Factors influencing the output of rural cataract surgical facilities in China: the SHARP study

Purpose: To identify factors associated prospectively with increased cataract surgical rate (CSR) in rural Chinese hospitals.

Methods: Annual cataract surgical output was obtained at baseline and 24 months later from operating room records at 42 rural, county-level hospitals. Total local CSR (cases/million population/y), and proportion of CSR from hospital and local competitors were calculated from government records. Hospital administrators completed questionnaires providing demographic and professional information, and annual clinic and outreach screening volume. Independent cataract surgeons provided clinical information and videotapes of cases for grading by two masked experts using the Ophthalmology Surgical Competency Assessment Rubric (OSCAR). Uncorrected vision was recorded for 10 consecutive cataract cases at each facility, and 10 randomly-identified patients completed hospital satisfaction questionnaires. Total value of international nongovernmental development organization (INGDO) investment in the previous three years and demographic information on hospital catchment areas were obtained. Main outcome was 2-year percentage change in hospital CSR.

Results: Among the 42 hospitals (median catchment population 530,000, median hospital CSR 643), 78.6% (33/42) were receiving INGDO support. Median change in hospital CSR (interquartile range) was 33.3% (-6.25%, 72.3%). Predictors of greater increase in CSR included higher INGDO investment (P = 0.02, simple model), reducing patient dissatisfaction (P = 0.03, simple model), and more outreach patient screening (P = 0.002, simple and multiple model).

Conclusions: Outreach cataract screening was the strongest predictor of increased surgical output. Government and INGDO investment in screening may be most likely to enhance output of county hospitals, a major goal of China's Blindness Prevention Plan.

Internationalising the Social Work Curriculum: A Working Toolkit for Higher Education Facilities

This toolkit was collated by social work academics at Queen’s University Belfast (QUB), United Kingdom in collaboration with social work educators nationally and internationally who are committed to the internationalisation of the social work curriculum. The information and examples contained in this document offer a practical guide for the development and evaluation of international opportunities for students and academics. The resources were designed with diverse educational settings in mind for the enhancement of social work learning and teaching.

Location-routing problems of semi-obnoxious facilities: approaches and decision support

A presente tese resulta de um trabalho de investigação cujo objectivo se centrou no problema de localização-distribuição (PLD) que pretende abordar, de forma integrada, duas actividades logísticas intimamente relacionadas: a localização de equipamentos e a distribuição de produtos. O PLD, nomeadamente a sua modelação matemática, tem sido estudado na literatura, dando origem a diversas aproximações que resultam de diferentes cenários reais. Importa portanto agrupar as diferentes variantes por forma a facilitar e potenciar a sua investigação. Após fazer uma revisão e propor uma taxonomia dos modelos de localização-distribuição, este trabalho foca-se na resolução de alguns modelos considerados como mais representativos. É feita assim a análise de dois dos PLDs mais básicos (os problema capacitados com procura nos nós e nos arcos), sendo apresentadas, para ambos, propostas de resolução. Posteriormente, é abordada a localização-distribuição de serviços semiobnóxios. Este tipo de serviços, ainda que seja necessário e indispensável para o público em geral, dada a sua natureza, exerce um efeito desagradável sobre as comunidades contíguas. Assim, aos critérios tipicamente utilizados na tomada de decisão sobre a localização destes serviços (habitualmente a minimização de custo) é necessário adicionar preocupações que reflectem a manutenção da qualidade de vida das regiões que sofrem o impacto do resultado da referida decisão. A abordagem da localização-distribuição de serviços semiobnóxios requer portanto uma análise multi-objectivo. Esta análise pode ser feita com recurso a dois métodos distintos: não interactivos e interactivos. Ambos são abordados nesta tese, com novas propostas, sendo o método interactivo proposto aplicável a outros problemas de programação inteira mista multi-objectivo. Por último, é desenvolvida uma ferramenta de apoio à decisão para os problemas abordados nesta tese, sendo apresentada a metodologia adoptada e as suas principais funcionalidades. A ferramenta desenvolvida tem grandes preocupações com a interface de utilizador, visto ser direccionada para decisores que tipicamente não têm conhecimentos sobre os modelos matemáticos subjacentes a este tipo de problemas.

Sustentabilidade em infraestruturas desportivas : caso dos estádios de futebol

É evidente a crescente preocupação da opinião pública com os conceitos de Sustentabilidade. Nesta época de mudança, de crise económica global, é de todo premente a sua utilização efetiva, em especial na área da construção que tem sido o reflexo desta nova realidade. A Sustentabilidade na construção deve focar para além das fases de projeto e execução, a fase de exploração, gestão operacional, ou seja, em todo o ciclo de vida da construção. Verifica-se que as cidades sendo grandes aglomerados tanto de edifícios como de instalações são os focos de mudança para a Sustentabilidade. As grandes instalações, em especial os Estádios de Futebol, apresentam assim um impacte muito significativo na Sustentabilidade global. Em Portugal, para o campeonato Europeu de 2004, foram efetuados oito novos Estádios e remodelados dois, que tem vindo a verificar alguns problemas na sua gestão, em especial devido à ausência ou reduzida utilização. Estes Estádios podem ter um mecanismo para acompanhar e promover a sua Sustentabilidade. O desenvolvimento desse mecanismo deve ter como base o estudo dos diversos conceitos referidos anteriormente, como têm sido abordados, bem como os mecanismos existentes de avaliação da Sustentabilidade. A recolha de informação relativa à Sustentabilidade tanto nos Estádios Nacionais, verificando em especial a perspetiva dos respetivos gestores, como de outros Estádios Europeus que apresentam na sua Gestão conceitos de Sustentabilidade e os Estádios que estão a ser finalizados para o Campeonato do Mundo de 2014, que é definido que será um evento Sustentável. A partir desses dados desenvolvem-se um Sistema de Gestão Dinâmico para a Sustentabilidade dos Estádios. Este Sistema apresenta diversos mecanismos que devem ser utilizados para a promoção da Sustentabilidade na Gestão dos Estádios, sendo iniciado através de uma Avaliação do Desempenho Inicial da Sustentabilidade. Através de uma Simulação de Avaliação do Desempenho Inicial ao Estádio do Dragão verifica-se a aplicabilidade. Da parte da equipa de Gestão do Estádio do Dragão considera-se o conceito desenvolvido com elevada relevância e aplicabilidade para apoiar a melhoria da sua Gestão com vista à Sustentabilidade. A Sustentabilidade na Gestão de Infraestruturas Desportivas é possível em qualquer fase do seu ciclo de vida, podendo ser desde uma pequena mudança até à aplicação de um Sistema de Gestão para o efeito. As cidades devem potenciar mecanismos para a promoção da Sustentabilidade no seu território, em especial nas grandes instalações, para o impacte na redução de emissões de CO2 ser significativo.

Neurophysiologic, psychological, sport and health dimensions of three meditation techniques

The aim of this study was to record experiences of three meditation conditions: Ratio Breathing, Transcendental Meditation and Zazen, with special reference to sport, health, neuro-physiology and sense of coherence. The participants (N=9), seven males and two females were all British, actively competing across a range of individual and team sports, with no experience of using meditation techniques or practices in their sporting or daily lives. Their mean age was 31.56 years with an age range of 22 to 44 years. The study employed a within-subjects, repeated measures design, with each participant practising each meditation condition in a randomly counterbalanced order. Integrative findings support the value of all three meditation conditions for health and to a lesser extent for sport, especially with regard to their effect on focus. All three meditation conditions were associated with a decrease in respiration. The differential effect of the meditations was apparent. Participants valued Ratio breathing for its effect on concentration, Transcendental Meditation for its depth of meditation and Zazen for its effect on self and removal of external distractions. These qualitative findings were associated with differentially significant quantitative effects on lowered respiration rate in the Ratio Breathing group, increased physical relaxation and alpha activity in the Transcendental Meditation group, and increases in both alpha and theta activity in the Zazen group.

Les sources de motivation au regard de la carrière des jeunes inscrits aux programmes Sport-études à l'ordre d'enseignement secondaire

Lorsqu'il est question de l'impact du sport sur le développement de jeunes adolescents' c'est généralement en fonction de leurs comportements. Toutefois, lorsqu'il s'agit d'évaluer l'influence de la pratique sportive sur le développement scolaire et professionnel des élèves-athlètes, nombreux sont les gens qui voient le sport comme une distraction notable à l'engagement et à la poursuite de leurs études. Pourtant nous remarquons, depuis quelques années, l'apparition et la multiplication de programmes d'études voulant favoriser à la fois la réussite scolaire ainsi que la réussite sportive de jeunes athlètes. Conformément aux propos de Boute, Lepert, Syndiqué et Taupin (1981), nous croyons que les programmes Sport-études concrétisent deux idées (et deux désirs) qui mûrissaient depuis longtemps: l'idée qu'il n'est pas nécessaire d'abandonner ses études pour se consacrer à un sport, et plus important, l'idée qu'il n'est pas nécessaire d'abandonner le sport pour mener à bien ses études secondaires. Selon cette perspective, il serait logique de penser que les programmes scolaires misant sur la combinaison des études et de la pratique du sport de haut niveau s'associent à des caractéristiques particulières notamment, en ce qui à trait à leur motivation au regard de leur projet professionnel. Notre étude vise donc à identifier les sources spécifiques de motivation des élèves inscrits aux programmes Sport-études et régulier à l'ordre d'enseignement secondaire et de vérifier l'existence possible de différences entre ces deux groupes de sujets. Ce mémoire se divise en trois parties. La première partie vise à exposer la problématique de notre recherche. Nous identifions d'abord notre problème de recherche en dressant un portrait général de la situation actuelle des jeunes à l'ordre d'enseignement secondaire puis nous traitons du rôle qu'occupe l'orientation quant à la motivation des élèves au regard de leurs études. À cela s'ajoute l'examen d'une littérature appropriée aux élèves-athlètes et aux sources de motivation particulières qui leur sont attribuées. Nous présentons ensuite le cadre théorique de notre recherche en analysant les concepts de motivation et de développement de carrière. Nous complétons cette partie par l'étude de certaines recherches et expériences en lien avec notre problématique et nous démontrons la pertinence de notre recherche avant d'identifier les objectifs poursuivis. En ce qui à trait à la deuxième partie de notre étude, elle concerne la méthodologie. Nous présentons dans cette section les principales démarches utilisées afin de rencontrer nos objectifs de recherche. Il s'agit entre autres de l'instrument de mesure retenu, les sujets sélectionnés, du déroulement de l'expérience, de la présentation des programmes Sport-études, des limites de notre recherche et des techniques statistiques employées pour analyser et interpréter les résultats obtenus. Quant à la troisième partie, elle contient essentiellement les données obtenues au cours de notre recherche. Dans un premier temps, nous dégageons un portrait général des sources de motivation au regard de la carrière des élèves inscrits aux programmes réguliers et Sport-études. Puis, dans un deuxième temps, nous essayons de dégager les particularités du profil motivationnel de ces élèves en fonction du programme d'études auquel ils sont inscrits. Enfin, quelques implications possibles de nos résultats pour la pratique de l'orientation professionnelle font l'objet de la conclusion de ce mémoire.

'Anyone But England‘, Glasgow 2014 and the Independence Referendum: Exploring the Role of Narratives in the Sociological Study of Scottish Sport.

Drawing upon the findings of my MSc dissertation and the proposed methodology for my current PhD thesis, this paper will critically reflect upon the potential uses of narrative analysis within the sociological study of sport. The majority of this paper will consider the expression of anti-English sentiment by Scots in relation to both sporting and wider social contexts. Drawing upon the conceptual framework of ‘narrative identity’ proposed by Somers (1994), data was generated through semi-structured interviews focusing upon the ‘ontological’ and ‘public’ narratives of Scottish identity as expressed by Scots living in England. The relationship between Scotland and England is argued to be heavily influenced by the existence of an ‘underdog mentality’ grand ‘public narrative’ for Scots in relation to their English neighbours, based on perceived differences in economic and sporting resources. This ‘underdog mentality’ is argued to act as a legitimating force for the expression of anti-English sentiment within an individual’s ‘ontological narrative’ in both a sporting and wider social context. The paper concludes by reflecting upon the benefits of adopting a narrative analysis approach, and outlining the proposed use of similar methods within my PhD research on the 2014 Glasgow Commonwealth Games and the Scottish independence referendum.

Political Discourse Analysis, Sport and Scottish Independence: Provisional Reflections upon Fairclough and Fairclough's (2012) Analytical Framework.

This paper aims to reflect upon the potential analytical utility of the political discourse analysis framework proposed by Isabela Fairclough and Norman Fairclough (2012). This framework represents the most recent substantive development upon Norman Fairclough's past work situated within the wider school of Critical Discourse Analysis, building upon his influential position this methodological tradition. Central to this development is the additional emphasis placed upon the necessity to conceptualise all political discourse as 'argumentative' in nature, given that political actors are ultimately proposing or refuting particular courses of concrete future action. This paper will therefore apply Fairclough and Fairclough's model to provisional data derived from an ongoing doctoral thesis which considers the nature of political discourse relating to sport, the Glasgow 2014 Commonwealth Games and Scottish independence, with an ultimate aim of critically considering the benefits and limitations of applying this analytical framework as a methodological tool within this ongoing study.

The Working Group on Scottish Sport and the Scottish Independence Referendum: an Unrealised Political 'Imaginary'?

In September 2014, a historic referendum on the issue of Scottish independence was held, with the potential to dissolve the political union between Scotland and the other constituent nations of the United Kingdom which had survived intact since the 1707 Act of Union. On a significantly high electoral turnout of 84.6%, the Scottish electorate opted to reject the proposals of the governing party in the devolved Scottish Parliament, the pro-independence Scottish National Party (SNP), to create an independent Scottish state, with 55.3% of the electorate voting ‘No’ to Scottish independence against a 44.7% ‘Yes’ vote. In the grand scheme of the Scottish independence referendum campaigns, sports policy remained a somewhat peripheral issue within the arguments forwarded by the Yes Scotland and Better Together campaigns. Nonetheless, developments such as the formation of the 'Sport for Yes' campaign sub-group, the inclusion of sport within the Scottish Government’s White Paper on Scottish independence and the establishment of the Working Group on Scottish Sport demonstrated that the potential implications of independence were still deemed significant enough to merit a degree of policy planning by the Scottish Government (Lafferty, 2014; Scottish Government, 2013; Working Group on Scottish Sport, 2013, 2014). This paper will critically consider the implications of the 'No' vote in the Scottish independence referendum for the latter of these developments, the policy proposals of the Working Group for Scottish Sport. Drawing upon the principles of critical discourse analysis, specifically the analytical framework proposed by Fairclough and Fairclough (2012), the content of this group's proposal will be examined in order to critically explore the policy for Scottish sport it envisaged for an independent Scottish state. The paper will then conclude by reflecting upon the extent to which elements of this political 'imaginary' (Fairclough and Fairclough, 2012) of Scottish sport remain a possibility for future sports policy in Scotland following the eventual 'No' vote in the referendum.

‘Sport for Yes’? The Precarious Positioning of Scottish Athletes in the Scottish Independence Referendum Campaign.

This paper will critically consider the implications for Scottish athletes who have publicly stated their personal opinion on the Scottish independence referendum. Developments such as the inclusion of sport within the Scottish Government’s White Paper on Scottish independence, the establishment of the ‘Working Group on Scottish Sport’ and the establishment of the ‘Sport for Yes’ campaign group demonstrate the harnessing of sporting issues as an additional, if somewhat peripheral, debate point in the referendum campaigns (Lafferty, 2014; Scottish Government, 2013; Working Group on Scottish Sport, 2013, 2014). The latter of these developments, the establishment of the ‘Sport for Yes’ campaign group, is of particular interest, offering evidence of the explicit political mobilisation of past and present athletes in support of the ‘Yes Scotland’ pro-independence campaign. Whilst the pro-union ‘Better Together’ campaign does not possess a comparable group to the ‘Sport for Yes’ example, examples of athletes discussing the potential negative impact of Scottish independence on the funding and organisation of Scottish sport have been capitalised upon by pro-union campaigners, as exemplified in the comments of Sir Chris Hoy (BBC, 2013; Daily Record, 2013a). Given the negative reaction to Hoy’s comments from certain pro-independence campaigners (Daily Record, 2013b; Swanson, 2013), other Scottish athletes have understandably attempted to avoid controversy by refusing to align with either side of the referendum debate. This paper will therefore consider the potential pitfalls for athletes who publicly announce their political positions, whilst also scrutinising the extent to which such pronouncements are of political significance, drawing upon past academic analyses of the interrelationship between sport and politics (e.g. Coghlan, 1990; Houlihan, 1994; Jeffreys, 2012; Macfarlane, 1986; Whannel, 2008).

Impacts from aquaculture facilities on intertidal ecosystems using quadrant surveys and antibiotic tracers

Senior thesis written for Oceanography 444

Enhancing Student Learning Experiences in Sport Psychology Modules Using Practical Activities

The University of Worcester states in its most recent strategic plan (2013 – 2018) a set of enduring values that guide and direct the activities of the institution. The first listed, and perhaps the most important value is the striving to be “an outstanding university at which to be a student”. This is further supplemented by values such as “to inspire our students to reach their full potential through excellent, innovative teaching, scholarship and research” (University of Worcester 2013: p.4). One of the many ways in which the institution strives to provide this outstanding educational experience is through regular engagement, both formal and informal, with students at a number of points in each semester. Regular experiences of collating formal and informal feedback has led to the identification of a common theme amongst Higher National Diploma (HND) students in the Institute of Sport and Exercise Sciences (ISES), where they consistently request ‘more practicals’. The ISES modules however are designed to incorporate a high degree of interaction, practical activities and tasks. This is especially important for those studying at HND level as research suggests differences in learning preferences exist when compared to undergraduate students, the former preferring a more tactile style of learning (Peters et al. 2008). Using an introductory Sport Psychology HND module as an example, practical activities and tasks are fully embedded in the taught sessions to enable contextual links to be made between the learning outcomes and their subsequent use. Examples of these include: a. interviewing athletes to produce a performance profile (Butler & Hardy 1992); b. completing psychometric instruments such as the Competitive State Anxiety Inventory-2 (CSAI-2) to measure competitive anxiety in sport (Martens et al. 1990) and demonstrate data collection and construct measurement; c. performing relaxation interventions on the students to demonstrate how specific techniques (in this instance, decreasing somatic anxiety) might work in practice; d. demonstrating how observational learning facilitates skill acquisition by creating experimental conditions that the students participate in, in teaching a new skill. Nevertheless owing to the students' previously stated on-going requests for more practical activities, it became evident that assumptions about what students consider an effective means of experiential or active learning in the context of sport-related disciplines of study needed to be investigated. This is where the opportunity to undertake an action research project arose, this being a practical method commonly employed in pedagogical enquiry to aid reflection on teaching and assessment practice for the purposes of working towards continuous improvement.