59 research outputs found

    Improving Diabetes Care in Practice: Findings from the TRANSLATE trial

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    OBJECTIVE—The purpose of this study was to determine whether implementation of a multicomponent organizational intervention can produce significant change in diabetes care and outcomes in community primary care practices

    Mapping genomic and transcriptomic alterations spatially in epithelial cells adjacent to human breast carcinoma.

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    Almost all genomic studies of breast cancer have focused on well-established tumours because it is technically challenging to study the earliest mutational events occurring in human breast epithelial cells. To address this we created a unique dataset of epithelial samples ductoscopically obtained from ducts leading to breast carcinomas and matched samples from ducts on the opposite side of the nipple. Here, we demonstrate that perturbations in mRNA abundance, with increasing proximity to tumour, cannot be explained by copy number aberrations. Rather, we find a possibility of field cancerization surrounding the primary tumour by constructing a classifier that evaluates where epithelial samples were obtained relative to a tumour (cross-validated micro-averaged AUC = 0.74). We implement a spectral co-clustering algorithm to define biclusters. Relating to over-represented bicluster pathways, we further validate two genes with tissue microarrays and in vitro experiments. We highlight evidence suggesting that bicluster perturbation occurs early in tumour development

    On Justification, Idealization, and Discursive Purchase

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    Conceptions of acceptability-based moral or political justification take it that authoritative acceptability, widely conceived, constitutes, or contributes to, validity, or justification. There is no agreement as to what bar for authoritativeness such justification may employ. The paper engages the issue in relation to (i) the level of idealization that a bar for authoritativeness, ψ, imparts to a standard of acceptability-based justification, S, and (ii) the degree of discursive purchase of the discursive standing that S accords to people when it builds ψ. I argue that (i) and (ii) are interdependent: high idealization values entail low discursive purchase, while high degrees of purchase require low idealization values. I then distinguish between alethic conceptions of justification that prioritize ends that commit to high idealization values, and recognitive conceptions that favor high discursive purchase. On this basis, I argue for a moderately recognitivist constraint on idealization. To render the recognitive discursive minimum available to relevant people at the site of justification, S should set ψ low enough so that it is a genuine option for actual people to reject relevant views in ways that S recognizes as authoritative. (The Appendix applies this to a Forst-type view of reciprocity of reasons to draw out some limitations of this view.) [Draft available from author on request.

    The BOSS Emission-Line Lens Survey. II. Investigating Mass-Density Profile Evolution in the SLACS+BELLS Strong Gravitational Lens Sample

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    We present an analysis of the evolution of the central mass-density profile of massive elliptical galaxies from the SLACS and BELLS strong gravitational lens samples over the redshift interval z ~ 0.1-0.6, based on the combination of strong-lensing aperture mass and stellar velocity-dispersion constraints. We find a significant trend towards steeper mass profiles (parameterized by the power-law density model with rho ~ r^[-gamma]) at later cosmic times, with magnitude d/dz = -0.60 +/- 0.15. We show that the combined lens-galaxy sample is consistent with a non-evolving distribution of stellar velocity dispersions. Considering possible additional dependence of on lens-galaxy stellar mass, effective radius, and Sersic index, we find marginal evidence for shallower mass profiles at higher masses and larger sizes, but with a significance that is sub-dominant to the redshift dependence. Using the results of published Monte Carlo simulations of spectroscopic lens surveys, we verify that our mass-profile evolution result cannot be explained by lensing selection biases as a function of redshift. Interpreted as a true evolutionary signal, our result suggests that major dry mergers involving off-axis trajectories play a significant role in the evolution of the average mass-density structure of massive early-type galaxies over the past 6 Gyr. We also consider an alternative non-evolutionary hypothesis based on variations in the strong-lensing measurement aperture with redshift, which would imply the detection of an "inflection zone" marking the transition between the baryon-dominated and dark-matter halo-dominated regions of the lens galaxies. Further observations of the combined SLACS+BELLS sample can constrain this picture more precisely, and enable a more detailed investigation of the multivariate dependences of galaxy mass structure across cosmic time.Comment: 10 pages emulateapj, revised and expanded, accepted for publication in The Astrophysical Journa

    Three (Potential) Pillars of Transnational Economic Justice: The Bretton Woods Institutions as Guarantors of Global Equal Treatment and Market Completion

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    This essay aims to bring two important lines of inquiry and criticism together. It first lays out an institutionally enriched account of what a just world economic order will look like. That account prescribes, via the requisites to that mechanism which most directly instantiate the account, three realms of equal treatment and market completion - the global products, services, and labor markets; the global investment/financial markets; and the global preparticipation opportunity allocation. The essay then suggests how, with minimal if any departure from familiar canons of traditional international legal mandate interpretation, each of the Bretton Woods institutions - particularly the GATT/WTO and the IMF - can be viewed at least in part as charged with the task of fostering equal treatment and ultimate market completion within one of those three realms. The piece then argues that one of the institutions in particular - the World Bank - has, for reasons of at best negligent and at worst willful injustice on the part of influential state actors in the world community, fallen farthest short in pursuit of what should be viewed as its proper mandate. The article accordingly concludes that a fuller empowerment of the Bank to effect its ideal mission will press the Bretton Woods system more nearly into ethical balance, and with it the world into justice; and that full empowerment of the GATT/WTO and IMF should be partly conditioned upon the fuller empowerment of the Bank

    Two Concepts of Basic Equality

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    It has become somewhat a commonplace in recent political philosophy to remark that all plausible political theories must share at least one fundamental premise, ‘that all humans are one another's equals’. One single concept of ‘basic equality’, therefore, is cast as the common touchstone of all contemporary political thought. This paper argues that this claim is false. Virtually all do indeed say that all humans are ‘equals’ in some basic sense. However, this is not the same sense. There are not one but (at least) two concepts of basic equality, and they reflect not a grand unity within political philosophy but a deep and striking division. I call these concepts ‘Equal Worth’ and ‘Equal Authority’. The former means that each individual’s good is of equal moral worth. The latter means that no individual is under the natural authority of anyone else. Whilst these two predicates are not in themselves logically inconsistent, I demonstrate that they are inconsistent foundation stones for political theory. A theory that starts from Equal Worth will find it near impossible to justify Equal Authority. And a theory that starts from Equal Authority will find any fact about the true worth of things, including ourselves, irrelevant to justifying legitimate action. This helps us identify the origin of many of our deepest and seemingly intractable disagreements within political philosophy, and directs our attention to the need for a clear debate about the truth and/or relationship between the two concepts. In short, my call to arms can be summed up in the demand that political philosophers never again be allowed to claim ‘that all human beings are equals’ full stop. They must be clear in what dimension they claim that we are equals—Worth or Authority (or perhaps something else)
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