Sufficient for Herself: Women & Silence in Wilkie Collins\u27s Novels

Wilkie Collins is a major sensation author of the Victorian period, known for introducing the form of the novel to detective fiction. His novels contain biting social critique and dynamic, multidimensional characters, the majority of whom are women, making his novels rich material for an examination of gender norms, power dynamics, and difference in Victorian society. His major works include The Woman in White (1860) and The Moonstone (1868), the two novels on which I focus. Previous critics have focused on the anxious male narrators in these novels and their attempts to establish positions of authority by taking control of the narrative. A necessary result of this seizure is the oppressive silencing of the women of the text, as their voices are ignored or rewritten. While it is certainly true that women often have trouble being heard within a patriarchal society that dismisses their experiences and perspectives, the uses of silence within Wilkie Collins’s novels are more complex. In these novels, women do not necessarily have silence imposed upon them; they often choose silence as a means of exerting control over their lives. In contrast to elusive narrative control, elective silence enables women to establish their own distinct power within, but separate from, the patriarchal system. They can then use this power to protect those who are excluded from the patriarchy and provide justice that the legal system cannot

Wearing A Mask to Each Other : Masculinity & the Public Eye in Victorian Sensation Fiction

Sensation fiction, as a genre, offers a field to explore the ways in which ideologies of masculinity are negotiated, contested, and enforced. The Victorian man has no respite from social surveillance; the public is always watching, always evaluating the performance. As these sensation fiction novels build on each other, a portrait of male claustrophobia in response to unceasing surveillance is revealed. The pressure this constant scrutiny puts on Victorian men is immense and sensation novels derive many thrilling plot twists from the dramatic lengths men to which men must go to protect themselves from this gaze. These habits persist even when the actions of the men are relatively innocent or disconnected from the secrets they keep. These patterns of concealment and displacement craft a protective distance from society, but fundamentally isolate the men involved. Rather than effortlessly assuming patriarchal authority, male characters act in desperate ways to maintain their position and their manliness, highlighting the fractures and contradictions inherent in Victorian gender ideology. These strategies of concealment mirror the division between the private and public spheres and England and the colonies, exhibiting a foundational pattern of concealment in Victorian society

Polycystic Ovarian Syndrome

Abstract Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in females of reproductive age, affecting up to twenty percent of females (McEwen & Hartmann, 2018). Though the pathophysiology of PCOS is not fully understood, several factors such as insulin resistance and increased testosterone levels are prevalent and play a major role in PCOS. PCOS is a complex disease and encompasses many different metabolic, endocrine and reproductive conditions. Common signs and symptoms of PCOS include but are not limited to menstrual cycle disturbances, acne, alopecia and fertility problems (Balen, 2017). Keywords: PCOS, Polycystic ovarian syndrome, insulin resistanc

Gut Feelings: Race and the Embodied Self: An Interview with Shannon Sullivan

Shannon Sullivan is Chair of Philosophy and Professor of Philosophy and Health Psychology at UNC Charlotte. She specializes in feminist philosophy, critical philosophy of race, American philosophy (especially pragmatism), . and continental philosophy. She is the author of four books, most recently, Good White People: The Problem with Middle-Class White Anti-Racism (2014) and The Physiology of Sexist and Racist Oppression (2015). She also is co-editor of four books, including Race and Epistemologies of Ignorance (2007) and Feminist Interpretations of William James (2015)

Tribology of particle suspensions in rolling-sliding soft contacts

We investigate the lubrication of microsphere suspensions between compliant substrates, and probe the influence of matrix viscosity, particle phase volume, surface roughness and wetting, and slide-to-roll ratio (SRR). In general, the suspensions behave as a continuum in the elastohydrodynamic regime provided the film thickness, which is predicted from the product of speed and viscosity, is greater than the particle diameter. Below this, the frictional response is characteristic of the mixed and boundary regimes. In the boundary regime, friction is independent of phase volume above 5% and it is governed by the rolling friction associated with particles being entrained into the contact that is independent of SRR, which is made possible by substrate deformation. This study provides a benchmark for soft-tribology and biotribology studies involving more complex particle suspensions and particle-containing soft materials

Étude qualitative sur l’expérience des résidents canadiens du modèle d’éducation médicale fondée sur les compétences

Background: Competency-based medical education (CBME) is an outcomes-based curricular paradigm focused on ensuring that graduates are competent to meet the needs of patients. Although resident engagement is key to CBME’s success, few studies have explored how trainees have experienced CBME implementation. We explored the experiences of residents in Canadian training programs that had implemented CBME. Methods: We conducted semi-structured interviews with 16 residents in seven Canadian postgraduate training programs, exploring their experiences with CBME. Participants were equally divided between family medicine and specialty programs. Themes were identified using principles of constructivist grounded theory. Results: Residents were receptive to the goals of CBME, but in practice, described several drawbacks primarily related to assessment and feedback. For many residents, the significant administrative burden and focus on assessment led to performance anxiety. At times, residents felt that assessments lacked meaning as supervisors focused on “checking-boxes” or provided overly broad, non-specific comments. Furthermore, they commonly expressed frustration with the perceived subjectivity and inconsistency of judgments on assessments, especially if assessments were used to delay progression to greater independence, contributing to attempts to "game the system". Faculty engagement and support improved resident experiences with CBME. Conclusion: Although residents value the potential for CBME to improve the quality of education, assessment and feedback, the current operationalization of CBME may not be consistently achieving these objectives. The authors suggest several initiatives to improve how residents experience assessment and feedback processes in CBME.Contexte : L’éducation médicale fondée sur les compétences (EMFC) est un paradigme dans lequel le programme de formation est axé sur les résultats et vise à garantir que les diplômés aient les compétences nécessaires pour répondre aux besoins des patients. Bien que l’engagement des résidents soit la clé du succès de l’EMFC, peu d’études ont exploré comment ils vivent son introduction. Nous nous sommes penchés sur l’expérience des résidents dans les programmes de formation canadiens qui ont mis en œuvre l’EMFC. Méthodes : Nous avons mené des entrevues semi-structurées avec 16 résidents de sept programmes de formation postdoctorale canadiens, afin de sonder leur expérience de l’EMFC. Les participants étaient répartis de façon égale entre la médecine familiale et les programmes de spécialité. Les thèmes ont été dégagés en appliquant les principes de la théorie enracinée constructiviste. Résultats : Bien que réceptifs aux objectifs de l’EMFC, les résidents décrivent des inconvénients de sa mise en pratique, notamment sur le plan de l’évaluation et de la rétroaction. Pour beaucoup d’entre eux, la focalisation sur l’évaluation et le fardeau administratif qui y est lié ont été une source d’anxiété de performance. Les résidents ont l’impression que les évaluations manquent parfois de pertinence, car les superviseurs, se sentant contraints de « cocher des cases », font des commentaires trop généraux et peu ciblés. De plus, un sentiment de frustration a été fréquemment exprimé face à la subjectivité et l’incohérence perçues des jugements dans les évaluations, surtout lorsque ces dernières sont utilisées pour retarder le cheminement vers une plus grande indépendance, constituant ainsi une tentative de « déjouer le système ». L’implication et le soutien du corps professoral ont aidé à bonifier l’expérience des résidents. Conclusion : Bien que les résidents apprécient le potentiel de l’EMFC pour rehausser la qualité de l’éducation, de l’évaluation et de la rétroaction, son opérationnalisation actuelle ne permet pas d’atteindre ces objectifs de façon systématique. Les auteurs proposent quelques initiatives pour améliorer la façon dont les résidents vivent les processus d’évaluation et de rétroaction dans le cadre de l’EMFC

South African Sports Medicine Association Position Statement on Exercise in Pregnancy

There are many concerns about exercise during pregnancy, with medical advice historically dissuading women from continuing or initiating regular exercise programmes. However, research has shown that high levels of exercise are not associated with an increased incidence of negative events. Currently, many women of childbearing age wish to continue with their exercise programmes during pregnancy. Appropriate guidance and exercise counselling by the attending care provider can fulfil this need. This position statement aims to assist pregnant women and their care providers in assessing the merits and benefits of improving and maintaining fitness during this period

From ‘other’ to involved: User involvement in research: An emerging paradigm

This article has been made available through the Brunel Open Access Publishing Fund. Copyright @ 2013 The Author(s). This is an Open Access article. Non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly attributed, cited, and is not altered, transformed, or built upon in any way, is permitted. The moral rights of the named author(s) have been asserted.This article explores the issue of ‘othering’ service users and the role that involving them, particularly in social policy and social work research may play in reducing this. It takes, as its starting point, the concept of ‘social exclusion’, which has developed in Europe and the marginal role that those who have been included in this construct have played in its development and the damaging effects this may have. The article explores service user involvement in research and is itself written from a service user perspective. It pays particular attention to the ideological, practical, theoretical, ethical and methodological issues that such user involvement may raise for research. It examines problems that both research and user involvement may give rise to and also considers developments internationally to involve service users/subjects of research, highlighting some of the possible implications and gains of engaging service user knowledge in research and the need for this to be evaluated

The Characterization and Evaluation of the Soluble Triggering Receptor Expressed on Myeloid Cells-like Transcript-1 in Stable Coronary Artery Disease

Platelets play crucial roles in the development and progression of coronary artery disease (CAD). The triggering receptor expressed in myeloid cells-like transcript-1 (TLT-1) is stored in platelet α granules, and activated platelets release a soluble fragment (sTLT-1). We set out to better characterize the constituent amino acids of sTLT-1 and to evaluate sTLT-1 for use as a biomarker in patients with stable CAD. We evaluated sTLT-1 release using immunoprecipitation and mass spectrometry and employed statistical methods to retrospectively correlate sTLT-1 concentrations, utilizing ELISA in plasma samples from 1510 patients with documented stable CAD. We identified TLT-1 residues to 133 in platelet releasates. ADAM17 cuts TLT-1, suggesting that S136 is the C-terminal amino acid in sTLT-1. Our results revealed that for CAD patients, sTLT-1 levels did not differ significantly according to primary outcomes of death or major cardiac event; however, patients with left ventricular (LV) dysfunction had significantly lower plasma sTLT-1 levels as compared to those with normal LV function (981.62 ± 1141 pg/mL vs. 1247.48 ± 1589 pg/mL; p = 0.003). When patients were stratified based on sTLT-1 peak frequency distribution (544 pg/mL), a significant association with congestive heart failure was identified (OR = 2.94; 1.040-8.282; p = 0.042), which could be explained by LV dysfunction