818 research outputs found
Canonical Generations and the British Left: The Narrative Construction of the Miners’ Strike 1984–85
‘Generations’ have been invoked to describe a variety of social and cultural relationships, and to understand the development of self-conscious group identity. Equally, the term can be an applied label and politically useful construct; generations can be retrospectively produced. Drawing on the concept of ‘canonical generations’ – those whose experiences come to epitomise an event of historic and symbolic importance – this article examines the narrative creation and functions of ‘generations’ as collective memory shapes and re-shapes the desire for social change. Building a case study of the canonical role of the miners’ strike of 1984–85 in the narrative history of the British left, it examines the selective appropriation and transmission of the past in the development of political consciousness. It foregrounds the autobiographical narratives of activists who, in examining and legitimising their own actions and prospects, (re)produce a ‘generation’ in order to create a relatable and useful historical understanding
Importance of the Assessment of Left Ventricular Function Following a Diagnosis of Left Bundle Branch Block
Background Left bundle branch block (LBBB) is a diagnosis often encountered in clinical practice. It can be seen as a harbinger of decreased left ventricular function in the future. LBBB has been associated with new onset congestive heart failure (CHF) and death from cardiovascular diseases.1
Problem Statement LBBB in and of itself is given inadequate follow-up and attention by clinicians. Project AIM: bring to light the delay in follow-up after diagnosis of LBBB
Diagnosis and management of nephrotic syndrome in an adult patient: A case report
Introduction: Nephrotic syndrome is a disorder characterized by proteinuria \u3e3.5 g/24 hr, hypoalbuminemia /dL, and peripheral edema. The underlying etiology of the condition is influenced in large part by the age of the patient. In children under the age of 16, a large majority of cases are secondary to minimal change disease, whereas in adults the causes are more varied to include focal segmental glomerulosclerosis and membranous nephropathy. Case Report: A 68-year-old male with nephrotic range proteinuria who required workup with laboratory studies, immunological screening, and both light microscopy as well as electron microscopy to arrive at a diagnosis of minimal change disease. Conclusion: Also included is a review of previously published studies regarding minimal change disease and its association with non-Hodgkin lymphoma in the adult population, along with a discussion of current treatment approaches and a comparison of their efficacies
Geometric phase outside a Schwarzschild black hole and the Hawking effect
We study the Hawking effect in terms of the geometric phase acquired by a
two-level atom as a result of coupling to vacuum fluctuations outside a
Schwarzschild black hole in a gedanken experiment. We treat the atom in
interaction with a bath of fluctuating quantized massless scalar fields as an
open quantum system, whose dynamics is governed by a master equation obtained
by tracing over the field degrees of freedom. The nonunitary effects of this
system are examined by analyzing the geometric phase for the Boulware, Unruh
and Hartle-Hawking vacua respectively. We find, for all the three cases, that
the geometric phase of the atom turns out to be affected by the space-time
curvature which backscatters the vacuum field modes. In both the Unruh and
Hartle-Hawking vacua, the geometric phase exhibits similar behaviors as if
there were thermal radiation at the Hawking temperature from the black hole.
So, a measurement of the change of the geometric phase as opposed to that in a
flat space-time can in principle reveal the existence of the Hawking radiation.Comment: 14 pages, no figures, a typo in the References corrected, version to
appear in JHEP. arXiv admin note: text overlap with arXiv:1109.033
Monitoring outdoor tobacco policies of Virginia colleges: A descriptive analysis
Purpose: The purpose of this study was to monitor current outdoor tobacco policies of colleges within the state of Virginia.
Methods: The tobacco policies of 2-year public colleges, 4-year public colleges, and 4-year private non-profit colleges in Virginia were located online. The policies were then categorized according to the types of tobacco products that were prohibited (Smoking Policies, Tobacco Policies, and E-cigarette Policies) and where those products were prohibited outdoors (No Policy, Entrance Policy, Perimeter Policy, Designated Smoking Areas Policy, All Grounds Policy).
Findings: From a final sample of 62 college policies, 2 (3%) had No Policy, 29 (47%) had an Entrance Policy, 12 (19%) had a Perimeter Policy, 10 (16%) had a Designated Smoking Areas Policy, and 9 (15%) had an All Grounds Policy.
Conclusions: The far majority of colleges do not meet national recommendations for outdoor tobacco policies. Practical implications and suggestions for future research are discussed in the article
Metastatic Cancers Treated with Concurrent PD-1 Inhibition and Stereotactic Ablative Radiotherapy (SABR)
Conceptualising production, productivity and technology in pharmacy practice: a novel framework for policy, education and research.
CONTEXT AND BACKGROUND: People and health systems worldwide face serious challenges due to shifting disease demographics, rising population demands and weaknesses in healthcare provision, including capacity shortages and lack of impact of healthcare services. These multiple challenges, linked with the global push to achieve universal health coverage, have made apparent the importance of investing in workforce development to improve population health and economic well-being. In relation to medicines, health systems face challenges in terms of access to needed medicines, optimising medicines use and reducing risk. In 2017, the International Pharmaceutical Federation (FIP) published global policy on workforce development ('the Nanjing Statements') that describe an envisioned future for professional education and training. The documents make clear that expanding the pharmacy workforce benefits patients, and continually improving education and training produces better clinical outcomes. AIMS AND PURPOSE: The opportunities for harnessing new technologies in pharmacy practice have been relatively ignored. This paper presents a conceptual framework for analysing production methods, productivity and technology in pharmacy practice that differentiates between dispensing and pharmaceutical care services. We outline a framework that may be employed to study the relationship between pharmacy practice and productivity, shaped by educational and technological inputs. METHOD AND RESULTS: The analysis is performed from the point of view of health systems economics. In relation to pharmaceutical care (patient-oriented practice), pharmacists are service providers; however, their primary purpose is not to deliver consultations, but to maximise the quantum of health gain they secure. Our analysis demonstrates that 'technology shock' is clearly beneficial compared with orthodox notions of productivity or incremental gain implementations. Additionally, the whole process of providing professional services using 'pharmaceutical care technologies' is governed by local institutional frames, suggesting that activities may be structured differently in different places and countries. DISCUSSION AND CONCLUSION: Addressing problems with medication use with the development of a pharmaceutical workforce that is sufficient in quantity and competence is a long-term issue. As a result of this analysis, there emerges a challenge about the profession's relationship with existing and emerging technical innovations. Our novel framework is designed to facilitate policy, education and research by providing an analytical approach to service delivery. By using this approach, the profession could develop examples of good practice in both developed and developing countries worldwide
Quantization of Midisuperspace Models
We give a comprehensive review of the quantization of midisuperspace models.
Though the main focus of the paper is on quantum aspects, we also provide an
introduction to several classical points related to the definition of these
models. We cover some important issues, in particular, the use of the principle
of symmetric criticality as a very useful tool to obtain the required
Hamiltonian formulations. Two main types of reductions are discussed: those
involving metrics with two Killing vector fields and spherically symmetric
models. We also review the more general models obtained by coupling matter
fields to these systems. Throughout the paper we give separate discussions for
standard quantizations using geometrodynamical variables and those relying on
loop quantum gravity inspired methods.Comment: To appear in Living Review in Relativit
E. coli metabolic protein aldehydealcohol dehydrogenase-E binds to the ribosome: a unique moonlighting action revealed
It is becoming increasingly evident that a high degree of regulation is involved in the protein synthesis machinery entailing more interacting regulatory factors. A multitude of proteins have been identified recently which show regulatory function upon binding to the ribosome. Here, we identify tight association of a metabolic protein aldehyde-alcohol dehydrogenase E (AdhE) with the E. coli 70S
ribosome isolated from cell extract under low salt wash conditions. Cryo-EM reconstruction of the ribosome sample allows us to localize its position on the head of the small subunit, near the mRNA entrance. Our study demonstrates substantial RNA unwinding activity of AdhE which can account for the ability of ribosome to translate through downstream of at least certain mRNA helices. Thus far, in
E. coli, no ribosome-associated factor has been identified that shows downstream mRNA helicase activity. Additionally, the cryo-EM map reveals interaction of another extracellular protein, outer membrane protein C (OmpC), with the ribosome at the peripheral solvent side of the 50S subunit. Our result also provides important insight into plausible functional role of OmpC upon ribosome binding.
Visualization of the ribosome purified directly from the cell lysate unveils for the first time interactions
of additional regulatory proteins with the ribosom
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