Videoendoscopic diagnosis of esophageal motility disorders

PURPOSE: Looking for a valid, reliable, and feasible method to collect data on the performances of practicing family physicians, the authors compare the measurement characteristics of a multiple-station examination (MSE) using standardized patients with those of a video assessment of regular consultations in daily practice (practice video assessment, PVA). METHOD: In a cross-sectional study, consultations of 90 family physicians were videotaped both in an MSE and in their daily practices. Peer-observers used a validated instrument (MAAS-Global) to assess the physicians' communication with patients and their medical performances. The physicians were randomly divided into two groups, comparable for demographic characteristics, and half underwent the assessments in reverse order to test for time-order effects. Content validity, criterion validity, reliability, and feasibility of the two methods were compared. RESULTS: Content validity of the PVA was superior to that of the MSE, since the domain of general family practice care was better covered. Observed participants judged the videotaped practice consultations to be "natural," whereas hardly any family physician, after reviewing the videotaped consultations of the MSE, recognized his or her usual working style. Specific criteria made it possible to standardize real practice. Concerning criterion validity, only the medical-performance components of the two methods correlated. No correlation was found for the communication components. Real-practice performance proved to be less influenced by observation than was performance during the MSE. The reliabilities of the two methods, expected to be better in the controlled MSE, were comparable. The administration of the PVA was more flexible, less costly, and better accepted by the family physicians than was that of the MSE. CONCLUSION: Assessment for quality improvement of family physicians' practices by video observation in daily practice is superior to video assessment in a simulated setting using standardized patients.     

The Privatisation of Public Property: the Development of a Shopping Mall in Sydney and its Implications for Governance through Spatial Practices

This article examines the planning application and current operation of a new shopping mall in Sydney. I use this analysis to argue that the owners of the mall, Westfield, govern, through spatial practices, the physical space in the mall and the shopping practices of the people who enter the mall. By the term govern I mean the spatial practices by which Westfield controls the shopping area of the mall. I follow the idea of governance inspired by the governmentality literature to show that those connected with the mall are shaped by spatial practices which envisages subjects which are morally free and yet are shaped by shopping mall practices (Foucault, 1975, 1980).

By these spatial practices, I argue, Westfield creates a certain ambience in the mall, which conveys the message that the mall is an attractive and safe location, which welcomes certain customers and excludes others. This collective impression of mall atmosphere, I argue acts as a spatial practice, which in effect governs the mall.

One of the features of shopping malls is that public or civic space is replaced with 'semi-public space' owned by developers. In this context the protection of private property has coalesced with the preservation of public order (Gray and Gray, 2000, p. 23). In shopping malls people considered disruptive to shopping are excluded and shops found in the high street such as pawnshops and second-hand bookshops are not granted a tenancy. Other unwelcome folk include the homeless and groups of teenagers.

n this article I plan to analyse the spatial practices which restrict full public access to such places as the Hornsby shopping mall. Accordingly, I firstly show that the concept of property should rightly be seen as containing social ideas, secondly I discuss the nature of spatial practices, which materially and discursively lead to the exclusion of certain people and thirdly, describe notions of community which help define who are proper mall entrants.     

Reviews

FARMED LANDSCAPES: THE WAY AHEAD by the Agrolandscapes Working Party. RIBA Bookshops, 1981. £1 (paperback).

ECOLOGY AND PLANNING by P.H.Selman, George Godwin, London, 1981.

THE MAKING OF NEIGHBOURHOOD OPEN SPACES: COMMUNITY DESIGN, DEVELOPMENT AND MANAGEMENT by Mark Francis, Lisa Cashdan & Lynn Paxson. Center for Human Environments, City University of New York, 1981.

WATER PLANNING IN BRITAIN by Dennis J. Parker and Edmund C. Penning-Rowsell. Resources Management Series Volume 1, Editors Richard Munton and Judith Rees. George Allen and Unwin, London, 1980.

COUNTRYSIDE PLANNING YEARBOOK edited by Andrew Gilg. Volume 3, 228 pages. Geo Books, Norwich, 1982.     

Sequential Destruction Method for Monte Carlo Evaluation of System Reliability

Circumstances favoring the use of Monte Carlo methods for evaluating the reliability of large systems are discussed. A new method, that of Sequential Destruction (SD) is introduced. The SD method requires no preparatory topological analysis of the system, and remains viable when element failure probabilities are small. It applies to a variety of reliability measures and does not require element failures to be s-independent. The method can be used to improve the performance of selective sampling techniques. Substantial variance reductions, as well as computational savings, are demonstrated using a sample system with more than 100 elements.     

Energy subsidy as a criterion in food policy planning

The assessment of the energy requirement to a production process is one way of assessing the long term viability of such a process. Food production, both agricultural and industrial, are assessed in energy terms for 131 food producing systems. By relating the data to land area utilised in the production process, a methodology is revealed which is useful in long range planning for food production, especially applicable to the less developed countries. It appears that for such countries the industrial methods currently being developed are not necessarily in the best interests of these countries but are more suited to highly developed countries with assured sources of energy.     

An encapsulated helical one-dimensional cobalt iodide nanostructure

Single-walled carbon nanotubes (SWNTs) can be used as templates for the growth of low-dimensional inorganic materials whose structures and properties often differ greatly from those of the bulk. Here we describe the detailed crystallography of an entire helical one-dimensional cobalt diiodide nanostructure encapsulated within a SWNT. This material has an unprecedented twisted double tetrahedral chain structure arising from a rotation of Co(2)I(4) units along its length. The complete nanostructure comprises two distinct regions with oppositely handed helices separated by a short disordered region. The encapsulating SWNT shows a commensurate ovoid distortion reflecting an unexpectedly strong interaction between the nanostructure and the SWNT.     

Predicting future reconviction in offenders with intellectual disabilities: The predictive efficacy of VRAG, PCL-SV, and the HCR-20.

Accurate predictions of future reconviction, including those for violent crimes, have been shown to be greatly aided by the use of formal risk assessment instruments. However, it is unclear as to whether these instruments would also be predictive in a sample of offenders with intellectual disabilities. In this study, the authors have shown that the Violence Risk Appraisal Guide (V. L. Quinsey, G. T. Harris, M. E. Rice, & C. Cormier, 1998); the Psychopathy Checklist--Screening Version (S. D. Hart, D. N. Cox, & R. D. Hare, 1995); and the History, Clinical, Risk Management--20 (C. D. Webster, K. S. Douglas, D. Eaves, & S. D. Hart, 1997) were all significant predictors of violent and general reconviction in this sample, and in many cases, their efficacy was greater than in a control sample of mentally disordered offenders without an intellectual disability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)