Erythematous Macular Eruption in an Older Woman

A white woman in her 70s with advanced Alzheimer disease was referred to the hematology clinic for evaluation of a high hemoglobin level (169 g/L; normal range, 120-160 g/L) and red blood cell count (5.67 × 1012/L; normal range, 3.8-4.8 × 1012/L) as well as a generalized itch that was worse after a bath. On examination, she had a florid, erythematous macular eruption over the trunk and limbs (Figure, A) but no hepatosplenomegaly or lymphadenopathy. In addition to the high hemoglobin level, mild lymphocytosis (absolute lymphocyte count, 6.2 × 109/L, range 1.5-4.0 × 109/L) was noted with the lymphocyte morphology, suggesting reactive changes. Skin biopsy specimen (Figure, B) showed a normal epidermis with a pericapillary infiltrate of small lymphocytes restricted to the dermis and no leukocytoclastic vasculitis, fungal organisms, or dermal mucin. The absence of cellular atypia and epidermal involvement suggested a diagnosis of lupus, or gyrate or annular erythema, and the need for clinicopathological correlation

Reverse Balkanisation? Trade Integration in South-East Europe. CEPS Working Document, No. 249, 11 August 2006

Recent research from the World Bank and elsewhere suggests that openness to trade was a vital ingredient in the transition of the former Central and Eastern European Countries (CEECs) that joined the EU in May 2004. Current EU association agreements in South East Europe indicate that future enlargements may need to accommodate the remaining former Yugoslav Republics as well as the existing candidate countries. This paper examines persistent concerns that trade openness in South East Europe generally, and the former Yugoslav Republics in particular, is much less advanced than it was for the former CEECs in the mid to late 1990s. In particular we examine the issue of whether the present network of bilateral trade arrangements put in place under the Stability Pact has had much effect in boosting trade integration and whether trade within the region is currently at or below its potential. Given the small size of many of the countries in the region, we find that trade patterns remain problematic. In some cases they are smaller than might be expected but in several cases there is an overdependence on trade with old Yugoslav neighbours. In view of this, we consider that current plans to extend the Stability Pact matrix of bilateral trade agreements into a pan-regional trade association are likely to be inadequate. A better option, and one more likely to have a more immediate effect, would be to extend the present Customs Union with Turkey to include trade with the entire South East European zone of countries linked to the EU

Comparison of calculated and measured lower critical field for some Nb-Ti alloys

Calculation of lower critical fields and comparison with measured values for some niobium-titanium alloy

Sift

Sift is a suite of drawings that serves as a personal record of a long hike in Iceland. Through an exploration of sediment as a metaphor, and the use of sedimentation as a drawing process, I am sifting through matter and what it means to be working with landscape, nature-based imagery, and a Romantic disposition in the twenty-first century. My work investigates how sentimental longing and personal recollections of the landscape can present an individual perspective on the world, and how the projection of memory in order to gain an understanding of encounters with one’s environment and personal recollections are small but political gestures that express the relationship individuals have with the world around them

The fall of Doha and the rise of regionalism? CEPS Policy Brief No. 111, September 2006

The indefinite prorogation of the WTO’s Doha trade talks in July suggests that the global appetite for multilateralism may now be seriously weakened. In this new Policy Brief, CEPS Senior Research Fellow David Kernohan and T. Huw Edwards of Loughborough University look at how a failed or significantly delayed Doha round (say till 2009 at the earliest) could affect the scope and structure of any eventual WTO deal. In particular, if a rise in regionalism in the interim is inevitable, they ask whether the EU should reassess its regional trade policy objectives? A move from a multilateral focus to a twinned regional-multilateral trade policy stance will have consequences, both for practical reasons of EC ‘institutional capacity’ and for strategic reasons, in terms of choice of partner/s. Either way, tough decisions will have to be made. Wherever possible, the authors argue that these tactical choices should be preceded by careful technical analysis of the choice of regional partners and trading groups, as well as on traditional ‘diplomatic’ methods of trade partner selection

Questions of quality in repositories of open educational resources: a literature review

Open educational resources (OER) are teaching and learning materials which are freely available and openly licensed. Repositories of OER (ROER) are platforms that host and facilitate access to these resources. ROER should not just be designed to store this content – in keeping with the aims of the OER movement, they should support educators in embracing open educational practices (OEP) such as searching for and retrieving content that they will reuse, adapt or modify as needed, without economic barriers or copyright restrictions. This paper reviews key literature on OER and ROER, in order to understand the roles ROER are said or supposed to fulfil in relation to furthering the aims of the OER movement. Four themes which should shape repository design are identified, and the following 10 quality indicators (QI) for ROER effectiveness are discussed: featured resources; user evaluation tools; peer review; authorship of the resources; keywords of the resources; use of standardised metadata; multilingualism of the repositories; inclusion of social media tools; specification of the creative commons license; availability of the source code or original files. These QI form the basis of a method for the evaluation of ROER initiatives which, in concert with considerations of achievability and long-term sustainability, should assist in enhancement and development. Keywords: open educational resources; open access; open educational practice; repositories; quality assuranc

The effects of exercise

Citation: Kernohan, Helen. The effects of exercise. Senior thesis, Kansas State Agricultural College, 1904.Morse Department of Special CollectionsIntroduction: We find that exercise not only causes the muscles to become larger but makes them healthier and being thus they can to a better advantage preform their work. Also all the vital organs are kept in working order and the body being, in such a sound condition cannot help but contain a well developed mind. Thus exercise is found to be one of the essentials to long livety and endurance

Reviews

Integrating Information Technology into Education edited by Deryn Watson and David Tinsley, London, Chapman & Hall, 1995, ISBN: 0–412–62250–5, 316 pages

Human Rights: The Effect of Neighbouring Countries

We examine the geo-political and international spatial aspects of human rights (HR), using a purpose designed data-set. Applying tools from the spatial economics literature, we analyse the impact on a country’s HR performance of geographical proximity to its neighbours. Unlike previous studies, our approach treats this as partly endogenous: one country’s HR performance will affect its neighbours through a variety of potential geographical spillover mechanisms. We start with simple descriptive accounts, using scatter plots, of the geographic history of HR performance. Using a relatively simple spatial weighting model approach we compare each country’s HR performance with what would be predicted by regression on a weighted average of its neighbours’ performance (i.e. weightings depending positively on country population , and negatively upon distance), using a cross sectional and panel dataset of one hundred and sixty countries. We regress measures of population size, distance between countries, the prevalence of war or ethnic conflict, as well as per capita incomes and distribution, to test the general hypothesis that there may be positive spillovers between neighbours’ human rights performance. This is then extended to derive measures of HR performance relative to both economic, social and spatial factors.Human rights, spatial econometrics