242 research outputs found
Josephus on Herod's Domestic Intrigue in the Jewish War
Abstract
This article argues that women and domestic intrigue are prominent within the Herod narrative in Josephus’ Jewish War for a specific rhetorical reason. While the first half of the narrative presents the famous king in encomiastic terms, using him to illustrate Josephus’ contention that Jews generally were content to remain loyal to Rome, the second half of the account subtly presents a rather different thesis. Attention to domestic drama allowed Josephus to suggest that Herod was a man who was unable to control either his own emotions or his turbulent family, and so was unfit to rule. Ultimately for Josephus, the ideal constituency for Judaea is not monarchy (as represented by Herod) but the theocratic reign of priests.
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Acts 4:12 and its First Century Setting
This paper, given at the Edinburgh Christology Conference, 2002, seeks to better understand the theology of salvation presented in Acts 4:12 by considering the verse in appropriate contexts. It is viewed (1) as part of the genre of Lucan literature: apologetic in nature, subject to first century rhetorical conventions, and concerned with the identity of God’s chosen people; (2) in the context of the Gentile mission: seeking to make converts at a time when exclusivist religion was not the norm, Luke had to be clear that adherence to the Christian faith meant rejection of Graeco-Roman religion. It asserted as a result that the verse should be understood in the context of the late first century, and that it must be accepted that it does not speak to many of our modern concerns about exclusivism
“It’s my dream to work with Olympic athletes”: Neophyte sport psychologists’ expectations and initial experiences regarding service delivery
We examined trainee practitioners' initial experiences of applied sport psychology practice. Semi-structured interviews (4) were conducted over 6 months with 7 full-time MSc students before, during, and after the applied sport psychology module, when they were working with clients. Participants also kept reflective diaries over an 8-week period whilst working with clients. Findings included: (a) motivations and expectations of an ASP practice career, (b) perceptions of service delivery, (c) emotional demands, and (d) pivotal experiences. Findings extend previous literature on the initial stages of practitioner development, providing micro-level detail on aspects of the intense development process during this pivotal perio
Equatorial Pacific coral geochemical records show recent weakening of the Walker Circulation
Equatorial Pacific ocean-atmosphere interactions affect climate globally, and a key component of the coupled system is the Walker Circulation, which is driven by sea surface temperature (SST) gradients across the equatorial Pacific. There is conflicting evidence as to whether the SST gradient and Walker Circulation have strengthened or weakened over the late twentieth century. We present new records of SST and sea surface salinity (SSS) spanning 1959-2010 based on paired measurements of Sr/Ca and δ18O in a massive Porites coral from Butaritari atoll in the Gilbert Islands, Republic of Kiribati, in the central western equatorial Pacific. The records show 2-7 year variability correlated with the El Niño-Southern Oscillation (ENSO) and corresponding shifts in the extent of the Indo-Pacific Warm Pool, and decadal-scale signals related to the Pacific Decadal Oscillation and the Pacific Warm Pool Index. In addition, the Butaritari coral records reveal a small but significant increase in SST (0.39°C) from 1959 to 2010 with no accompanying change in SSS, a trend that persists even when ENSO variability is removed. In contrast, larger increases in SST and SSS are evident in coral records from the equatorial Pacific Line Islands, located east of Butaritari. Taken together, the equatorial Pacific coral records suggest an overall reduction in the east-west SST and SSS gradient over the last several decades, and a recent weakening of the Walker Circulation
Protocol for a cluster randomised controlled trial to determine the effectiveness and cost-effectiveness of independent pharmacist prescribing in care home: the CHIPPS study
Background:
Prescribing, monitoring and administration of medicines in care homes could be improved. Research has identified the need for one person to assume overall responsibility for the management of medicines within each care home. and shown that a pharmacist independent prescriber service is feasible in this context.
Aims and objectives:
To conduct a cluster randomised controlled trial to determine the effectiveness and cost-effectiveness of a pharmacist-independent prescribing service in care homes compared to usual general practitioner (GP)-led care.
Objectives:
To perform a definitive randomised controlled trial (RCT) with an internal pilot to determine the intervention’s effectiveness and cost-effectiveness and enable modelling beyond the end of the trial.
Methods:
This protocol is for a cluster RCT with a 3-month internal pilot to confirm that recruitment is achievable, and there are no safety concerns. The unit of randomisation is a triad comprising a pharmacist-independent prescriber (PIP) based in a GP practice with sufficient registered patients resident in one or more care homes to allow recruitment of an average of 20 participants. In the intervention group, the PIP will, in collaboration with the GP: assume responsibility for prescribing and managing residents’ medicines including medication review and pharmaceutical care planning; support systematic ordering and administration in the care home, GP practice and supplying pharmacy; train care home and GP practice staff; communicate with GP practice, care home, supplying community pharmacy and study team.
The intervention will last 6 months. The primary outcome will be resident falls at 6 months. Secondary outcomes include resident health-related quality of life, falls at 3 months, medication burden, medication appropriateness, mortality and hospitalisations. A full health economic analysis will be undertaken. The target sample size is 880 residents (440) in each arm) from 44 triads. This number is sufficient to detect a decrease in fall rate from 1.5 per individual to 1.178 (relative reduction of 21%) with 80% power and an ICC of 0.05 or less.
Discussion:
Recruitment is on-going and the trial should complete in early 2020. The trial results will have implications for the future management of residents in care homes and the ongoing implementation of independent pharmacist prescribing.
Trial registration:
ISRCTN, ID: 17847169. Registered on 15 December 2017
An equal right to inherit? Women's land rights, customary law and constitutional reform in Tanzania
This article explores contemporary contestations surrounding women’s inheritance of land in Africa. Legal activism has gained momentum, both in agendas for law reform and in test case litigation, which reached United Nations Committee on the Elimination of Discrimination against Women in ES and SC v. United Republic of Tanzania. Comparing the approach of Tanzania to that of its neighbours, Uganda, Kenya and Rwanda, this article explores patterns of resistance and omission towards enshrining an equal right to inherit in land and succession laws. It identifies two main reasons: neoliberal drivers for land law reform of the 1990s and sociopolitical sensitivity surrounding inheritance of land. It argues that a progressive approach to constitutional and law reform on women’s land rights requires understanding of the realities of claims to family land based on kinship relations. It calls for a holistic approach to land, marriage and inheritance law reform underpinned with constitutional rights to equality and progressive interpretations of living customary law
Community-based health workers implementing universal access to HIV testing and treatment: lessons from South Africa and Zambia-HPTN 071 (PopART).
The global expansion of HIV testing, prevention and treatment services is necessary to achieve HIV epidemic control and promote individual and population health benefits for people living with HIV (PLHIV) in sub-Saharan Africa. Community-based health workers (CHWs) could play a key role in supporting implementation at scale. In the HPTN 071 (PopART) trial in Zambia and South Africa, a cadre of 737 study-specific CHWs, working closely with government-employed CHW, were deployed to deliver a 'universal' door-to-door HIV prevention package, including an annual offer of HIV testing and referral services for all households in 14 study communities. We conducted a process evaluation using qualitative and quantitative data collected during the trial (2013-2018) to document the implementation of the CHW intervention in practice. We focused on the recruitment, retention, training and support of CHWs, as they delivered study-specific services. We then used these descriptions to: (i) analyse the fidelity to design of the delivery of the intervention package, and (ii) suggest key insights for the transferability of the intervention to other settings. The data included baseline quantitative data collected with the study-specific CHWs (2014-2018); and qualitative data from key informant interviews with study management (n = 91), observations of CHW training events (n = 12) and annual observations of and group discussions (GD) with intervention staff (n = 68). We show that it was feasible for newly recruited CHWs to implement the PopART intervention with good fidelity, supporting the interpretation of the trial outcome findings. This was despite some challenges in managing service quality and CHW retention in the early years of the programme. We suggest that by prioritizing the adoption of key elements of the in-home HIV services delivery intervention model-including training, emotional support to workers, monitoring and appropriate remuneration for CHWs-these services could be successfully transferred to new settings
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