12,982 research outputs found

    In Pursuit of Experience: The Authentic Documentation of Experience in Beat Generation Literature

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    Throughout their lives the authors of The Beat Generation sought an escape from the conformity of mid-century American life, in favour of fresh thrilling experiences to influence their writing. The writers of the Beat Generation developed writing methods that authentically document their real-life experiences. Therefore, this thesis examines the documentary nature of literature that came out of this Generation. The first section of the essay explores Beat literature as memoir; arguing that Kerouac's prose is based on his own first-hand experience recollected after the event. This section also argues that due to its fast pace and lack of revision, the Spontaneous Prose Method can be used by authors as a form suited to the authentic documentation of experience. The second chapter looks at the use of transcription methods to document a moment, or specific event, written during the experience. This chapter compares Gary Snyder's Riprap and Cold Mountain Poems, Ginsberg's 'Wichita Vortex Sutra', and Kerouac's Blues Poems as poetry that authentically portrays a moment of experience to the reader. The final chapter explores the more experimental methods of documentation, and whether any authenticity was lost to experimentation. The chapter also explores the Beat use of drugs on the content and form of the literature

    Revisiting the capitalization of public transport accessibility into residential land value: an empirical analysis drawing on Open Science

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    Background: The delivery and effective operation of public transport is fundamental for a for a transition to low-carbon emission transport systems’. However, many cities face budgetary challenges in providing and operating this type of infrastructure. Land value capture (LVC) instruments, aimed at recovering all or part of the land value uplifts triggered by actions other than the landowner, can alleviate some of this pressure. A key element of LVC lies in the increment in land value associated with a particular public action. Urban economic theory supports this idea and considers accessibility to be a core element for determining residential land value. Although the empirical literature assessing the relationship between land value increments and public transport infrastructure is vast, it often assumes homogeneous benefits and, therefore, overlooks relevant elements of accessibility. Advancements in the accessibility concept in the context of Open Science can ease the relaxation of such assumptions. Methods: This thesis draws on the case of Greater Mexico City between 2009 and 2019. It focuses on the effects of the main public transport network (MPTN) which is organised in seven temporal stages according to its expansion phases. The analysis incorporates location based accessibility measures to employment opportunities in order to assess the benefits of public transport infrastructure. It does so by making extensive use of the open-source software OpenTripPlanner for public transport route modelling (≈ 2.1 billion origin-destination routes). Potential capitalizations are assessed according to the hedonic framework. The property value data includes individual administrative mortgage records collected by the Federal Mortgage Society (≈ 800,000). The hedonic function is estimated using a variety of approaches, i.e. linear models, nonlinear models, multilevel models, and spatial multilevel models. These are estimated by the maximum likelihood and Bayesian methods. The study also examines possible spatial aggregation bias using alternative spatial aggregation schemes according to the modifiable areal unit problem (MAUP) literature. Results: The accessibility models across the various temporal stages evidence the spatial heterogeneity shaped by the MPTN in combination with land use and the individual perception of residents. This highlights the need to transition from measures that focus on the characteristics of transport infrastructure to comprehensive accessibility measures which reflect such heterogeneity. The estimated hedonic function suggests a robust, positive, and significant relationship between MPTN accessibility and residential land value in all the modelling frameworks in the presence of a variety of controls. The residential land value increases between 3.6% and 5.7% for one additional standard deviation in MPTN accessibility to employment in the final set of models. The total willingness to pay (TWTP) is considerable, ranging from 0.7 to 1.5 times the equivalent of the capital costs of the bus rapid transit Line-7 of the Metrobús system. A sensitivity analysis shows that the hedonic model estimation is sensitive to the MAUP. In addition, the use of a post code zoning scheme produces the closest results compared to the smallest spatial analytical scheme (0.5 km hexagonal grid). Conclusion: The present thesis advances the discussion on the capitalization of public transport on residential land value by adopting recent contributions from the Open Science framework. Empirically, it fills a knowledge gap given the lack of literature around this topic in this area of study. In terms of policy, the findings support LVC as a mechanism of considerable potential. Regarding fee-based LVC instruments, there are fairness issues in relation to the distribution of charges or exactions to households that could be addressed using location based measures. Furthermore, the approach developed for this analysis serves as valuable guidance for identifying sites with large potential for the implementation of development based instruments, for instance land readjustments or the sale/lease of additional development rights

    Designs of Blackness

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    Across more than two centuries Afro-America has created a huge and dazzling variety of literary self-expression. Designs of Blackness provides less a narrative literary history than, precisely, a series of mappings—each literary-critical and comparative while at the same time offering cultural and historical context. This carefully re-edited version of the 1998 publication opens with an estimation of earliest African American voice in the names of Phillis Wheatley and her contemporaries. It then takes up the huge span of autobiography from Frederick Douglass through to Maya Angelou. "Harlem on My Mind," which follows, sets out the literary contours of America’s premier black city. Womanism, Alice Walker’s presiding term, is given full due in an analysis of fiction from Harriet E. Wilson to Toni Morrison. Richard Wright is approached not as some regulation "realist" but as a more inward, at times near-surreal, author. Decadology has its risks but the 1940s has rarely been approached as a unique era of war and peace and especially in African American texts. Beat Generation work usually adheres to Ginsberg and Kerouac, but black Beat writing invites its own chapter in the names of Amiri Baraka, Ted Joans and Bob Kaufman. The 1960s has long become a mythic change-decade, and in few greater respects than as a black theatre both of the stage and politics. In Leon Forrest African America had a figure of the postmodern turn: his work is explored in its own right and for how it takes its place in the context of other reflexive black fiction. "African American Fictions of Passing" unpacks the whole deceptive trope of "race" in writing from Williams Wells Brown through to Charles Johnson. The two newly added chapters pursue African American literary achievement into the Obama-Trump century, fiction from Octavia Butler to Darryl Pinkney, poetry from Rita Dove to Kevin Young

    Moving away from the Monoplot: conventional narrative structure in the screenplay and the unconventional alternatives

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    Through a combination of creative and critical practice, this project seeks to explore the conventionalisation effect that popular screenwriting handbooks have had on screenwriting practice, the unconventional structural models that are available to the screenwriter once they move away from the conventional model, and the meanings which conventional and unconventional structural approaches create. By examining the most influential screenwriting handbooks, and tracing the historical development of screenwriting conventions, a model for quantifying and understanding conventional narrative structure will be proposed: Conventional Monoplot. An exploration of the cinematic canon, box office statistics and Academy Awards success will attempt to show that the conventionalisation of structural practice within the screenplay has led to an increased homogeneity of form and meaning in mainstream cinema and a concurrent reduction in narrative sophistication and critical esteem. By applying the Conventional Monoplot model in their practice, this project will argue that the screenwriter can quantify and understand divergence from conventional structural practice by negative correlation to the model, and through such practice the homogeneity of film form might be challenged. Through an examination of a wide body of film texts a taxonomy of alternative structural models will be proposed, and the meanings which these models create will be explored. The creative element, a feature screenplay, will demonstrate practical application of one of these models, and a critical reflection will explore the meanings created by use of this unconventional structural model, locating a methodology for unconventional practice in the screenplay. The project will propose that the influence of screenwriting handbooks has led to homogeneity and conventionalisation in the culture of the screenplay, and that by consciously focusing on unconventional structural practices the screenwriter can access a greater diversity of meaning at the structural level

    Bulletin of the Virginia State Dental Association (Vol. 38, no. 1, 1961)

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    Cohen (William S.) Papers, 1955-2001

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    William S. Cohen was born on August 28, 1940 in Bangor, Maine. His father Reuben, a baker, was a Russian-Jewish immigrant and his mother, Clara, is of Irish-Protestant extraction. Cohen graduated from Bangor High School in 1958, and from Bowdoin College with an A.B. cum laude in Latin in 1962. An accomplished athlete, he was named to the Maine all-state high school and college basketball teams, and, while at Bowdoin, he was inducted into the New England All-Star Hall of Fame. In 1965, he received his LL.B cum laude from Boston University Law School and, during that same year, he became the assistant editor-in-chief of the American Trial Lawyers Association and a partner in a Bangor law firm. Cohen was the Assistant County Attorney for Penobscot County from 1968 to 1970. In 1968, he was an instructor at Husson College in Bangor. He held an appointment as an instructor in business administration at the University of Maine from 1968 to 1972. Cohen was the vice president of the Maine Trial Lawyers Association from 1970 to 1972, and a member of the Bangor School Board from 1971 to 1972. He was a fellow at the John F. Kennedy Institute of Politics at Harvard University in 1972, and was named one of the U.S. Jaycee\u27s ten outstanding young men in 1975. The William S. Cohen congressional papers consist of the records created by Cohen and his staff in the course of Cohen\u27s duties as a member of the U.S. House of Representatives from 1973 to 1978 and as a U.S. Senator from 1979 to 1997. They include correspondence, memos, reports, press releases, appointment calendars, speeches, voting records, photographs, videos, and memorabilia. These files document Cohen\u27s legislative and committee-related work, the attention and services he offered to his constituents, his public relations and press activities, and the administrative activities of his office in Washington D.C. and in the six state offices in Maine. The Department of Defense documents, primarily in electronic format, include trip reports, public statements, correspondence, photographs, and videotapes from 1997-2001. Cohen\u27s private papers, the bulk of which consist of the manuscripts for the nine books he has written, are also included.https://digitalcommons.library.umaine.edu/findingaids/1542/thumbnail.jp

    Application of knowledge management principles to support maintenance strategies in healthcare organisations

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    Healthcare is a vital service that touches people's lives on a daily basis by providing treatment and resolving patients' health problems through the staff. Human lives are ultimately dependent on the skilled hands of the staff and those who manage the infrastructure that supports the daily operations of the service, making it a compelling reason for a dedicated research study. However, the UK healthcare sector is undergoing rapid changes, driven by rising costs, technological advancements, changing patient expectations, and increasing pressure to deliver sustainable healthcare. With the global rise in healthcare challenges, the need for sustainable healthcare delivery has become imperative. Sustainable healthcare delivery requires the integration of various practices that enhance the efficiency and effectiveness of healthcare infrastructural assets. One critical area that requires attention is the management of healthcare facilities. Healthcare facilitiesis considered one of the core elements in the delivery of effective healthcare services, as shortcomings in the provision of facilities management (FM) services in hospitals may have much more drastic negative effects than in any other general forms of buildings. An essential element in healthcare FM is linked to the relationship between action and knowledge. With a full sense of understanding of infrastructural assets, it is possible to improve, manage and make buildings suitable to the needs of users and to ensure the functionality of the structure and processes. The premise of FM is that an organisation's effectiveness and efficiency are linked to the physical environment in which it operates and that improving the environment can result in direct benefits in operational performance. The goal of healthcare FM is to support the achievement of organisational mission and goals by designing and managing space and infrastructural assets in the best combination of suitability, efficiency, and cost. In operational terms, performance refers to how well a building contributes to fulfilling its intended functions. Therefore, comprehensive deployment of efficient FM approaches is essential for ensuring quality healthcare provision while positively impacting overall patient experiences. In this regard, incorporating knowledge management (KM) principles into hospitals' FM processes contributes significantly to ensuring sustainable healthcare provision and enhancement of patient experiences. Organisations implementing KM principles are better positioned to navigate the constantly evolving business ecosystem easily. Furthermore, KM is vital in processes and service improvement, strategic decision-making, and organisational adaptation and renewal. In this regard, KM principles can be applied to improve hospital FM, thereby ensuring sustainable healthcare delivery. Knowledge management assumes that organisations that manage their organisational and individual knowledge more effectively will be able to cope more successfully with the challenges of the new business ecosystem. There is also the argument that KM plays a crucial role in improving processes and services, strategic decision-making, and adapting and renewing an organisation. The goal of KM is to aid action – providing "a knowledge pull" rather than the information overload most people experience in healthcare FM. Other motivations for seeking better KM in healthcare FM include patient safety, evidence-based care, and cost efficiency as the dominant drivers. The most evidence exists for the success of such approaches at knowledge bottlenecks, such as infection prevention and control, working safely, compliances, automated systems and reminders, and recall based on best practices. The ability to cultivate, nurture and maximise knowledge at multiple levels and in multiple contexts is one of the most significant challenges for those responsible for KM. However, despite the potential benefits, applying KM principles in hospital facilities is still limited. There is a lack of understanding of how KM can be effectively applied in this context, and few studies have explored the potential challenges and opportunities associated with implementing KM principles in hospitals facilities for sustainable healthcare delivery. This study explores applying KM principles to support maintenance strategies in healthcare organisations. The study also explores the challenges and opportunities, for healthcare organisations and FM practitioners, in operationalising a framework which draws the interconnectedness between healthcare. The study begins by defining healthcare FM and its importance in the healthcare industry. It then discusses the concept of KM and the different types of knowledge that are relevant in the healthcare FM sector. The study also examines the challenges that healthcare FM face in managing knowledge and how the application of KM principles can help to overcome these challenges. The study then explores the different KM strategies that can be applied in healthcare FM. The KM benefits include improved patient outcomes, reduced costs, increased efficiency, and enhanced collaboration among healthcare professionals. Additionally, issues like creating a culture of innovation, technology, and benchmarking are considered. In addition, a framework that integrates the essential concepts of KM in healthcare FM will be presented and discussed. The field of KM is introduced as a complex adaptive system with numerous possibilities and challenges. In this context, and in consideration of healthcare FM, five objectives have been formulated to achieve the research aim. As part of the research, a number of objectives will be evaluated, including appraising the concept of KM and how knowledge is created, stored, transferred, and utilised in healthcare FM, evaluating the impact of organisational structure on job satisfaction as well as exploring how cultural differences impact knowledge sharing and performance in healthcare FM organisations. This study uses a combination of qualitative methods, such as meetings, observations, document analysis (internal and external), and semi-structured interviews, to discover the subjective experiences of healthcare FM employees and to understand the phenomenon within a real-world context and attitudes of healthcare FM as the data collection method, using open questions to allow probing where appropriate and facilitating KM development in the delivery and practice of healthcare FM. The study describes the research methodology using the theoretical concept of the "research onion". The qualitative research was conducted in the NHS acute and non-acute hospitals in Northwest England. Findings from the research study revealed that while the concept of KM has grown significantly in recent years, KM in healthcare FM has received little or no attention. The target population was fifty (five FM directors, five academics, five industry experts, ten managers, ten supervisors, five team leaders and ten operatives). These seven groups were purposively selected as the target population because they play a crucial role in KM enhancement in healthcare FM. Face-to-face interviews were conducted with all participants based on their pre-determined availability. Out of the 50-target population, only 25 were successfully interviewed to the point of saturation. Data collected from the interview were coded and analysed using NVivo to identify themes and patterns related to KM in healthcare FM. The study is divided into eight major sections. First, it discusses literature findings regarding healthcare FM and KM, including underlying trends in FM, KM in general, and KM in healthcare FM. Second, the research establishes the study's methodology, introducing the five research objectives, questions and hypothesis. The chapter introduces the literature on methodology elements, including philosophical views and inquiry strategies. The interview and data analysis look at the feedback from the interviews. Lastly, a conclusion and recommendation summarise the research objectives and suggest further research. Overall, this study highlights the importance of KM in healthcare FM and provides insights for healthcare FM directors, managers, supervisors, academia, researchers and operatives on effectively leveraging knowledge to improve patient care and organisational effectiveness

    COVID-19 pandemic and adrenals: deep insights and implications in patients with glucocorticoid disorders

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    Purpose Coronavirus disease-19 (COVID-19) has spread throughout the world. It was initially defined as a potentially severe syndrome affecting the respiratory tract, but it has since been shown to be a systemic disease with relevant extrapulmonary manifestations that increase mortality. The endocrine system has been found to be vulnerable to COVID-19 infection. The current review aims to evaluate the available data on the impact of COVID-19 infection and treatment, as well as COVID-19 vaccines, on adrenal gland function, particularly in patients with GC disorders. Methods A thorough search of published peer-reviewed studies in PubMed was performed using proper keywords. Results Adrenal viral tropism and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) replication in the adrenal glands have been demonstrated, and adrenal insufficiency (AI) is a rare, but potentially severe complication in COVID-19 disease, whose recognition can be difficult if only for the empirical treatments administered in the early stages. Glucocorticoid (GC) treatment have had a pivotal role in preventing clinical deterioration in patients with COVID-19, but long-term GC use may increase COVID-19-related mortality and the development of iatrogenic AI. Patients with GC disorders, especially AI and Cushing’s syndrome, have been identified as being at high risk of COVID-19 infection and complications. Published evidence suggests that AI patient awareness and proper education may help adjust GC replacement therapy appropriately when necessary, thereby reducing COVID-19 severity. The COVID-19 pandemic has had an impact on AI management, particularly in terms of adherence to patients’ care plans and self-perceived challenges. On the other hand, published evidence suggests that the clinical course of COVID-19 may be affected by the severity of hypercortisolism in patients with CS. Therefore, to ameliorate the risk profile in these patients, cortisol levels should be adequately controlled, along with careful monitoring of metabolic and cardiovascular comorbidities. To date, the COVID-19 vaccine remains the only available tool to face SARS-CoV-2, and it should not be treated differently in patients with AI and CS. Conclusion SARS-CoV-2 infection has been linked to adrenal damage and AI is a rare complication in COVID-19 disease, requiring prompt recognition. Educational efforts and patient awareness may reduce COVID-19 severity in patients with AI. Control of cortisol levels and monitoring of complications may improve the clinical course of COVID-19 in patients with CS

    One Church’s Apathy Toward Fulfilling the Great Commission

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    Philippians 1:9-11 records Paul’s prayer containing four assessments believers can use to measure their progress toward spiritual maturity. These areas include a love that flows, a mind that knows, a character that shows, and a fruit that grows. The purpose of all these qualities is to demonstrate God’s glory. Where spiritual maturity is absent, apathy and complacency abound, and this dilemma must be overcome before a church can effectively pursue and sustain a viable focus on church revitalization. Because theological academia has not effectively focused on the partnership between spiritual maturity and church revitalization, this DMIN research project will address the need for individuals to overcome apathy and complacency by pursuing spiritual maturity. This pursuit is a precursor to and a partner of an effective and sustainable church revitalization focus. The research will be conducted within a small, dying, neighborhood Baptist church that has seen a sixty-one percent decrease in attendance over the past seven years. This research will include one-on-one confidential interviews, before and after spiritual maturity assessments, a ten-week Discipleship Training Course, a focus group study, and a triangularization questionnaire. This project will present the findings highlighted in a before and after snapshot of the life and vitality of this otherwise dying congregation
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