Suchergebnisse

The history of film censorship in the United Kingdom has been well covered at national level, and several authoritative accounts published. However less attention has been paid to the bodies who still have the final say, the local licensing authorities, and there has been little analysis of their own records. This study looks at primary sources in two councils that were active censors during the 1950s and 1960s. It shows how councils such as Manchester were at the forefront of the move towards more liberal censorship of films in those decades, and were ahead of the British Board of Film Censors in their approach to film in areas such as educational films, depiction of nudity and "adult" story-lines and language. Other councils like Sale, just to the south of Manchester, attempted to 'hold back the tide' of X-films and the BBFC had to steer a course between these opposing tendencies as well as taking account of public and political opinion.As well as shedding new light on the local licensing process at the time, the study reveals some discrepancies in a standard reference. This research was originally carried out in 2002 for an Open University project and thus pre-dates the Licensing Act 2003.

Abstract. The first Special Observation Period of the HyMeX campaign took place in the Mediterranean between September and November 2012 with the aim of better understanding the mechanisms which lead to heavy precipitation events (HPEs) in the region during the autumn months. Two such events, referred to as Intensive Observation Period 6 (IOP6) and Intensive Observation Period 7a (IOP7a), occurred respectively on 24 and 26 September over south-eastern France. IOP6 was characterised by moderate to weak low-level flow which led to heavy and concentrated convective rainfall over the plains near the coast, while IOP7a had strong low-level flow and consisted of a convective line over the mountainous regions further north and a band of stratiform rainfall further east. Firstly, an ensemble was constructed for each IOP using analyses from the AROME, AROME-WMED, ARPEGE and ECMWF operational models as initial (IC) and boundary (BC) conditions for the research model Meso-NH at a resolution of 2.5 km. A high level of model skill was seen for IOP7a, with a lower level of agreement with the observations for IOP6. Using the most accurate member of this ensemble as a CTRL simulation, three further ensembles were constructed in order to study uncertainties related to cloud physics and surface turbulence parameterisations. Perturbations were introduced by perturbing the time tendencies of the warm and cold microphysical and turbulence processes. An ensemble where all three sources of uncertainty were perturbed gave the greatest degree of dispersion in the surface rainfall for both IOPs. Comparing the level of dispersion to that of the ICBC ensemble demonstrated that when model skill is low (high) and low-level flow is weak to moderate (strong), the level of dispersion of the ICBC and physical perturbation ensembles is (is not) comparable. The level of sensitivity to these perturbations is thus concluded to be case dependent.

Abstract. In autumn, southeastern France is often affected by heavy precipitation events which may result in damaging flash-floods. The 20 October and 1 November 2008 are two archetypes of the meteorological situations under which these events occur: an upper-level trough directing a warm and moist flow from the Mediterranean towards the Cévennes ridge or a quasi stationary meso-scale convective complex developing over the Rhone valley. These two types of events exhibit a contrasting level of predictability; the former being usually better forecast than the latter. Control experiments performed with the Meso-NH model run with a 2.5 km resolution confirm these predictability issues. The deterministic forecast of the November case (Cévennes ridge) is found to be much more skilful than the one for the October case (Rhone valley). These two contrasting situations are used to investigate the sensitivity of the model for cloud physics parameterisation uncertainties. Three 9-member ensembles are constructed. In the first one, the rain distribution intercept parameter is varied within its range of allowed values. In the second one, random perturbations are applied to the rain evaporation rate, whereas in the third one, random perturbations are simultaneously applied to the cloud autoconversion, rain accretion, and rain evaporation rates. Results are assessed by comparing the time and space distribution of the observed and forecasted precipitation. For the Rhone valley case, it is shown that not one of the ensembles is able to drastically improve the skill of the forecast. Taylor diagrams indicate that the microphysical perturbations are more efficient in modulating the rainfall intensities than in altering their localization. Among the three ensembles, the multi-process perturbation ensemble is found to yield the largest spread for most parameters. In contrast, the results of the Cévennes case exhibit almost no sensitivity to the microphysical perturbations. These results clearly show that the usefulness of an ensemble prediction system based upon microphysical perturbations is case dependent. Additional experiments indicate a greater potential for the multi-process ensemble when the model resolution is increased to 500 m.

AbstractIntroductionThe advent of COVID‐19 has put pressure on health systems as they implement measures to reduce the risk of transmission to people living with HIV (PLHIV) and healthcare workers. For two out‐of‐facility individual differentiated service delivery (DSD) models, we assessed acceptability of antiretroviral therapy (ART) distribution through private pharmacies and reach of home delivery of ART through courier services during the COVID‐19 pandemic in Botswana.MethodsFrom 24 July to 24 August 2020, we conducted exit interviews with PLHIV receiving ART from 10 high‐volume public facilities in Gaborone, and mapped and conducted an online survey with private pharmacies to assess willingness and capacity to dispense ART to PLHIV enrolled in the Botswana national ART program. We piloted ART home delivery from September 2020 to January 2021 in Gaborone and Kweneng East districts for PLHIV accessing ART at two Tebelopele Wellness Clinics. We used cascade analysis to measure the enrolment and eventual reach (percentage of those reached amongst those who are eligible) of ART home delivery.ResultsSixty‐one PLHIV and 42 private pharmacies participated. Of the PLHIV interviewed, 37 (61%) indicated willingness to access ART from private pharmacies and pay BWP50 (∼US$4) per refill for a maximum of two refills per year. All private pharmacies surveyed were willing to provide ART, and 26 (62%) would charge a dispensing fee (range = BWP50–100; ∼US$4–8) per refill. All pharmacies operated 12 h/day, 6 days/week and on public holidays. In the home delivery pilot, 650 PLHIV were due for refills, 69.5% (n = 452) of whom were eligible for home delivery. Of these, 361 were successfully offered home delivery and 303 enrolled (enrolment = 83.9%: female = 87.2%, male = 77.8%, p = 0.013). A total of 276 deliveries were made, a reach of 61%.ConclusionsProviding ART through private pharmacies and home delivery was acceptable in Botswana during COVID‐19. Surveyed pharmacies were willing and able to dispense ART to PLHIV attending public sector facilities for free or for a nominal fee. Additionally, using courier services for ART home delivery is a novel and viable model in countries with a reliable courier service like Botswana and should be scaled up, particularly in urban areas.

Finding new HIV-positive cases remains a priority to achieve the UNAIDS goals. An enhanced peer outreach approach (EPOA) was implemented to expand the delivery of HIV services to female sex workers (FSWs) and men who have sex with men (MSM) in three countries in West and Central Africa. The aim of EPOA is to identify new HIV-positive cases. EPOA was implemented in Burundi among FSWs, and in Cote d'Ivoire and Democratic Republic of the Congo (DRC) among both FSWs and MSM. Implementation ranged from five to nine weeks and was nested within a three-month reporting period. Standard outreach was suspended for the duration of EPOA implementation but was resumed thereafter. Summary service statistics were used to compare HIV seropositivity during standard outreach and EPOA. Trends were analyzed during the quarter in which EPOA was implemented, and these were compared with the two preceding quarters. Differences in proportions of HIV seropositivity were tested using Pearson's chi-square test; p-values of less than 0.05 were considered statistically significant. Overall, EPOA resulted in a higher proportion of new HIV-positive cases being found, both within and between quarters. In Burundi, HIV seropositivity among FSWs was significantly higher during EPOA than during standard outreach (10.8% vs. 4.1%, p<0.001). In Cote d'Ivoire, HIV seropositivity was significantly higher during EPOA among both populations (FSWs: 5.6% vs. 1.81%, p<0.01; MSM: 15.4% vs. 5.9%; p<0.01). In DRC, HIV seropositivity was significantly higher during EPOA among MSM (6.9% vs. 1.6%; p<0.001), but not among FSWs (5.2% vs. 4.3%; p = 0.08). Trends in HIV seropositivity during routine outreach for both populations were constant during three successive quarters but increased with the introduction of EPOA. EPOA is a public health approach with great potential for reaching new populations and ensuring that they are aware of their HIV status.

Abstract. The e-Science environment developed in the framework of the EU-funded DRIHM project was used to demonstrate its ability to provide relevant, meaningful hydrometeorological forecasts. This was illustrated for the tragic case of 4 November 2011, when Genoa, Italy, was flooded as the result of heavy, convective precipitation that inundated the Bisagno catchment. The Meteorological Model Bridge (MMB), an innovative software component developed within the DRIHM project for the interoperability of meteorological and hydrological models, is a key component of the DRIHM e-Science environment. The MMB allowed three different rainfall-discharge models (DRiFt, RIBS and HBV) to be driven by four mesoscale limited-area atmospheric models (WRF-NMM, WRF-ARW, Meso-NH and AROME) and a downscaling algorithm (RainFARM) in a seamless fashion. In addition to this multi-model configuration, some of the models were run in probabilistic mode, thus giving a comprehensive account of modelling errors and a very large amount of likely hydrometeorological scenarios (> 1500). The multi-model approach proved to be necessary because, whilst various aspects of the event were successfully simulated by different models, none of the models reproduced all of these aspects correctly. It was shown that the resulting set of simulations helped identify key atmospheric processes responsible for the large rainfall accumulations over the Bisagno basin. The DRIHM e-Science environment facilitated an evaluation of the sensitivity to atmospheric and hydrological modelling errors. This showed that both had a significant impact on predicted discharges, the former being larger than the latter. Finally, the usefulness of the set of hydrometeorological simulations was assessed from a flash flood early-warning perspective.

AbstractIntroductionGlobally, over half of the estimated new HIV infections now occur among key populations, including men who have sex with men, sex workers, people who inject drugs, transgender individuals, and people in prisons and other closed settings, and their sexual partners. Reaching epidemic control will, for many countries, increasingly require intensified programming and targeted resource allocation to meet the needs of key populations and their sexual partners. However, insufficient funding, both in terms of overall amounts and the way the funding is spent, contributes to the systematic marginalization of key populations from needed HIV services.DiscussionThe Joint United Nations Programme on HIV/AIDS (UNAIDS) has recently highlighted the urgent need to take action to end inequalities, including those faced by key populations, which have only been exacerbated by the COVID‐19 pandemic. To address these inequalities and improve health outcomes, key population programs must expand the use of a trusted access platform, scale up differentiated service delivery models tailored to the needs of key populations, rollout structural interventions and ensure service integration. These critical program elements are often considered "extras," not necessities, and consequently costing studies of key population programs systematically underestimate the total and unitary costs of services for key populations. Findings from a recent costing study from the LINKAGES project suggest that adequate funding for these four program elements can yield benefits in program performance. Despite this and other evidence, the lack of data on the true costs of these elements and the costs of failing to provide them prevents sufficient investment in these critical elements.ConclusionsAs nations strive to reach the 2030 UNAIDS goals, donors, governments and implementers should reconsider the true, but often hidden costs in future healthcare dollars and in lives if they fail to invest in the community‐based and community‐driven key population programs that address structural inequities. Supporting these efforts contributes to closing the remaining gaps in the 95‐95‐95 goals. The financial and opportunity cost of perpetuating inequities and missing those who must be reached in the last mile of HIV epidemic control must be considered.