603 research outputs found

    The defence of cosmopolitan capitalism by Sir Charles Addis, 1914-1919: a microhistorical study of a classical liberal banker in wartime

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    This study focuses on the efforts of Sir Charles Addis to defend the pre-1914 system of cosmopolitan capitalism. Our central research question is to understand why this merchant banker fought in preserve cosmopolitan capitalism when so many of his peers acquiesced in and even championed its demise. Addis’s moral ideal was an international economic order in which the nationality of firms was irrelevant to the strategies of managers. The First World War dramatically increased the salience of firm nationality in international business. Addis, who was a committed classical liberal, fought against this trend to a degree that is hard to explain with reference to economic self-interest alone. The article, which is based on a range of sources including Addis’s diary, explores Addis’s connections to, and views of, ‘German’ bankers, his relations with the British government, and the political economy of the reparations imposed on Germany by the Versailles Peace settlement

    Updates from the Regional Human Rights Systems

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    Updates from the Regional Human Rights Systems

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    Updates from the Regional Human Rights Systems

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    Decentralization and Political Participation: Argentina and Chile in Comparative Perspective

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    Maternal nutrient restriction in guinea pigs leads to fetal growth restriction with increased brain apoptosis

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    Background: We determined whether maternal nutrient restriction (MNR) in guinea pigs leading to fetal growth restriction (FGR) impacts cell death in the brain with implications for neurodevelopmental adversity. Methods: Guinea pigs were fed ad libitum (Control) or 70% of the control diet before pregnancy, switching to 90% at mid-pregnancy (MNR). Fetuses were necropsied near term and brain tissues processed for necrosis (H&E), apoptosis (TUNEL), and pro- (Bax) and anti- (Bcl-2 and Grp78) apoptotic protein immunoreactivity. Results: FGR-MNR fetal and brain weights were decreased 38% and 12%, respectively, indicating brain sparing but with brains still smaller. While necrosis remained unchanged, apoptosis was increased in the white matter and hippocampus in the FGR brains, and control and FGR-related apoptosis were increased in males for most brain areas. Bax was increased in the CA4 and Bcl-2 was decreased in the dentate gyrus in the FGR brains supporting a role in the increased apoptosis, while Grp78 was increased in the FGR females, possibly contributing to the sex-related differences. Conclusions: MNR-induced FGR results in increased brain apoptosis with regional and sex-related differences that may contribute to the reduction in brain area size reported clinically and increased risk in FGR males for later neurodevelopmental adversity

    Comparison of Mortality and Therapy in Community Acquired Pneumonia

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    Background: Community associated pneumonia (CAP) is one the most common causes of hospital admissions, exceeding more than one million per year in the United States, contributing to 3.4% of inpatient mortality. Our objective was to compare 30-day mortality using therapies recommended for treatment of CAP. Methods: A multicenter retrospective analysis from four different hospitals was assessed from 2008 to 2013. The data was obtained from electronic medical records which included more than 70,000 patients. CAP patients were identified using discharge diagnostic codes during the years 2008-2013, as well as receiving therapy with ceftriaxone and azithromycin or a respiratory fluoroquinolone. Demographic data, antibiotic therapy, and Charlson comorbidity score was obtained to compare the study groups. Results: A total of 21,800 patients met the inclusion criteria for CAP. 1,740 patients were excluded as they received both beta-lactams and fluoroquinolones. The study included 20,600 patients. 11,201 patients (55.84%) received ceftriaxone with azithromycin, and 8,859 (44.16%) received fluoroquinolone therapy. The mortality rate for patients who received fluoroquinolone therapy was lower compared to the patients who received ceftriaxone plus azithromycin (3.56% vs 6.71%, p-value \u3c0.001). Conclusion: Our study showed statistically significant lower 30-day mortality using fluoroquinolone therapy compared to ceftriaxone plus azithromycin for treatment of CAP. Prospective blinded randomized control trials would be needed to support this evidence
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