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    Explaining Showering: a Discussion of the Material, Conventional, and Temporal Dimensions of Practice

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    This article considers the increasing popularity of showering in the UK. We use this case as a means of exploring some of the dimensions and dynamics of everyday practice. Drawing upon a range of documentary evidence, we begin by sketching three possible explanations for the current constitution of showering as a private, increasingly resource-intensive routine. We begin by reviewing the changing infrastructural, technological, rhetorical and moral positioning of showering. We then consider how the multiple and contingent constituents of showering are arranged and re-arranged in and through the practice itself. In taking this approach, we address a number of more abstract questions about the relation between practices, technologies and infrastructures and about what these relationships mean for the fixity and fluidity of ordinary routines and for associated patterns of consumption. The result is a method that allows us to analyze the ways in which material cultures and conventions are reproduced and transformed. This has practical implications for those seeking to contain the environmental consequences of resource-intensive practices.Xx

    First Semester Reflection

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    Postcard from Maura Hand, during the Linfield College Semester Abroad Program at the Universidad de Alicante in Spai

    Deborah Olsen Public Service Scholarship Essay

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    In this essay, Maura Hand reflects on the ten weeks she spent interning with the State Department\u27s Office of Foreign Missions (OFM) in San Francisco, California

    Conditions for Existence of Dual Certificates in Rank-One Semidefinite Problems

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    Several signal recovery tasks can be relaxed into semidefinite programs with rank-one minimizers. A common technique for proving these programs succeed is to construct a dual certificate. Unfortunately, dual certificates may not exist under some formulations of semidefinite programs. In order to put problems into a form where dual certificate arguments are possible, it is important to develop conditions under which the certificates exist. In this paper, we provide an example where dual certificates do not exist. We then present a completeness condition under which they are guaranteed to exist. For programs that do not satisfy the completeness condition, we present a completion process which produces an equivalent program that does satisfy the condition. The important message of this paper is that dual certificates may not exist for semidefinite programs that involve orthogonal measurements with respect to positive-semidefinite matrices. Such measurements can interact with the positive-semidefinite constraint in a way that implies additional linear measurements. If these additional measurements are not included in the problem formulation, then dual certificates may fail to exist. As an illustration, we present a semidefinite relaxation for the task of finding the sparsest element in a subspace. One formulation of this program does not admit dual certificates. The completion process produces an equivalent formulation which does admit dual certificates

    Hand washing promotion for preventing diarrhoea.

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    BACKGROUND: Diarrhoea accounts for 1.8 million deaths in children in low- and middle-income countries (LMICs). One of the identified strategies to prevent diarrhoea is hand washing. OBJECTIVES: To assess the effects of hand washing promotion interventions on diarrhoeal episodes in children and adults. SEARCH METHODS: We searched the Cochrane Infectious Diseases Group Specialized Register (27 May 2015); CENTRAL (published in the Cochrane Library 2015, Issue 5); MEDLINE (1966 to 27 May 2015); EMBASE (1974 to 27 May 2015); LILACS (1982 to 27 May 2015); PsycINFO (1967 to 27 May 2015); Science Citation Index and Social Science Citation Index (1981 to 27 May 2015); ERIC (1966 to 27 May 2015); SPECTR (2000 to 27 May 2015); Bibliomap (1990 to 27 May 2015); RoRe, The Grey Literature (2002 to 27 May 2015); World Health Organization (WHO) International Clinical Trial Registry Platform (ICTRP), metaRegister of Controlled Trials (mRCT), and reference lists of articles up to 27 May 2015. We also contacted researchers and organizations in the field. SELECTION CRITERIA: Individually randomized controlled trials (RCTs) and cluster-RCTs that compared the effects of hand washing interventions on diarrhoea episodes in children and adults with no intervention. DATA COLLECTION AND ANALYSIS: Three review authors independently assessed trial eligibility, extracted data, and assessed risk of bias. We stratified the analyses for child day-care centres or schools, community, and hospital-based settings. Where appropriate, incidence rate ratios (IRR) were pooled using the generic inverse variance method and random-effects model with 95% confidence intervals (CIs). We used the GRADE approach to assess the quality of evidence. MAIN RESULTS: We included 22 RCTs: 12 trials from child day-care centres or schools in mainly high-income countries (54,006 participants), nine community-based trials in LMICs (15,303 participants), and one hospital-based trial among people with acquired immune deficiency syndrome (AIDS) (148 participants).Hand washing promotion (education activities, sometimes with provision of soap) at child day-care facilities or schools prevents around one-third of diarrhoea episodes in high income countries (rate ratio 0.70; 95% CI 0.58 to 0.85; nine trials, 4664 participants, high quality evidence), and may prevent a similar proportion in LMICs but only two trials from urban Egypt and Kenya have evaluated this (rate ratio 0.66, 95% CI 0.43 to 0.99; two trials, 45,380 participants, low quality evidence). Only three trials reported measures of behaviour change and the methods of data collection were susceptible to bias. In one trial from the USA hand washing behaviour was reported to improve; and in the trial from Kenya that provided free soap, hand washing did not increase, but soap use did (data not pooled; three trials, 1845 participants, low quality evidence).Hand washing promotion among communities in LMICs probably prevents around one-quarter of diarrhoea episodes (rate ratio 0.72, 95% CI 0.62 to 0.83; eight trials, 14,726 participants, moderate quality evidence). However, six of these eight trials were from Asian settings, with only single trials from South America and sub-Saharan Africa. In six trials, soap was provided free alongside hand washing education, and the overall average effect size was larger than in the two trials which did not provide soap (soap provided: rate ratio 0.66, 95% CI 0.56 to 0.78; six trials, 11,422 participants; education only: rate ratio: 0.84, 95% CI 0.67 to 1.05; two trials, 3304 participants). There was increased hand washing at major prompts (before eating/cooking, after visiting the toilet or cleaning the baby's bottom), and increased compliance to hand hygiene procedure (behavioural outcome) in the intervention groups than the control in community trials (data not pooled: three trials, 3490 participants, high quality evidence).Hand washing promotion for the one trial conducted in a hospital among high-risk population showed significant reduction in mean episodes of diarrhoea (1.68 fewer) in the intervention group (Mean difference 1.68, 95% CI 1.93 to 1.43; one trial, 148 participants, moderate quality evidence). There was increase in hand washing frequency, seven times per day in the intervention group versus three times in the control in this hospital trial (one trial, 148 participants, moderate quality evidence).We found no trials evaluating or reporting the effects of hand washing promotions on diarrhoea-related deaths, all-cause-under five mortality, or costs. AUTHORS' CONCLUSIONS: Hand washing promotion probably reduces diarrhoea episodes in both child day-care centres in high-income countries and among communities living in LMICs by about 30%. However, less is known about how to help people maintain hand washing habits in the longer term
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