Constitutivism

A brief explanation and overview of constitutivism

The twilight of the Liberal Social Contract? On the Reception of Rawlsian Political Liberalism

This chapter discusses the Rawlsian project of public reason, or public justification-based 'political' liberalism, and its reception. After a brief philosophical rather than philological reconstruction of the project, the chapter revolves around a distinction between idealist and realist responses to it. Focusing on political liberalism’s critical reception illuminates an overarching question: was Rawls’s revival of a contractualist approach to liberal legitimacy a fruitful move for liberalism and/or the social contract tradition? The last section contains a largely negative answer to that question. Nonetheless the chapter's conclusion shows that the research programme of political liberalism provided and continues to provide illuminating insights into the limitations of liberal contractualism, especially under conditions of persistent and radical diversity. The programme is, however, less receptive to challenges to do with the relative decline of the power of modern states

Contribution of Streptococcus anginosus to Infections Caused by Groups C and G Streptococci, Southern India

This neglected pathogen causes a large portion of these infections

GJ 273: On the formation, dynamical evolution, and habitability of a planetary system hosted by an M dwarf at 3.75 parsec

Context. Planets orbiting low-mass stars such as M dwarfs are now considered a cornerstone in the search for life-harbouring planets. GJ 273 is a planetary system orbiting an M dwarf only 3.75 pc away, composed of two confirmed planets, GJ 273b and GJ 273c, and two promising candidates, GJ 273d and GJ 273e. Planet GJ 273b resides in the habitable zone. Currently, due to a lack of observed planetary transits, only the minimum masses of the planets are known: Mb sin ib=2.89 M⊕, Mc sin ic=1.18 M⊕, Md sin id=10.80 M⊕, and Me sin ie=9.30 M⊕. Despite being an interesting system, the GJ 273 planetary system is still poorly studied. Aims. We aim at precisely determine the physical parameters of the individual planets, in particular to break the mass–inclination degeneracy to accurately determine the mass of the planets. Moreover, we present thorough characterisation of planet GJ 273b in terms of its potential habitability. Methods. First, we explored the planetary formation and hydration phases of GJ 273 during the first 100 Myr. Secondly, we analysed the stability of the system by considering both the two- and four-planet configurations. We then performed a comparative analysis between GJ 273 and the Solar System, and searched for regions in GJ 273 which may harbour minor bodies in stable orbits, i.e. main asteroid belt and Kuiper belt analogues. Results. From our set of dynamical studies, we obtain that the four-planet configuration of the system allows us to break the mass– inclination degeneracy. From our modelling results, the masses of the planets are unveiled as: 2:89 ≤ Mb ≤ 3:03 M⊕, 1:18 ≤ Mc ≤ 1:24 M⊕, 10:80 ≤ Md ≤ 11:35 M⊕ and 9:30 ≤ Me ≤ 9:70 M⊕. These results point to a system likely composed of an Earth-mass planet, a super-Earth and two mini-Neptunes. From planetary formation models, we determine that GJ 273b was likely an efficient water captor while GJ 273c is probably a dry planet. We found that the system may have several stable regions where minor bodies might reside. Collectively, these results are used to comprehensively discuss the habitability of GJ 273bSpanish Ministry of Science and Education Ramón y Cajal programme ESP2017-87676-2-2 RYC-2012-09913CONICYT- FONDECYT/Chile Postdoctorado 3180405MIT’s Kavli Institut

Streptococcus intermedius causing infective endocarditis and abscesses: a report of three cases and review of the literature

<p>Abstract</p> <p>Background</p> <p><it>Streptococcus intermedius </it>is a member of the Streptococcus anginosus group. Clinical disease with <it>S. intermedius </it>is characterized by abscess formation and rarely endocarditis. Identification of <it>Streptococcus intermedius </it>is difficult, leading to the development of molecular methods to more accurately identify and characterize this organism.</p> <p>Case presentation</p> <p>Over a period of 6 months we encountered three cases of invasive <it>Streptococcus intermedius </it>infection presenting as hepatic abscesses, brain abscess, and endocarditis. We confirmed our microbiologic diagnosis through 16S sequencing and found a common virulence gene in each case.</p> <p>Conclusion</p> <p>Our report illustrates three different clinical manifestations due to <it>Streptococcus intermedius </it>infection that can be encountered in healthy individuals in a community hospital setting. To our knowledge, this is the first case of <it>Streptococcus intermedius </it>endocarditis confirmed by 16S sequencing analysis. The use of molecular methods may allow a better understanding of the epidemiology and pathogenesis of this organism.</p

Gestational hypertension, preeclampsia, and peripartum cardiomyopathy : a clinical review

Gestational hypertension, preeclampsia, and peripartum cardiomyopathy are among the most common and often severe pregnancy-specific cardiovascular diseases (CVDs) and causes of complications in pregnancy. This clinical review provides nurses with an overview of pregnancy-specific CVDs, outlines their pathophysiology, and discusses risk factors and assessment. It describes management interventions according to timing: the antepartum, intrapartum, and postpartum phases are each addressed

Exploring the research culture of nurses and Allied Health Professionals (AHPs) in a research focused and a non-research-focused healthcare organisation in the UK.

There is a gap in knowledge about the research culture of nurses and Allied Health Professionals (AHPs) in the UK, and the influence of a dedicated research strategy and funding. It is important to understand the culture in order to effectively promote evidence - based patient care. The primary aim of this research was to explore the influence of research focused exposure on the research culture of nurses and AHPs in the UK, and to identify if there was a difference in the research culture between a research- focused and non-research - focused clinical area (City and Riverside Hospitals).This is a unique and novel study that explored and compared the research culture stance of both AHPs and nurses.A mixed methods design was used in this study. Tools used included the 'Research Capacity and Culture Tool' as an online survey, three focus group discussions and five semi-structured interviews with senior managers. Focus groups included research naive groups from both hospitals and a research active group from City Hospital.There were 224 responses received from 941 surveys with a 24% response rate. Descriptive statistics of the survey results indicated that there was a difference (p=0.001) in the mean score of the research culture between City Hospital (5.35) and Riverside Hospital (3.90), but not between nurses and AHPs (p= 0.12). Qualitative data findings from the framework analysis were congruent and supported the survey results. The results provided empirical evidence to support a whole level approach in order to improve the research culture. Both findings showed that there may not be any difference in the research culture between professional groups. Importantly, new evidence is presented to suggest that there were crucial communication issues which were hampering the research culture and there was a lack of support at the middle management level which needed to be tackled to improve the research culture of nurses and AHPs.The study highlighted the need to include a whole level approach in organisation to improve research culture and to include communication within the Cooke's Frameworks if evidence- based practice is to influence the quality of patient care. This article is protected by copyright. All rights reserved

New drugs and vaccines for drug-resistant Mycobacterium tuberculosis infections

Tuberculosis remains the most common cause of death due to a single infective organism. Despite the availability of a vaccine and chemotherapeutic options, the global disease burden remains relatively unaffected. The ability of the mycobacterial etiological agents to adopt a semidormant, phenotypically drug-resistant state requires that chemotherapy is both complex and lengthy. The emergence of drug resistance has raised the possibility of virtually untreatable tuberculosis. Furthermore, the currently used bacillus Calmette–Guerin vaccine has had mixed success in protecting susceptible populations. Given this backdrop, the need for novel anti-infectives and more effective vaccines is clearly evident. Recent progress, described herein, has seen the development and entry into clinical trials of several new drugs and vaccine candidate

Inositol and higher inositol phosphates in neural tissues: homeostasis, metabolism and functional significance

Inositol phospholipids and inositol phosphates mediate well-established functions in signal transduction and in Ca 2+ homeostasis in the CNS and non-neural tissues. More recently, there has been renewed interest in other roles that both myo -inositol and its highly phosphorylated forms may play in neural function. We review evidence that myo -inositol serves as a clinically relevant osmolyte in the CNS, and that its hexakisphosphate and pyrophosphorylated derivatives may play roles in such diverse cellular functions as DNA repair, nuclear RNA export and synaptic membrane trafficking.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65201/1/j.1471-4159.2002.01041.x.pd

Regulating E-Cigarettes: Why Policies Diverge

This paper, part of a festschrift in honor of Professor Malcolm Feeley, explores the landscape of e-cigarette policy globally by looking at three jurisdictions that have taken starkly different approaches to regulating e-cigarettes—the US, Japan, and China. Each of those countries has a robust tobacco industry, government agencies entrusted with protecting public health, an active and sophisticated scientific and medical community, and a regulatory structure for managing new pharmaceutical, tobacco, and consumer products. All three are signatories of the World Health Organization’s Framework Convention on Tobacco Control, all are signatories of the Agreement on Trade-Related Aspects of Intellectual Property Rights, and all are members of the World Trade Organization. Which legal, economic, social and political differences between the three countries explain their diverse approaches to regulating e-cigarettes? Why have they embraced such dramatically different postures toward e-cigarettes? In seeking to answer those questions, the paper builds on Feeley\u27s legacy of comparative scholarship, policy analysis, and focus on law in action