67 research outputs found

    On the Duty to Host in International Law: Jacques Derrida and Political Literature

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    Jacques Derrida’s politics of hospitality explores the tension and interdependency that exist between hosts and guests. This article uses Derrida’s idea of hospitality and attempts to understand how it applies to the 21st century refugee crisis in the context of human displacement, state of refugee and immigration. We turn to the help of fiction as a critical tool in scrutinizing current political discourses. Specifically, we offer an analysis of J.M Coetzee’s novel Disgrace in light of Derrida’s theme of hospitality. Coetzee – who was awarded the Nobel Prize – presents a vivid portrait of post-apartheid South Africa that offers a contradictory perspective to Nelson Mandela’s vision of democracy in South Africa. His novel suggests that the inherent violence of colonialism can neither be resolved nor dissolved merely by expressions of regret and forgiveness. By extension, we ask if liberal democracies and international humanitarian law can offer a policy of hospitality that is both morally anchored and practical

    Delirium screening in an acute care setting with a machine learning classifier based on routinely collected nursing data: A model development study

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    Delirium screening in acute care settings is a resource intensive process with frequent deviations from screening protocols. A predictive model relying only on daily collected nursing data for delirium screening could expand the populations covered by such screening programs. Here, we present the results of the development and validation of a series of machine-learning based delirium prediction models. For this purpose, we used data of all patients 18 years or older which were hospitalized for more than a day between January 1, 2014, and December 31, 2018, at a single tertiary teaching hospital in Zurich, Switzerland. A total of 48,840 patients met inclusion criteria. 18,873 (38.6%) were excluded due to missing data. Mean age (SD) of the included 29,967 patients was 71.1 (12.2) years and 12,231 (40.8%) were women. Delirium was assessed with the Delirium Observation Scale (DOS) with a total score of 3 or greater indicating that a patient is at risk for delirium. Additional measures included structured data collected for nursing process planning and demographic characteristics. The performance of the machine learning models was assessed using the area under the receiver operating characteristic curve (AUC). The training set consisted of 21,147 patients (mean age 71.1 (12.1) years; 8,630 (40.8%) women|) including 233,024 observations with 16,167 (6.9%) positive DOS screens. The test set comprised 8,820 patients (median age 71.1 (12.4) years; 3,601 (40.8%) women) with 91,026 observations with 5,445 (6.0%) positive DOS screens. Overall, the gradient boosting machine model performed best with an AUC of 0.933 (95% CI, 0.929 - 0.936). In conclusion, machine learning models based only on structured nursing data can reliably predict patients at risk for delirium in an acute care setting. Prediction models, using existing data collection processes, could reduce the resources required for delirium screening procedures in clinical practice

    Aerosols Transmit Prions to Immunocompetent and Immunodeficient Mice

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    Prions, the agents causing transmissible spongiform encephalopathies, colonize the brain of hosts after oral, parenteral, intralingual, or even transdermal uptake. However, prions are not generally considered to be airborne. Here we report that inbred and crossbred wild-type mice, as well as tga20 transgenic mice overexpressing PrPC, efficiently develop scrapie upon exposure to aerosolized prions. NSE-PrP transgenic mice, which express PrPC selectively in neurons, were also susceptible to airborne prions. Aerogenic infection occurred also in mice lacking B- and T-lymphocytes, NK-cells, follicular dendritic cells or complement components. Brains of diseased mice contained PrPSc and transmitted scrapie when inoculated into further mice. We conclude that aerogenic exposure to prions is very efficacious and can lead to direct invasion of neural pathways without an obligatory replicative phase in lymphoid organs. This previously unappreciated risk for airborne prion transmission may warrant re-thinking on prion biosafety guidelines in research and diagnostic laboratories

    Excitation and Deexcitation of Benzene

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    This chapter contains sections titled: - Introduction; - The Nature of the Lower Excited States of Benzene; - Transitions Between Lower Energy States; - Excited State Geometry; - The Influence of the Environment on Electronic States; - The S1 ↔ S0 Radiative Transition; - The S1 ↔ Triplet Radiationless Transition; - The S1 → S0 Radiationless Transition; - The T1 → S0 Phosphorescence Transition; - The T1 → S0 Radiationless Transition; - Transitions from Higher (n > 1) Excited States; - Relevant Photochemical Reactions of Excited States of Benzene; - Benzene Excimer; - Conclusioninfo:eu-repo/semantics/publishedVersio
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