Review

A new year means new fitness goals. But options for people with disability are few and far between

Retrieved on: 
Wednesday, January 17, 2024

Adults living with disability can experience a range of benefits from participating in community-based physical activities such as dance, Tai Chi and yoga, our recently published review found.

Key Points: 
  • Adults living with disability can experience a range of benefits from participating in community-based physical activities such as dance, Tai Chi and yoga, our recently published review found.
  • Yet adults with disability are less physically active than those without disability, with inclusive community-based physical activities few and far between.
  • This puts people with disability at increased risk of further disability.

Benefits of physical activity

  • Our systematic review included 74 trials with 2,954 men and women living with mild-to-moderate physical and intellectual disability.
  • All but one of these physical activities were delivered in condition-specific groups (for example, a group for people with Parkinson’s disease).
  • Benefits included improvements in walking, balance and quality of life, and reductions in fatigue, depression and anxiety.

Considerations for physical recreation in the community

  • Some physical recreation activities included in the review used adjustments and extra equipment to be suitable for people with disability.
  • Most local community-based recreation groups should be able make simple adjustments to meet the needs of people living with mild to moderate disability.
  • It may also limit the confidence of the person with disability to join a local class.

Access to services is a basic right

  • Australia also has a Disability Discrimination Act (1992).
  • But this seems to provide little incentive for services to take active measures to prevent disability discrimination.


The commission’s final report recommended strengthening laws to protect people with disability, prevent discrimination, and build a more inclusive society. Momentum and expectation is growing in Australian society for better inclusion for people living with disability.

So what can we do for better physical activity inclusion?

  • First, more physical activity options suitable for people with disability are needed in the community.
  • People with disability will then be able to choose an activity that suits their needs and preference.
  • Second, community-based physical activities need to enable the person with disability to access the setting safely and have equipment suitable to use.
  • Anne Tiedemann has received funding from the National Health and Medical Research Council and the Medical Research Future Fund.
  • Cathie Sherrington has received funding from the National Health and Medical Research Council and the Medical Research Future Fund.

How to prevent America's aging buildings from collapsing – 4 high-profile disasters send a warning

Retrieved on: 
Wednesday, January 17, 2024

Four recent catastrophic building collapses and a near miss are raising concerns about the state of America’s aging buildings and questions about who, if anyone, is checking their safety.

Key Points: 
  • Four recent catastrophic building collapses and a near miss are raising concerns about the state of America’s aging buildings and questions about who, if anyone, is checking their safety.
  • Many cities have buildings showing signs of aging and in need of repair.

Many disasters had clear warning signs


There were two common threads prior to many of the recent building collapses: visible signs of the defects that eventually led to the building’s demise and a history of documents submitted to city building departments clearly showing deteriorating conditions. For example:

  • Three years earlier, an engineers report had raised concerns about the structural integrity of concrete in the pool deck area that later collapsed, but the strength of the pool deck slab was not thoroughly investigated.
  • Federal investigators in a 2023 preliminary report found that the original design of the pool deck did not follow building standards.


In May 2023, three people died when part of a 116-year-old apartment building in Davenport, Iowa, collapsed. Inspectors pointed to a history of improper maintenance, and photos show clear signs of trouble, such as walls that were bowed.
In April 2023, one person was killed when a New York City parking garage collapsed. The nearly-100-year-old building had several past violations, and its collapse triggered a swift check of similar garages that turned up more potential hazards.
In a near-miss, in November 2023, a large hole opened in the base of another New York City parking garage, offering a view to the Amtrak rail line below. It forced the closure of the line while the building was repaired.

What cities and states can do

  • Just as human beings need to see their physicians on a more regular basis as they age, older buildings also require more care and attention.
  • That is even more important when they are exposed to adverse environmental conditions, such as corrosive de-icing salts in the Northeast and saltwater and salt air moisture in coastal regions.
  • Policies vary by state, but there are currently few widespread mandated rules for structural inspections of entire existing buildings.
  • Several Florida cities and counties have extended the state-mandated periodic inspections to commercial buildings.

Cities need to prioritize inspections

  • In the New York City apartment building, a visible, vertical crack in the corner column, which should have been a glaring red flag, was ignored.
  • The NYC Buildings Department commissioner recently said that “The Department of Buildings does not have enough of its own staff to inspect every building in New York City.”
  • Building departments across the country are understaffed and have oversight challenges.
  • If cities and states enact periodic structural condition assessment rules for existing buildings within their jurisdiction, problems could also be spotted by expert inspectors before they develop into failures.

If you see something, say something

  • Residents also must adopt a more vigilant and proactive approach to identify and prevent structural problems.
  • Anyone can learn to identify the telltale signs of building deterioration and defects, though there may be some hidden structural deterioration behind architectural finishes that may not be visible.


If you see any of the following problems, report them to your landlord or the city building department – they could be signs of structural trouble:
Water intrusion, ponding, leaks, water stains, rust stains and peeling paint on floors or ceilings.
Sagging floors, roofs and ceilings and bulging or bowed walls.
Cracks that are expanding in elevated floors or roof slabs, walls, beams and columns.
Cracks on a floor slab that create a trip hazard, or wall cracks, which may be the result of the foundation settling.
Chunks of concrete falling from slabs, beams, walls and columns; and exposed rusted steel reinforcement.
Rusting or corroded steel beams and columns.
Balconies where the rainwater drains toward the interior of the building, rather than away from it.
Rotted wood structural parts, such as floor joists or wall studs.
Everyone needs to understand the warning signs and be willing to speak up so officials and building owners take the necessary steps to stem this scary tide and protect residents. Our buildings are talking to us, and in some cases crying out for help – it’s time everyone listened.
Abieyuwa Aghayere does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

Highlights - Industrial Emissions: vote on the outcome of interinstitutional negotiations - Committee on the Environment, Public Health and Food Safety

Retrieved on: 
Tuesday, January 16, 2024

Industrial Emissions: vote on the outcome of interinstitutional negotiations

Key Points: 
  • Industrial Emissions: vote on the outcome of interinstitutional negotiations
    On 11 January, ENVI voted on the provisional agreement on the revision of the Industrial Emission Directive (IED) and the Regulation on the establishment of an Industrial Emissions Portal (IEP) reached on 28 November 2023.
  • The agreement texts aim to ensure better protection of human health and the environment by reducing harmful emissions from agro-industrial installations.
  • The latter are required to operate under a permit, issued by national authorities, using best available techniques (BAT) as the standard.
  • Additionally, the new rules improve transparency and public participation by creating a more comprehensive and integrated industrial emissions portal.

Why the Post Office was able to bring private prosecutions in the Horizon IT scandal

Retrieved on: 
Tuesday, January 16, 2024

That the Post Office was able to bring so many prosecutions – and to conduct them so appallingly – is because the company was not supervised.

Key Points: 
  • That the Post Office was able to bring so many prosecutions – and to conduct them so appallingly – is because the company was not supervised.
  • Just as any other public company or private citizen might, the Post Office brought private prosecutions.
  • As co-directors of the Criminal Law Reform Now Network, we have been working on a review of private prosecutions since 2019.

How private prosecutions are brought

  • To bring a private prosecution, a person or company asks a magistrate to issue a summons against the accused person.
  • When the accused person answers the summons, an ordinary criminal case ensues – not a civil case.
  • This is one duty which the Post Office manifestly declined to perform, as has been highlighted by statutory inquiry into the Post Office Horizon scandal.

Safeguards for private prosecutions

  • There has long been the possibility for the director of public prosecutions (DPP) – who, since 1986, is the head of the CPS – to take over a private prosecution or discontinue it.
  • Since 2009, the policy has been to discontinue private prosecutions which do not meet the same core standards (that there be a realistic prospect of prosecution or that a prosecution is in the public interest) with which the CPS must comply.
  • However, it would normally be up to the accused person themselves to ask that the DDP or CPS should take it over, and the decision would still be made on the basis of the files in the possession of the private prosecutor.

Private prosecutions should be reformed, not abolished

  • It is important not to look at private prosecutions entirely through the prism of the Post Office scandal.
  • Where wealthy and determined victims have the means to investigate and prosecute effectively, they may, in fact, be doing a public service.
  • Some succesful private prosecutions have led to confiscation orders being made against convicted defendants that have resulted in millions of pounds being handed over to the Treasury.
  • In recent years, many legal firms specialising in private prosecutions have formed their own Private Prosecutors’ Association.


The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

Potential risk of neurodevelopmental disorders in children born to men treated with valproate medicines: PRAC recommends precautionary measures

Retrieved on: 
Saturday, January 13, 2024

EMA’s safety committee (PRAC) is recommending precautionary measures for the treatment of male patients with valproate medicines. These measures are to address a potential…

Key Points: 


EMA’s safety committee (PRAC) is recommending precautionary measures for the treatment of male patients with valproate medicines. These measures are to address a potential…

Meeting highlights from the Pharmacovigilance Risk Assessment Committee (PRAC) 8-11 January 2024

Retrieved on: 
Saturday, January 13, 2024

EMA’s safety committee (PRAC) is recommending precautionary measures for the treatment of male patients with valproate medicines.

Key Points: 
  • EMA’s safety committee (PRAC) is recommending precautionary measures for the treatment of male patients with valproate medicines.
  • A safety signal is information which suggests a new potentially causal association, or a new aspect of a known association between a medicine…, Ongoing referralsProcedureStatusUpdateHydroxyprogesterone-containing medicinal products – Article-31 referralUnder evaluationPRAC continued its assessment

Emergency medicine residencies more likely to go unfilled at for-profit and newly accredited programs

Retrieved on: 
Monday, January 8, 2024

The number of unfilled positions in emergency medicine residency programs surged in 2022 and 2023, with the trend most pronounced at programs that were recently accredited or under for-profit ownership.

Key Points: 
  • The number of unfilled positions in emergency medicine residency programs surged in 2022 and 2023, with the trend most pronounced at programs that were recently accredited or under for-profit ownership.
  • The proportion of medical students applying for emergency medicine residencies dropped by 16.8% from 2021 to 2022 and declined another 18.1% from 2022 to 2023.
  • Deepening the problem is the fact that the number of emergency medicine residency programs has grown at the same time.

No checks on the for-profit sector

  • Currently, there are no limits on the number of residency programs or positions in emergency medicine.
  • Despite the fact that positions are already going unfilled, eight new emergency medicine residency programs were accredited during the 2022-23 academic year.

More positions, lower demand

  • In our recent paper, my team and I calculated the number of emergency medicine residency programs that filled all positions in the past two match cycles.
  • Our study shows that in 2022, 277 emergency medicine residency programs offered 2,921 positions and had 219 unfilled positions.
  • Third, emergency medicine residency programs with for-profit clinical sites were less likely to fill all residency positions.

Possible solutions

  • In 1996, the anesthesiology specialty saw the proportion of filled residency positions drop to 45%, an all-time low.
  • No research yet has evaluated board exam pass rates of emergency medicine residents graduating from newly accredited or for-profit clinic sites.
  • And more female residents would be drawn into emergency medicine if disparities in pay and concerns over violence in emergency rooms were systematically resolved.


Cameron Gettel receives funding from the National Institute on Aging (NIA) of the National Institutes of Health and the American Board of Emergency Medicine / National Academy of Medicine Fellowship. The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation or approval of the manuscript.

Senate estimates and inquiries: what are they, what’s the difference, and why do we have them?

Retrieved on: 
Sunday, January 7, 2024

In recent times, we’ve seen plenty of big news stories emerge from senate inquiries and estimates hearings.

Key Points: 
  • In recent times, we’ve seen plenty of big news stories emerge from senate inquiries and estimates hearings.
  • Estimates hearings have, if anything, been even more sensational.
  • Earlier in the year, former Reserve Bank of Australia governor Philip Lowe copped a grilling over inflation and rising rents.

The history of senates

  • This is because senates and “upper houses” in parliamentary systems have traditionally been dominated by older representatives of the establishment.
  • Traditionalists were recently scandalised by the idea of relaxing the dress code to allow hoodies in the chamber.
  • This is why senates and other “upper houses” around the world typically have the power to review and amend legislation passed by their colleagues in the “lower house”.

The importance of committees


Even when it is not debating bills in the chamber, the Australian senate continues to play this role in our democracy by scrutinising government business in its committees. These committees conduct their own hearings, investigations and inquiries. Broadly speaking, and with some exceptions, there are three types of senate committee:
standing committees, which serve for the full length of the parliament
select committees, which serve for shorter periods and investigate specific issues
joint committees, which have members from both the senate and the House of Representatives.
There are eight standing committees in the Australian Senate. Each covers different broad areas of policy (like economics or education), and conducts estimates hearings in its area.

So what are senate estimates?

  • According to senate standing orders, estimates hearings are committee proceedings in which senators may “ask for explanations from ministers in the senate, or officers, relating to items of proposed expenditure”.
  • After the budget is handed down in May, senior officials and ministers must front up to standing committees to answer questions about estimates (hence the name) of their expenditure for the coming year.
  • But they’re just as likely to be squabbles between opposing politicians (who could forget this testy exchange, for example).

What about senate inquiries?

  • The other thing to know about senate inquiries is that while they’re not always high profile, there are a lot of them.
  • The senate may only sit for 60-odd days a year, but this doesn’t mean senators get an easy ride.
  • Read more:
    Question Time reforms are worthy but won't solve the problem of a broken political culture

    There are 52 senate inquiries happening right now.

  • But if senate estimates and inquiries go the way of rowdy question time, the upper house’s ability to provide effective and diligent scrutiny will suffer.


Lachlan Johnson does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

Taxes on e-cigarettes: South Africa must strike a balance between economic arguments and health concerns

Retrieved on: 
Sunday, January 7, 2024

Economists and health experts have different, and sometimes conflicting, views on how tax rates should be determined for nicotine products.

Key Points: 
  • Economists and health experts have different, and sometimes conflicting, views on how tax rates should be determined for nicotine products.
  • More generally, they argue for high tax rates and regulations on nicotine products to eliminate or limit negative health consequences.
  • So too in South Africa, which is reconsidering the design of its taxes on tobacco and nicotine.
  • To balance the perspective of economists and health experts, I argue in a recent paper for risk-based tax rates on tobacco and nicotine.

The economists

  • The price would represent the true costs of consumption and the consumer could decide whether they were willing to pay this cost.
  • Without taxes set this way, prices will, for instance, not include the future cost of health treatments of the consumer to the government.
  • And the benefit in the form of savings to the government because of the probable premature death of the consumer.

The health experts

  • In contrast with the economist, health experts argue, by and large, that tax rates on nicotine products should be set to deter consumption.
  • The World Health Organization, for instance, argues that tax rates on HnB products should be set at the same level as cigarettes.
  • Health experts see the role of governments differently from economists; governments should limit negative health outcomes.

The risk-based approach

  • First, they need to collect sufficient tax revenues and limit negative health consequences, which generally calls for high tax rates.
  • This approach takes into consideration the economists’ approach, since health costs form a large part of costs not included in product prices and differ between products.
  • Especially the toxicological evidence, which indicates the toxins released during the consumption of different tobacco and nicotine products, allows for comparison between products.

The case of South Africa

  • South Africa represents an interesting case for applying risk-based taxes.
  • It has the highest income and wealth inequality in the world and an under-performing public healthcare system.


Marius van Oordt receives research funding and is affiliated with the International Tax and Investment Center, an independent, nonprofit research and education organization.

Why does Claudine Gay still work at Harvard after being forced to resign as its president? She's got tenure

Retrieved on: 
Friday, January 5, 2024

Harvard University President Claudine Gay resigned on Jan. 2, 2024, less than one month after University of Pennsylvania President Liz Magill stepped down.

Key Points: 
  • Harvard University President Claudine Gay resigned on Jan. 2, 2024, less than one month after University of Pennsylvania President Liz Magill stepped down.
  • Some members of the public have been surprised to see that both Gay and Magill remain employed by their universities as professors and researchers.

What does having tenure mean?

  • Tenure, as the American Association of University Professors defines it, is “an indefinite appointment” that protects academic jobs.
  • But revoking a scholar’s tenure and the job security that goes with it requires a formal process and investigation.
  • However, universities rarely end tenure, even when they find evidence that a tenured professor is incompetent.

Does it matter that Gay and Magill stepped down instead of being fired?

  • Whether administrators quit or are fired has little bearing on whether they can hang on to their tenured faculty position.
  • When administrators are fired it can justify an investigation of whether there’s cause for their dismissal as tenured faculty too.

What might happen to their salaries and other compensation?

  • During this time period, they are often paid their administrator salaries.
  • However, compensation is usually adjusted back to comparable faculty salaries upon their return to faculty ranks.
  • Neither former president’s salary has been made public, since they were both recent hires and those details are typically released with a significant delay.

What’s the purpose of tenure?


It’s primarily supposed to foster academic research and academic freedom. Once granted tenure, professors and other faculty members may feel more free to research topics that might not be politically popular or that their superior might not approve. Having tenure also makes it easier for professors to discuss sensitive but appropriate topics with their students without fear of reprisal.

What would it take for them to be fired?


Firing any tenured faculty member is a lengthy process. Even if it doesn’t involve a professor who got caught up in a contentious news cycle, the school would form a committee to evaluate any possible charges. The process can take months or years. Given the allegations of plagarism in Gay’s case, she would appear to be in a more precarious situation, but by no means would her dismissal be guaranteed.

What’s changing with tenure?

  • Those professors and lecturers, who outnumber professors with tenure on U.S. campuses, generally teach more courses and earn less money.
  • This creates a double incentive for universities, which essentially get more labor at a cheaper price.
  • It is possible, but highly unlikely, that proceedings will be initiated to dismiss either for cause.


Ray Gibney does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.