From Civilization to Participation: The Convergence of Policy, Practice and Difference in the Art Museum

This research examines how practitioners in the art museum engage with difference, particularly with the black subject, and the influence that policy, which is intended to promote access and inclusion, has on the process. How difference is imagined and addressed is explored through an investigation of the lived experience of museum professionals in both the United States and the United Kingdom. The research is an ethnographic study that utilizes a multidisciplinary theoretical framework, drawing from sociology, cultural studies, social and cultural history, art history, and museum studies, and its methodological approach includes in-depth interviews in Seattle, New York and London, and long-term participant observation in London. An examination of race, diversity and representation, an overview of historical accounts substantiating the development of support for the arts and culture, and an indication of arts policy in the US and UK provide a context from which to view the empirical data. The data makes visible how specific communities are imagined, how projects are developed for ‘targeted’ audiences, and it reveals how conventions in practice continue to perpetuate an air of exclusivity in institutions purportedly open to all. Contrasting and comparing the stated motivations and intentions of practitioners with observed practice illuminates the challenges inherent in transforming words into action. These challenges expose the mechanisms of essentialism, instrumentalism and exclusion that can be exerted in practice; analysis of the process illustrates the complexity of shifting the narrative and culture of the museum, a shift which denotes the evolution in learning and audience development from a civilizing, transmission approach towards a participatory, individual meaning-making approach. This research intends to enhance the understanding of the agency of museum practitioners, particularly during their engagement with difference and external policy mandates, whilst they are concurrently situated in the evolving material and discursive space of the art museum

Team formation and performance: evidence from healthcare referral networks

We examine the teams that emerge when a primary care physician (PCP) refers patients to specialists. When PCPs concentrate their specialist referrals — for instance, sending their cardiology patients to fewer distinct cardiologists — this encourages repeat interactions between PCPs and specialists. Repeated interactions provide more opportunities and incentives to develop productive team relationships. Using data from the Massachusetts All Payer Claims Database, we construct a new measure of PCP team referral concentration and document that it varies widely across PCPs, even among PCPs in the same organization. Chronically ill patients treated by PCPs with 1 standard deviation higher team referral concentration have 4% lower health care utilization on average, with no discernible reduction in quality. We corroborate this finding using a national sample of Medicare claims, and show that it holds under various identification strategies that account for observed and unobserved patient and physician characteristics. The results suggest that repeated PCP-specialist interactions improve team performance.P01 AG005842 - NIA NIH HHSPublished versio

Quantifying the impact of an extreme climate event on species diversity in fragmented temperate forests: the effect of the October 1987 storm on British broadleaved woodlands

1. We report the impact of an extreme weather event, the October 1987 severe storm, on fragmented woodlands in southern Britain. We analysed ecological changes between 1971 and 2002 in 143 200-m2 plots in 10 woodland sites exposed to the storm with an ecologically equivalent sample of 150 plots in 16 non-exposed sites. In both years, understorey species-richness, species composition, soil pH and woody basal area of the tree and shrub canopy were measured. 2. We tested the hypothesis that the storm had deflected sites from the wider national trajectory of an increase in woody basal area and reduced understorey species-richness associated with ageing canopies and declining woodland management. We also expected storm disturbance to amplify the background trend of increasing soil pH, a UK-wide response to reduced atmospheric sulphur deposition. Path analysis was used to quantify indirect effects of storm exposure on understorey species richness via changes in woody basal area and soil pH. 3. By 2002, storm exposure was estimated to have increased mean species richness per 200 m2 by 32%. Woody basal area changes were highly variable and did not significantly differ with storm exposure. 4. Increasing soil pH was associated with a 7% increase in richness. There was no evidence that soil pH increased more as a function of storm exposure. Changes in species richness and basal area were negatively correlated: a 3.4% decrease in richness occurred for every 0.1-m2 increase in woody basal area per plot. 5. Despite all sites substantially exceeding the empirical critical load for nitrogen deposition, there was no evidence that in the 15 years since the storm, disturbance had triggered a eutrophication effect associated with dominance of gaps by nitrophilous species. 6. Synthesis: Although the impacts of the 1987 storm were spatially variable in terms of impacts on woody basal area, the storm had a positive effect on understorey species richness. There was no evidence that disturbance had increased dominance of gaps by invasive species. This could change if recovery from acidification results in a soil pH regime associated with greater macronutrient availability

Home-based therapy programmes for upper limb functional recovery following stroke

Background: With an increased focus on home-based stroke services and the undertaking of programmes, targeted at upper limb recovery within clinical practice, a systematic review of home-based therapy programmes for individuals with upper limb impairment following stroke was required. Objectives: To determine the effects of home-based therapy programmes for upper limb recovery in patients with upper limb impairment following stroke. Search methods: We searched the Cochrane Stroke Group's Specialised Trials Register (May 2011), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 2), MEDLINE (1950 to May 2011), EMBASE (1980 to May 2011), AMED (1985 to May 2011) and six additional databases. We also searched reference lists and trials registers. Selection criteria: Randomised controlled trials (RCTs) in adults after stroke, where the intervention was a home-based therapy programme targeted at the upper limb, compared with placebo, or no intervention or usual care. Primary outcomes were performance in activities of daily living (ADL) and functional movement of the upper limb. Secondary outcomes were performance in extended ADL and motor impairment of the arm. Data collection and analysis: Two review authors independently screened abstracts, extracted data and appraised trials. We undertook assessment of risk of bias in terms of method of randomisation and allocation concealment (selection bias), blinding of outcome assessment (detection bias), whether all the randomised patients were accounted for in the analysis (attrition bias) and the presence of selective outcome reporting. Main results: We included four studies with 166 participants. No studies compared the effects of home-based upper limb therapy programmes with placebo or no intervention. Three studies compared the effects of home-based upper limb therapy programmes with usual care. Primary outcomes: we found no statistically significant result for performance of ADL (mean difference (MD) 2.85; 95% confidence interval (CI) -1.43 to 7.14) or functional movement of the upper limb (MD 2.25; 95% CI -0.24 to 4.73)). Secondary outcomes: no statistically significant results for extended ADL (MD 0.83; 95% CI -0.51 to 2.17)) or upper limb motor impairment (MD 1.46; 95% CI -0.58 to 3.51). One study compared the effects of a home-based upper limb programme with the same upper limb programme based in hospital, measuring upper limb motor impairment only; we found no statistically significant difference between groups (MD 0.60; 95% CI -8.94 to 10.14). Authors' conclusions: There is insufficient good quality evidence to make recommendations about the relative effect of home-based therapy programmes compared with placebo, no intervention or usual care

Triplet lifetime in gaseous argon

MiniCLEAN is a single-phase liquid argon dark matter experiment. During the initial cooling phase, impurities within the cold gas ($<$140 K) were monitored by measuring the scintillation light triplet lifetime, and ultimately a triplet lifetime of 3.480 $\pm$ 0.001 (stat.) $\pm$ 0.064 (sys.) $\mu$s was obtained, indicating ultra-pure argon. This is the longest argon triplet time constant ever reported. The effect of quenching of separate components of the scintillation light is also investigated