2012 Symposium: A Telecommunications Agenda for 2012 and Beyond – Keynote Address

Commissioner Mignon L. Clyburn, Federal Communications Commission. This Address was transcribed from the introductory keynote delivered at the 2012 Symposium hosted by CommLaw Conspectus: Journal of Communications Law and Policy and the Institute for Communications Law Studies on April 11, 2012, titled A Telecommunications Agenda for 2012 and Beyond

Displays of Medici Wealth and Authority: The Acts of the Apostles and Valois Fêtes Tapestry Cycles

The objective of my research is to explore Medici extravagance, power, and wealth through the multifaceted artistic form of tapestries vis-à-vis two particular tapestry cycles; the Acts of the Apostles and the Valois Fêtes. The cycles were commissioned by Pope Leo X (1475-1521), the first Medici pope, and Catherine de\u27 Medici (1519-1589), queen, queen regent, and queen mother of France. The motivation for such a project lies in analyzing what is traditionally considered as two independent tapestry cycles by revealing their social, religious, political, and artistic significance through the powerful dynastic influence of the Medici. As Leo and Catherine were both aware of the contemporary social environment, their commission of the Acts of the Apostles and the Valois Fêtes exemplify the Medici streak for ambition, familial dependence, and triumphalism. As Leo X (r. 1513-1521) governed from Rome, Catherine de\u27 Medici (r. 1547-1559) presided over the French throne for nearly fifty years in some capacity. Both Medici enjoyed access to the wealth associated with the Papal Curia and Valois royal household accounts, respectively, investing an enormous sum on the tapestry cycles, only one of the numerous artistic commissions procured during the sixteenth century. Heedless of their iconography and embellishment, the Acts of the Apostles and Valois Fêtestestify to the wealth and power wielded through their patron\u27s accessibility and resourcefulness to procure an estimable and luxurious commission

Systematic care for caregivers of people with dementia in the ambulatory mental health service: designing a multicentre, cluster, randomized, controlled trial

Contains fulltext : 81435.pdf (publisher's version ) (Open Access)BACKGROUND: Care for people with dementia and their informal caregivers is a challenging aim in healthcare. There is an urgent need for cost-effective support programs that prevent informal caregivers of people with dementia from becoming overburdened, which might result in a delay or decrease of patient institutionalization. For this reason, we have developed the Systematic Care Program for Dementia (SCPD). The SCPD consists of an assessment of caregiver's sense of competence and suggestions on how to deal with competence deficiencies. The efficiency of the SCPD will be evaluated in our study. METHODS AND DESIGN: In our ongoing, cluster, randomized, single-blind, controlled trial, the participants in six mental health services in four regions of the Netherlands have been randomized per service. Professionals of the ambulatory mental health services (psychologists and social psychiatric nurses) have been randomly allocated to either the intervention group or the control group. The study population consists of community-dwelling people with dementia and their informal caregivers (patient-caregiver dyads) coming into the health service. The dyads have been clustered to the professionals. The primary outcome measure is the patient's admission to a nursing home or home for the elderly at 12 months of follow-up. This measure is the most important variable for estimating cost differences between the intervention group and the control group. The secondary outcome measure is the quality of the patient's and caregiver's lives. DISCUSSION: A novelty in the SCPD is the pro-active and systematic approach. The focus on the caregiver's sense of competence is relevant to economical healthcare, since this sense of competence is an important determinant of delay of institutionalization of people with dementia. The SCPD might be able to facilitate this with a relatively small cost investment for caregivers' support, which could result in a major decrease in costs in the management of dementia. Implementation on a national level will be started if the SCPD proves to be efficient. TRIAL REGISTRATION: NCT00147693