12 research outputs found

    Ad Infinitum: The Bourgeois Construction of an American Lady

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    This thesis explores the emergence of the Bourgeois culture in Antebellum America during the transition of nineteenth century America into what we refer to as “modern-day America.” This period is crucial in American history as ideological concepts developed as the nation industrialized, thus creating the nation’s identity. In doing so, gender roles were voraciously prescribed with a focus on women’s sexuality as a focal point for Victorian discourse. Unlike prior to the Revolution, which gender roles were previously assumed, by the mid-nineteenth century, modes of surveillance are apparent in sermons, medical treatises, Victorian periodicals and literature, in which ideological productions such as the “cult of true womanhood,” entrenched in Evangelical Christianity became essential to nationalism. This thesis explores the mechanisms of power used to control women, while simultaneously extracting the psychological reasons behind such ideological productions constructed, that elevated women’s role in society as discourse on women’s sexuality and their roles in society became ad infinitum

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≀0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    La renovaciĂłn de la palabra en el bicentenario de la Argentina : los colores de la mirada lingĂŒĂ­stica

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    El libro reĂșne trabajos en los que se exponen resultados de investigaciones presentadas por investigadores de Argentina, Chile, Brasil, España, Italia y Alemania en el XII Congreso de la Sociedad Argentina de LingĂŒĂ­stica (SAL), Bicentenario: la renovaciĂłn de la palabra, realizado en Mendoza, Argentina, entre el 6 y el 9 de abril de 2010. Las temĂĄticas abordadas en los 167 capĂ­tulos muestran las grandes lĂ­neas de investigaciĂłn que se desarrollan fundamentalmente en nuestro paĂ­s, pero tambiĂ©n en los otros paĂ­ses mencionados arriba, y señalan ademĂĄs las ĂĄreas que reciĂ©n se inician, con poca tradiciĂłn en nuestro paĂ­s y que deberĂ­an fomentarse. Los trabajos aquĂ­ publicados se enmarcan dentro de las siguientes disciplinas y/o campos de investigaciĂłn: FonologĂ­a, Sintaxis, SemĂĄntica y PragmĂĄtica, LingĂŒĂ­stica Cognitiva, AnĂĄlisis del Discurso, PsicolingĂŒĂ­stica, AdquisiciĂłn de la Lengua, SociolingĂŒĂ­stica y DialectologĂ­a, DidĂĄctica de la lengua, LingĂŒĂ­stica Aplicada, LingĂŒĂ­stica Computacional, Historia de la Lengua y la LingĂŒĂ­stica, Lenguas AborĂ­genes, FilosofĂ­a del Lenguaje, LexicologĂ­a y TerminologĂ­a

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≀0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    DesafĂ­os de la investigaciĂłn en Ecuador

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    En este artículo se desarrollan algunas ideas en torno a los retos y desafíos que enfrenta la investigación en Ecuador, en el marco de la educación superior. Parte de un objetivo general, que es esbozar una visión transformadora de la educación superior y la investigación hacia la transformación universitaria en Ecuador, así como los desafíos actuales a los que se enfrenta la educación superior. Sus objetivos específicos pasan por una caracterización de la educación superior ecuatoriana en cuanto a investigación, para luego plantear algunas ideas para una transformación universitaria en el marco de la investigación. El trabajo se realizó a través del método hermenéutico-dialéctico, utilizando la investigación documental. Como resultado se plantean 4 líneas generales que representan los grandes retos y desafíos a enfrentar en el nuevo contexto de la educación superior para potenciar la investigación en Ecuador

    ValoraciĂłn de aspectos vinculados al consumo, calidad y seguridad de la carne, en consumidores argentinos de carne

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    The development of meat producing sector is directly influenced by the concepts and criteria of the consumers. Numerous and diverse aspects are taken into account by consumers at the time of purchase, with appearance, freshness and product availability being the most important points. Knowledge the trends, concepts and willingness to purchase by consumers is allows the agroindustrial sector a better growth and development. The aim at study was to study the consumption, quality and health aspects of meat through a survey of Argentine consumers of meat. The data were collected in cities of the province of Buenos Aires. The survey was anonymous, voluntary and through a questionnaire arranged online. The information collected was analyzed by descriptive test according to: sex, age range, employment status and area of residence. The data indicated that the most outstanding features and trends in consumer habits, quality criteria and decision to purchase meat in citizens of the province of Buenos Aires, are related according to age and, to a lesser extent, sex, residence or employment situation. These observations suggest that would be a good opportunity for the producer’s development products orientated to particular age group public and their preferences. Health general aspects suggested it is important for scientific and educational sector generate and transmit more information to society about proper habits of food handling at home.El crecimiento del sector productor de carne se ve influenciado directamente por los conceptos y criterios de los consumidores. Los aspectos tenidos en cuenta por estos al momento de comprar son numerosos y variados, y los puntos mĂĄs importantes son la calidad sensorial, higiĂ©nico-sanitaria, disponibilidad de productos y tendencia de consumo. Conocer las preferencias, conceptos y actitud de compra por parte de los consumidores permite al sector agroindustrial un mejor crecimiento y desarrollo. El presente trabajo planteĂł como objetivo estudiar aspectos de consumo, calidad y sanidad de la carne mediante encuesta con consumidores argentinos. Los datos fueron recabados en ciudades de la provincia de Buenos Aires. La encuesta fue anĂłnima, voluntaria y mediante un cuestionario dispuesto on-line. La informaciĂłn obtenida fue analizada mediante test descriptivo segĂșn sexo, rango etario, situaciĂłn laboral y zona de residencia. Los resultados logrados mostraron similitud de comportamiento con otras sociedades latinoamericanas, estudiadas previamente. Los datos indicaron que los rasgos y tendencias mĂĄs destacados en los hĂĄbitos de consumo, criterios de calidad y decisiĂłn de compra de carne en ciudadanos de la provincia de Buenos Aires, estĂĄn relacionados con la edad y en menor medida con el sexo, lugar de residencia o la situaciĂłn laboral. Las observaciones sugerirĂ­an que una buena oportunidad para el sector productor es trabajar en el desarrollo de productos “dirigidos” segĂșn los grupos etarios y sus preferencias. En relaciĂłn con los aspectos de la sanidad, se pudo apreciar que la poblaciĂłn usa prĂĄcticas en el hogar con elevado potencial de contaminaciĂłn cruzada y proliferaciĂłn de microorganismos en los alimentos. Frente a esto se destaca la importancia de los sectores cientĂ­fico y educativo en la necesidad de generar y transmitir informaciĂłn a la sociedad sobre hĂĄbitos adecuados de manipulaciĂłn de alimentos especialmente en hogares

    Rescuing the Corticostriatal Synaptic Disconnection in the R6/2 Mouse Model of Huntington’s Disease: Exercise, Adenosine Receptors and Ampakines

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    In the R6/2 mouse model of Huntington’s disease (HD) we examined the effects of a number of behavioral and pharmacological manipulations aimed at rescuing the progressive loss of synaptic communication between cerebral cortex and striatum. Two cohorts of transgenic mice with ~110 and 210 CAG repeats were utilized. Exercise prevented the reduction in striatal medium-sized spiny neuron membrane capacitance but did not reestablish synaptic communication. Activation of adenosine A2A type receptors renormalized postsynaptic activity to some extent. Finally, the ampakine Cx614, which has been shown to prevent α-amino-3-hydroxyl-5-methyl-4-isoxazole-propionate (AMPA) receptor desensitization, slow deactivation, and facilitate glutamate release, induced significant increases in synaptic activity, albeit the effect was somewhat reduced in fully symptomatic, compared to control mice. With some limitations, each of these strategies can be used to delay and partially rescue phenotypic progression of HD in this model

    First narrow-band search for continuous gravitational waves from known pulsars in advanced detector data

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    International audienceSpinning neutron stars asymmetric with respect to their rotation axis are potential sources of continuous gravitational waves for ground-based interferometric detectors. In the case of known pulsars a fully coherent search, based on matched filtering, which uses the position and rotational parameters obtained from electromagnetic observations, can be carried out. Matched filtering maximizes the signal-to-noise (SNR) ratio, but a large sensitivity loss is expected in case of even a very small mismatch between the assumed and the true signal parameters. For this reason, narrow-band analysis methods have been developed, allowing a fully coherent search for gravitational waves from known pulsars over a fraction of a hertz and several spin-down values. In this paper we describe a narrow-band search of 11 pulsars using data from Advanced LIGO’s first observing run. Although we have found several initial outliers, further studies show no significant evidence for the presence of a gravitational wave signal. Finally, we have placed upper limits on the signal strain amplitude lower than the spin-down limit for 5 of the 11 targets over the bands searched; in the case of J1813-1749 the spin-down limit has been beaten for the first time. For an additional 3 targets, the median upper limit across the search bands is below the spin-down limit. This is the most sensitive narrow-band search for continuous gravitational waves carried out so far

    First low-frequency Einstein@Home all-sky search for continuous gravitational waves in Advanced LIGO data

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    International audienceWe report results of a deep all-sky search for periodic gravitational waves from isolated neutron stars in data from the first Advanced LIGO observing run. This search investigates the low frequency range of Advanced LIGO data, between 20 and 100 Hz, much of which was not explored in initial LIGO. The search was made possible by the computing power provided by the volunteers of the Einstein@Home project. We find no significant signal candidate and set the most stringent upper limits to date on the amplitude of gravitational wave signals from the target population, corresponding to a sensitivity depth of 48.7  [1/Hz]. At the frequency of best strain sensitivity, near 100 Hz, we set 90% confidence upper limits of 1.8×10-25. At the low end of our frequency range, 20 Hz, we achieve upper limits of 3.9×10-24. At 55 Hz we can exclude sources with ellipticities greater than 10-5 within 100 pc of Earth with fiducial value of the principal moment of inertia of 1038  kg m2
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