Calling People Names: Reading Imposture, Confession, and Testimony in and after Michael Ondaatje’s The English Patient

Lacan states that although naming is ultimately an arbitrary marker of identity, it nevertheless functions as a stabilizing "guarantee" that we can agree upon identity in some way. In The English Patient, Michael Ondaatje's deferral of names in the first section, and the English patient's withholding of his identity — whether through genuine trauma or through imposture — forces readers into a partnership with the characters to adopt an alternative narrative practice in which we might forego the desire for stable identities. The related sub-theme of erasure, of nations, of history, of individual identity, is attempted through a progression of confession through to testimony, where transformative renewal might be forged. The desire, both of the characters and of the reader, for a "fully named world," needs a re-evaluation

Handbook for the measurement of macrofungal functional traits : A start with basidiomycete wood fungi

Functional traits are widely recognized as a useful framework for testing mechanisms underlying species community assemblage patterns and ecosystem processes. Functional trait studies in the plant and animal literature have burgeoned in the past 20 years, highlighting a need for standardized ways to measure ecologically meaningful traits across taxa and ecosystems. However, standardized measurements of functional traits are lacking for many organisms and ecosystems, including fungi. Basidiomycete wood fungi occur in all forest ecosystems world-wide, where they are decomposers and also provide food or habitat for other species, or act as tree pathogens. Despite their major role in the functioning of forest ecosystems, the understanding and application of functional traits in studies of communities of wood fungi lags behind other disciplines. As the research field of fungal functional ecology is growing, there is a need for standardized ways to measure fungal traits within and across taxa and spatial scales. This handbook reviews pre-existing fungal trait measurements, proposes new core fungal traits, discusses trait ecology in fungi and highlights areas for future work on basidiomycete wood fungi. We propose standard and potential future methodologies for collecting traits to be used across studies, ensuring replicability and fostering between-study comparison. Combining concepts from fungal ecology and functional trait ecology, methodologies covered here can be related to fungal performance within a community and environmental setting. This manuscript is titled "a start with" as we only cover a subset of the fungal community here, with the aim of encouraging and facilitating the writing of handbooks for other members of the macrofungal community, for example, mycorrhizal fungi. A is available for this article.Peer reviewe

Increasing Employee Awareness of the Signs and Symptoms of Heart Attack and the Need to Use 911 in a State Health Department

INTRODUCTION: Early recognition of the signs and symptoms of a heart attack can lead to reduced morbidity and mortality. METHODS: A workplace intervention was conducted among 523 Montana state health department employees in 2003 to increase awareness of the signs and symptoms of heart attack and the need to use 911. All employees received an Act in Time to Heart Attack Signs brochure and wallet card with their paychecks. Act in Time posters were placed in key workplace areas. A weekly e-mail message, including a contest entry opportunity addressing the signs and symptoms of heart attack, was sent to all employees. Baseline and follow-up telephone surveys were conducted to evaluate intervention effectiveness. RESULTS: Awareness of heart attack signs and symptoms and the need to call 911 increased significantly among employees from baseline to follow-up: pain or discomfort in the jaw, neck, or back (awareness increased from 69% to 91%); feeling weak, light-headed, or faint (awareness increased from 79% to 89%); call 911 if someone is having a heart attack or stroke (awareness increased from 84% to 90%). Awareness of chest pain, pain or discomfort in the arms or shoulders, and shortness of breath were more than 90% at baseline and did not increase significantly at follow-up. At baseline, 69% of respondents correctly reported five or more of the signs and symptoms of heart attack; 89% reported correctly at follow-up. CONCLUSION: This low-cost workplace intervention increased awareness of the signs and symptoms of heart attack and the need to call 911

Interview with Half Century Club Inductees, Class of 1930

Oral history interview with Illinois State Normal University alumni, Class of 1930. The interview was conducted on May 10, 1980, by an unidentified interviewer. They discuss President Felmley, influential faculty, and racial discrimination experienced by students of color.https://ir.library.illinoisstate.edu/aoh/1002/thumbnail.jp

Spitzer IRS 16 micron Observations of the GOODS Fields

We present Spitzer 16 micron imaging of the Great Observatories Origins Deep Survey (GOODS) fields. We survey 150 square arcminutes in each of the two GOODS fields (North and South), to an average 3 sigma depth of 40 and 65 micro-Jy respectively. We detect about 1300 sources in both fields combined. We validate the photometry using the 3-24 micron spectral energy distribution of stars in the fields compared to Spitzer spectroscopic templates. Comparison with ISOCAM and AKARI observations in the same fields show reasonable agreement, though the uncertainties are large. We provide a catalog of photometry, with sources cross correlated with available Spitzer, Chandra, and HST data. Galaxy number counts show good agreement with previous results from ISOCAM and AKARI, with improved uncertainties. We examine the 16 to 24 micron flux ratio and find that for most sources it lies within the expected locus for starbursts and infrared luminous galaxies. A color cut of S_{16}/S_{24}>1.4 selects mostly sources which lie at 1.1<z<1.6, where the 24 micron passband contains both the redshifted 9.7 micron silicate absorption and the minimum between PAH emission peaks. We measure the integrated galaxy light of 16 micron sources, and find a lower limit on the galaxy contribution to the extragalactic background light at this wavelength to be 2.2\pm 0.2$ nW m^{-2} sr^{-1}.Comment: Accepted for Publication in the AJ. 53 preprint pages, including 15 figures and 8 tables. Table 1-4 are truncated in the ms.tex but are included in full in the tar file (and will be available in the online version of the AJ

A global database of Holocene paleotemperature records

A comprehensive database of paleoclimate records is needed to place recent warming into the longer-term context of natural climate variability. We present a global compilation of quality-controlled, published, temperature-sensitive proxy records extending back 12,000 years through the Holocene. Data were compiled from 679 sites where time series cover at least 4000 years, are resolved at sub-millennial scale (median spacing of 400 years or finer) and have at least one age control point every 3000 years, with cut-off values slackened in data-sparse regions. The data derive from lake sediment (51%), marine sediment (31%), peat (11%), glacier ice (3%), and other natural archives. The database contains 1319 records, including 157 from the Southern Hemisphere. The multi-proxy database comprises paleotemperature time series based on ecological assemblages, as well as biophysical and geochemical indicators that reflect mean annual or seasonal temperatures, as encoded in the database. This database can be used to reconstruct the spatiotemporal evolution of Holocene temperature at global to regional scales, and is publicly available in Linked Paleo Data (LiPD) format.Fil: Kaufman, Darrell. Northern Arizona University.; Estados UnidosFil: McKay, Nicholas. Northern Arizona University.; Estados UnidosFil: Routson, Cody. Northern Arizona University.; Estados UnidosFil: Erb, Michael. Northern Arizona University.; Estados UnidosFil: Davis, Basil. University Of Lausanne; SuizaFil: Heiri, Oliver. University Of Basel; SuizaFil: Jaccard, Samuel. University Of Bern; SuizaFil: Tierney, Jessica. University of Arizona; Estados UnidosFil: Dätwyler, Christoph. University Of Bern; SuizaFil: Axford, Yarrow. Northwestern University; Estados UnidosFil: Brussel, Thomas. University of Utah; Estados UnidosFil: Cartapanis, Olivier. University Of Bern; SuizaFil: Chase, Brian. Universite de Montpellier; FranciaFil: Dawson, Andria. Mount Royal University; CanadáFil: de Vernal, Anne. Université du Québec a Montreal; CanadáFil: Engels, Stefan. University of London; Reino UnidoFil: Jonkers, Lukas. University Of Bremen; AlemaniaFil: Marsicek, Jeremiah. University of Wisconsin-Madison; Estados UnidosFil: Moffa Sánchez, Paola. University of Durham; Reino UnidoFil: Morrill, Carrie. University of Colorado; Estados UnidosFil: Orsi, Anais. Université Paris-Saclay; FranciaFil: Rehfeld, Kira. Heidelberg University; AlemaniaFil: Saunders, Krystyna. Australian Nuclear Science And Technology Organisation; AustraliaFil: Sommer, Philipp. University Of Lausanne; SuizaFil: Thomas, Elizabeth. University At Buffalo; Estados UnidosFil: Tonello, Marcela Sandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Investigaciones Marinas y Costeras. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Instituto de Investigaciones Marinas y Costeras; ArgentinaFil: Tóth, Mónika. Balaton Limnological Institute; HungríaFil: Vachula, Richard. Brown University; Estados UnidosFil: Andreev, Andrei. Alfred Wegener Institut Helmholtz Centre for Polar and Marine Research; AlemaniaFil: Bertrand, Sebastien. Ghent University; BélgicaFil: Massaferro, Julieta. Administración de Parques Nacionales. Parque Nacional "Nahuel Huapi"; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin

Geographical limits to species-range shifts are suggested by climate velocity

The reorganization of patterns of species diversity driven by anthropogenic climate change, and the consequences for humans, are not yet fully understood or appreciated. Nevertheless, changes in climate conditions are useful for predicting shifts in species distributions at global and local scales. Here we use the velocity of climate change to derive spatial trajectories for climatic niches from 1960 to 2009 (ref. 7) and from 2006 to 2100, and use the properties of these trajectories to infer changes in species distributions. Coastlines act as barriers and locally cooler areas act as attractors for trajectories, creating source and sink areas for local climatic conditions. Climate source areas indicate where locally novel conditions are not connected to areas where similar climates previously occurred, and are thereby inaccessible to climate migrants tracking isotherms: 16% of global surface area for 1960 to 2009, and 34% of ocean for the \u27business as usual\u27 climate scenario (representative concentration pathway (RCP) 8.5)8 representing continued use of fossil fuels without mitigation. Climate sink areas are where climate conditions locally disappear, potentially blocking the movement of climate migrants. Sink areas comprise 1.0% of ocean area and 3.6% of land and are prevalent on coasts and high ground. Using this approach to infer shifts in species distributions gives global and regional maps of the expected direction and rate of shifts of climate migrants, and suggests areas of potential loss of species richness

The impact of the COVID-19 pandemic on nursing students? navigation of their nursing programmes and experiences of resilience. A qualitative study

Introduction : High-quality pre-registration student nurse training and development is integral to developing a sustainable and competent global nursing workforce. Internationally, student nurse recruitment rates have increased since the onset of the COVID-19 pandemic; however, attrition rates for student nurses are high. During the pandemic, many student nurses considered leaving the programme due to academic concerns, feeling overwhelmed, and doubting their clinical skills. Little was known about the extent to which nursing education prior to COVID-19 had prepared students for their role in managing the healthcare crisis or the impact on their resilience. Thus, this study aimed to explore how the COVID-19 pandemic impacted on the resilience levels of student nurses across the United Kingdom. Methods : Data were collected as part of a multi-site qualitative study named ‘COV-ED Nurse’ and involved pre-placement surveys, placement diaries, and post-placement interviews with nursing students. Student nurse participants were recruited from across the United Kingdom, from all years of study, and from all four nursing branches: children, adult, mental health, and learning disabilities. Participants were asked to complete a pre-placement survey that collected demographic details and information about their placement expectations. They were also asked to record a weekly audio-visual or written diary to describe their placement experiences, and, on completion of their placements, students were interviewed to explore their experiences of this time. Data were thematically analysed using the Framework Approach. Ethical approvals were obtained. Results : Two hundred and sixteen students took part in the wider study. The current study involved a subset of 59 students’ data. Four main themes were identified: ‘coping with increased levels of acuity’, ‘perceived risks of the pandemic’, ‘resilience when facing uncertainty and isolation’, and ‘the importance of coping mechanisms and support structures.’ Discussion : From this study, we have generated insights that can be applied to nursing research, education, policy, and practice and identified the wide-ranging impact that the COVID-19 pandemic had on student nurses and their abilities to remain resilient in an unstable environment. The value of communication and support networks from a wide range of sources was highlighted as key to navigating many uncertainties. In addition, the extent to which students were able to navigate their personal and professional roles and identities influenced their ability to cope with and continue along their training pathways

Polyunsaturated fatty acids for the primary and secondary prevention of cardiovascular disease

Background: Evidence on the health effects of total polyunsaturated fatty acids (PUFA) is equivocal. Fish oils are rich in omega-3 PUFA and plant oils in omega-6 PUFA. Evidence suggests increasing PUFA-rich foods, supplements or supplemented foods can reduce serum cholesterol, but may increase body weight, so overall cardiovascular effects are unclear. Objectives: To assess effects of increasing PUFA intake on cardiovascular disease (CVD) and all-cause mortality in adults. Search method: We searched CENTRAL, MEDLINE and Embase to April 2017 and ClinicalTrials.com and World Health Organization International Clinical Trials Registry Platform to September 2016, without language restrictions. We checked trials included in relevant systematic reviews. Selection criteria: We included randomised controlled trials (RCTs) comparing higher with lower PUFA intakes in adults with or without CVD that assessed effects over ≥12 months. We included full-text, abstracts, trials registry entries and unpublished data. Outcomes were all-cause mortality, CVD mortality and events, risk factors (blood lipids, adiposity, blood pressure), and adverse events. We excluded trials where we could not separate effects of PUFA intake from other dietary, lifestyle or medication interventions. Data collection and analysis: Two authors independently screened titles/abstracts, assessed trials for inclusion, extracted data, and assessed risk of bias. We wrote to authors of included studies for further data. Meta-analyses used random-effects analysis, sensitivity analyses included fixed-effects and limiting to low summary risk of bias. We assessed GRADE quality of evidence. Main result: We included 49 RCTs randomising 24,272 participants, with duration of one to eight years. Twelve included trials were at low summary risk of bias, 33 recruited participants without cardiovascular disease. Baseline PUFA intake was unclear in most trials, but 3.9% to 8% of total energy intake where reported. Most trials gave supplemental capsules, but eight gave dietary advice, eight gave supplemental foods such as nuts or margarine, and three used a combination of methods to increase PUFA. Increasing PUFA intake probably has little or no effect on all-cause mortality (risk 3.4% vs 3.3% in primary prevention, 11.7% vs 11.5% in secondary prevention, risk ratio (RR) 0.98, 95% confidence interval (CI) 0.89 to 1.07, 24 trials in 19290 participants), but probably reduces risk of CVD events from 5.8% to 4.9% in primary prevention, 23.3% to 20.8% in secondary prevention (RR 0.89, 95% CI 0.79 to 1.01, 20 trials in 17,073 participants), both moderate quality evidence. Increasing PUFA may reduce risk of CHD events from 13.4% to 7.1% primary prevention, 14.3% to 13.7% secondary prevention (RR 0.87, 95% CI 0.72 to 1.06, 15 trials, 10,076 participants), CHD death (5.2% to 4.4% primary prevention, 6.8% to 6.1% secondary prevention, RR 0.91, 95% CI 0.78 to 1.06, 9 trials, 8810 participants) and may slightly reduce stroke risk (2.1% to 1.5% primary prevention, RR 0.91, 95% CI 0.58 to 1.44, 11 trials, 14,742 participants), but has little or no effect on cardiovascular mortality (RR 1.02, 95% CI 0.82 to 1.26, I2 31%, 16 trials, 15,107 participants) all low quality evidence. Effects of increasing PUFA on major adverse cardiac and cerebrovascular events and atrial fibrillation are unclear as evidence is of very low quality. Event outcomes were all downgraded for indirectness, as most events occurred in men in westernised countries. Increasing PUFA intake reduces total cholesterol (MD -0.12 mmol/L, 95% CI -0.23 to -0.02, I2 79%, 8072 participants, 26 trials) and probably decreases triglycerides (TG, MD -0.12 mmol/L, 95% CI -0.20 to -0.04, I2 50%, 3905 participants, 20 trials), but has little or no effect on HDL (MD -0.01 mmol/L, 95% CI -0.02 to 0.01, I2 0%, 4674 participants, 18 trials) and LDL (MD -0.01 mmol/L, 95% CI -0.09 to 0.06, I2 44%, 3362 participants, 15 trials). Increasing PUFA probably causes slight weight gain (MD 0.76 kg, 95% CI 0.34 to 1.19, I2 59%, 7100 participants, 12 trials). Effects of increasing PUFA on serious adverse events such as pulmonary embolism and bleeding are unclear as the evidence is of very low quality. Authors' conclusions: Increasing PUFA intake probably reduces risk of CVD events, may reduce risk of CHD events and CHD mortality,and may slightly reduce stroke risk, but has little or no effect on all-cause or CVD mortality. The mechanism may be via lipid reduction, but increasing PUFA probably slightly increases weight

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead