A Web-based review of sexual and reproductive health services available at colleges and universities in Georgia

Objective: Although two-thirds of graduating high school seniors attend college or university in the U.S., there is a paucity of national or state specific research regarding SRH services available on or near college and university campuses.

Methods: A review of websites for all colleges and universities in Georgia was conducted to evaluate sexual health services available on campuses and evidence of referral to community providers.

Results: Of 96 colleges in Georgia, 44 had campus-located health centers, with only 3 at two-year colleges. Overall SRH service provision was low, with great variation between colleges. Distances between colleges and Title X clinics ranged from 0.33 to 35.45 miles.

Conclusions: Many students lack access to campus health centers, and information on college websites regarding SRH service availability and referrals differs dramatically between campuses. In the absence of robust campus-located services, schools should highlight where students can obtain comprehensive SRH care in the community.     

Rational and non-rational planning

People's views on planning differ widely, as this article demonstrates. Within the broad field of planning, strategic policy-making is becoming ever more important. The authors aim to discuss a number of well known concepts, methods and theoretical approaches as they appear in the business and management literature of planning. In Part 1 they indicate the variety of planning attitudes and discuss why planning is necessary and what it entails. In Part 2, with the aid of conceptual frameworks, they discuss various planning approaches and new developments and end with an examination of rational planning and strategic policy making.     

汉代诸侯官吏自杀现象剖析

根据纪传体正史记载统计，两汉（包括新朝）诸侯官吏自杀现象屡屡出现。究其自杀动机有被迫、惧祸、守节和保全家室等。这种自杀现象的社会根源是囿于礼的传统、对精神自由或肉体尊严的维护以及儒家经义的影响，它是特定公共行政和政治强权下形成的一种扭曲的社会习俗     

Impact of Acquired Immunity and Dose‐Dependent Probability of Illness on Quantitative Microbial Risk Assessment

Dose‐response models in microbial risk assessment consider two steps in the process ultimately leading to illness: from exposure to (asymptomatic) infection, and from infection to (symptomatic) illness. Most data and theoretical approaches are available for the exposure‐infection step; the infection‐illness step has received less attention. Furthermore, current microbial risk assessment models do not account for acquired immunity. These limitations may lead to biased risk estimates. We consider effects of both dose dependency of the conditional probability of illness given infection, and acquired immunity to risk estimates, and demonstrate their effects in a case study on exposure to Campylobacter jejuni. To account for acquired immunity in risk estimates, an inflation factor is proposed. The inflation factor depends on the relative rates of loss of protection over exposure. The conditional probability of illness given infection is based on a previously published model, accounting for the within‐host dynamics of illness. We find that at low (average) doses, the infection‐illness model has the greatest impact on risk estimates, whereas at higher (average) doses and/or increased exposure frequencies, the acquired immunity model has the greatest impact. The proposed models are strongly nonlinear, and reducing exposure is not expected to lead to a proportional decrease in risk and, under certain conditions, may even lead to an increase in risk. The impact of different dose‐response models on risk estimates is particularly pronounced when introducing heterogeneity in the population exposure distribution.     

Clergy views on their role in city resilience: lessons from the Canterbury earthquakes

Successful emergency management requires effective communication between the civil defence agencies and the community to provide and receive timely and accurate information, and identify needs and resources. Religious communities encompass a wide cross-section of social classes, socio-economic indicators, ethnic groups and ages, and have their own internal communication structures. In this study, clergy in different Christian denominations were asked about their roles in the Canterbury earthquake sequence (CES), the needs of their congregations and the possibilities and obstacles to deeper collaboration with Civil Defence and Emergency Management (CDEM) authorities. Results show a lack of communication between CDEM and religious communities prior to and during the CES, and record suggestions from the participants on how links between organised religion and CDEM can be strengthened to build resilience for future disasters.