2,336 research outputs found

    Antiretroviral therapy uptake and coverage in four HIV community cohort studies in sub-Saharan Africa.

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    OBJECTIVE: To compare socio-demographic patterns in access to antiretroviral therapy (ART) across four community HIV cohort studies in Africa. METHODS: Data on voluntary counselling and testing and ART use among HIV-infected persons were analysed from Karonga (Malawi), Kisesa (Tanzania), Masaka (Uganda) and Manicaland (Zimbabwe), where free ART provision started between 2004 and 2007. ART coverage was compared across sites by calculating the proportion on ART among those estimated to need treatment, by age, sex and educational attainment. Logistic regression was used to identify socio-demographic characteristics associated with undergoing eligibility screening at an ART clinic within 2 years of being diagnosed with HIV, for three sites with information on diagnosis and screening dates. RESULTS: Among adults known to be HIV-infected from serological surveys, the proportion who knew their HIV status was 93% in Karonga, 37% in Kisesa, 46% in Masaka and 25% in Manicaland. Estimated ART coverage was highest in Masaka (68%) and lowest in Kisesa (2%). The proportion of HIV-diagnosed persons who were screened for ART eligibility within 2 years of diagnosis ranged from 14% in Kisesa to 84% in Masaka, with the probability of screening uptake increasing with age at diagnosis in all sites. CONCLUSIONS: Higher HIV testing rates among HIV-infected persons in the community do not necessarily correspond with higher uptake of ART, nor more equitable treatment coverage among those in need of treatment. In all sites, young adults tend to be disadvantaged in terms of accessing and initiating ART, even after accounting for their less urgent need

    Repositioning the graphic designer as researcher

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    In academic terms, the discipline of graphic design is relatively young. Consequently the position of the discipline within academic territory, and the role of the designer, continue to be debated. In part, these debates have been a product of attempts to define and defend the discipline’s borders from within, in order to establish a sense of the role of graphic design and the graphic designer as commensurate with other disciplines both within and beyond art and design. In recent years graphic designers have variously been defined as ‘authors’, ‘producers’ and ‘readers’, yet none of these definitions seem to have provided any kind of productive or lasting impact within the academy. This paper suggests that rather than continue to seek territorial definitions and positions from within, it could be more productive to look beyond the confines of the discipline. Gaining a broader, interdisciplinary perspective on, and understanding of, qualitative research methods from other disciplines may enable the graphic designer to more fully position his or her practice within the wider academy. Such a perspective could help facilitate the repositioning and redefinition of the graphic designer as ‘researcher’ - a move that would be productive in relation to the future development of postgraduate research within the discipline

    Interview with Alison Frank, September 25, 2009

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    Interview Themes: How Frank chooses research topics (00:50) Aspects of her training as a historian Frank found useful (07:00) Books that have inspired and informed Frank's work (11:11) On the role of area studies for scholarship on East-Central Europe (14:00) "Internationalizing" the history of East-Central Europe (19:30) Advice to young historians/scholars working on the region (22:11)Interview with Alison Frank, John L. Loeb Associate Professor of the Social Sciences at Harvard University. Interview conducted in Ithaca, NY on September 25, 2009. Professor Frank is the author of a number of articles and an excellent book on the oil industry in the Habsburg Monarchy entitled Oil Empire: Visions of Prosperity in Austrian Galicia. She is now working on a project on the coastline of Austria-Hungary.1_9lz5ekh

    Introduction: The Politics of Resilience and Recovery in Mental Health Care

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    The articles included in this special issue engage these themes across a number of national settings, institutional spaces, and empirical sites, from universities to mental health commissions, to national policy in an international context. They focus, especially, on Canada, Ireland and the United Kingdom, where recent and significant changes in mental health governance have relied heavily on the notions of recovery and resilience, often to questionable effect. They deal, as we have said, with some of the most central themes in social justice studies. As a collection, the articles help us think through some of the pressing political questions about social justice that have arisen with the adoption of the mantras of resilience and recovery in mental health governance

    Negotiating the Culture of Resistance: A Critical Assessment of Protest Politics

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    Both for those within the movement and the public at large, the anti-globalization movement has become increasingly defined by large-scale protests such as those opposing the Free Trade Area of the Americas (FTAA) in Quebec City. Such events successfully render visible the strength of the movement, expose an emerging global elite, politicize neoliberal restructuring, and capture the media and public's attention. Yet the privileging of large-scale protest for advancing anti-globalist politics is increasingly being questioned both by those involved in the movement and by the Left in general.Peer reviewe

    Portrait of Alison Dolling, author and historian, Adelaide, 1978 [picture] /

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    Title devised by cataloguer from accompanying information.; "Dolling, Alison. Writes under Mary Broughton, Hazel de Berg collection. From Adelaide Festival, South Australia"--Compactus card.; Condition: Scratched.; Also available in an electronic version via the Internet at: http://nla.gov.au/nla.pic-vn4764650; Conversation with Alison Dolling (Mary Broughton); located at; National Library of Australia Oral History collection ORAL TRC1/1067

    Podcast: Alison Whittaker’s process

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    “The logics of law and poetry boil meaning and power down to their barest components.”We’re delighted to be able to bring you an interview with Alison Whittaker, a Gomeroi poet and author of the collections Lemons in the Chicken Wire and Blakwork, shortlisted in the Prime Minister’s Literary Award for Poetry 2019

    SuperQueero: Alison Bechdel

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    This podcast is a biography of Alison Bechdel, an American author and cartoonist, known for her comic titled Dykes to Watch Out For. In 2006, Bechdel released her critically acclaimed graphic memoir Fun Home that discussed her childhood, coming out as a lesbian, and the death of her closeted father who committed suicide.https://source.sheridancollege.ca/swfhass_projects_superqueero_podcast/1003/thumbnail.jp

    Understanding the role of HIV testing and counselling services in HIV prevention in rural Tanzania

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    This thesis aims to describe the uptake and coverage of HIV testing and counselling (HTC) services in a community cohort study in rural Tanzania between 2003 and 2010, and to investigate the impact of HTC on changes in sexual risk behaviour and HIV incidence. Paper A uses data from three HTC services (community outreach HTC (CO-HTC), walk-in HTC (WI-HTC) and antenatal HTC) linked to the community cohort data to compare the characteristics of services users, and found that while WI-HTC was most likely attract HIV-positive individuals, the overall proportion of infected persons diagnosed was greatest at CO-HTC. Rates of repeat testing are important to understand given potential HIV treatment as prevention approaches. Paper B found that small proportions of cohort participants repeat tested between 2003 and 2010, although this improved over time. Paper C presents a quantitative analysis of the impact of CO-HTC on changes in sexual behaviour and HIV incidence, and found moderate associations between HTC use and reductions in some risk behaviours among HIV-negative participants, but no impacts among HIV-positive individuals or reductions in HIV incidence, possibly as a result of small sample sizes and a declining background incidence in the study area. Paper D presents findings from a qualitative study exploring the effectiveness of HIV prevention counselling messages, which showed that relationship dynamics constrained the extent to which HIV-negative women felt able to control their HIVrelated risk, and imbalanced client-counsellor interactions limited communication during counselling sessions. Overall, the findings from the thesis reveal that provision of different HTC models increased the uptake of services, but the proportions of individuals repeat testing were low and there was limited evidence for an impact of HTC on sexual risk reduction. Future research should explore the effectiveness of different HTC modalities in encouraging repeat testing among high risk HIV-negative individuals, influencing sexual behaviour change and linking HIV-positive people to care and treatment
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