No / Fatigue is common in people with multiple sclerosis (MS) and symptoms of fatigue are often reported as the most debilitating symptoms of the disease. However, there are few reports of interventions for fatigue in MS. A systematic review of published literature examining pharmacological and psychosocial/psychological interventions for fatigue in MS was conducted. The search and review strategy undertaken used the Centre for Reviews and Dissemination guidelines. Papers were reviewed by two independent reviewers. Of 81 studies short-listed for inclusion, 15 studies were included, of which 10 were studies of pharmacological therapy and five were studies of psychosocial/psychological interventions. Of the pharmacological studies, two were rated as of moderate-to-high quality, three of moderate quality, two of moderate-to-low quality and three of low quality. Of the psychosocial/psychological studies, three were rated as of moderate quality and two of moderate-to-low quality. None of the studies reviewed reached the highest level of quality according to pre-agreed criteria. Regardless of level of quality, effectiveness of both pharmacological and psychosocial/psychological interventions was modest at best and often absent. Accordingly, there is little evidence-based advice that can be offered to people with MS to help manage their fatigue.

No / This paper presents a knowledge review, undertaken to identify potential barriers affecting the recruitment of British South Asian people into the nursing profession. The review identified eleven studies, which explored attitudes and levels of knowledge towards nursing within the British South Asian population. Many of these studies, although providing useful insights, have methodological limitations. Studies highlighted perceptions among the South Asian population of nursing as a low status and stressful occupation with unsociable working hours and low pay. Nursing members of the opposite sex was not acceptable to some individuals on religious grounds. Others, however, had no problem with this. The review highlights both similarities and differences in attitudes towards nursing amongst the British South Asian population and the majority white population. Factors such as the lack of exposure to positive role models and limited opportunities to gain an insight into the work of nurses suggest that South Asian people might be less likely to consider nursing as a career than their white counterparts. To gain a better understanding of views held towards nursing within this population however, more comparative studies are needed to take an account of diversity in terms of social class, gender, ethnicity and religion.

Yes / To describe the use, effectiveness, and safety outcomes of mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in Latin American countries. Studies reporting MT outcomes for AIS in Latin America were identified in CINAHL, MEDLINE, Web of Science, SciELO, EMBASE, and LILACS databases. Synthesis was conducted according to effectiveness (recanalization rates) and safety measures (mortality and functional independence at 90 days). Seventeen studies were included, mainly from public and university hospitals. MT utilization varied from 2.6% to 50.1%, while successful recanalization ranged from 63% to 95%. Functional independence 90 days after stroke (a modified Rankin scale score of 0 to 2) was achieved in less than 40% across most studies. Mortality rates were below 30%; studies with posterior circulation strokes reported higher mortality rates. The randomized trial reported better health outcomes for functional independence among patients in the MT group (OR 2.28; 95% CI, 1.41 - 3.69), favoring MT over standard care. The included studies had great methodological heterogeneity due to differences in study design, the MT time window, and stroke location. The only randomized trial showed improved functional independence and lower mortality rates with MT than with standard care. The rest of the studies reported similar findings to available literature. Efforts to improve stroke care are reflected in improved patient outcomes in the region. Future studies should consider standard time window criteria and reduce the risk of bias by including representative samples and comparison groups.

No description available.

Despite significant gains in research and programming, domestic violence persists, with domestic homicides remaining a particular concern. Yet, very little has been written about the administrative and policy responses that exist to combat domestic homicide. In Canada, inquiries, inquests, Domestic Violence Death Review Committees, and other models are increasingly being recognized as important policy responses following an intimate partner death. To assess their potential for tertiary prevention, this thesis examines models of inquiry adopted in Ontario, Manitoba, New Brunswick, and British Columbia, using secondary data analysis of relevant literature and reports as well as qualitative interviews with 11 respondents with expertise in one or more of the models. After considering the strengths and limitations of each model of inquiry, the main conclusion drawn is that the models work in complementary fashion such that, in combination, they offer a path forward in combatting the serious problem of domestic homicide. / February 2017

M.A. (Politics) / Please refer to full text to view abstract

Abstract In New Zealand's compulsory education sector quality assurance is undertaken by the Education Review Office (ERO). When a school is found to be less effective than is acceptable through the triennial review process, ERO may return to review that school within six or twelve months. This Supplementary Review is identified to the Ministry of Education (MOE) which has several levels of intervention at its disposal which can be employed singularly or in concert to improve the school. Despite the support and interventions funded and/or managed by MOE, some schools have consecutive Supplementary Reviews and some remain under Statutory Intervention for several years. Commonalities among these schools that repeatedly or consistently present as 'at risk' may indicate a need for greater or different support or intervention. Self managing schools, while effective for many schools, may not be a workable and sustainable proposition for others. This may well be particularly true for those schools identified as 'at risk'. This paper considers ERO's process to identify schools 'at risk' and subsequent interventions employed by MOE to support the Principal and Board of Trustees in addressing improvements required within the school. Statistics and document analysis were used to extract data from documents with findings presented as a series of tables. It seeks a match between what is identified by ERO and the Statutory Intervention engaged by MOE. It explores the commonalities of schools under Statutory Intervention and on Supplementary Review. Practice in other countries is also considered in an effort to understand and contextualise the ideas and beliefs that support these approaches. While there is evidence ERO identifies teacher and Principal performance as major areas of concern, lead issues for Statutory Interventions in the same schools focus on the performance of the Board of Trustees as those with the responsibility of governing the school. The focus on governance to improve school performance is not working for some schools, more or different support may be necessary to effect positive change. The balance between capacity building, incentives and accountability for all involved in schools with Statutory Interventions, appears necessary for those with the capacity to improve.

It is heartening to note that the number of contemporary Swahili scholars whose work is receiving attention in books and university theses is steadily on the increase. This volume adds Abdilatif Abdalla to the list containing, so far as I know, the names of Muhammed Said Abdulla, Ebrahim Hussein and Euphrase Kezilahabi It is a volume on the poetry of Abdalla which Nyaigotti-Chacha writes with wrumth, understanding and a desire to place in perspective the poet`s works, in particular, Utenzi wa maisha ya Adamu na Hawaa (1971) and Sauti ya dhiki (1973) For this reason, perhaps, it tends to be less critical and more informative Nyaigotti--Chacha divides his work into four chapters. The first chapter introduces the reader to the author`s reasons for undertaking to Wiite it, originally his M A thesis at the University of Nairobi (1980) A bdefbut useful biography of Abdilatif Abdalla (ppJ-9), and a theoretical orientation to the author`s analysis of the works (pp 9--11) - socialistic in the Marxian mould - furnishes the reader with the background required fm a better understanding of what follows in the next two chapters which examine Utenzi and Sauti .. respectively The final chapter investigates the skills of Abdalla as a poet

Book Review of: Johannes Fabian (ed.), History from below. The vocabulary of Elisabethville. By Andre Yav. Text, Translations and interpretive essay (Creole Language Library, Vol.7). Edited, translated and commented by Johannes Fabian with assistance from Kalundi Mango. With linguistic notes by W. Schicho. Amsterdam- Philadelphia: John Benjamins, 1990. 236 pp. Review of Noel-Jacques Gueunier (ed.), La chroniques Swahilie du Cad/Umari de Mayotte. Edition critique. (Recherches et Documents, 2).(Madagascar\'): Etablissement d\'Enseignement Superieur des Lettres (CEDRATOM),1989.

Book Review of Ernst Dammann, Afrikanische Handschriften, Teil 1 - Handschriften in Swahili und anderen Sprachen Afrikas