of the Internet. Perceived ease-of-use, perceived comfortableness and perceived usefulness are found to be positively related to the respondents' attitude towards adopting web-based training. These findings mirror Western studies and suggest that the technology acceptance model, developed in the West, is also applicable in Malaysia. The implications of the study and future research directions are discussed. [source] Open Borders: Absurd Chimera or Inevitable Future Policy?INTERNATIONAL MIGRATION, Issue 5 2010John P. Casey In the current climate of security concerns, the movement of people across borders is becoming increasingly criminalised. Yet there is a parallel political and economic reality in which borders are opening and the movement of people is being liberalised: zones of free movement such as the European Union expand; other bilateral and multilateral agreements include provisions for more fluid cross-border movement; international trade negotiations seek to facilitate the flow of those providing goods and services; developing countries' push for greater access for their citizens to the labour markets of the industrialised world; and a new class of "gold collar" professionals moves with increasing ease around the globe. This paper explores the possibilities of universal open borders as a future policy option. The author accepts realpolitik and understands that the free flow of immigrants is currently impossible, but also maintains that open borders are an inevitable long-term consequence of globalisation, as well as a policy option for addressing North-South inequalities and a moral touchstone for the global extension of human rights. The paper does not advocate for more migration, but instead explores the paradox that the creation of the conditions that would allow for the opening of borders is likely to reduce the incentives for emigration. The paper explores the policy changes needed to achieve open borders. [source] OUTSIDE UPSIDE: FINDINGS FOCUS THROUGH FINANCE OUTSOURCINGJOURNAL OF APPLIED CORPORATE FINANCE, Issue 4 2003Stewart Clements More and more companies are outsourcing aspects of the finance and accounting function to cut costs and increase process efficiency. This article draws on survey results and numerous real-world examples to make the case for outsourcing finance and accounting functions, either outright or through shared service centers. As expected, cost and efficiency gains can be dramatic. But there are also important strategic benefits, including the freedom to focus on core businesses, greater access to specialist knowledge, standardization of processes across business units, and the ability to launch operations quickly without staffing back offices. Maximizing the benefits of outsourcing requires careful planning and execution. Executives who have successfully navigated the process recommend allowing adequate time to ensure buy-in and consensus building, incorporating the appropriate performance-based incentives, taking steps to build morale during the transition, ensuring proper oversight, and building a strong partnership with the provider. When properly implemented, outsourcing is a powerful ally in the corporate struggle to cut costs,and it can be a vital complement to strategy as well. [source] Signalling conflict between prey and predator attractionJOURNAL OF EVOLUTIONARY BIOLOGY, Issue 5 2001M. J. Bruce Predators may utilize signals to exploit the sensory biases of their prey or their predators. The inclusion of conspicuous silk structures called decorations or stabilimenta in the webs of some orb-web spiders (Araneae: Araneidae, Tetragnathidae, Uloboridae) appears to be an example of a sensory exploitation system. The function of these structures is controversial but they may signal to attract prey and/or deter predators. Here, we test these predictions, using a combination of field manipulations and laboratory experiments. In the field, decorations influenced the foraging success of adult female St. Andrew's Cross spiders, Argiope keyserlingi: inclusion of decorations increased prey capture rates as the available prey also increased. In contrast, when decorations were removed, prey capture rates were low and unrelated to the amount of available prey. Laboratory choice experiments showed that significantly more flies (Chrysomya varipes; Diptera: Calliphoridae) were attracted to decorated webs. However, decorations also attracted predators (adult and juvenile praying mantids, Archimantis latistylus; Mantodea: Mantidae) to the web. St. Andrew's Cross spiders apparently resolve the conflicting nature of a prey- and predator-attracting signal by varying their decorating behaviour according to the risk of predation: spiders spun fewer decorations if their webs were located in dense vegetation where predators had greater access, than if the webs were located in sparse vegetation. [source] Welfare, Work and Banking: The Use of Consumer Credit by Current and Former TANF Recipients in Charlotte, North CarolinaJOURNAL OF URBAN AFFAIRS, Issue 4 2005Michael A. Stegman Using data from a 2001 North Carolina household survey of low-income households, we analyze banking and credit behavior of current and recent welfare recipients in Charlotte, North Carolina. Other things equal, TANF families are 70% less likely than other low-income families to have a bank account and much more likely to have participated in a credit counseling program. Except for more frequent contact with bill collectors and credit counselors, leavers are no different from other low income families struggling to make ends meet. Race also matters when it comes to accessing mainstream banking and credit systems. Targeted programs help TANF families gain greater access to the financial mainstream. When it comes to specialization programs, however, those involved in the welfare system are not very different from other poor families. However, by virtue of their formal involvement with TANF, this population can be more efficiently served than other low-income populations. For this reason and the desire to keep families from recycling back onto welfare rolls, TANF programs should address banking and credit issues. [source] Potentials and constraints of the farmer-to-farmer programme for environmental protection in NicaraguaLAND DEGRADATION AND DEVELOPMENT, Issue 2 2003S. Hawkesworth Abstract The natural environment in Nicaragua has been damaged by rural development policies geared for the export of cash crops, by uneven land distribution and the near absence of concerns about the environmental effects of the prevailing model of development. The demands made by market forces for the export of primary materials have been reasons for land degradation in the big farms, and the need to survive a poverty stricken existence has forced the peasantry to damage the marginal and fragile land they worked. Successive governments did not address these underlying causes of environmental degradation, and even the opportunities afforded by the environment programme that resulted from the 1979 Sandinista revolution, did not result in significant environmental improvements. The paper briefly considers the constraints faced by the Sandinista administration and how the farmer-to-farmer programme (Campesino-a-Campesino) was brought about as a result of the impacts of the Sandinista era. The substantive part of the paper considers PCAC's significance as an agroecological programme and its advantages and limitations for improving peasants' livelihoods via dissemination of land-protective measures. The viability of the programme is assessed by field work carried out examining in detail the case of three communities, and the paper concludes that the gains made in environmental protection and conservation are in jeopardy without structural policy changes. The paper proposes that for the programme to improve its potential, adequate political will, power and organization are necessary to facilitate greater access to secure land tenure among the peasantry. Copyright © 2003 John Wiley & Sons, Ltd. [source] Judicial Activism in Perilous Times: The Turkish CaseLAW & SOCIETY REVIEW, Issue 2 2009Murat Tezcür Under what circumstances do courts act in ways that challenge the political hegemony of the military in countries with weak democratic institutions? This article addresses this question by focusing on a critical case of judicial activism in Turkey. It argues that lower courts unexpectedly can be centers of judicial activism that contributes to expansion of civil liberties and restrictions on arbitrary state power when the high judiciary supports the political status quo. This is because lower courts provide greater access to legal mobilization pursued by civil society actors. At the same time, judicial activism in lower courts is sustainable only when political power is distributed among elites with conflicting interests, and the civilian government offers support and protection to activist members of the judiciary. [source] Explaining the profitability of foreign banks in ShanghaiMANAGERIAL AND DECISION ECONOMICS, Issue 1 2003M.K. Leung This paper uses survival analysis to examine the factors determining the time taken for branches of foreign banks in Shanghai, China to make a positive rate of return after entering that market. Particular attributes of banks including the parent bank's size, early entry and the number of branches the bank has in China are found to reduce time to profitability. Market conditions in Shanghai, captured by levels of foreign direct investment and Eurodollar interest rates, are also found to have significant effects. A number of managerial implications are drawn from the analysis in light of the greater access to the Chinese banking markets following China's accession to the WTO. To ensure long-term profitability in Shanghai, the foreign bank needs to contain costs and risks in the new markets, formulate an effective market penetration strategy, identify appropriate customer target groups, attract businesses from firms of different countries, seek early entry and undertake more fee-income generating businesses. Copyright © 2003 John Wiley & Sons, Ltd. [source] Negotiating Multiple Roles in the Field: Dilemmas of Being an Employee/ResearcherNORTH AMERICAN DIALOGUE (ELECTRONIC), Issue 2 2007Ashley Spalding More North Americanists must consider the implications of combining paid work with research since funding for our projects is not keeping up with the rising number of anthropologists conducting research in North America. In this article, I reflect on my own paid work and dissertation research in a divided "mixed income" neighborhood in Tampa, Florida. I negotiated multiple roles conducting research with both middle-class homeowners and low-income renters while working as an employee in one of the neighborhood's low-income apartment complexes. Paid work has advantages beyond making research financially possible. For instance, it enables greater access and insight into particular issues. It can also complicate a researcher's role/s in numerous ways, including how she is perceived by different members of the communities in which she works, and the practical and ethical issues that result. [source] Cryotherapy after total knee replacement: a survey of current practicePHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 3 2003Simon Barry Abstract Background and Purpose Cryotherapy is commonly used during physio-therapeutic rehabilitation after total knee replacement (TKR). Evidence for treatment effectiveness is contradictory and there are no clinical guidelines to inform treatment protocols within this patient group. The present survey investigated current cryotherapy practice after TKR throughout the United Kingdom (UK). Method A postal survey, containing open and closed questions, was distributed to senior inpatient orthopaedic physiotherapists (n = 453). Results The response rate was 67% (304/453) and 58% (263/453) of the responses were completed by physiotherapists who treated TKR patients in the acute phase. Of these, 33% (85/263) routinely applied some form of cryotherapy after TKR. Physiotherapists working in the private sector were more likely to use cryotherapy and had greater access to Cryocuff equipment. The two main methods of cryotherapy application were the Cryocuff device, 59% (155/263) and crushed ice, 30% (79/263). Treatments were applied most frequently between 24 and 48 hours post-surgery, for 20 minutes, twice a day. Lack of proven efficacy was the most frequently stated reason for not applying cryotherapy treatment, and swelling was the most common indicator for treatment. There was particular uncertainty about the physical management of the Cryocuff device. Conclusions There was little consensus with regard to treatment indicators, method of application and the management of cryotherapy after TKR. The results highlight a lack of consistency in the application of cryotherapy after TKR, indicating a need for further research. Copyright © 2003 Whurr Publishers Ltd. [source] Latest news and product developmentsPRESCRIBER, Issue 23-24 2007Article first published online: 8 JAN 200 Cervical cancer risk falls after COC use ends Combined oral contraceptives (COCs) are associated with a slight increase in the risk of cervical cancer but this diminishes with time after use ends, an international study has shown (Lancet 2007;370:1609,21). Analysis of data for 16 573 women with and 35 509 women without cervical cancer confirmed that using a COC for 10 years between the ages of 20 and 30 increases the incidence of invasive cervical cancer from 3.8 to 4.5 per 1000 by age 50. However, the excess risk disappears 10 years after cessation of use. , A new analysis of the US Nurses' Health Study suggests that protection against ovarian cancer does not persist beyond 20 years after cessation of COC use. This study also showed that tubal ligation is associated with reduced risk of ovarian cancer (Am J Epidemiol 2007; 166;894,901). Pharmaceutical services fund moves to PCTs The ,global sum' that provides central funding for NHS pharmaceutical services is being shifted to PCTs. The Government has included legislation for the change in the recent Health and Social Care Bill. The fund pays the fees and allowances for pharmacy contractors and appliance contractors. The Government says this is a ,natural progression and in keeping with moves to devolve NHS funds to the frontline' that will enable PCTs to manage pharmacy services better by ,encouraging best prescribing practice'. Fewer fluoroquinolones in the community Restricting prescribing of fluoroquinolone antibacterials does not increase hospital admissions for infection among older people, say Canadian researchers (Am J Med 2007;120:893,900). Their analysis of an Ontario medical database shows that, in a community where fluoroquinolones were the most widely prescribed antibacterials, a one-third reduction in prescribing was not followed by an increase in hospital admissions for infectious episodes in the over,65s. On the contrary, there was a 32 per cent reduction in admissions for gastrointestinal conditions. FDA reports increased TB risk with infliximab The US Food and Drug Administration has published an analysis of cases of TB associated with infliximab (Remicade) detected via its spontaneous adverse event reporting scheme (Ann Intern Med 2007;147: 699,702). In 2001 the FDA placed a warning about the risk of TB on product labelling for infliximab and advised testing for TB before initiating treatment. This analysis of 130 cases of TB since reported in patients treated with infliximab found that 45 per cent had developed extra-pulmonary disease; risk factors included use of immunosuppressants (including methotrexate), a history of TB and time spent in an endemic area. Of 67 cases in which treatment was initiated after the warning was issued, 34 with a negative tuberculin skin test developed TB after receiving infliximab. MHRA announces anticounterfeit strategy The UK is a transit point, distribution hub and end-user of counterfeit medicines, says the MHRA in its first anti-counterfeiting strategy (www.mhra.gov.uk). Counterfeits have been detected in the legitimate supply chain with increasing frequency since 2004, resulting in nine batch recalls and a further five incidents detected at wholesale level. The MHRA's proposed approach includes: communication to raise awareness of the risk and facilitate reporting, collaboration with the WHO, the industry and law enforcement agencies, and targeted surveillance, prosecution and regulation. Evidence lacking for choosing DMARD There is insufficient evidence to choose one DMARD or biological agent over another in patients with RA, US investigators say (www.annals.org/cgi/content/abstract/0000605,20080115000192v1). Their systematic review of meta-analyses and intervention and observational trials found no evidence of differences among DMARDs or anti-TNF agents. Mono-therapy with an anti-TNF agent was associated with superior radiographic but not clinical outcomes; methotrexate plus an anti-TNF agent was superior in clinical and functional terms to either drug given alone. Be alert to psychiatric ADRs with rimonabant Clinicians should remain alert for the development of anxiety, depression and an increased risk of suicide with rimonabant (Acomplia), say Danish investigators (Lancet 2007;370:1706,13). Their meta-analysis of four randomised trials involving a total of 4105 patients showed that rimonabant was associated with an increased risk of serious adverse events (odds ratio 1.4; number needed to harm, NNH, 59), including a 2.5,fold increased risk of depression (NNH 49) and a threefold increased risk of anxiety (NNH 166). Following a warning from the FDA of an increased risk of suicide with rimonabant, the authors say their findings indicate a need for ,increased alertness by physicians to these potentially severe psychiatric adverse reactions'. New strategy for NHS medicines information The UK Medicines Information Service (www.ukmi.nhs.uk) has published its new management strategy setting out how it will respond to recent developments in the NHS. Developments include greater access to information for patients, support for nontraditional prescribers and new commissioning arrangements. New antiretroviral Maraviroc (Celsentri) is the first CCR5 antagonist to be introduced for the treatment of HIV infection. CCR5 is one of two co-receptors to which the HIV virus must attach to achieve cell entry. Maraviroc is licensed for use by treatment-experienced patients in whom only CCR5-tropic HIV-1 is detectable. The recommended dose ranges from 150 to 600mg twice daily depending on interactions with concurrent medication. Dimeticone superior Dimeticone 4 per cent lotion (Hedrin) is superior to malathion 0.5 per cent in the eradication of head lice, a UK study in 58 children and 15 adults has shown (PLoS ONE 2007;2: e1127. doi:10.1371/journal.pone. 0001127). Two applications of dimeticone lotion one week apart cleared active infestation in 70 per cent of participants compared with 33 per cent in those who used a single application of malathion. Copyright © 2007 Wiley Interface Ltd. [source] Stable isotopic evidence for diet at the Imperial Roman coastal site of Velia (1st and 2nd Centuries AD) in Southern ItalyAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 4 2009Oliver E. Craig Abstract Here we report on a stable isotope palaeodietary study of a Imperial Roman population interred near the port of Velia in Southern Italy during the 1st and 2nd centuries AD. Carbon and nitrogen stable isotope analyses were performed on collagen extracted from 117 adult humans as well as a range of fauna to reconstruct individual dietary histories. For the majority of individuals, we found that stable isotope data were consistent with a diet high in cereals, with relatively modest contributions of meat and only minor contributions of marine fish. However, substantial isotopic variation was found within the population, indicating that diets were not uniform. We suggest that a number of individuals, mainly but not exclusively males, had greater access to marine resources, especially high trophic level fish. However, the observed dietary variation did not correlate with burial type, number of grave goods, nor age at death. Also, individuals buried at the necropolis at Velia ate much less fish overall compared with the contemporaneous population from the necropolis of Portus at Isola Sacra, located on the coast close to Rome. Marine and riverine transport and commerce dominated the economy of Portus, and its people were in a position to supplement their own stocks of fish with imported goods in transit to Rome, whereas at Velia marine exploitation existed side-by-side with land-based economic activities. Am J Phys Anthropol, 2009. © 2009 Wiley-Liss, Inc. [source] Analytic impasse and the third: Clinical implications of intersubjectivity theoryTHE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 2 2006LEWIS ARON The author examines the notion of the third within contemporary intersubjectivity theory. He utilizes a variety of metaphors (the triangle, the seesaw, strange attractors, and the compass) in an effort to explain this often misunderstood concept in a clear and readily usable manner. An argument is made to the effect that intersubjectivity theory has direct implications for clinical practice, and that the notion of the third is particularly useful in understanding what happens in and in resolving clinical impasses and stalemates. Specifi cally, the author suggests that certain forms of self-disclosure are best understood as attempts to create a third point of reference, thus opening up psychic space for self-refl ection and mentalization. He provides a clinical case as well as a number of briefer vignettes to illustrate the theoretical concepts and to suggest specifi c modifi cations of the psychoanalyst's stance that give the patient greater access to the inner workings of the analyst's mind. This introduces a third that facilitates the gradual transformation from relations of complementarity to relations of mutuality. [source] Birth outcomes for teenage women in New South Wales, 1998,2003AUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 4 2006Stephen ROBSON Abstract Background:, Pregnancy and childbirth in teenage women are associated with obstetric and social risks, and there is evidence that the birth rate among teenagers in rural and remote areas of Australia is not in decline. The combination of non-urban residence and young age at delivery might define a subgroup of women at special risk of adverse birth outcomes. Aims:, To compare birth outcomes of New South Wales (NSW) teenagers residing in rural and remote areas with those living in larger centres with greater access to services. Methods:, Outcomes for all singleton deliveries to teenage women living in NSW during the period 1998,2003 were reviewed. The women's place of residence was assigned an ARIA (Accessibility/Remoteness Index of Australia) classification according to remoteness and access to services. Analysis included obstetric factors (such as parity), and smoking status. Logistic regression analysis was undertaken to examine the impact of maternal factors on obstetric outcomes. Results:, During the study period, 21 880 teenage women had singleton deliveries. Babies of teenage mothers in very remote areas had higher rates of preterm birth, small-for-gestational age and stillbirth. Rates of smoking were higher in more remote areas, and smoking correlated with preterm birth and stillbirth. Conclusions:, Teenagers living in remote areas of NSW face a higher risk of adverse pregnancy outcomes than their urban cousins. [source] A workforce survey of health promotion education and training needs in the State of VictoriaAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 4 2000HAL SWERISSEN Objective: This study investigates the education and training needs of health professionals and factors affecting participation in education and training. Results: Health promotion professionals were involved in the widest variety of health promotion activities, including more evaluation, research and planning than GPs and other health professionals who were involved in more client,focussed activities. Professionals' preference for training content reflected the type of activities in which they were most frequently involved. Practical courses, of short duration, delivered by experienced peers or health promotion experts were preferred over university and TAFE courses. Professionals in rural and provincial locations require both greater access to information on training and conveniently located training. More organisational support, funding and time release would encourage the training of professionals in government departments, community health centres and public hospitals. Conclusions: To be most effective, training must be tailored to suit the specific needs of different professionals involved in health promotion and take into consideration how factors, such as financial incentives and time release, influence participation across different settings and locations. Implications: Further development of the health promotion workforce will require recognition of its professional diversity and a more responsive and organised approach to education and training programs. [source] Trainee clinical psychologists' adaptation and professional functioning: a longitudinal studyCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 1 2003Willem Kuyken Clinical psychology training is a professionally formative period, which provides an opportunity to enable trainees to learn good self-care skills and mature approaches to learning. If realized, this can support lifelong learning and high levels of professional functioning. This study sought to use transactional coping theory and experiential learning theory to improve our understanding of what factors predict changes in psychological adaptation and professional functioning over the course of clinical psychology training. A mixed prospective within-persons and cross-sectional between-persons design was used. A sample of 183 trainee clinical psychologists (60.2% response rate) from 15 British clinical psychology training programmes participated at time one, 167 of whom participated at time 2 a year later (91.3% of the time 1 sample). They completed measures of appraisal, coping, social support and professional functioning at times 1 and 2. Path analyses suggested that trainees who appraised the demands of training as manageable, and reported greater access to appropriate support, engaged in less avoidance coping, reported fewer problems of psychological adaptation and were more likely to approach the task of learning and working appropriately and resiliently. Implications for clinical psychology training are suggested. Copyright © 2003 John Wiley & Sons, Ltd. [source] | |||||||||||||||||||||||||