Probabilistic age classification with Bayesian networks: a study on the ossification status of the medial clavicular epiphysis

In the past few decades, the rise of criminal, civil and asylum cases involving young people lacking valid identification documents has generated an increase in the demand of age estimation. The chronological age or the probability that an individual is older or younger than a given age threshold are generally estimated by means of some statistical methods based on observations performed on specific physical attributes. Among these statistical methods, those developed in the Bayesian framework allow users to provide coherent and transparent assignments which fulfill forensic and medico-legal purposes. The application of the Bayesian approach is facilitated by using probabilistic graphical tools, such as Bayesian networks. The aim of this work is to test the performances of the Bayesian network for age estimation recently presented in scientific literature in classifying individuals as older or younger than 18 years of age. For these exploratory analyses, a sample related to the ossification status of the medial clavicular epiphysis available in scientific literature was used. Results obtained in the classification are promising: in the criminal context, the Bayesian network achieved, on the average, a rate of correct classifications of approximatively 97%, whilst in the civil context, the rate is, on the average, close to the 88%. These results encourage the continuation of the development and the testing of the method in order to support its practical application in casework.

Kuluttajien suhtautuminen aikakauslehden brändiin ja brändin persoonallisuuteen

Pro gradun tarkoituksena oli tutkia kuluttajien suhtautumista kolmen kuluttajille suunnatun aikakauslehden brändiin ja brändin persoonallisuuteen. Tutkimuksen kohteena olevat aikakauslehdet olivat naisille suunnattu, nuorille suunnattu sekä tekniikkaan keskittynyt aikakauslehti. Tässä tutkimuksessa käytettiin kvalitatiivista tutkimusmenetelmää. Sisällön erittelyn avulla tutkittiin eroja kuluttajien suhtautumisessa eri aikakauslehtibrändien ollessa kyseessä. Kuluttajien mielipiteitä aikakauslehtibrändin persoonallisuudesta selvitettiin aikakauslehtien verkkosivuilla olleen kyselytutkimuksen avulla, jonka tuloksia analysoitiin korrespondenssianalyysissä. Korrespondenssianalyysissä kvantifioitiin kvalitatiivista aineistoa. Aikakauslehtikustantajien mielipiteitä aikakauslehden brändistä tutkittiin aikakauslehtien verkkosivujen sisällön kautta. Kuluttajat näkivät aikakausilehtien brändeissä eri persoonallisuuksien piirteitä. Syyt kuluttajien suhtautumisessa eri aikakauslehtibrändeihin johtuvat pikemminkin eri kohderyhmistä kuin kustantajan rakentamista eroista. Kustantajien ja kuluttajien mielipiteet brändin persoonallisuudesta olivat naisille suunnatussa lehdessä hyvin yhtenevät, kun taas tekniikkaan suuntautunut lehti kärsi epäselvästä brändistä.

The health of adolescents around a world in transition.

Since several years, the health of adolescents is on the agenda of ministers, decision makers and health professionals. Around the world, while there has been a steady decrease of the death rates among young children, this is not the case for young people. This is mainly linked with the fact that mortality and morbidity during this period of life is largely linked with non communicable diseases and conditions, including deaths from injuries, suicide, homicides and drug abuse. Unplanned pregnancies, illegal abortions, newly acquired HIV infections are also situations that have short and long term consequences. This paper reviews the epidemiological data pertaining to adolescent health and disease. It proposes evidence-informed avenues as how to address these issues in the field of health care (e.g. adolescent friendly services) and of prevention and health promotion. It also stresses the importance of creating safe environments for the development and well-being of young people and thus, of an interdisciplinary and inter sectorial approach to their complex health problems and challenges.

Services "amis des jeunes": promouvoir des soins adaptés aux adolescents [Youth friendly health services: how to promote quality health care for adolescents].

Beaucoup de jeunes éprouvent des difficultés à demander une aide médicale et psychosociale alors qu'ils en auraient bien besoin. Cela est lié au processus d'autonomisation propre à cette période de la vie : les adolescents souhaitent résoudre leurs problèmes eux-mêmes. Pour améliorer la qualité des soins aux jeunes, l'Organisation mondiale de la santé, avec l'UNICEF et d'autres organismes, a développé le concept de youth friendly health services ; services amis des jeunes. Ce concept repose sur plusieurs principes, comme l'accessibilité, la flexibilité, une formation spécifique du personnel, le respect de la neutralité et de la confidentialité, compétences communicationnelles, etc. L'application de cette approche ne se limite pas aux centres spécialisés en médecine de l'adolescence, mais devra être progressivement implantée dans toutes les structures de soins accueillant des jeunes. Many young people have difficulties requesting medical or psychosocial support, although some badly need it. This difficulty is related to the fact that, as part of their search for autonomy, young people prefer to solve their problems by themselves. To improve the quality of care, the World Health Organization, UNICEF and allied organizations have developed the concept of "Youth friendly health services". This concept includes policies and strategies to improve the accessibility and flexibility, staff's competence and communication skills, etc. Such an approach should not be limited to specialized centers for adolescent health. It should be adopted by all health care institutions dealing with young people.

A measurement framework for quality health care for adolescents in hospital.

PURPOSE: Despite growing interest in measurement of health care quality and patient experience, the current evidence base largely derives from adult health settings, at least in part because of the absence of appropriately developed measurement tools for adolescents. To rectify this, we set out to develop a conceptual framework and a set of indicators to measure the quality of health care delivered to adolescents in hospital. METHODS: A conceptual framework was developed from the following four elements: (1) a review of the evidence around what young people perceive as "adolescent-friendly" health care; (2) an exploration with adolescent patients of the principles of patient-centered care; (3) a scoping review to identify core clinical practices around working with adolescents; and (4) a scoping review of existing conceptual frameworks. Using criteria for indicator development, we then developed a set of indicators that mapped to this framework. RESULTS: Embedded within the notion of patient- and family-centered care, the conceptual framework for adolescent-friendly health care (quality health care for adolescents) was based on the constructs of experience of care (positive engagement with health care) and evidence-informed care. A set of 14 indicators was developed, half of which related to adolescents' and parents' experience of care and half of which related to aspects of evidence-informed care. CONCLUSIONS: The conceptual framework and indicators of quality health care for adolescents set the stage to develop measures to populate these indicators, the next step in the agenda of improving the quality of health care delivered to adolescents in hospital settings.

A single-blind, randomised controlled trial on the effects of lithium and quetiapine monotherapy on the trajectory of cognitive functioning in first episode mania: A 12-month follow-up study.

BACKGROUND: Cognitive deficits have been reported during the early stages of bipolar disorder; however, the role of medication on such deficits remains unclear. The aim of this study was to compare the effects of lithium and quetiapine monotherapy on cognitive performance in people following first episode mania. METHODS: The design was a single-blind, randomised controlled trial on a cohort of 61 participants following first episode mania. Participants received either lithium or quetiapine monotherapy as maintenance treatment over a 12-month follow-up period. The groups were compared on performance outcomes using an extensive cognitive assessment battery conducted at baseline, month 3 and month 12 follow-up time-points. RESULTS: There was a significant interaction between group and time in phonemic fluency at the 3-month and 12-month endpoints, reflecting greater improvements in performance in lithium-treated participants relative to quetiapine-treated participants. After controlling for multiple comparisons, there were no other significant interactions between group and time for other measures of cognition. CONCLUSION: Although the effects of lithium and quetiapine treatment were similar for most cognitive domains, the findings imply that early initiation of lithium treatment may benefit the trajectory of cognition, specifically verbal fluency in young people with bipolar disorder. Given that cognition is a major symptomatic domain of bipolar disorder and has substantive effects on general functioning, the ability to influence the trajectory of cognitive change is of considerable clinical importance.

Principals barreres i motivacions per a la pràctica de l’activitat física de la població de 17 a 25 anys, a la localitat de Cardedeu

Actualment hi ha multitud d’estudis científics que demostren els beneficis que aporta a la nostra salut la pràctica regular d’activitat física, però aquest fet no genera per si sol uns nivells de pràctica suficients en la població. El present estudi s’emmarca en una investigació realitzada amb nois i noies d’entre 17 i 25 anys de la localitat de Cardedeu, sobre les diferents barreres i motivacions per a la pràctica d’activitat física de forma regular en aquest sector concret de la població. S’han analitzat els resultats obtinguts en l’aplicació dels qüestionaris ABPEF (Capdevila, 2005) i AMPEF (Capdevila, 2000) sobre una mostra formada per un total de 38 participants. En els resultats obtinguts destaquen les barreres relacionades amb la fatiga, la mandra, les obligacions i la falta de temps. Amb referència a motivacions més significatives trobem aquells ítems relacionats amb la salut, la imatge corporal, la diversió i el benestar.

¿Continuidad o fragmentación? Percepción de los profesionales sobre la coordinación entre servicios en los procesos de tránsito a la vida adulta de los jóvenes con discapacidad intelectual

This article is part of a research focusing on the process of transition to adulthood of young people with intellectual disabilities. Specifically, this study analyses transition partnership programs, as the professionals involved in them see them. The information is obtained in two stages: in the first stage 45 interviews to professionals working in this field are conducted. In the second stage we develop a study applying the Delphi method in which two panels of experts, the first one with educational professionals and the second one with professionals working with afters chool services, were asked about several topics. The results show a lack of continuity underlying the actions taken in support of young people with ID during the transition process. Insufficient information and collaboration among services and professionals and a lack of leadership are the main problems perceived by professionals. The study helps to identify problems in the transition partnership programs and establishes actions in order to enhance the transition process

Trajectory and predictors of quality of life in first episode psychotic mania.

BACKGROUND: Little is known about the trajectory of quality of life (QoL) following a first episode of psychotic mania in bipolar disorder (BD). This 18-month longitudinal study investigated the trajectory of QoL, and the influence of premorbid adjustment and symptoms on 18-month QoL in a cohort of young people experiencing a first episode of psychotic mania. METHODS: As part of an overarching clinical trial, at baseline, sixty participants presenting with a first episode of psychotic mania (BD Type 1 - DSM-IV) completed symptomatic and functional assessments in addition to the Premorbid Adjustment Scale - General Subscale. Symptom measures were repeated at 18-month follow up. QoL was rated using the Quality of Life Scale (QLS) at designated time points. RESULTS: Mean QLS scores at initial measurement (8 weeks) were 61% of the maximum possible score, increasing significantly to 70% at 12 months, and 71.2% at 18-month follow-up. Premorbid adjustment and 18-month depressive symptoms were significantly associated with QoL at 18-month follow-up. LIMITATIONS: Study limitations include the small sample size, inclusion of participants with psychotic mania only, use of measures originally designed for use with schizophrenia spectrum disorders, and lack of premorbid or baseline measurement of QoL. CONCLUSIONS: Results suggest that QoL can be maintained early in BD, and reinforce the importance of assertively treating depressive symptoms throughout the course of this disorder. The emergence of a link between premorbid adjustment and poorer QoL in this cohort highlights the importance of assessing facets of adjustment when planning psychological interventions.

Itineraris formatius de joves en situació de risc social que participen en programes de suport acadèmic

Els programes de suport acadèmic són dispositius que pretenen esdevenir un factor compensatori en els itineraris formatius dels joves, principalment en contextos de vulnerabilitat social. Amb aquest treball es vol exemplificar un cas concret, comparant les dades estadístiques del Departament d’Educació amb les dades d’un centre obert. També s’exposen els factors que incideixen en la concreció dels itineraris d’aquests joves per tal de determinar si els programes de suport acadèmic han esdevingut una pràctica d’èxit

Prendre la paraula: l’autogestió juvenil com a foment de la participació social

L’existència d’espais per a joves sovint ha vingut donada per a fomentar la participació dels i les joves a través de la seva organització. Tot i així, la complexitat que pren aquesta ha portat a diferents formes de concebre i organitzar aquests espais, i per tant, diferents formes de dotar aquest foment de la participació. L’autogestió sovint ha estat una vessant poc impulsada des de les polítiques públiques de joventut, sense tenir-ne en compte els beneficis que aquesta pot aportar pel foment de la participació social per a representar un espai de poder decisió i veu directe pels i les mateixes joves

Characterization of clinical and electrocardiographic findings in a youth population

Resting 12-lead electrocardiogram (ECG) has been employed in the evaluation of young asymptomatic subjects to detect pre-existing heart diseases. Although the incorporation of routine ECG remains controversial, there is increasing evidence that cardiomyopathies and ion channelopathies show ECG changes as the initial manifestation. The causes of sudden cardiac death in young people show a significant geographical variation. We aim to determine the prevalence and spectrum of ECG findings in a youth population. Methodology: From May 2010 to April 2013, a total of 976 young secondary school students (mean age, 14 years; range, 13-15) underwent voluntary medical screening that included a resting 12-lead ECG and structured clinical survey. Subjects with abnormal ECG findings were classified into two groups: major ECG findings group, which fulfilled a pre-specified checklist to screen for principal structural and electrical cardiopathies, and minor ECG findings group showing other ECG changes. The major ECG findings group was referred for secondary diagnostic tests at a tertiary institution. Results: Of the 976 subjects screened, 252 (25.82%; CI95%, 23.17-28.66) had ECG findings. Of note, 17 (1.74%) had major findings and 235 (24.08%) had minor findings on ECG. The prevalence of cardiovascular pathology within the major ECG findings group was 35.29%. The prevalence of ECG abnormalities was significantly higher in males than in females (29% vs 20.9%, P<0.01). Conclusions: The prevalence of ECG findings in a youth population was 25.82%. There were significant gender differences. The inclusion of universal ECG screening, in addition to medical history, may increase the sensitivity of a cardiovascular screening program. Knowledge of the spectrum and prevalence of ECG findings and disease conditions would be pivotal in designing customized screening programs

Esbós de les traduccions de l'Editorial Mentora i Llegiu-me: la literatura de consum

Edicions Mentora fou una breu aventura editorial en català a la Barcelona dels anys 1920. Tot i la seva curta existència, Mentora és un agraït objecte d’estudi per als historiadors de la traducció, atès que introduí, sovint amb la col·laboració d’escriptors notables de l’època com Josep Carner o Carles Soldevila, un tipus de novel·la estrangera adreçada a un ampli ventall de públic. Aquesta nova literatura popular, generalment de procedència francesa o anglosaxona, que es podria ja anomenar «de consum», es nodria de llibres d’aventures per a joves i de novel·les sentimentals per a un públic femení.

¿Contribuye a la inclusión laboral la formación que recibe el alumnado con discapacidad intelectual en la ESO?: análisis y propuestas

Las investigaciones centradas en el análisisde buenas prácticas de inclusión laboral depersonas con discapacidad demuestran laimportancia de la formación previa, y específicamente la recibida en la etapa de secundaria. El objetivo de este artículo es presentar los resultados de una investigación sobre las características básicas de la formación laboralque reciben los jóvenes con discapacidadintelectual en la ESO. En el primer apartado se realiza una aproximación al papel de la educación secundaria en el desarrollo del rollaboral desde una óptica inclusiva. A continuación, se presenta la investigación realizada con el objeto de obtener datos sobre la adecuación de la formación socio-laboral que se realiza en la ESO (objetivos, método y resultados). Por último se plantean las orientaciones dirigidas a mejorar las oportunidades futuras de inclusión laboral desde el sistema educativo

Efectos del alcohol y conducción de vehículos: creencias y conductas de los jóvenes

Traffic accidents are one of the causes of death for people between 1 and 45 years old. Many studies verify that the road accidents are related with the consumption of alcohol. This problem, is especially important in the young people and it is increased during dawns of the weekends. Some studies underline the lack of information and knowledge of many young people concerning law on alcohol consummation when driving and the effects of this drug on consumers. Another problem is the amount of mistaken beliefs on what to do neutralize the alcohol’s effect before drive. The objective of our study is to evaluate, in university students, the knowledge of the rules of driving behavior included in the circulation code and the personal beliefs about the effects of the alcohol in driving, and to find the frequency and the circumstances in which young people drive after alcohol consummation. The results suggest many actions that may be considered in the design of preventive campaigns that promotes safety road behavior in order to increase their effectivity