How to connect : applying Martha Nussbaum's literary ethical theory to E. M. Forster's Howards end

Ethics in literature, that is, an ethical reading of works of fiction, is seen by some critics today as a valuable supplement to traditional philosophical, analytical discourse on ethics. In examining issues such as correct choice or action in the face of uncontrolled happenings ethical discourse inevitably uses example to illustrate theory. This strategy is especially fruitful when applied to novels. Literary language constructs the form to convey the content to the reader. Form illuminating content may make the fundamental issue of ethics accessible to a larger reading public. This thesis argues the congruence between the philosopher Martha Nussbaum's literary ethical theory and E. M. Forster's Howards End. The language of Howards End is tested against the four components of her theory. The final chapter argues a more generic ethical reading of Howards End in relation to two characters whose treatment within the novel appears to challenge such a reading. The thesis analyses the devices used by Forster in his text to set the writing/reading action in motion. It interrogates how Forster's text makes a case for literature as praxis, a first concern of the ethical literary enterprise

Impact of prenatal care provider on the use of ancillary health services during pregnancy

BACKGROUND: Recent declines in the provision of prenatal care by family physicians and the integration of midwives into the Canadian health care system have led to a shift in the pattern of prenatal care provision; however it is unknown if this also impacts use of other health services during pregnancy. This study aimed to assess the impact of the type of prenatal care provider on the self-reported use of ancillary services during pregnancy. METHODS: Data for this study was obtained from the All Our Babies study, a community-based prospective cohort study of women’s experiences during pregnancy and the post-partum period. Chi-square tests and logistic regression were used to assess the association between type of prenatal care provider and use of ancillary health services in pregnancy. RESULTS: During pregnancy, 85.8% of women reported accessing ancillary health services. Compared to women who received prenatal care from a family physician, women who saw a midwife were less likely to call a nurse telephone advice line (OR = 0.30, 95% CI: 0.18-0.50) and visit the emergency department (OR = 0.47, 95% CI: 0.24-0.89), but were more likely receive chiropractic care (OR = 4.07, 95% CI: 2.49-6.67). Women who received their prenatal care from an obstetrician were more likely to visit a walk-in clinic (OR = 1.51, 95% CI: 1.11-2.05) than those who were cared for by a family physician. CONCLUSIONS: Prenatal care is a complex entity and referral pathways between care providers and services are not always clear. This can lead to the provision of fragmented care and create opportunities for errors and loss of information. All types of care providers have a role in addressing the full range of health needs that pregnant women experience

Demographic Analysis of Recovery Act Supported Jobs in Massachusetts, Quarters 1 and 2, 2011: FINAL REPORT

Since 2009, researchers have analyzed the economic and employment impact of ARRA spending and tax policies. The current report is possible due to the efforts of Massachusetts policymakers who went beyond federal reporting requirements to require additional reporting on the number of workers who received ARRA-funded pay. ARRA workers’ demographic characteristics were also collected as part of the Massachusetts’ ARRA reporting requirements to allow for transparency and determine the fiscal policy’s impact on the state and local economy. The Massachusetts Recovery and Reinvestment Office (MassRRO) makes available much of these data on their website (www.mass. gov/recovery), including highlights for each funding quarter. This report builds on a similar report from 2010, Demographic Analysis of Recovery Act Supported Jobs in Massachusetts, Quarters 1 and 2, 2010, providing an in-depth analysis of the data that the MassRRO office collected during Quarters 1 and 2 of 2011. In addition to analyzing the employment and demographic effects of ARRA in Quarters 1 and 2 of 2011, the 2011 data are compared with data from the same two quarters of 2010. The data represent four cross-sections of time demonstrating what the Massachusetts ARRA funding was doing at each point. The analysis emphasizes the employment effects, by race, ethnicity, gender, and disability status. In addition, data are analyzed by geographic location, providing information on the distribution of ARRA workers throughout the Commonwealth of Massachusetts as well as the City of Boston. When possible, data from the MassRRO are compared to the general state population using data obtained from the Center for Economic Policy Research, the U.S. Census, the Boston Indicators Project, and others. However, as with any data there are some limitations, including the consistency of reporting across ARRA contractors. Findings from this analysis provide policymakers information about how ARRA continues to impact the economy and the working population. Such information may guide policymakers in the future when crafting fiscal policies, especially those intended to spur economic growth

Demographic Analysis of Recovery Act Supported Jobs in Massachusetts, Quarters 1 and 2, 2010

Massachusetts policy makers decided to go beyond existing ARRA federal reporting requirements and collect additional data in order to gauge the effectiveness of ARRA’s fiscal policy by counting the number of individuals who have received an ARRA-funded paycheck. In addition, policy makers wanted to look at some of the demographic characteristics of this population. This report provides an in-depth analysis of the data that the MA Recovery Office collected during the first and second quarters of 2010, with a particular focus on job creation and retention by race, ethnicity, gender, disability status, and geographic location. Highlights of the report include: Each racial or ethnic category is represented in both the ARRA and larger labor force in roughly the same proportions. Blacks and Hispanics constituted a slightly larger proportion of ARRA job holders than among those employed in the larger labor force during the same time period. Women were about two-thirds of ARRA job holders funded by Workforce, Safety Net, and Education categories across both quarters. Neighborhood analysis of the City of Boston showed that certain Boston neighborhoods – especially those with considerable racial/ethnic diversity – had a greater share of ARRA job holders than others

Pharmacotherapy in Pediatric Neurogenic Bladder Intravesical Botulinum Toxin Type A

When the neurogenic bladder is refractory to anticholinergics, botulinum toxin type A is used as an alternative. The neurotoxin type A reduces bladder pressure and increases its capacity and wall compliance. Additionally, it contributes to improving urinary continence and quality of life. This novel therapy is ambulatory with a low incidence of adverse effects. Due to its transitory effect, it is necessary to repeat the injections in order to sustain its therapeutic effect. In these review article we talk about Mechanism of Action, Indications, effects, administration and presentations of the Botulinum Neurotoxin Type A in pediatric patients. Also, we make references to controversial issues surrounding its use. A bibliographic search was done selecting articles and revisions from Pubmed. The key words used were botulinum toxin A, neurogenic bladder, and children. The search was limited to patients younger than 18 years of age and reports written in English in the past ten years

Is late-life dependency increasing or not? A comparison of the Cognitive Function and Ageing Studies (CFAS)

Background: Little is known about how dependency levels have changed between generational cohorts of older people. We estimated years lived in different care states at age 65 in 1991 and 2011 and new projections of future demand for care. Methods: Two population-based studies of older people in defined geographical areas conducted two decades apart (the Cognitive Function and Ageing Studies) provided prevalence estimates of dependency in four states: high (24-hour care); medium (daily care); low (less than daily); independent. Years in each dependency state were calculated by Sullivan’s method. To project future demand, the proportions in each dependency state (by age group and sex) were applied to the 2014 England population projections. Findings: Between 1991 and 2011 there were significant increases in years lived from age 65 with low (men:1·7 years, 95%CI 1·0-2·4; women:2·4 years, 95%CI 1·8-3·1) and high dependency (men:0·9 years, 95%CI 0·2-1·7; women:1·3 years, 95%CI 0·5-2·1). The majority of men’s extra years of life were independent (36%) or with low dependency (36%) whilst for women the majority were spent with low dependency (58%), only 5% being independent. There were substantial reductions in the proportions with medium and high dependency who lived in care homes, although, if these dependency and care home proportions remain constant in the future, further population ageing will require an extra 71,000 care home places by 2025. Interpretation: On average older men now spend 2.4 years and women 3.0 years with substantial care needs (medium or high dependency), and most will live in the community. These findings have considerable implications for older people’s families who provide the majority of unpaid care, but the findings also supply valuable new information for governments and care providers planning the resources and funding required for the care of their future ageing populations

Population studies of sporadic cerebral amyloid angiopathy and dementia: a systematic review.

BACKGROUND: Deposition of amyloid-beta (Abeta) in vessel walls of the brain as cerebral amyloid angiopathy (CAA) could be a major factor in the pathogenesis of dementia. Here we investigate the relationship between dementia and the prevalence of CAA in older populations. We searched the literature for prospective population-based epidemiological clinicopathological studies, free of the biases of other sampling techniques, which were used as a comparison. METHODS: To identify population-based studies assessing CAA and dementia, a previous systematic review of population-based clinicopathological studies of ageing and dementia was employed. To identify selected-sample studies, PsychInfo (1806-April Week 3 2008), OVID MEDLINE (1950-April Week 2 2008) and Pubmed (searched 21 April 2008) databases were searched using the term "amyloid angiopathy". These databases were also employed to search for any population-based studies not included in the previous systematic review. Studies were included if they reported the prevalence of CAA relative to a dementia classification (clinical or neuropathological). RESULTS: Four population-based studies were identified. They showed that on average 55-59% of those with dementia displayed CAA (of any severity) compared to 28-38% of the non-demented. 37-43% of the demented displayed severe CAA in contrast to 7-24% of the non-demented. There was no overlap in the range of these averages and they were less variable and lower than those reported in 38 selected sample studies (demented v non-demented: 32-100 v 0-77% regardless of severity; 0-50 v 0-11% for severe only). CONCLUSION: CAA prevalence in populations is consistently higher in the demented as compared to the non-demented. This supports a significant role for CAA in the pathogenesis of dementia

<em>Tendril-less</em> regulates tendril formation in pea leaves

Tendrils are contact-sensitive, filamentous organs that permit climbing plants to tether to their taller neighbors. Tendrilled legume species are grown as field crops, where the tendrils contribute to the physical support of the crop prior to harvest. The homeotic tendril-less (tl) mutation in garden pea (Pisum sativum), identified almost a century ago, transforms tendrils into leaflets. In this study, we used a systematic marker screen of fast neutron–generated tl deletion mutants to identify Tl as a Class I homeodomain leucine zipper (HDZIP) transcription factor. We confirmed the tendril-less phenotype as loss of function by targeting induced local lesions in genomes (TILLING) in garden pea and by analysis of the tendril-less phenotype of the t mutant in sweet pea (Lathyrus odoratus). The conversion of tendrils into leaflets in both mutants demonstrates that the pea tendril is a modified leaflet, inhibited from completing laminar development by Tl. We provide evidence to show that lamina inhibition requires Unifoliata/LEAFY-mediated Tl expression in organs emerging in the distal region of the leaf primordium. Phylogenetic analyses show that Tl is an unusual Class I HDZIP protein and that tendrils evolved either once or twice in Papilionoid legumes. We suggest that tendrils arose in the Fabeae clade of Papilionoid legumes through acquisition of the Tl gene

The 1995 Georges Bank Stratification Study and moored array measurements

The 1995 Geoges Bank Stratification Study (GBSS) was the first intensive process study conducted as part of the U.S. GLOBEC Northwest Atlantic/Georges Bank field program. The GBSS was designed to investigate the physical processes which control the seasonal development of stratification along the southern flank of Georges Bank during spring and summer. Past work suggested that during this period, larval cod and haddock tended to aggregate to the thermocline on the southern flank where higher concentrations of their copepod prey were found. A moored array was deployed as part of GBSS to observe the onset and evolution of sesonal stratification over the southern flank with sufficient vertical and horizontal resolution that key physical processes could be identified and quantified. Moored current, temperature, and conductivity (salinity) measurements were made at three sites along the southern flank, one on the crest, and one on the northeast peak of the bank. Moored surface meteorological measurements were also made at one southern flank site to determine the surface wind stress and heat and moisture fluxes. The oceanographic and meteorological data collected with the GBSS array during January-August 1995 are presented in this report. Meteorological data collected on National Data Buoy Center environmental buoys 44011 (Georges Bank), 44008 (Nantucket Shoals), and 44005 (Gulf of Maine) are included in this report for completeness and comparison with the GBSS southern flank meteorological measurements.Funding was provided by the National Science Foundation under Grant Numbers OCE-98-06379 and OCE-98-06445