2,065 research outputs found

    The Invisible Thin Red Line

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    The aim of this paper is to argue that the adoption of an unrestricted principle of bivalence is compatible with a metaphysics that (i) denies that the future is real, (ii) adopts nomological indeterminism, and (iii) exploits a branching structure to provide a semantics for future contingent claims. To this end, we elaborate what we call Flow Fragmentalism, a view inspired by Kit Fine (2005)’s non-standard tense realism, according to which reality is divided up into maximally coherent collections of tensed facts. In this way, we show how to reconcile a genuinely A-theoretic branching-time model with the idea that there is a branch corresponding to the thin red line, that is, the branch that will turn out to be the actual future history of the world

    Hemoglobin concentrations and RBC transfusion thresholds in patients with acute brain injury: an international survey.

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    The optimal hemoglobin (Hb) threshold at which to initiate red blood cell (RBC) transfusion in patients with acute brain injury is unknown. The aim of this survey was to investigate RBC transfusion practices used with these patients. We conducted a web-based survey within various societies of critical care medicine for intensive care unit (ICU) physicians who currently manage patients with primary acute brain injury. A total of 868 responses were obtained from around the world, half of which (n = 485) were from European centers; 204 (24%) respondents had a specific certificate in neurocritical care, and most were specialists in anesthesiology or intensive care and had less than 15 years of practice experience. Four hundred sixty-six respondents (54%) said they used an Hb threshold of 7-8 g/dl to initiate RBC transfusion after acute brain injury, although half of these respondents used a different threshold (closer to 9 g/dl) in patients with traumatic brain injury, subarachnoid hemorrhage, or ischemic stroke. Systemic and cerebral factors were reported as influencing the need for higher Hb thresholds. Most respondents agreed that a randomized clinical trial was needed to compare two different Hb thresholds for RBC transfusion, particularly in patients with traumatic brain injury, subarachnoid hemorrhage, and ischemic stroke. The Hb threshold used for RBC transfusion after acute brain injury was less than 8 g/dl in half of the ICU clinicians who responded to our survey. However, more than 50% of these physicians used higher Hb thresholds in certain conditions

    Social presence in the 21st Century: an adjustment to the Community of Inquiry framework

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    The Community of Inquiry framework, originally proposed by Garrison, Anderson and Archer (2000) identifies teaching, social and cognitive presences as central to a successful online educational experience. This article presents the findings of a study conducted in Uruguay between 2007 and 2010. The research aimed to establish the role of cognitive, social and teaching presences in the professional development of 40 English language teachers on Continuous Professional Development (CPD) programmes delivered in blended learning settings. The findings suggest that teaching presence and cognitive presence have themselves 'become social'. The research points to social presence as a major lever for engagement, sense-making and peer support. Based on the patterns identified in the study, this article puts forward an adjustment to the Community of Inquiry framework, which shows social presence as more prominent within the teaching and cognitive constructs than the original version of the framework suggests

    Providing web-based mental health services to at-risk women

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    <p>Abstract</p> <p>Background</p> <p>We examined the feasibility of providing web-based mental health services, including synchronous internet video conferencing of an evidence-based support/education group, to at-risk women, specifically poor lone mothers. The objectives of this study were to: (i) adapt a face-to-face support/education group intervention to a web-based format for lone mothers, and (ii) evaluate lone mothers' response to web-based services, including an online video conferencing group intervention program.</p> <p>Methods</p> <p>Participating mothers were recruited through advertisements. To adapt the face-to-face intervention to a web-based format, we evaluated participant motivation through focus group/key informant interviews (n = 7), adapted the intervention training manual for a web-based environment and provided a computer training manual. To evaluate response to web-based services, we provided the intervention to two groups of lone mothers (n = 15). Pre-post quantitative evaluation of mood, self-esteem, social support and parenting was done. Post intervention follow up interviews explored responses to the group and to using technology to access a health service. Participants received $20 per occasion of data collection. Interviews were taped, transcribed and content analysis was used to code and interpret the data. Adherence to the intervention protocol was evaluated.</p> <p>Results</p> <p>Mothers participating in this project experienced multiple difficulties, including financial and mood problems. We adapted the intervention training manual for use in a web-based group environment and ensured adherence to the intervention protocol based on viewing videoconferencing group sessions and discussion with the leaders. Participant responses to the group intervention included decreased isolation, and increased knowledge and confidence in themselves and their parenting; the responses closely matched those of mothers who obtained same service in face-to-face groups. Pre-and post-group quantitative evaluations did not show significant improvements on measures, although the study was not powered to detect these.</p> <p>Conclusions</p> <p>We demonstrated that an evidence-based group intervention program for lone mothers developed and evaluated in face-to-face context transferred well to an online video conferencing format both in terms of group process and outcomes.</p

    The geological history of Nili Patera, Mars

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    Nili Patera is a 50 km diameter caldera at the center of the Syrtis Major Planum volcanic province. The caldera is unique among Martian volcanic terrains in hosting: (i) evidence of both effusive and explosive volcanism, (ii) hydrothermal silica, and (iii) compositional diversity from olivine-rich basalts to silica-enriched units. We have produced a new geological map using three mosaicked 18 m/pixel Context Camera digital elevation models, supplemented by Compact Remote Imaging Spectrometer for Mars Hyperspectral data. The map contextualizes these discoveries, formulating a stratigraphy in which Nili Patera formed by trapdoor collapse into a volcanotectonic depression. The distinctive bright floor of Nili Patera formed either as part of a felsic pluton, exposed during caldera formation, or as remnants of welded ignimbrite(s) associated with caldera formation—both scenarios deriving from melting in the Noachian highland basement. After caldera collapse, there were five magmatic episodes: (1) a basaltic unit in the caldera's north, (2) a silica-enriched unit and the associated Nili Tholus cone, (3) an intrusive event, forming a ~300 m high elliptical dome; (4) an extrusive basaltic unit, emplaced from small cones in the east; and (5) an extreme olivine-bearing unit, formed on the western caldera ring fault. The mapping, together with evidence for hydrated materials, implies magmatic interaction with subsurface volatiles. This, in an area of elevated geothermal gradient, presents a possible habitable environment (sampled by the hydrothermal deposits). Additionally, similarities to other highland volcanoes imply similar mechanisms and thus astrobiological potential within those edifices

    Performance of four different diagnostic tests for C. difficile infection in piglets

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    Clostridium difficile is emerging as a pathogen in man as well as in animals. In 2000 it was described as a cause of neonatal enteritis in piglets and it is now the most common cause of neonatal diarrhoea in the USA. In Europe, C. difficile infection (CDI) in neonatal piglets has also been reported. Diagnosis of this infection is based on detection of the bacterium or its toxins A and B

    The Maximal Denumerant of a Numerical Semigroup

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    Given a numerical semigroup S = and n in S, we consider the factorization n = c_0 a_0 + c_1 a_1 + ... + c_t a_t where c_i >= 0. Such a factorization is maximal if c_0 + c_1 + ... + c_t is a maximum over all such factorizations of n. We provide an algorithm for computing the maximum number of maximal factorizations possible for an element in S, which is called the maximal denumerant of S. We also consider various cases that have connections to the Cohen-Macualay and Gorenstein properties of associated graded rings for which this algorithm simplifies.Comment: 13 Page
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