Meritocracy: the third way and the effervescence of capital

Since the social-democrats dismissed the communist utopia and privileged instead the idea of a well-being founded on the production-consumption cycle, the Western electoral competition has been increasingly focused on the capitalist economy. Accordingly, the political dynamics shifted from the class conflict to the regulation of markets. On the social side, the removal of the previous conflict has freed the "spirit of capitalism" that has been able to settle even more pervasively in the symbolic relations between people. This new philosophy of money triggers a social game played on competition and the reward mechanism derived from it. In this sense, meritocracy is the criterion for governing this new order of capitalism. Within this context, this article discusses the contribution of the left movements and parties, in their historical-social evolution, to the construction of a meritocratic principle in Europe. It also investigates the political process that led the left to a strategic choice, among the other possible options for renewal: namely, to give up to the struggle against capitalism and privilege a progressive accommodative logic with regard to the market. We argue that this choice was based both on values and interests shared by political actors and was supported at a theoretical level by a group of intellectuals who recognize themselves in the Third Way. Based on the above, the article shall identify the main stages in this political change, by using an appropriate selection of discourses and texts that refer to Third Way, analyzing them through a sociological perspective

Meritocracy: the third way and the effervescence of capital

Since the social-democrats dismissed the communist utopia and privileged instead the idea of a well-being founded on the production-consumption cycle, the Western electoral competition has been increasingly focused on the capitalist economy. Accordingly, the political dynamics shifted from the class conflict to the regulation of markets. On the social side, the removal of the previous conflict has freed the "spirit of capitalism" that has been able to settle even more pervasively in the symbolic relations between people. This new philosophy of money triggers a social game played on competition and the reward mechanism derived from it. In this sense, meritocracy is the criterion for governing this new order of capitalism. Within this context, this article discusses the contribution of the left movements and parties, in their historical-social evolution, to the construction of a meritocratic principle in Europe. It also investigates the political process that led the left to a strategic choice, among the other possible options for renewal: namely, to give up to the struggle against capitalism and privilege a progressive accommodative logic with regard to the market. We argue that this choice was based both on values and interests shared by political actors and was supported at a theoretical level by a group of intellectuals who recognize themselves in the Third Way. Based on the above, the article shall identify the main stages in this political change, by using an appropriate selection of discourses and texts that refer to Third Way, analyzing them through a sociological perspective

Luci e ombre sulla valutazione dell’impatto sociale. La proposta del GECES

The essay intends to explore some aspects of a methodology that looks at social enterprises’ activities through social impact measurement and assessment, in order to qualify and quan-tify the creating added-value, both in the community and to social enterprise itself. The fo-cus is on a document published in 2015 by the GECES Sub-group on Impact Measurement for the European Commission titled “Proposed Approaches to Social Impact Measurement in European Commission legislation and in practice relating to: EuSEFs and the EaSI”. The analysis of the proposed model aims to examine the actual possibilities of combining mar-ket competitiveness, product quality and solidarity. Looking at these issues raises attention to the risks related to the use of this model. From the point of view of subsidiarity, the es-tablishment of a single European market for social entrepreneurship financing, combined to application of a meritocratic principle, can pose a problem of equity, since in contradiction with the ideas and principles that govern the social action’s effectiveness

Ex-vivo recruitment and x-ray assessment of donor lungs in a challenging retrieval from a donor supported by lvad using the portable normothermic perfusion system: A case report

Lung transplantation (LTx) is limited by the shortage of suitable donors. To overcome this problem, many programs have begun to use donors with extended criteria (marginal donors). However, brain-dead patients with implanted mechanical circulatory support system have rarely been considered as potential lung donors. This case demonstrates the feasibility of lung transplantations from organ donors supported by a mechanical circulatory support system despite the possible difficulties of lung retrieval. CASE PRESENTATION: Our case presents a successful procurement and bilateral lung transplantation from a donor supported by a left ventricular assist device (LVAD) who experienced an intraoperatively haemodynamic complication. The use of portable normothermic perfusion device let us to reduce ischemic injury and assess these marginal donor lungs helping us to determine the clinical suitability for transplantation. Given our extensive experience with the device instrumentation and management, the EVLP process was uneventful with excellent post-transplant course. CONCLUSIONS: This case report demonstrates the feasibility of lung transplantations from organ donors supported by a mechanical circulatory support system using the portable normothermic perfusion platform to assess and preserve these donor lungs

Transfer of chemical elements from milk to dairy products

Abstract A pilot study was carried out to evaluate the transfer of As, Cd, Pb, Ni, Cr and Hg from milk to dairy products and to correlate their behavior with that of some components and macro-elements of milk. Due to the low level of these chemical elements in most common commercial products, hard cheese was produced starting from cow's milk spiked with the analytes of interest. Several intermediate and final products coming from cheese making were sampled and analysed for content of fat, dry matter, proteins, macro and oligo-elements. The relationship between spiked elements and milk components was evaluated through both the study of concentration factors and the statistical analysis (Principal Component Analysis and correlation matrix). Except for As and Hg, a clear correlation between spiked elements and milk components was found so a likely bond with proteins, fat and dry matter was demonstrated. As for Pb, for which a legal limit (Maximum Level, ML) is set in the pertinent European regulations, it was found that the link with proteins could lead to an increase of this element concentration different from the mere concentration factor from milk to cheese. Furthermore, it was proven that the stage of ripening affected the variation of Pb concentration so this aspect should be deeply considered in case of setting a ML in cheese or extrapolating a ML from milk to cheese

The spread of multi drug resistant infections is leading to an increase in the empirical antibiotic treatment failure in cirrhosis: a prospective survey

Background The spread of multi-resistant infections represents a continuously growing problem in cirrhosis,particularly in patients in contact with the healthcare environment. Aim Our prospective study aimed to analyze epidemiology, prevalence and risk factors of multiresistant infections, as well as the rate of failure of empirical antibiotic therapy in cirrhotic patients. Methods All consecutive cirrhotic patients hospitalized between 2008 and 2013 with a microbiologically-documented infection (MDI) were enrolled. Infections were classified as Community- Acquired (CA), Hospital-Acquired (HA) and Healthcare-Associated (HCA). Bacteria were classified as Multidrug-Resistant (MDR) if resistant to at least three antimicrobial classes, Extensively-Drug-Resistant (XDR) if only sensitive to one/two classes and Pandrug-Resistant (PDR) if resistant to all classes. Results One-hundred-twenty-four infections (15% CA, 52% HA, 33% HCA) were observed in 111 patients. Urinary tract infections, pneumonia and spontaneous bacterial peritonitis were the more frequent. Forty-seven percent of infections were caused by Gram-negative bacteria. Fifty-one percent of the isolates were multi-resistant to antibiotic therapy (76% MDR, 21% XDR, 3% PDR): the use of antibiotic prophylaxis (OR = 8.4; 95%CI = 1.03-76; P = 0,05) and current/recent contact with the healthcare-system (OR = 3.7; 95%CI = 1.05-13; P = 0.04) were selected as independent predictors. The failure of the empirical antibiotic therapy was progressively more frequent according to the degree of resistance. The therapy was inappropriate in the majority of HA and HCA infections. Conclusions Multi-resistant infections are increasing in hospitalized cirrhotic patients. A better knowledge of the epidemiological characteristics is important to improve the efficacy of empirical antibiotic therapy. The use of preventive measures aimed at reducing the spread of multi-resistant bacteria is also essential

Heterozygous deletion of KLHL1/ATX8OS at the SCA8 locus is unlikely associated with cerebellar impairment in humans

Spinocerebellar ataxia type 8 (SCA8) (MIM 608768) is a dominantly inherited ataxia typically occurring in adulthood, with onset of the disease that may range from age 1 to 65 years. Common initial symptoms are scanning dysarthria with a characteristic drawn-out slowness of speech and gait instability. Some individuals present with nystagmus, dysmetric saccades and, occasionally ophthalmoplegia. Hyperreflexia and extensor plantar responses are present in some severely affected individuals. Life span is typically not shortened

Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis

We carried out a prospective observational study to evaluate whether Monocyte Distribution Width (MDW) may play a role in identifying patients with sepsis in comparison with Procalcitonin (PCT). We prospectively enrolled all consecutive patients hospitalized at the Infectious Diseases Unit of Pescara General Hospital for bacterial infection or sepsis. MDW values were collected for all patients. Clinical characteristics, demographic data, past and present medical history, microbiological results, PCT, as well as neutrophil and monocytes indices at entry were compared in the 2 groups. Two-hundred-sixty patients were enrolled, 63.5% males, aged 59.1±19.5 years. Sepsis was diagnosed in 105 (40.4%); in 60 (57.1%) at least 1 microorganism was isolated from blood cultures. In multivariate models, MDW as a continuous variable (OR:1.57 for each unit increase; 95%CI: 1.31-1.87, p<0.001) and PCT˃1 ng/mL (OR: 48.5; 95%CI: 14.7-160.1, p<0.001) were independently associated with sepsis. Statistical best cut points associated with sepsis were 22.0 for MDW and 1.0 ng/mL for PCT whereas MDW values<20 were invariably associated with negative blood cultures. At ROC curve analysis, the AUC of MDW (0.87) was nearly overlapping that of PCT (0.88). Our data suggest that incorporating MDW within current routine WBC counts and indices may be of remarkable use for detection of sepsis. Further research is warranted

Bihamiltonian Reductions and W_n Algebras

We discuss the geometry of the Marsden-Ratiu reduction theorem for a bihamiltonian manifold. We consider the case of the manifolds associated with the Gel'fand-Dickey theory, i.e., loop algebras over sl(n+1). We provide an explicit identification, tailored on the MR reduction, of the Adler-Gel'fand-Dickey brackets with the Poisson brackets on the MR-reduced bihamiltonian manifold N. Such an identification relies on a suitable immersion of the space of sections of the cotangent bundle of N into the algebra of pseudo differential operators connected to geometrical features of the theory of (classical) W_n algebras.Comment: LaTeX2e, 23 pages, to be published in J. Geom. Phy