The Cavern-Mystery Transmission: A Taoist Ordination Rite of A.D. 711

Humanities Open Book Program, a joint initiative of the National Endowment for the Humanities and the Andrew W. Mellon FoundationVery little scholarly research has been done on the institutional structure of Taoism in medieval times. With this study of investiture, Benn attempts to fill that void. He describes the mechanism by which the Taoist priesthood ordered and perpetuated itself, as revealed in a rare account of an ordination rite for two T'ang princesses. He examines the lives of the participants, the hierarchy of the clergy, the liturgy, and the significance of the altar and its furnishings, and discusses other works of Chang Wan-fu, who authored this account

Black Holes with Weyl Charge and Non-Riemannian Waves

A simple modification to Einstein's theory of gravity in terms of a non-Riemannian connection is examined. A new tensor-variational approach yields field equations that possess a covariance similar to the gauge covariance of electromagnetism. These equations are shown to possess solutions analogous to those found in the Einstein-Maxwell system. In particular one finds gravi-electric and gravi-magnetic charges contributing to a spherically symmetric static Reissner-Nordstr\"om metric. Such Weyl ``charges'' provide a source for the non-Riemannian torsion and metric gradient fields instead of the electromagnetic field. The theory suggests that matter may be endowed with gravitational charges that couple to gravity in a manner analogous to electromagnetic couplings in an electromagnetic field. The nature of gravitational coupling to spinor matter in this theory is also investigated and a solution exhibiting a plane-symmetric gravitational metric wave coupled via non-Riemannian waves to a propagating spinor field is presented.Comment: 18 pages Plain Tex (No Figures), Classical and Quantum Gravit

On the motion of spinning test particles in plane gravitational waves

The Mathisson-Papapetrou-Dixon equations for a massive spinning test particle in plane gravitational waves are analysed and explicit solutions constructed in terms of solutions of certain linear ordinary differential equations. For harmonic waves this system reduces to a single equation of Mathieu-Hill type. In this case spinning particles may exhibit parametric excitation by gravitational fields. For a spinning test particle scattered by a gravitational wave pulse, the final energy-momentum of the particle may be related to the width, height, polarisation of the wave and spin orientation of the particle.Comment: 11 page

Non-Riemannian Gravity and the Einstein-Proca System

We argue that all Einstein-Maxwell or Einstein-Proca solutions to general relativity may be used to construct a large class of solutions (involving torsion and non-metricity) to theories of non-Riemannian gravitation that have been recently discussed in the literature.Comment: 9 pages Plain Tex (No Figures), Letter to Editor Classical and Quantum Gravit

Dark Matter Gravitational Interactions

We argue that the conjectured dark mater in the Universe may be endowed with a new kind of gravitational charge that couples to a short range gravitational interaction mediated by a massive vector field. A model is constructed that assimilates this concept into ideas of current inflationary cosmology. The model is also consistent with the observed behaviour of galactic rotation curves according to Newtonian dynamics. The essential idea is that stars composed of ordinary (as opposed to dark matter) experience Newtonian forces due to the presence of an all pervading background of massive gravitationally charged cold dark matter. The novel gravitational interactions are predicted to have a significant influence on pre-inflationary cosmology. The precise details depend on the nature of a gravitational Proca interaction and the description of matter. A gravitational Proca field configuration that gives rise to attractive forces between dark matter charges of like polarity exhibits homogeneous isotropic eternal cosmologies that are free of cosmological curvature singularities thus eliminating the horizon problem associated with the standard big-bang scenario. Such solutions do however admit dense hot pre-inflationary epochs each with a characteristic scale factor that may be correlated with the dark matter density in the current era of expansion. The model is based on a theory in which a modification of Einsteinian gravity at very short distances can be expressed in terms of the gradient of the Einstein metric and the torsion of a non-Riemannian connection on the bundle of linear frames over spacetime. Indeed we demonstrate that the genesis of the model resides in a remarkable simplification that occurs when one analyses the variational equations associated with a broad class of non-Riemannian actions.Comment: 40 pages, 4 Postscript figure

Sustainable procurement strategies for competitive advantage: An empirical study

Procurement plays a key role in sustainability as policies and practices need to extend beyond organisations' boundaries to incorporate their whole supply chains. There is, however, a paucity of empirical research on sustainable forms of procurement initiatives currently being implemented in the UK construction sector to improve competitiveness - which is the core driver of this paper. In order to achieve this aim, a mixed research methodological approach was adopted to collect and analyse data. The findings are based primarily on quantitative data obtained from 53 completed postal questionnaires and semi-structured interviews with 17 professionals from 12 UK construction organisations. As revealed by this study, sustainable procurement is becoming increasingly important in the UK construction sector. The paper concludes that the process of integrating sustainable procurement initiatives into existing business models is often a complex issue. Therefore, there is an urgent need to explore the drivers and impediments associated with the successful integration of sustainable procurement initiatives into existing construction business models. It is also suggested that there is a need for cross-sector collaboration to capture and share best and worst practices relating to sustainable procurement strategies

A HIF1α Regulatory Loop Links Hypoxia and Mitochondrial Signals in Pheochromocytomas

Pheochromocytomas are neural crest–derived tumors that arise from inherited or sporadic mutations in at least six independent genes. The proteins encoded by these multiple genes regulate distinct functions. We show here a functional link between tumors with VHL mutations and those with disruption of the genes encoding for succinate dehydrogenase (SDH) subunits B (SDHB) and D (SDHD). A transcription profile of reduced oxidoreductase is detected in all three of these tumor types, together with an angiogenesis/hypoxia profile typical of VHL dysfunction. The oxidoreductase defect, not previously detected in VHL-null tumors, is explained by suppression of the SDHB protein, a component of mitochondrial complex II. The decrease in SDHB is also noted in tumors with SDHD mutations. Gain-of-function and loss-of-function analyses show that the link between hypoxia signals (via VHL) and mitochondrial signals (via SDH) is mediated by HIF1α. These findings explain the shared features of pheochromocytomas with VHL and SDH mutations and suggest an additional mechanism for increased HIF1α activity in tumors

Health trends, inequalities and opportunities in South Africa's provinces, 1990-2019: findings from the Global Burden of Disease 2019 Study

Background Over the last 30 years, South Africa has experienced four ‘colliding epidemics’ of HIV and tuberculosis, chronic illness and mental health, injury and violence, and maternal, neonatal, and child mortality, which have had substantial effects on health and well-being. Using data from the 2019 Global Burden of Diseases, Injuries and Risk Factors Study (GBD 2019), we evaluated national and provincial health trends and progress towards important Sustainable Development Goal targets from 1990 to 2019. Methods We analysed GBD 2019 estimates of mortality, non-fatal health loss, summary health measures and risk factor burden, comparing trends over 1990–2007 and 2007–2019. Additionally, we decomposed changes in life expectancy by cause of death and assessed healthcare system performance. Results Across the nine provinces, inequalities in mortality and life expectancy increased over 1990–2007, largely due to differences in HIV/AIDS, then decreased over 2007–2019. Demographic change and increases in non-communicable diseases nearly doubled the number of years lived with disability between 1990 and 2019. From 1990 to 2019, risk factor burdens generally shifted from communicable and nutritional disease risks to non-communicable disease and injury risks; unsafe sex remained the top risk factor. Despite widespread improvements in healthcare system performance, the greatest gains were generally in economically advantaged provinces. Conclusions Reductions in HIV/AIDS and related conditions have led to improved health since 2007, though most provinces still lag in key areas. To achieve health targets, provincial governments should enhance health investments and exchange of knowledge, resources and best practices alongside populations that have been left behind, especially following the COVID-19 pandemic

Multicentre RCT and economic evaluation of a psychological intervention together with a leaflet to reduce risk behaviour amongst men who have sex with men (MSM) prescribed post-exposure prophylaxis for HIV following sexual exposure (PEPSE): A protocol

Background: Post-exposure prophylaxis (PEP) following sexual exposure to HIV has been recommended as a method of preventing HIV infection in the UK. Men who have sex with men (MSM) are the group most affected by HIV in the UK and their sexual risk taking behaviour is reported to be increasing. One-to-one behavioural interventions, such as motivational interviewing (MI) have been recommended to reduce HIV in high risk groups. The Information, Motivation and Behavioral skills (IMB) model has been shown to provide a good basis for understanding and predicting HIV-relevant health behaviour and health behaviour change, however the IMB has yet to be applied to PEP after risky sexual exposure. The primary aim of this trial is to examine the impact of MI augmented with information provision and behavioural skills building (informed by the IMB Model), over and above usual care, on risky sexual behaviour in MSM prescribed PEP after potential sexual exposure. A secondary aim of this research is to examine the impact of the intervention on adherence to PEP. This study will also provide estimates of the cost-effectiveness of the intervention. Methods: A manualised parallel group randomised controlled trial with economic evaluation will be conducted. The primary outcome is the proportion of risky sexual practices. Secondary outcomes include: i) Levels of adherence to PEP treatment; ii) Number of subsequent courses of PEP; iii) Levels of motivation to avoid risky sexual behaviours; iv) Levels of HIV risk-reduction information/knowledge; v) Levels of risk reduction behavioural skills; vi) Diagnosis of anal gonorrhoea, Chlamydia and/or HIV. 250 participants will be asked to self-complete a questionnaire at four time points during the study (at 0,3,6,12 months). The intervention will consist of a two-session, fixed duration, telephone administered augmented MI intervention based on the IMB model. A newly developed treatment manual will guide the selection of persuasive communication strategies as appropriate for each participant and will be based on underlying change mechanisms specified by the IMB theoretical framework. Information provision and skills building will also be included in the intervention package through the use of information leaflets and tailored action plans. Fidelity of intervention delivery will be assessed. Discussion: The results from this NIHR funded study will identify whether it is appropriate and cost-effective to intervene using one-to-one telephone calls with MSM seeking PEP. If the intervention is effective, further work will be needed on training staff to deliver the intervention competently