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Physical health checks in primary care for people with severe mental illness ((SMI) defined as schizophrenia, bipolar disorders and non-organic psychosis) aim to reduce health inequalities. Patients who decline or are deemed unsuitable for screening are removed from the denominator used to calculate incentivisation, termed exception reporting.
Aims
To describe the prevalence of, and patient characteristics associated with, exception reporting in patients with SMI.
Method
We identified adult patients with SMI from the UK Clinical Practice Research Datalink (CPRD), registered with a general practice between 2004 and 2018. We calculated the annual prevalence of exception reporting and investigated patient characteristics associated with exception reporting, using logistic regression.
Results
Of 193 850 patients with SMI, 27.7% were exception reported from physical health checks at least once. Exception reporting owing to non-response or declining screening increased over the study period. Patients of Asian or Black ethnicity (Asian: odds ratio 0.72, 95% CI 0.65–0.80; Black: odds ratio 0.86, 95% CI 0.76–0.97; compared with White) and women (odds ratio 0.90, 95% CI 0.88–0.92) had a reduced odds of being exception reported, whereas patients diagnosed with ‘other psychoses’ (odds ratio 1.19, 95% CI 1.15–1.23; compared with bipolar disorder) had increased odds. Younger patients and those diagnosed with schizophrenia were more likely to be exception reported owing to informed dissent.
Conclusions
Exception reporting was common in people with SMI. Interventions are required to improve accessibility and uptake of physical health checks to improve physical health in people with SMI.
Declassified US Embassy Seoul cables related to nuclear proliferation during the Park Chung Hee era show that, far from making South Korea more secure, Park's toying with the nuclear option made him an unpredictable and even dangerous client who needed restraint in the eyes of US policymakers.
The participants at the six-party talks should consider the full scope of activities needed to implement the South Korean scheme; that they should explore an alternative approach that would link the Russian and South Korean grids, thereby achieving the same outcome at lower cost and lesser political risk; and that the six parties should consider adopting a short-term, alternative package rather than resuming HFO deliveries to the DPRK because this approach would provide more energy services, faster, and at lower risk and cost to give immediate substance to statements of longer “term intention to supply assistance to the DPRK. We further suggest that these issues be explored with the North Koreans at the six-party talks at a subsequent technical working group before major commitments are made to proceeding with the South Korean proposal.
In the last few weeks, Kim Jong Il has inspected a pig farm, a mine, a solar thermal energy research unit, a restaurant, an orchestra, and even gave field guidance to the Tudan Duck Farm on how to raise these pesky birds, where he reportedly enjoyed an art performance given by the members of the art group of the Pyongyang Poultry Guidance Bureau at the newly built house of culture of the farm, and congratulated them on their successful performance. He also travelled to the industrial east coast city of Hamhung, a crosscountry trip that one of the authors, having done it, can attest requires a bit of effort. Accompanied by his son, Kim Jong Il even managed to visit a terrapin farm. Given all these visits, how one might ask, does the peripatetic Kim Jong Il find time for his commander-in-chief military and foreign policy duties?
We measured brain activity using a functional magnetic resonance imaging (fMRI) paradigm and conducted a whole-brain analysis while healthy adult Democrats and Republicans made non-hypothetical food choices. While the food purchase decisions were not significantly different, we found that brain activation during decision-making differs according to the participant’s party affiliation. Models of partisanship based on left insula, ventromedial prefrontal cortex, precuneus, superior frontal gyrus, or premotor/supplementary motor area activations achieve better than expected accuracy. Understanding the differential function of neural systems that lead to indistinguishable choices may provide leverage in explaining the broader mechanisms of partisanship.
The children's books of Dr. Seuss abound in words that the author invented. Inspection shows that these coinages are not arbitrary, raising the challenge of specifying the linguistic basis on which they were created. Drawing evidence from regression analyses covering the full set of Seuss coinages, I note several patterns, which include coinages that are phonotactically ill-formed, coinages meant to sound German and coinages that assist compliance with the meter. But the primary coinage principle for Seuss appears to have been to use words that include phonesthemes (Firth 1930), small quasi-morphemic sequences affiliated with vague meanings. For instance, the coinage Snumm contains two phonesthemes identified in earlier research, [sn-] and [-ʌm]. Concerning phonesthemes in general, I assert their affiliation with vernacular style, and suggest that phonesthemes can be identified in words purely from their stylistic effect, even when the affiliated meaning is absent. This is true, I argue, both for Seuss’s coinages and for the existing vocabulary.
In a previous trial in Mali, we showed that traditional pearl millet couscous and thick porridge delayed gastric emptying (about 5 h half-emptying times) in a normal-weight population compared with non-traditional carbohydrate-based foods (pasta, potatoes, white rice; about 3 h half-emptying times), and in a gastric simulator we showed millet couscous had slower digestion than wheat couscous. In light of these findings, we tested the hypothesis in a normal-weight US population (n 14) that millet foods would reduce glycaemic response (continuous glucose monitor), improve appetitive sensations (visual analogue scale ratings), as well as reduce gastric emptying rate (13C-octanoic acid breath test). Five carbohydrate-based foods (millet couscous – commercial and self-made, millet thick porridge, wheat couscous, white rice) were fed in a crossover trial matched on available carbohydrate basis. Significantly lower overall glycaemic response was observed for all millet-based foods and wheat couscous compared with white rice (P ≤ 0·05). Millet couscous (self-made) had significantly higher glycaemic response than millet couscous (commercial) and wheat couscous (P < 0·0001), but as there were no differences in peak glucose values an extended glycaemic response was indicated for self-made couscous. Millet couscous (self-made) had significantly lower hunger ratings and higher fullness ratings (P < 0·05) than white rice, millet thick porridge and millet couscous (commercial). A normal gastric emptying rate (<3 h half-emptying times) was observed for all foods, with no significant differences among them. In conclusion, some traditionally prepared pearl millet foods show the potential to reduce glycaemic response and promote satiety.
Clomazone dissipation in soil was examined in field and laboratory experiments. Field studies suggested a potential for injury to rotational crops such as wheat. Field half-lives were 5 to 29 d (average of 9 field studies was 19 d) for the Etowah clay loam (fine-loamy, siliceous, thermic typic Paleudult) and Lily loam (fine-loamy, siliceous, thermic typic Hapludult) soils. Clomazone had an average half-life of 34 d under lab conditions, indicating slower dissipation in the lab than in the field. Clomazone was moderately adsorbed to soil as indicated by a Kd of about 1, and a Kom of 52 in the two soils.
The vast majority of crop and revenue insurance policies sold in the United States are singlecrop policies that insure against low yields or revenues for each crop grown on the farm. But, increasingly, producer income is based more on the value of crops that have been converted into a value-added product such as ethanol. Moreover, the recent increases in energy and commodity price levels and volatilities emphasize the importance of risk management to ethanol investors. This paper uses an insurance approach to outline a risk management tool which mimics the gross margin level of a typical corn-based ethanol plant. The gross margin, premium, and indemnity levels are calculated on a per bushel basis to enable producers/investors to utilize the product based on their ownership share in the production facility. The fair premium rates are shown to be quite sensitive with respect to corn and energy price levels and volatilities.
We describe three vowel-harmony processes in Tommo So and their interaction with
morphological structure. The verbal suffixes of Tommo So occur in a strict linear
order, establishing a Kiparskian hierarchy of distance from the root. This distance
is respected by all three harmony processes; they ‘peter out’, applying with lower
frequency as distance from the root increases. The function relating application rate
to distance is well fitted by families of sigmoid curves, declining in frequency from
one to zero. We show that, assuming appropriate constraints, such functions are a
direct consequence of Harmonic Grammar. The crucially conflicting constraints are
Ident (violated just once by harmonised candidates) and a scalar version
of Agree (violated one to seven times, based on closeness of the target to
the root). We show that our model achieves a close fit to the data, while a variety
of alternative models fail to do so.
We define a saltatory phonological alternation as one in which sound A is converted to C, leaping over phonetically intermediate B. For example, in Campidanian Sardinian, intervocalic /p/ is realised as [β] – leaping over [b], which does not alternate. Based on experimental evidence, we argue that saltation is marked, i.e. a UG bias causes language learners to disprefer it. However, despite its marked status, saltation does occur. We survey its diachronic origins, and suggest that it is never introduced as a sound change, but arises only from a variety of historical accidents. For the formal analysis of saltation, we propose a new approach, based on Zuraw's (2007, 2013) *Map constraints and Steriade's (2001, 2009) P-map. This approach is more restrictive than previous proposals, and accounts for psycholinguistic evidence indicating an anti-saltation learning bias: saltation is disfavoured during learning because it is by definition not a P-map-compliant pattern.
The high cost of single-crystal III–V substrates limits the use of gallium arsenide (GaAs) and related sphalerite III–V materials in many applications, especially photovoltaics. However, by making devices from epitaxially grown III–V layers that are separated from a growth substrate, one can recycle the growth substrate to reduce costs. Here, we show damage-free removal of an epitaxial single-crystal GaAs film from its GaAs growth substrate using a laser that is absorbed by a smaller band gap, pseudomorphic indium gallium arsenide nitride layer grown between the substrate and the GaAs film. The liftoff process transfers the GaAs film to a flexible polymer substrate, and the transferred GaAs layer is indistinguishable in structural quality from its growth substrate.
We examined four evolution paths of the biofuel sector using a partial equilibrium world agricultural sector model in CARD that includes the new RFS in the 2007 EISA, a two-way relationship between fossil energy and biofuel markets, and a new trend toward corn oil extraction in ethanol plants. At one extreme, one scenario eliminates all support to the biofuel sector when the energy price is low, while the other extreme assumes no distribution bottleneck in ethanol demand growth when the energy price is high. The third scenario considers a pure market force driving ethanol demand growth because of the high energy price, while the last is a policy-induced shock with removal of the biofuel tax credit when the energy price is high. Standard results hold where the biofuel sector expands with higher energy price, raising the prices of most agricultural commodities through demand side adjustment channels for primary feedstocks and supply side adjustment channels for substitute crops and livestock. On the other hand, the biofuel sector shrinks coupled with opposite impacts on agricultural commodities with the removal of all support including the tax credit. Also, we find that given distribution bottlenecks, cellulosic ethanol crowds marketing channels resulting in a corn-based ethanol price that is discounted. The blenders' credit and consumption mandates provide a price floor for ethanol and for corn. Finally, the tight linkage between the energy and agricultural sectors resulting from the expanding biofuel sector may raise the possibility of spillover effects of OPEC's market power on the agricultural sector.
Electronic devices made from single crystal thin films attached to inexpensive support substrates offer reduced material costs compared to wafer-based devices; however, scalable and inexpensive processes for producing these single crystal film structures have remained elusive. In this work, we describe a new approach for fabricating these structures. In our approach, an epitaxial film is grown on a single crystal template and is then separated from its growth surface via fracture along a weak heteroepitaxial interface between the single crystal film and its growth substrate. We show that epitaxial films of Si, Ge, and GaAs, with thicknesses ranging from 100 nm to 1 μm, grown on epitaxial CaF2 overlayers on Si <111> substrates, can be transferred to glass substrates by inducing fracture along the heteroepitaxial interface between the semiconductor film and CaF2, or between CaF2 and the Si wafer, assisted by the presence of water as in moisture-assisted cracking.
So you want to be a Journalist? Unplugged is a fully revised guide to the world of journalism. This new edition of Bruce Grundy's guide for journalists takes us through new media's impact on the structure and practice of journalism today, with its 24-hour news cycle of multi-platform, interactive media audiences. The book contains instructions on writing for news media as well as practical advice on all facets of reporting. Skills involved in finding information, interviewing, writing news and features, research and investigation, basic subbing, layout and design are covered, along with the essentials of grammar, the law, and practical tips on ethical and professional behaviour.New to the second edition:online journalism incorporated throughout the textvignettes and case studies that bring the text to lifeexamples from Australian, New Zealand and international mediaextended section on ethicsextensively updated research section, to help students recognise quality internet researchextensive companion website including further writing practice
After reading this chapter, you should understand the following:
How and why journalists, as ‘knowledge workers’, share much in common with librarians, and should learn from librarians when seeking, sieving and processing raw ‘information’ into knowledge published as stories
How to strengthen and engage your critical faculties to ‘sift’ and ‘sort’ useful information from rubbish
How to start using social media sites such as Twitter and Facebook for journalism
How to conduct both online and offline searches that go beyond simply ‘Googling’ something
What entry points exist to help you venture into the ‘deep’ or ‘hidden’ web
… the unvarnished truth is that journalists do not happen by chance upon the news which is daily gathered together for public edification. It has to be anticipated, prepared for, and followed up, and the greatest virtue of all in a newsman is anticipation. That is what is really meant by the phrase ‘a nose for news’.
Carr & Stevens, Modern Journalism (1931)
Doing research for journalism usually involves using a combination of research skills, so unpacking them here is somewhat artificial. Much of what is described or suggested here might take seconds, or could develop into a major investigation taking days or even months. Throughout, however, it is vital to remember that you are a journalist and your core business is stories. This chapter introduces the research process upon which all good journalism relies. As information or ‘knowledge’ workers, journalists need a high level of information literacy.
News does not just fall into the lap of a journalist. This is true despite the endless tsunami of media announcements, press releases and tip-offs that pour into the newsroom every day. As the writers of Modern Journalism expressed it in 1931, most of this material is not really news at all; it is
‘too trivial in content to be so dignified’. A good reporter and a competent editor will know that all the information must be sifted, sorted and given an angle before it can become news; it has to be important or interesting – or preferably both: ‘News may be important without being interesting, and the converse applies,’ Modern Journalism tell us, but without our ability to know whether it is either, we will not know news even if it is right under our noses.