Global Journalist: Middle East matrix and the role U.S. plays

In this June 19, 2003 episode of Global Journalist, host Byron Scott and four journalists from Iraq, Egypt, Turkey and Palestine discuss about the Middle East matrix from these countries' perspectives, the role the U.S. is playing and potential solutions that can improve international relations. Host: Byron Scott. Guests: Patrick Cockburn, Amir Ahmed, Semih Idiz, Khaled Abu Aker. Producers: Yusef Kalyango, Sarah Cayton. Directors: Pat Akers

Migration and demos in the democratic firm: an extension of the firm-state analogy

Debates around the state-firm analogy as a route to justifying workplace democracy tend towards a static view of both state and firm, and position workplace democracy as the objective. We contend, however, that states and firms are connected to one another in ways that should alter the terms of the debate, and that the achievement of workplace democracy raises a new set of political issues about the demos in the democratic firm and ‘worker migration’ at the boundaries of the firm. Our argument thus contains two key steps: First, drawing on an empirical case study of a worker-owned firm, we enrich the state-firm analogy by developing a more dynamic view of both, focussing on the creation of workplace democracies; worker movement in and out of them; the dynamic meanings of ‘citizenship’ within them; and the status of the unemployed in a world of democratic workplaces. We then argue that in moving to a more sociological view of the state, the things we were comparing begin to show their real-world connections to one another. By going beyond the idealised view of states that has distorted the state-firm analogy debates, we arrive at a more robust view of how widespread workplace democracy might reconfigure basic political relationships in society

Implementation of population screening for colorectal cancer by repeated fecal occult blood test in the Netherlands

<p>Abstract</p> <p>Background</p> <p>Colorectal cancer (CRC) is the third most prevalent type of cancer in the world. Its prognosis is closely related to the disease stage at the time of diagnosis. Early detection of symptomless CRC or precursor lesions through population screening could reduce CRC mortality. However, screening programs are only effective if enough people are willing to participate. This study aims to asses the uptake of a second round of fecal occult blood test (FOBt) based screening and to explore factors that could potentially increase this uptake.</p> <p>Methods and design</p> <p>Two years after the first screening round, 10.000 average risk persons, aged 50 to 75, will again receive an invitation to participate in immunohistochemical FOBt (iFOBt) based screening. Eligible persons will be recruited through a city population database. Invitees will be randomized to receive either an iFOBt with a faeces collection paper or an iFOBt without a collection paper. The iFOBts will be analyzed in a specialized laboratory at the Academic Medical Centre. Positive iFOBts will be followed by a consultation at our outpatient clinic and, in the absence of contra-indications and after informed consent, by a colonoscopy. The primary outcome measure is the participation rate. Secondary outcome measures are the effect of the addition of a collection paper on the participation rate, reasons for participation and non-participation, measures of informed choice and psychological consequences of screening and measures of psychological and physical burden associated with the iFOBt and the colonoscopy. Another secondary outcome measure is the diagnostic yield of the program.</p> <p>Discussion</p> <p>In order to implement population screening for colorectal cancer in the Netherlands, information is needed on the uptake of repeated rounds of FOBt-based screening and on factors that could potentially increase this uptake in the future since effectiveness of such a program depends on the willingness of persons to participate. This study will provide information on the actual uptake and perception of a second round of iFOBt-based screening. The results of this study will contribute to the future implementation of a national colorectal screening program in the Netherlands.</p> <p>Trial registration</p> <p>Dutch Trial register: NTR1327</p

Native T1 mapping: inter-study, inter-observer and inter-center reproducibility in hemodialysis patients

Background Native T1 mapping is a cardiovascular magnetic resonance (CMR) technique that associates with markers of fibrosis and strain in hemodialysis patients. The reproducibility of T1 mapping in hemodialysis patients, prone to changes in fluid status, is unknown. Accurate quantification of myocardial fibrosis in this population has prognostic potential. Methods Using 3 Tesla CMR, we report the results of 1) the inter-study, inter-observer and intra-observer reproducibility of native T1 mapping in 10 hemodialysis patients; 2) inter-study reproducibility of left ventricular (LV) structure and function in 10 hemodialysis patients; 3) the agreement of native T1 map and native T1 phantom analyses between two centres in 20 hemodialysis patients; 4) the effect of changes in markers of fluid status on native T1 values in 10 hemodialysis patients. Results Inter-study, inter-observer and intra-observer variability of native T1 mapping were excellent with co-efficients of variation (CoV) of 0.7, 0.3 and 0.4% respectively. Inter-study CoV for LV structure and function were: LV mass = 1%; ejection fraction = 1.1%; LV end-diastolic volume = 5.2%; LV end-systolic volume = 5.6%. Inter-centre variability of analysis techniques were excellent with CoV for basal and mid-native T1 slices between 0.8–1.2%. Phantom analyses showed comparable native T1 times between centres, despite different scanners and acquisition sequences (centre 1: 1192.7 ± 7.5 ms, centre 2: 1205.5 ± 5 ms). For the 10 patients who underwent inter-study testing, change in body weight (Δweight) between scans correlated with change in LV end-diastolic volume (ΔLVEDV) (r = 0.682;P = 0.03) representing altered fluid status between scans. There were no correlations between change in native T1 between scans (ΔT1) and ΔLVEDV or Δweight (P > 0.6). Linear regression confirmed ΔT1 was unaffected by ΔLVEDV or Δweight (P > 0.59). Conclusions Myocardial native T1 is reproducible in HD patients and unaffected by changes in fluid status at the levels we observed. Native T1 mapping is a potential imaging biomarker for myocardial fibrosis in patients with end-stage renal disease

Concrete stories, decomposing fictions: Body parts and body politics in Ahmed Saadawi’s Frankenstein in Baghdad

This essay reads the English translation of Ahmed Saadawi’s novel Frankenstein in Baghdad (2018) to explore the “concrete stories” and “infrastructural narratives” devised by the US military in support of its occupation of Baghdad. By stitching together a city and society littered with composing and decomposing fictions, Saadawi’s novel reveals how biopolitical governance produces, contra the hegemonic US war story of security consolidation and societal stabilization, pervasive insecurity instead. Saadawi’s “decomposing fictions”, as I call them, operate on three homologous terrains: the (de)composition of the city; the (de)composition of the body; and the (de)composition of the narrative itself. Through this three-tired conflation, Saadawi shows how body parts are biopolitical, and how narratives actively and materially reshape human bodies and urban infrastructures. The essay therefore argues that the novel aligns with a critical posthumanist perspective, one that allows for a more rigorous consideration of narrative systems (including fictions) as constitutive of and impactful upon human and non-human bodies and urban infrastructures than other concepts, such as “planned violence”, have so far allowed. By theorizing a more complex relationship between narrative form and the built environment in the contexts of militarized colonial and biopolitical urban governance, the essay shows how Saadawi’s novel not only challenges the “imaginative geographies” of the colonial present, but its material infrastructures as well

Altruism in a volatile world

This is the author accepted manuscript. The final version is available from Springer Nature via the DOI in this record.The evolution of altruism – costly self-sacrifice in the service of others – has puzzled biologists since The Origin of Species. For half a century, attempts to understand altruism have been built on the insight that altruists may help relatives to have extra offspring in order to spread shared genes . This theory – known as inclusive fitness – is founded on a simple inequality termed ‘Hamilton’s rule’. However, explanations of altruism have typically ignored the stochasticity of natural environments, which will not necessarily favour genotypes that produce the greatest average reproductive success. Moreover, empirical data across many taxa reveal associations between altruism and environmental stochasticity, a pattern not predicted by standard interpretations of Hamilton’s rule. Here, we derive Hamilton’s rule with explicit stochasticity, leading to novel predictions about the evolution of altruism. We show that of offspring produced by relatives. Consequently, costly altruism can evolve even if it has a net negative effect on the average reproductive success of related recipients. The selective pressure on volatility suppressing altruism is proportional to the coefficient of variation in population fitness, and is therefore diminished by its own success. Our results formalise the hitherto elusive link between bet-hedging and altruism, and reveal missing fitness effects in the evolution of animal societies.PK was supported by the National Geographic Society (GEF-NE 145-15) and a University of Bristol Research Studentship; ADH was supported by the Natural Environment Research Council (NE/L011921/1); ANR was supported by a European Research Council Consolidator Grant (award no. 682253); and SS was supported by the Natural Environment Research Council (NE/M012913/2)

Guidelines for Field Surveys of the Quality of Medicines: A Proposal

Paul Newton and colleagues propose guidelines for conducting and reporting field surveys of the quality of medicines