The Child Cases: How America's Religious Exemption Laws Harm Children
In: A journal of church and state: JCS, Band 57, Heft 2, S. 392-394
ISSN: 2040-4867
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In: A journal of church and state: JCS, Band 57, Heft 2, S. 392-394
ISSN: 2040-4867
Differences in blood pressure among individuals of African ancestry living in the United States compared with those living in Africa suggest that the high prevalence of hypertension among African Americans may be due in part to environmental factors. There are a number of environmental models that attempt to account for the high rate of hypertension among African Americans. One model proposes that a strong African self-concept protects African-American adolescents from the hypertensive effects of social stress. This model was tested during a blood pressure survey of 333 adolescents in three urban Los Angeles high schools. African self-concept was assessed using a three-item scale. The average score for the three items was strongly related to systolic blood pressure among African-American male adolescents. After controlling for age, body mass index, and parent's education in regression analyses, the relation was reduced, but an effect remained. The model suggests that the hypertensive effects of the environment will operate unless the pathway from environmental stress to hypertension is blocked by a strong African-American self-concept.
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Objective: To synthesise client perceptions of the unique characteristics and value of care provided in Aboriginal Community Controlled Health Organisations (ACCHOs) compared to mainstream/general practitioner services, and implications for improving access to quality, appropriate primary health care for Indigenous Australians. Method: Standardised systematic review methods with modification informed by ethical and methodological considerations in research involving Indigenous Australians. Results: Perceived unique valued characteristics of ACCHOs were: 1) accessibility, facilitated by ACCHOs welcoming social spaces and additional services; 2) culturally safe care; and 3) appropriate care, responsive to holistic needs. Conclusion: Provider-client relationships characterised by shared understanding of clients' needs, Indigenous staff, and relationships between clients who share the same culture, are central to ACCHO clients' perceptions of ACCHOs' unique value. The client perceptions provide insights about how ACCHOs address socio-economic factors that contribute to high levels of chronic disease in Indigenous communities, why mainstream PHC provider care cannot substitute for ACCHO care, and how to improve accessibility and quality of care in mainstream providers. Implications for public health: To increase utilisation of PHC services in Indigenous Australian communities, and help close the gaps between the health status of Indigenous and non- Indigenous Australians, Indigenous community leaders and Australian governments should prioritise implementing effective initiatives to support quality health care provision by ACCHOs. ; Judith Streak Gomersall, Odette Gibson, Judith Dwyer, Kim O'Donnell, Matthew Stephenson, Drew Carter, Kootsy Canuto, Zachary Munn, Edoardo Aromataris, Alex Brown
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. ; On February 8, 2019, the Atmosphere-Space Interaction Monitor observed a terrestrial gamma-ray flash (TGF) and an Elve from a positive intracloud (+IC) lightning during the initial breakdown stage of a lightning flash north east of Puerto Rico. A second Elve produced by the return stroke (RS) of a negative cloud-to-ground (−CG) lightning was observed 456 ms later about 300 km south of the first one. Radio measurements show that a short (30 μs) and large (280 kA km) energetic in-cloud pulse (EIP) produced the electromagnetic (EM) wave for the first Elve while the RS of the −CG was the EM source for the second Elve. Assuming that the EIP and the RS were the sources of the 777 nm emissions, both the delay relative to the ultra-violet pulse and the shape and duration of the 777 nm emissions can be explained by scattering and absorption inside the clouds. The TGF produced by the +IC lightning had the same duration as the EIP (∼30 μs). Due to the ±80 μs timing uncertainty of the TGF, we can only state that TGF was produced just before or most likely simultaneously with the EIP. The large 777 nm pulse indicates that a large part of the EIP was produced by a current flowing in a hot channel, but it is likely that the TGF current also contributed significantly to the EIP. © 2021. The Authors. ; This study was supported by the European Research Council under the European Union's Seventh Framework Programme (FP7/2007-2013)/ERC grant agreement no. 320839 and the Research Council of Norway under contracts 223252/F50 (CoE). This study has received funding from the European Union's Horizon 2020 research and innovation program under the Marie Skodowska-Curie grant agreement SAINT 722337. A.L. acknowledges support by the European Research Council (ERC) under the European Union H2020 program/ERC grant agreement 681257. This work was supported by the National Science Foundation Dynamic and Physical Meteorology program through grant AGS/1565606. The authors thank the International Space Science Institute, Bern, Switzerland, for providing financial support and meeting facilities in the frame of the International Team no. 471: Understanding the Properties of the Terrestrial Gamma-Ray Flash Population. ; With funding from the Spanish government through the Severo Ochoa Centre of Excellence accreditation SEV-2017-0709. ; Peer reviewed
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Background: The COVID-19 pandemic is having profound mental health consequences for many people. Concerns have been expressed that, at their most extreme, these consequences could manifest as increased suicide rates. We aimed to assess the early effect of the COVID-19 pandemic on suicide rates around the world. Methods: We sourced real-time suicide data from countries or areas within countries through a systematic internet search and recourse to our networks and the published literature. Between Sept 1 and Nov 1, 2020, we searched the official websites of these countries' ministries of health, police agencies, and government-run statistics agencies or equivalents, using the translated search terms "suicide" and "cause of death", before broadening the search in an attempt to identify data through other public sources. Data were included from a given country or area if they came from an official government source and were available at a monthly level from at least Jan 1, 2019, to July 31, 2020. Our internet searches were restricted to countries with more than 3 million residents for pragmatic reasons, but we relaxed this rule for countries identified through the literature and our networks. Areas within countries could also be included with populations of less than 3 million. We used an interrupted time-series analysis to model the trend in monthly suicides before COVID-19 (from at least Jan 1, 2019, to March 31, 2020) in each country or area within a country, comparing the expected number of suicides derived from the model with the observed number of suicides in the early months of the pandemic (from April 1 to July 31, 2020, in the primary analysis). Findings: We sourced data from 21 countries (16 high-income and five upper-middle-income countries), including whole-country data in ten countries and data for various areas in 11 countries). Rate ratios (RRs) and 95% CIs based on the observed versus expected numbers of suicides showed no evidence of a significant increase in risk of suicide since the pandemic began ...
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We present a search for gravitational waves from 116 known millisecond and young pulsars using data from the fifth science run of the LIGO detectors. For this search, ephemerides overlapping the run period were obtained for all pulsars using radio and X-ray observations. We demonstrate an updated search method that allows for small uncertainties in the pulsar phase parameters to be included in the search. We report no signal detection from any of the targets and therefore interpret our results as upper limits on the gravitational wave signal strength. The most interesting limits are those for young pulsars. We present updated limits on gravitational radiation from the Crab pulsar, where the measured limit is now a factor of 7 below the spin-down limit. This limits the power radiated via gravitational waves to be less than similar to 2% of the available spin-down power. For the X-ray pulsar J0537-6910 we reach the spin-down limit under the assumption that any gravitational wave signal from it stays phase locked to the X-ray pulses over timing glitches, and for pulsars J1913+1011 and J1952+3252 we are only a factor of a few above the spin-down limit. Of the recycled millisecond pulsars, several of themeasured upper limits are only about an order of magnitude above their spin-down limits. For these our best (lowest) upper limit on gravitational wave amplitude is 2.3 x 10(-26) for J1603-7202 and our best (lowest) limit on the inferred pulsar ellipticity is 7.0 x 10(-8) for J2124-3358. ; Australian Research Council ; Council of Scientific and Industrial Research of India ; Istituto Nazionale di Fisica Nucleare of Italy ; Spanish Ministerio de Educacion y Ciencia ; Conselleria d'Economia Hisenda i Innovacio of the Govern de les Illes Balears ; Netherlands Organisation for Scientific Research ; Royal Society ; Scottish Funding Council ; Polish Ministry of Science and Higher Education ; Foundation for Polish Science ; Scottish Universities Physics Alliance ; National Aeronautics and Space Administration ; Carnegie Trust ; Leverhulme Trust ; David and Lucile Packard Foundation ; Research Corporation ; Alfred P. Sloan Foundation ; Natural Sciences and Engineering Research Council of Canada ; Commonwealth Government ; Astronomy
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