363 research outputs found

    African Asylum at a Crossroads: Activism, Expert Testimony, and Refugee Rights

    Get PDF
    African Asylum at a Crossroads: Activism, Expert Testimony, and Refugee Rights examines the emerging trend of requests for expert opinions in asylum hearings or refugee status determinations. This is the first book to explore the role of court-based expertise in relation to African asylum cases and the first to establish a rigorous analytical framework for interpreting the effects of this new reliance on expert testimony. Over the past two decades, courts in Western countries and beyond have begun demanding expert reports tailored to the experience of the individual claimant. As courts increasingly draw upon such testimony in their deliberations, expertise in matters of asylum and refugee status is emerging as an academic area with its own standards, protocols, and guidelines. This deeply thoughtful book explores these developments and their effects on both asylum seekers and the experts whose influence may determine their fate. Contributors: Iris Berger, Carol Bohmer, John Campbell, Katherine Luongo, E. Ann McDougall, Karen Musalo, Tricia Redeker Hepner, Amy Shuman, Joanna T. Tague, Meredith Terretta, and Charlotte Walker-Said.https://ohioopen.library.ohio.edu/oupress/1023/thumbnail.jp

    On the relative expressiveness of higher-order session processes

    Get PDF
    By integrating constructs from the λ-calculus and the π-calculus, in higher-order process calculi exchanged values may contain processes. This paper studies the relative expressiveness of HOπ, the higher-order π-calculus in which communications are governed by session types. Our main discovery is that HO, a subcalculus of HOπ which lacks name-passing and recursion, can serve as a new core calculus for session-typed higher-order concurrency. By exploring a new bisimulation for HO, we show that HO can encode HOπ fully abstractly (up to typed contextual equivalence) more precisely and efficiently than the first-order session π-calculus (π). Overall, under session types, HOπ, HO, and π are equally expressive; however, HOπ and HO are more tightly related than HOπ and π

    Evaluation of drug-drug interactions in hospitalized patients on medications for OUD

    Get PDF
    Introduction: Medications used to treat OUD have common metabolic pathways and pharmacodynamic properties that can lead to drug-drug interactions (DDIs) that may go unnoticed in the inpatient setting. The purpose of this study was to identify the frequency of DDIs between medications prescribed for OUD and commonly used inpatient medications. Methods: This was a retrospective review of orders for buprenorphine, buprenorphine-naloxone, and methadone to identify potential DDIs. Adult inpatients with an order for one of these medications for OUD were included. Medication regimens were evaluated throughout the inpatient stay and on day of discharge for DDIs. DDIs were classified by severity and type of interaction (increased risk of QT prolongation, additive CNS effects/respiratory depression, and opioid withdrawal). The primary endpoint was the number of potential DDIs. Other endpoints included number of each classification/severity of DDI, duration of therapy of interacting medications, and modifications made to OUD medications because of DDIs. Results: A total of 102 patients were included, with 215 inpatient interactions and 83 interactions at discharge identified. While inpatient, 85% of patients were on an interacting medication, and 46% of patients were on an interacting medication at discharge. The most common classification of DDI was additive CNS effects/respiratory depression (68.8% inpatient, 50.6% discharge), followed by QT prolongation (24.2% inpatient, 45.8% discharge). The majority of DDIs were classified as requiring close monitoring rather than contraindicated. Discussion: There are opportunities to optimize the prescribing practices surrounding OUD medications in both the inpatient setting and at discharge to ensure patient safety

    Multistep Parametric Processes in Nonlinear Optics

    Full text link
    We present a comprehensive overview of different types of parametric interactions in nonlinear optics which are associated with simultaneous phase-matching of several optical processes in quadratic nonlinear media, the so-called multistep parametric interactions. We discuss a number of possibilities of double and multiple phase-matching in engineered structures with the sign-varying second-order nonlinear susceptibility, including (i) uniform and non-uniform quasi-phase-matched (QPM) periodic optical superlattices, (ii) phase-reversed and periodically chirped QPM structures, and (iii) uniform QPM structures in non-collinear geometry, including recently fabricated two-dimensional nonlinear quadratic photonic crystals. We also summarize the most important experimental results on the multi-frequency generation due to multistep parametric processes, and overview the physics and basic properties of multi-color optical parametric solitons generated by these parametric interactions.Comment: To be published in Progress in Optic

    Development of a standard of care for patients with valosin-containing protein associated multisystem proteinopathy

    Get PDF
    Valosin-containing protein (VCP) associated multisystem proteinopathy (MSP) is a rare inherited disorder that may result in multisystem involvement of varying phenotypes including inclusion body myopathy, Paget’s disease of bone (PDB), frontotemporal dementia (FTD), parkinsonism, and amyotrophic lateral sclerosis (ALS), among others. An international multidisciplinary consortium of 40+ experts in neuromuscular disease, dementia, movement disorders, psychology, cardiology, pulmonology, physical therapy, occupational therapy, speech and language pathology, nutrition, genetics, integrative medicine, and endocrinology were convened by the patient advocacy organization, Cure VCP Disease, in December 2020 to develop a standard of care for this heterogeneous and under-diagnosed disease. To achieve this goal, working groups collaborated to generate expert consensus recommendations in 10 key areas: genetic diagnosis, myopathy, FTD, PDB, ALS, Charcot Marie Tooth disease (CMT), parkinsonism, cardiomyopathy, pulmonology, supportive therapies, nutrition and supplements, and mental health. In April 2021, facilitated discussion of each working group’s conclusions with consensus building techniques enabled final agreement on the proposed standard of care for VCP patients. Timely referral to a specialty neuromuscular center is recommended to aid in efficient diagnosis of VCP MSP via single-gene testing in the case of a known familial VCP variant, or multi-gene panel sequencing in undifferentiated cases. Additionally, regular and ongoing multidisciplinary team follow up is essential for proactive screening and management of secondary complications. The goal of our consortium is to raise awareness of VCP MSP, expedite the time to accurate diagnosis, define gaps and inequities in patient care, initiate appropriate pharmacotherapies and supportive therapies for optimal management, and elevate the recommended best practices guidelines for multidisciplinary care internationally. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13023-022-02172-5

    Zinc modulates mitogenic responses of human lymphocytes by affecting structures influenced by cytochalasin B

    Full text link
    We have previously reported that zinc affects the mitogenic process in an age-dependent fashion when added to lectin-stimulated lymphocytes. The present studies demonstrate an additional selective effect of zinc when added to Con A-activated lymphocytes plus pharmacologic agents known to affect the cytoskeleton or the permeability of the plasma membrane. Specifically, addition of zinc did not modulate the dose-dependent activities of Ca2+ ionophore A23187, nigericin, or colchicine demonstrating that the immunologic effects of zinc do not involve modification of Ca2+ or K+ fluxes, or microtubule formation. By contrast, a consistent and reproducible shift in the cytochalasin B dose-response curve of lymphocytes stimulated by Con A was observed when zinc was added. These data indicate that the effect of zinc on immune functions may be operating through cytochalasin B-sensitive subcellular structures, most likely microfilaments.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/23189/1/0000116.pd
    corecore