Local government partnership working : a space odyssey or journeys through the dilemmas of public and private sector boundary-spanning actors

In this article we explore the dilemmas experienced by boundary-spanning actors working at the intersection of local government and the private sector. We suggest that these dilemmas are entwined with the disruption, transformation and reproduction of local government traditions. We utilise structuration theory to understand how agency is both constrained and enabled by traditions and how such agency in turn affects traditions. In drawing on the accounts of both public and private sector actors in one English region over a 10-year period, we decentre the public sector and reveal the flux inherent in working across different traditions of practice

The early presentation and management of rheumatoid arthritis cases in primary care

Recent NICE guidance has emphasised the importance of early recognition and referral of patients with inflammatory arthritis so that disease modifying treatment can be promptly initiated. The timely identification of such patients, given the large numbers consulting with musculoskeletal complaints, is a considerable challenge and descriptive data from primary care are sparse. Our objective was to examine GP records from three years before to 14 days after the first coded diagnosis of rheumatoid arthritis in order to describe the early course and management of the diseas

Evidence of Titan's Climate History from Evaporite Distribution

Water-ice-poor, 5-$\mu$m-bright material on Saturn's moon Titan has previously been geomorphologically identified as evaporitic. Here we present a global distribution of the occurrences of the 5-$\mu$m-bright spectral unit, identified with Cassini's Visual Infrared Mapping Spectrometer (VIMS) and examined with RADAR when possible. We explore the possibility that each of these occurrences are evaporite deposits. The 5-$\mu$m-bright material covers 1\% of Titan's surface and is not limited to the poles (the only regions with extensive, long-lived surface liquid). We find the greatest areal concentration to be in the equatorial basins Tui Regio and Hotei Regio. Our interpretations, based on the correlation between 5-$\mu$m-bright material and lakebeds, imply that there was enough liquid present at some time to create the observed 5-$\mu$m-bright material. We address the climate implications surrounding a lack of evaporitic material at the south polar basins: if the south pole basins were filled at some point in the past, then where is the evaporite

After Andersonville: Survivors, Memory and the Bloody Shirt

This article details the experiences of survivors of the Andersonville prison camp after the Civil War. Feeling marginalized by the public after returning to the North, prisoners of war worked to demonstrate that their experiences were exceptional enough to merit the same kind of respect and adoration given to other war veterans. In particular survivors utilized the strategy of waving the bloody shirt, describing purported Confederate atrocities at the camp to a Northern audience looking for figures to blame for the horrors of war. Through prison narratives, veteran organizations, the erection of memorials, and reunions years later, Andersonville survivors worked to establish their role in the Civil War not as forgotten captives, but war heroes