Cultivating Perception: Phenomenological Encounters with Artworks

Phenomenally strong artworks have the potential to anchor us in reality and to cultivate our perception. For the most part, we barely notice the world around us, as we are too often elsewhere, texting, coordinating schedules, planning ahead, navigating what needs to be done. This is the level of our age that shapes the ways we encounter things and others. In such a world it is no wonder we no longer trust our senses. But as feminists have long argued, thinking grounded in embodied experience can be more open to difference; such embodied thinking helps us to resist the colonization of a singular, only seemingly neutral, perspective that closes down living potentialities

This body of art: The singular plural of the feminine

I explore the possibility that the feminine, like art, can be thought in terms of Jean-Luc Nancy’s concept of the singular plural. In Les Muses, Nancy claims that art provides for the rethinking of a technë not ruled by instrumentality. Specifically, in rethinking aesthetics in terms of the debates laid out by Kant, Hegel and Heidegger, he resituates the ontological in terms of the specificity of the techniques of each particular artwork; each artwork establishes relations particular to its world or worlds. What is at stake in the singular plural is the multiplicity of relations that are lost in the unifying gestures that arise out of radical oppositions. I rethink the singular plural through a phenomenological encounter with Barb Hunt’s artwork, Antipersonnel, a collection of hand-knitted replicas of antipersonnel landmines

Does Television Terrify Tourists? Effects of US Television News on Demand for Tourism in Israel

In this paper we analyze a time series measuring the monthly flow of US tourists to Israel over the period 1997-2006. We pay particular attention to the response of tourists to variations in the intensity the Israeli-Palestinian conflict, drawing a distinction between actual conflict intensity and the intensity with which the conflict is reported in the US television media. We find that different dimensions of the conflict affect tourists in different ways. For some (but not all) dimensions of the conflict, reported intensity matters more than actual intensity

Medium-term prognosis of an incident cohort of parkinsonian patients compared to controls

Funding This work was supported by Parkinson's UK (grant numbers G0502, G0914), BMA Doris Hillier Award, the BUPA Foundation, NHS Grampian Endowments, RS MacDonald Trust.Peer reviewedPublisher PD

Prevention of osteoporotic refractures in regional Australia

Objective: Clinical guidelines recommend that patients who sustain a minimal trauma fracture (MTF) should receive a bone mineral density (BMD) scan and bisphosphonate (or equivalent) therapy if diagnosed with osteoporosis. A pilot fracture liaison service (FLS) was implemented in regional NSW to improve adherence to the guidelines. Design: Prospective cohort study with an historical control. Setting: Primary care. Participants: Control (n = 47) and cohort (n = 93) groups comprised patients consenting to interview who presented with a MTF to the major referral hospital 4 months before and 12 months after FLS implementation respectively. Main outcome measures: Primary outcome measures were the rates of BMD scans and anti-osteoporotic medication initiation/review after MTF. Hospital admission data were also examined to determine death and refracture rates for all patients presenting during the study period with a primary diagnosis of MTF within 3 years of their initial fracture. Results: Although there was no improvement in BMD scanning rates, the reported rate of medication initiation/review after fracture was significantly higher (P \u3c 0.05) in the FLS cohort. However, once adjusted for age, this association was not significant (P = 0.086). There was a lower refracture rate during the cohort period (P = 0.013), however, there were significantly more deaths (P = 0.035) within 3 years of initial fracture. When deaths were taken into account via competing risk regression, patients in the cohort period were significantly less likely to refracture than those in the control period (Hazard ratio = 0.576, P = 0.032). Conclusions: A rurally based nurse-led FLS was associated with modest improvement after MTF. Consideration should be given to ways to strengthen the model of care to improve outcomes

Harms and benefits associated with psychoactive drugs: findings of an international survey of active drug users.

There have been several recent efforts in the UK and the Netherlands to describe the harms of psychoactive substances based on ratings of either experts or drug users. This study aimed to assess the perceived benefits as well as harms of widely used recreational drugs, both licit and illicit, in an international sample of drug users. The survey was hosted at https://www.internationaldrugsurvey.org/ and was available in three languages. Residents reported their experience of 15 commonly used drugs or drug classes; regular users then rated their harms and benefits. In all, 5791 individuals from over 40 countries completed the survey, although the majority were from English speaking countries. Rankings of drugs differed across 10 categories of perceived benefits. Skunk and herbal cannabis were ranked consistently beneficial, whilst alcohol and tobacco fell below many classified drugs. There was no correlation at all between users' harm ranking of drugs and their classification in schedules of the USA or ABC system in the UK. Prescription analgesics, alcohol and tobacco were ranked within the top 10 most harmful drugs. These findings suggest that neither the UK nor US classification systems act to inform users of the harms of psychoactive substances. It is hoped the results might inform health professionals and educators of what are considered to be both the harms and benefits of psychoactive substances to young people

The Changing Face of Little Italy: The Miss Colombo Pageant and the Making of Ethnicity in Trail, British Columbia, 1970–1977

This article examines gender and ethnicity as part of the same social experience. It argues that the annual contest to crown Miss Colombo in Trail, British Columbia, during the first half of the 1970s, together with the campaign to preserve the beauty pageant after 1973, offers a unique gendered context to understand the making of ethnicity in a small city. Broadly speaking, the pageant reflected specific social, economic, spatial, and cultural changes within the local Italian experience: a strong sense of place, occupational success, movement to ethnically mixed neighbourhoods, and positive relations with non-Italians. These processes played out in a paradoxical forum of the Colombo pageant—a paternal institution that celebrated and evaluated young Italian women’s bodies. Never contesting the institution itself, which carried a gendered power imbalance, Italian women—both as volunteers and contestants—worked through the pageant to promote their own interpretation of Italian belonging and to endorse a range of new possibilities for themselves. The women dramatically recast, but did not overturn, the gendered structures through which these changes took place—a pattern that points to the resiliency of paternalism in discourses of ethnic belonging.Cet article examine genre et ethnicité comme faisant partie de la même expérience sociale. Il fait valoir que le concours annuel “Miss Colombo” à Trail en Colombie-Britannique au début des années 70, de pair avec une campagne visant sa préservation à partir de 1973, offre un cadre genré unique pour comprendre la construction de l’ethnicité dans une petite municipalité. D’une manière générale, le concours reflète des changements spécifiques sociaux, économiques, spatiaux et culturels au sein de l’expérience locale italienne : un fort sentiment d’appartenance, la réussite professionnelle, le déplacement vers des quartiers ethniquement mixtes, et des relations positives avec les non Italiens. Ces processus se sont déroulés dans le forum paradoxal du concours de beauté, une institution paternelle qui célèbre et évalue le corps de jeunes femmes italiennes. N’ayant jamais contesté l’institution en soi, porteuse d’un déséquilibre de pouvoir entre les sexes, les femmes italiennes – tant bénévoles que candidates – ont travaillé dans le cadre du spectacle afin de promouvoir leur propre interprétation de l’appartenance italienne et de souscrire à une gamme de nouvelles possibilités pour elles-mêmes. Les femmes ont refait de façon spectaculaire, sans toutefois renverser, les structures genrées à travers lequel ces changements ont eu lieu, fait qui souligne la résilience du paternalisme dans le discours de l’appartenance ethnique

Reporting and dealing with missing quality of life data in RCTs : has the picture changed in the last decade?

Peer reviewedPublisher PD

Second-line antiretroviral therapy in a workplace and community-based treatment programme in South Africa: determinants of virological outcome.

: Background: As antiretroviral treatment (ART) programmes in resource-limited settings mature, more patients are experiencing virological failure. Without resistance testing, deciding who should switch to second-line ART can be difficult. The consequences for second-line outcomes are unclear. In a workplace- and community-based multi-site programme, with 6-monthly virological monitoring, we describe outcomes and predictors of viral suppression on second-line, protease inhibitor-based ART.Methods: We used prospectively collected clinic data from patients commencing first-line ART between 1/1/03 and 31/12/08 to construct a study cohort of patients switched to second-line ART in the presence of a viral load (VL) ?400 copies/ml. Predictors of VL<400 copies/ml within 15 months of switch were assessed using modified Poisson regression to estimate risk ratios.Results: 205 workplace patients (91.7% male; median age 43 yrs) and 212 community patients (38.7% male; median age 36 yrs) switched regimens. At switch compared to community patients, workplace patients had a longer duration of viraemia, higher VL, lower CD4 count, and higher reported non-adherence on first-line ART. Non-adherence was the reported reason for switching in a higher proportion of workplace patients. Following switch, 48.3% (workplace) and 72.0% (community) achieved VL<400, with non-adherence (17.9% vs. 1.4%) and virological rebound (35.6% vs. 13.2% with available measures) reported more commonly in the workplace programme. In adjusted analysis of the workplace programme, lower switch VL and younger age were associated with VL<400. In the community programme, shorter duration of viraemia, higher CD4 count and transfers into programme on ART were associated with VL<400.Conclusion: High levels of viral suppression on second-line ART can be, but are not always, achieved in multi-site treatment programmes with both individual- and programme-level factors influencing outcomes. Strategies to support both healthcare workers and patients during this switch period need to be evaluated; sub-optimal adherence, particularly in the workplace programme must be addressed