326 research outputs found

    Pediatric Developmental Screening: Understanding and Selecting Screening Instruments

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    Based on a review of research on developmental screening instruments, provides a manual for selecting and applying tools for screening for both general and specific problems. Includes an interactive questionnaire that links to the recommended instrument

    Young women's use of a microbicide surrogate: The complex influence of relationship characteristics and perceived male partners' evaluations

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    This is the post-print version of the article. The official published version can be found at the link below.Currently in clinical trials, vaginal microbicides are proposed as a female-initiated method of sexually transmitted infection prevention. Much of microbicide acceptability research has been conducted outside of the United States and frequently without consideration of the social interaction between sex partners, ignoring the complex gender and power structures often inherent in young women’s (heterosexual) relationships. Accordingly, the purpose of this study was to build on existing microbicide research by exploring the role of male partners and relationship characteristics on young women’s use of a microbicide surrogate, an inert vaginal moisturizer (VM), in a large city in the United States. Individual semi-structured interviews were conducted with 40 young women (18–23 years old; 85% African American; 47.5% mothers) following use of the VM during coital events for a 4 week period. Overall, the results indicated that relationship dynamics and perceptions of male partners influenced VM evaluation. These two factors suggest that relationship context will need to be considered in the promotion of vaginal microbicides. The findings offer insights into how future acceptability and use of microbicides will be influenced by gendered power dynamics. The results also underscore the importance of incorporating men into microbicide promotion efforts while encouraging a dialogue that focuses attention on power inequities that can exist in heterosexual relationships. Detailed understanding of these issues is essential for successful microbicide acceptability, social marketing, education, and use.This study was funded by a grant from National Institutes of Health (NIHU19AI 31494) as well as research awards to the first author: Friends of the Kinsey Institute Research Grant Award, Indiana University’s School of HPER Graduate Student Grant-in-Aid of Research Award, William L. Yarber Sexual Health Fellowship, and the Indiana University Graduate and Professional Student Organization Research Grant

    To whom does the law speak? Canvassing a neglected picture of law’s interpretive field

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    Among the most common strategies underlying the so-called indeterminacy thesis is the following two-step argument: (1) that law is an interpretive practice, and that evidently legal actors more generally hold different (and competing) theories of meaning, which lead to disagreements as to what the law says (that is, as to what the law is); (2) and that, as there is no way to establish the prevalence of one particular theory of meaning over the other, indeterminacy is pervasive in law. In this paper I offer some reflections to resist this trend. In particular I claim that a proper understanding of law as an authoritative communicative enterprise sheds new light on the relation between the functioning of the law and our theories of interpretation, leading to what can be considered a neglected conclusion: the centrality of the linguistic criterion of meaning in our juridical interpretive practices. In the first part of the chapter I discuss speech-act theory in the study of law, assessing its relevance between alternative options. Then I tackle the ‘to whom does the law speak?’ question, highlighting the centrality of lay-people for our juridical practices. Lastly, I examine the consequences of this neglected fact for our interpretive theories

    ‘Re-reading Raphael Samuel: Politics, Personality and Performance’

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    For British historian Raphael Samuel, history and politics were inextricable. Best known as the founder of the history workshop movement, the controversial historian took his stance on the democratisation of history-making, becoming an outspoken advocate for public history. Despite making a significant contribution to contemporary historiography, he remains a neglected, even disparaged, figure. This paper contends that the most significant aspect of Samuel’s historical work was not one or other theory of history or argument about the past but his entire way of being an historian. Samuel embodied as much as expressed his ideas, consciously using his personality as a powerful political tool. It is further argued that conventional approaches to intellectual history, focusing on textual outputs, do not fully recognise the significance of performative modes of thinking. Theoretical approaches to performance as identity offer important insight here but can be too schematic in their view of applied and enacted thought. A biographical approach, by contrast, provides the intimate perspective necessary to fully appreciate the fluidity and complexity of such a personality. The paper first situates Samuel in the context of his earlier life, focusing on how and why he created such a public persona and how he adapted it in response to changing circumstances. It then considers the implications and effectiveness of this persona by assessing how it was perceived and narrated by others, acknowledging, in the process, why different groups engaged with and interpreted it differently

    OSIRIS-REx Encounters Bennu: Initial Assessment from the Approach Phase

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    The OSIRIS-REx spacecraft launched on September 8, 2016, on a seven-year journey to return samples from asteroid (101955) Bennu. This presentation summarizes the scientific results from the Approach and Preliminary Survey phases. Bennu observations are set to begin on August 17, 2018,when the asteroid is bright enough for detection by the PolyCam. PolyCam and MapCam collect data to survey the asteroid environment for any hazards and characterize the asteroid point-source photometric properties. Resolved images acquired during final approach, starting in late October 2018, allow the creation of a shape model using stereophotoclinometry (SPC), needed by both the navigation team and science planners. The OVIRS and OTES spectrometers characterize the point- source spectral properties over a full rotation period, providing a first look at any features and thermophysical properties. TAGSAM is released from the launch container and deployed into the sampling configuration then returned to the stow position.Preliminary Survey follows the Approach Phase in early December 2018. This phase consists of a series of hyperbolic trajectories that cross over the North and South poles and the equator of Bennu at a close-approach distance of 7 km. Images from these Preliminary Survey passes provide data to complete the 75-cm resolution SPC global shape model and solve for the rotation state. Once the shape model is complete, the asteroid coordinate system is defined for co-registration of all data products. These higher-resolution images also constrain the photometric properties and allow for an initial assessment of the geology. In Preliminary Survey the team also obtains the first OLA data, providing a measure of the surface topography. OVIRS and OTES collect data as "ride-along" instruments, with the spacecraft pointing driven by imaging constraints. These data provide a first look at the spectral variation across the surface of Bennu. Radio science measurements, combined with altimetry and imagery, determine Bennu's mass, a prerequisite to placing the spacecraft into orbit in late December 2018. Together, data from the Approach and Preliminary Survey phases set the stage for the extensive mapping planned for 2019. These dates are the baseline plan. Any contingency or unexpected discovery may change this mission profile

    Airfall on Comet 67P/Churyumov–Gerasimenko

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    We here study the transfer process of material from one hemisphere to the other (deposition of airfall material) on an active comet nucleus, specifically 67P/Churyumov–Gerasimenko. Our goals are to: 1) quantify the thickness of the airfall debris layers and how it depends on the location of the target area, 2) determine the amount of H₂O and CO₂ ice that are lost from icy dust assemblages of different sizes during transfer through the coma, and 3) estimate the relative amount of vapor loss in airfall material after deposition in order to understand what locations are expected to be more active than others on the following perihelion approach. We use various numerical simulations, that include orbit dynamics, thermophysics of the nucleus and of individual coma aggregates, coma gas kinetics and hydrodynamics, as well as dust dynamics due to gas drag, to address these questions. We find that the thickness of accumulated airfall material varies substantially with location, and typically is of the order 0.1–1 m. The airfall material preserves substantial amounts of water ice even in relatively small (cm–sized) coma aggregates after a rather long (12 h) residence in the coma. However, CO₂ is lost within a couple of hours even in relatively large (dm–sized) aggregates, and is not expected to be an important component in airfall deposits. We introduce reachability and survivability indices to measure the relative capacity of different regions to simultaneously collect airfall and to preserve its water ice until the next perihelion passage, thereby grading their potential of contributing to comet activity during the next perihelion passage

    Airfall on Comet 67P/Churyumov–Gerasimenko

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    We here study the transfer process of material from one hemisphere to the other (deposition of airfall material) on an active comet nucleus, specifically 67P/Churyumov–Gerasimenko. Our goals are to: 1) quantify the thickness of the airfall debris layers and how it depends on the location of the target area, 2) determine the amount of H₂O and CO₂ ice that are lost from icy dust assemblages of different sizes during transfer through the coma, and 3) estimate the relative amount of vapor loss in airfall material after deposition in order to understand what locations are expected to be more active than others on the following perihelion approach. We use various numerical simulations, that include orbit dynamics, thermophysics of the nucleus and of individual coma aggregates, coma gas kinetics and hydrodynamics, as well as dust dynamics due to gas drag, to address these questions. We find that the thickness of accumulated airfall material varies substantially with location, and typically is of the order 0.1–1 m. The airfall material preserves substantial amounts of water ice even in relatively small (cm–sized) coma aggregates after a rather long (12 h) residence in the coma. However, CO₂ is lost within a couple of hours even in relatively large (dm–sized) aggregates, and is not expected to be an important component in airfall deposits. We introduce reachability and survivability indices to measure the relative capacity of different regions to simultaneously collect airfall and to preserve its water ice until the next perihelion passage, thereby grading their potential of contributing to comet activity during the next perihelion passage

    Content validity of symptom‐based measures for diabetic, chemotherapy, and HIV peripheral neuropathy

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    INTRODUCTION: No treatments for axonal peripheral neuropathy are approved by the United States Food and Drug Administration (FDA). Although patient- and clinician-reported outcomes are central to evaluating neuropathy symptoms, they can be difficult to assess accurately. The inability to identify efficacious treatments for peripheral neuropathies could be due to invalid or inadequate outcome measures. METHODS: This systematic review examined the content validity of symptom-based measures of diabetic peripheral neuropathy, HIV neuropathy, and chemotherapy-induced peripheral neuropathy. RESULTS: Use of all FDA-recommended methods to establish content validity was only reported for 2 of 18 measures. Multiple sensory and motor symptoms were included in measures for all 3 conditions; these included numbness, tingling, pain, allodynia, difficulty walking, and cramping. Autonomic symptoms were less frequently included. CONCLUSIONS: Given significant overlap in symptoms between neuropathy etiologies, a measure with content validity for multiple neuropathies with supplemental disease-specific modules could be of great value in the development of disease-modifying treatments for peripheral neuropathies
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