8,631 research outputs found

    Does understanding individuals require idiographic judgement?

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    Idiographic understanding has been proposed as a response to concern that criteriological diagnosis cannot capture the nature of human individuality. It can seem that understanding individuals requires, instead, a distinct form of ‘individualised’ judgement and this claim receives endorsement by the inventor of the term ‘idiographic’, Wilhelm Windelband. I argue, however, that none of the options for specifying a model of individualised judgement, to explain what idiographic judgement might be, will work. I suggest, at the end, that narrative, rather than idiographic, understanding is a more promising response to the limitations of criteriological diagnosis

    Increasing Mississippi’s HPV Vaccination Rate: A Proposal Based on Providers’ Insights

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    Despite high childhood vaccination rates for required vaccinations for kindergarten, including the MMR vaccine, Mississippi has the lowest HPV vaccination rate in the nation. This is so even though the HPV vaccine can prevent multiple cancers, including cervical cancer, of which Mississippi has the nation’s highest mortality rate. This study seeks to understand the factors surrounding Mississippi’s low HPV vaccination rate as well as potential policy solutions to increase this rate. To accomplish this, the author conducted interviews with 13 Mississippi physicians in various specialties to gather qualitative data. As a result of these interviews, the author found that the anti-vaccination movement, the association of HPV with sexual activity, education of providers and parents, the lack of an HPV vaccination requirement, and patients forgetting to schedule second dose appointments are key factors contributing to Mississippi’s low HPV vaccination rate. Potential policy solutions to increase the HPV vaccination rate in Mississippi include educating providers to make more effective recommendations, mandating the HPV vaccine for school attendance, requiring providers to recommend the HPV vaccine to their patients, and automatically scheduling second dose appointments. Increasing the HPV vaccination rate in Mississippi by implementing some or all of these strategies is critical to improving the health and wellness of all Mississippians

    A participatory mixed methods approach to researching household water use in Gosford, Australia

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    This paper argues that a participatory mixed methods approach is more suitable to develop insights into everyday water practices than conventional quantitative end-use studies or stand-alone qualitative behavioural studies. Combining quantitative and qualitative studies provides accurate data on the prevalence and impact of practices, as well as insights into the meanings inherent in household practices. Further, we argue that co-participation in practices during the research is a critical methodological addition to help participants to access meanings and to correlate quantitative data with practices. Our argument is illustrated with reference to a household water use study of forty-eight homes from Gosford City, Australia between May 2008 and July 2009

    Soft Manifold Dynamics Behind Negative Thermal Expansion

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    Minimal models are developed to examine the origin of large negative thermal expansion (NTE) in under-constrained systems. The dynamics of these models reveals how underconstraint can organize a thermodynamically extensive manifold of low-energy modes which not only drives NTE but extends across the Brillioun zone. Mixing of twist and translation in the eigenvectors of these modes, for which in ZrW2O8 there is evidence from infrared and neutron scattering measurements, emerges naturally in our model as a signature of the dynamics of underconstraint.Comment: 5 pages, 3 figure

    Retention in Continuous Care and Sustained Viral Suppression: Examining the Association Among Individuals Living with HIV

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    Objectives: To examine the relationship between retention in continuous care and sustained viral suppression. Methods: The authors retrospectively followed 653 persons who were virally suppressed and seeking care at an infectious disease clinic in Kentucky for an average of 6 years to determine the rates of retention in medical care (≥2 visits separated by ≥3 months within a 12-month period) and sustained viral suppression (\u3c400 copies/mL). A generalized linear mixed model was used to determine an association between retention and suppression over time. Results: Approximately 61% of the study population were retained in continuous care and 75% had sustained viral suppression for all patient-years. Persons retained in care were 3 times the odds of sustaining viral suppression over time (P \u3c .001). Conclusion: Retention is essential to achieving and maintaining viral suppression. Strategies should be set in place that emphasize increasing the rates of retention, which in turn may increase the rates of suppression

    Aiding clinicians through summarization of perinatal data

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    posterExploratory analysis has focused on developing summarized views of monitor-captured perinatal data to support adherence to established clinical protocols. In addition to facilitating rapid access to significant clinical trends and reducing subjective interpretation of monitor-captured data, combining data summaries with traditional monitor review may assist in the anticipation of complications

    Simulation Study of TenTen: A new Multi-TeV IACT array

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    TenTen is a proposed array of Imaging Atmospheric Cherenkov Telescopes (IACT) optimized for the gamma ray energy regime of 10 TeV to 100 TeV, but with a threshold of ~1 to a few TeV. It will offer a collecting area of 10 km2 above energies of 10 TeV. In the initial phase, a cell of 3 to 5 modest-sized telescopes, each with 10-30 m2 mirror area, is suggested for an Australian site. A possible expansion of the array could comprise many such cells. Here we present work on configuration and technical issues from our simulation studies of the array. Working topics include array layout, telescope size and optics, camera field of view, telescope trigger system, electronics, and site surveys.Comment: 4 pages, 7 figures, submitted to Proceedings of the ICRC 2007, pdf forma

    The history of the CATH structural classification of protein domains

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    This article presents a historical review of the protein structure classification database CATH. Together with the SCOP database, CATH remains comprehensive and reasonably up-to-date with the now more than 100,000 protein structures in the PDB. We review the expansion of the CATH and SCOP resources to capture predicted domain structures in the genome sequence data and to provide information on the likely functions of proteins mediated by their constituent domains. The establishment of comprehensive function annotation resources has also meant that domain families can be functionally annotated allowing insights into functional divergence and evolution within protein families
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