453 research outputs found

    The Evolution of Manor Courts in Medieval England, c.1250–1350:The Evidence of the Personal Actions

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    Manor courts held by landlords for their tenants and other local people existed in their thousands across medieval England. These courts played a significant role in the everyday lives of villagers, formed a major site for the preservation of law and order, and have been studied by generations of historians. Yet room for debate remains concerning the character of these institutions in the later thirteenth and early fourteenth centuries, and the influences that proved most important for their evolution. This article uses a new database concerning hundreds of manorial personal actions – lawsuits which treated areas roughly equivalent to modern tort and contract law – to explore the procedures and practices of the manor courts, and to reconstruct their development over the first century for which detailed records of their proceedings survive. It is argued that although significant local variation among manor courts persisted, especially in the west of England, overall there was a broad process of ‘convergence’. Yet this was not simply a top-down process involving the transmission of practices from the king’s courts of common law, or the communication of external rules by legal professionals or landlords. Instead, the suitors, litigants and jurors of the manor courts played a decisive role in this process. The manorial personal actions thus provide an important instance of the fundamental role of experienced laypeople in simultaneously shaping and exploiting key institutions of medieval governance and law.Arts and Humanities Research Counci

    Treatment switching in cancer trials: Issues and proposals

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    Objectives: Treatment switching occurs when patients in a randomized clinical trial switch from the treatment initially assigned to them to another treatment, typically from the control to experimental treatment. This study discusses the issues this raises and possible approaches to addressing them in trials of cancer drugs. Methods: Stakeholders from around the world were invited to a 1.5-day Workshop in Adelaide, Australia. This study attempts to capture the key points from the discussion and the perspectives of the various stakeholder groups, but is not a formal consensus statement. Results: Treatment switching raises challenging ethical issues with arguments for and against allowing it. It is increasingly common in cancer drug trials and presents challenges for the interpretation of results by regulators, clinicians, patients, and payers. Proposals are offered for good practice in the design, management, and analysis of trials and wider development programs for cancer drugs in which treatment switching has occurred or is likely to. Recommendations are also offered for further action to improve understanding of the importance and challenges of treatment switching and to promote agreement between key stakeholders on guidelines and other steps to address these challenges. Conclusions: The handling of treatment switching in trials is of concern to all stakeholders. On the basis of the discussions at the Adelaide International Workshop, there would appear to be common ground on approaches to addressing treatment switching in cancer trials and scope for the development of formal guidelines to inform the work of regulators, payers, industry, trial designers and other stakeholders

    Living standards and material culture in English rural households 1300-1600. Data Paper

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    The data in the related digital archive was collected to examine the archaeological and historical evidence for material culture in English medieval rural households, with the aim of gaining a fuller picture than what might be attainable by looking only at objects or documents in isolation. The digital archive provides a starting point for anyone wishing to research aspects of medieval rural settlement

    BEAT-IT:comparing a behavioural activation treatment for depression in adults with intellectual disabilities with an attention control : study protocol for a randomised controlled trial

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    BACKGROUND: Depression appears to be more enduring amongst people with intellectual disabilities, suggesting that it is a more chronic problem or more poorly managed in this population. This is not helped by a lack of evidence about the effectiveness of psychological therapies for people who have intellectual disabilities and depression. Behavioural activation, which aims to counteract depression by increasing individuals' level of meaningful activity and their exposure to positive reinforcers, has proven to be as effective as cognitive behavioural therapy in the general population. Given that this therapy makes fewer communicative demands and focuses on activity, it was thought that behavioural activation would be both accessible and apt for people with intellectual disabilities, who are often socially marginalised. METHODS/DESIGN: This study is a multi-centre single-blind randomised controlled trial of behavioural activation versus a self-help attention control intervention for depression in adults with mild/moderate intellectual disabilities. The study has an internal pilot in one centre, to establish that recruitment can be built up and sustained at the required level, before being rolled out across the other sites. One hundred sixty-six participants will be randomly assigned to the behavioural activation or self-help interventions, which will be delivered to individuals with mild to moderate intellectual disabilities, accompanied by someone who provides them with regular support. Both interventions are manualised and will be delivered over a period of approximately 4 months. The primary outcome measure will be the Glasgow Depression Scale, a self-report measure which is completed at baseline and 4 and 12 months post-randomisation. Secondary outcomes include measures of participants' activity levels, proxy reports of depressive symptoms, and cost-effectiveness. DISCUSSION: The study will provide evidence about the effectiveness of behavioural activation for depression, adapted for people who have mild/moderate intellectual disabilities, and will inform the delivery of psychological therapies to people with intellectual disabilities in practice. TRIAL REGISTRATION: Date trial registered: Nov. 13, 2012; trial registration number: ISRCTN 09753005

    Behaviour of non-donor specific antibodies during rapid re-synthesis of donor specific HLA antibodies after antibody incompatible renal transplantation

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    Background: HLA directed antibodies play an important role in acute and chronic allograft rejection. During viral infection of a patient with HLA antibodies, the HLA antibody levels may rise even though there is no new immunization with antigen. However it is not known whether the converse occurs, and whether changes on non-donor specific antibodies are associated with any outcomes following HLA antibody incompatible renal transplantation. Methods: 55 patients, 31 women and 24 men, who underwent HLAi renal transplant in our center from September 2005 to September 2010 were included in the studies. We analysed the data using two different approaches, based on; i) DSA levels and ii) rejection episode post transplant. HLA antibody levels were measured during the early post transplant period and corresponding CMV, VZV and Anti-HBs IgG antibody levels and blood group IgG, IgM and IgA antibodies were quantified. Results: Despite a significant DSA antibody rise no significant non-donor specific HLA antibody, viral or blood group antibody rise was found. In rejection episode analyses, multiple logistic regression modelling showed that change in the DSA was significantly associated with rejection (p = 0.002), even when adjusted for other antibody levels. No other antibody levels were predictive of rejection. Increase in DSA from pre treatment to a post transplant peak of 1000 was equivalent to an increased chance of rejection with an odds ratio of 1.47 (1.08, 2.00). Conclusion: In spite of increases or decreases in the DSA levels, there were no changes in the viral or the blood group antibodies in these patients. Thus the DSA rise is specific in contrast to the viral, blood group or third party antibodies post transplantation. Increases in the DSA post transplant in comparison to pre-treatment are strongly associated with occurrence of rejection

    PBIS Faculty Ownership and Buy-in from Implementation to Emergent/Operational

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    This presentation will discuss the intricacies involved in ensuring staff ownership during implementation through emergent and into operational stages with the PBIS process. The goal of the PBIS team was that staff would embrace, implement and use PBIS with fidelity. The PBIS team worked diligently to form a plan of introduction and implementation that would ultimately lead to positive change in faculty behavior. It was vital to our team that staff full invest in PBIS and the positive culture change it would bring to our program and student achievement. This presentation will explore the advanced planning, staff training, staff incentives and follow up procedures used by the team to ascertain staff ownership and fidelity with implementing PBIS

    Designing Second-Screening Experiences for Social Co-Selection and Critical Co-Viewing of Reality TV

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    Public commentary related to reality TV can be overwhelmed by thoughtless reactions and negative sentiments, which often problematically reinforce the cultural stereotyping typically employed in such media. We describe the design and month-long evaluation of a mobile "second-screening" application, Screenr, which uses co-voting and live textual tagging to encourage more critical co-viewing in these contexts. Our findings highlight how Screenr supported interrogation of the production qualities and claims of shows, promoted critical discourse around the motivations of programmes, and engaged participants in reflecting on their own assumptions and views. We situate our results within the context of existing second-screening co-viewing work, discuss implications for such technologies to support critical engagement with socio-political media, and provide design implications for future digital technologies in this domain

    21-cm synthesis observations of VIRGOHI 21 - a possible dark galaxy in the Virgo Cluster

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    Many observations indicate that dark matter dominates the extra-galactic Universe, yet no totally dark structure of galactic proportions has ever been convincingly identified. Previously we have suggested that VIRGOHI 21, a 21-cm source we found in the Virgo Cluster using Jodrell Bank, was a possible dark galaxy because of its broad line-width (~200 km/s) unaccompanied by any visible gravitational source to account for it. We have now imaged VIRGOHI 21 in the neutral-hydrogen line and find what could be a dark, edge-on, spinning disk with the mass and diameter of a typical spiral galaxy. Moreover, VIRGOHI 21 has unquestionably been involved in an interaction with NGC 4254, a luminous spiral with an odd one-armed morphology, but lacking the massive interactor normally linked with such a feature. Numerical models of NGC 4254 call for a close interaction ~10^8 years ago with a perturber of ~10^11 solar masses. This we take as additional evidence for the massive nature of VIRGOHI 21 as there does not appear to be any other viable candidate. We have also used the Hubble Space Telescope to search for stars associated with the HI and find none down to an I band surface brightness limit of 31.1 +/- 0.2 mag/sq. arcsec.Comment: 8 pages, accepted to ApJ, uses emulateapj.cls. Mpeg animation (Fig. 2) available at ftp://ftp.naic.edu/pub/publications/minchin/video2.mp

    The material culture of English rural households c.1250-1600

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    Drawing on archaeological and historical evidence, which comprises objects recovered from archaeological excavations, Escheators’ records from the 14th and 15th centuries and Coroners’ records from the 16th century, this is the first comprehensive analysis of the possessions of non-elite households in medieval England
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