This study investigated disparities in dual diagnosis (comorbid substance use and depressive/anxiety disorders) among US adults by nativity and racial–ethnic origin and…
This study investigated disparities in dual diagnosis (comorbid substance use and depressive/anxiety disorders) among US adults by nativity and racial–ethnic origin and socioeconomic, cultural, and psychosocial factors that may account for the observed disparities.
The study drew on data from two waves of the National Epidemiological Survey on Alcohol and Related Conditions. Racial–ethnic categories included African, Asian/Pacific Islander, European, Mexican, Puerto Rican, and other Hispanic/Latino. Substance use and depressive/anxiety disorders were assessed per DSM-IV. A four-category measure of comorbidity was constructed: no substance use or psychiatric disorder; substance use disorder only; depressive/anxiety disorder only; and dual diagnosis. The data were analyzed using multinomial logistic regression.
The prevalence of dual diagnosis was low but varied by nativity, with the highest rates among Europeans and Puerto Ricans born in US states, and the lowest among Mexicans and Asians/Pacific Islanders. The nativity and racial–ethnic effects on likelihood of having dual diagnosis remained significant after all adjustments.
The limitations included measures of immigrant status, race–ethnicity, and stress and potential misdiagnosis of mental disorder among ethnic minorities.
This new knowledge will help to guide public health and health care interventions addressing immigrant mental and behavioral health gaps.
This study addressed the research gap in regard to the prevalence and correlates of dual diagnosis among immigrants and racial–ethnic minorities. The study used the most current and comprehensive data addressing psychiatric conditions among US adults and examined factors rarely captured in epidemiologic surveys (e.g., acculturation).
The mainstream of current research work in array tactile sensors concentrates on using a soft compliant membrane as a means of transmitting the effect of variable external stimuli to the discrete sensing elements. The soft compliant devices are usually made of a thin flexible substrate such as pressure sensitive pads, conductive materials, conductive coatings, piezoelectric polymers or elastomers. A large number of tactile sensor designs using these types of materials have been investigated by researchers. These include the use of anisotropically conductive silicone rubber (ACS), sponges containing carbon particles or felted carbon fibres, piezoelectric polymers such as polyvinylidene fluoride (PVF2) and conductive elastomers such as Dynacom materials consisting of silicone rubber mixed with metallic compounds.
Describes how a Bristol‐based health authority has established its own TQM approach for continuous improvement of patient care and customer service. Presents the components of their TQM strategy ‐ ′Towards Total Quality′, together with the key opportunities and obstacles inherent in implementing TQM.
BIM education for construction professionals has tended to lag industry developments. This investigation initiates doctoral research into the use of BIM for construction…
BIM education for construction professionals has tended to lag industry developments. This investigation initiates doctoral research into the use of BIM for construction education. The purpose of this study is to gain an understanding of existing examples of BIM education, their characteristics, the challenges faced in their implementation and any clear trends to focus the doctoral research effort.
A systematic search of peer-reviewed BIM education literature was carried out. From the articles captured, 51 specific cases of BIM education were identified and analysed.
Most cases are from the USA with a more global spread from 2013. A tendency towards interdisciplinary collaboration was apparent though single discipline courses remain important. BIM software in education is dominated by Autodesk products. Most cases were found to be BIM-focused with few examples of BIM-enabled education. This was consistent with the most significant BIM education challenges that were found to relate to the skill levels of students, time and the availability of technical support.
This is an initial study. It is based on only 51 cases of BIM education, which were partially described in peer reviewed conference and journal papers available in international databases.
The investigation has shed some light on existing examples of BIM education and these are useful in designing BIM education initiatives as well as directing further research efforts.
The study offers an original perspective on global BIM education. It also represents the commencement of doctoral research.
This paper gives a review of the finite element techniques (FE) applied in the area of material processing. The latest trends in metal forming, non‐metal forming, powder…
This paper gives a review of the finite element techniques (FE) applied in the area of material processing. The latest trends in metal forming, non‐metal forming, powder metallurgy and composite material processing are briefly discussed. The range of applications of finite elements on these subjects is extremely wide and cannot be presented in a single paper; therefore the aim of the paper is to give FE researchers/users only an encyclopaedic view of the different possibilities that exist today in the various fields mentioned above. An appendix included at the end of the paper presents a bibliography on finite element applications in material processing for 1994‐1996, where 1,370 references are listed. This bibliography is an updating of the paper written by Brannberg and Mackerle which has been published in Engineering Computations, Vol. 11 No. 5, 1994, pp. 413‐55.
The role of the learning disability (LD) nurse has developed and expanded significantly within recent years, especially their responsibility for delivering a variety of…
The role of the learning disability (LD) nurse has developed and expanded significantly within recent years, especially their responsibility for delivering a variety of specialist treatment programmes. The purpose of this paper is to discuss the facilitation of Sex Offender Treatment Programmes (SOTP) and the issues this raises in providing support for LD nurses.
This is an opinion paper and the views and opinions expressed are solely those of the author and do not necessarily reflect the views of any organisation or group with which the author is affiliated. The aims of this paper are: first, to explore the support needs of the LD nurse facilitators of SOTPs; second, to consider the practical implications of providing clinical supervision and support for LD nurse facilitators of SOTPs; and third, to highlight the need for further research in this area.
This paper does not contain original research findings but offers a discussion of the support needs of the LD nurse who facilitate SOTP, concentrating on the specific themes of training, clinical supervision and support.
Implications for clinical practice are identified and recommendations for further research are made.
Whilst this is not the first consideration of the support needs of facilitators of SOTPs, it offers a contribution to the discussion of how best to support the LD nurse to continue to deliver the high quality, specialist care for people with learning disabilities.
Japanese materialistic behavior and consumption trends are examined by comparing age‐cohort differences between the Japanese “new breed” and “second baby‐boomer…
Japanese materialistic behavior and consumption trends are examined by comparing age‐cohort differences between the Japanese “new breed” and “second baby‐boomer age‐cohorts”. Price perception, brand loyalty, and shopping‐information sources of the two age‐cohorts are also assessed. Results suggest that the Japanese new breed is more materialistic, sensitive to prestige, brand loyal, and likely to use media as their shopping information source as compared to second baby‐boomer. On the other hand, second baby‐boomers are less materialistic, value conscious, less brand loyal, and more likely to rely on word‐of‐mouth communication as their information sources as compared to the Japanese new breeds.
Three new directors have been named for the Board of the Aero Engine Division of Rolls‐Royce Ltd. They are Mr L. G. Dawson, B.Sc. (Eng.), (Director of Advanced Engineering), Mr E. M. Eltis, B.Sc.(Eng.) (Director and General Manager, Engineering), and Mr T. L. Metcalfe, B.Sc.(Eng.), M.I.Mcch.E.
The INSTITUTE OF PETROLEUM HELD their Annual Dinner at Grosvenor House on February 19th, when a record gathering of well over 1,400 members and their guests attended. A number of distinguished guests of the President were present, including Sir Owen Wansbrough‐Jones, K.B.E., C.B., The Chief Scientist, Ministry of Supply, Vice‐Admiral N. E. Dalton, C.B., O.B.E., Engineer‐in‐Chief to the Fleet, The Rt. Hon. The Viscount Simon, C.M.G., President of the Chamber of Shipping, Air Chief Marshal Sir Walter Dawson, K.B.C., C.B.E., D.S.O., Air Member for Supply and Organisation, The Air Ministry, and many Presidents of scientific institutions, Past‐Presidents of the I.Pet., Directors of leading oil companies, etc.