Exile and subjectivity: words and images in the writings of Sadakichi Hartmann

This article considers the fundamental role played by self-fashioning in the aesthetic theory elaborated by the Japanese German American art critic Sadakichi Hartmann (1867-1944) in the early twentieth century. I read this concern with subjectivity in the context of what Hartmann believed to be the fragile, exiled, connections between word and image. The Symbolist aesthetic Hartmann elaborated in his work as a critic and historian of painting and photography brought with it a consciousness of the suspect and depleted power of words and of their capacity to reflect the world and experience not through exactitude but through suggestion and imprecision. Hartmann the poet worked with that quality of perception in the early part of his career, and the consequences for the potential of language to conjure the world, and of the visual to do the same, provides a central theme in a body of significant critical work that is coloured by his sense of exile and ‘strangeness’

Fast switching tunable laser sources for wavelength division multiplexing in passive optical access networks

Tunable laser structures with nanosecond switching time between wavelength channels and low-power injection locking are demonstrated on a low-cost platform. These lasers are suitable as source or slave lasers in WDM passive optical access networks

Low-linewidth and tunable single frequency 1x2 multimode-interferometer-Fabry-Perot laser diode

In this paper, we present a novel 1x2 multi-mode-interferometer-Fabry-Perot (MMI-FP) laser diode, which demonstrated tunable single frequency operation with more than 30dB side mode suppression ratio (SMSR) and a tuning range of 25nm in the C and L bands, as well as a 750 kHz linewidth. These lasers do not require material regrowth and high resolution gratings; resulting in a simpler process that can significantly increase the yield and reduce the cost

In search of professionalism, bureaucracy and sustainable livelihoods for the 21st century

Summary In the 21st century, vastly more people will need to gain sustainable livelihoods in difficult environments. For this, changes are needed on the part of outsiders — professionals, officials and others — who have overlooked or underestimated the complexity and diversity of rural conditions, rural people's ability to take a long?term view, and their knowledge, creativity and competence in presenting and analysing complex information. To serve poor people better, much of the challenge now is methodological: for better learning from, with and by rural people, for enabling them to express and enhance their competence and creativity; and for the improvement and spread of new methods for changing the behaviour and attitudes of outsiders. Resumen En busca de profesionalismo, burocracia y sustento permanente para el siglo XXI En el siglo XXI, muchísimas mas personas deberán alcanzar sustento permanente en medio ambientes difíciles. Para esto, deberá haber cambios por parte de algunos sectores — profesionales, oficiales y otros — que han pasado por alto o subestimado la diversidad y complejidad de las condiciones rurales, la habilidad de los pobladores rurales para asumir una visión a largo plazo, y sus conocimientos, creatividad y competencia para presentar y analizar información intrincada. Para servir mejor a las comunidades carenciadas, la mayor parte del desafío actual es metodológica: para un mejor aprendizaje de, con y por pobladores rurales; para permitirles expresar e incrementar su competencia y creatividad; y para el mejoramiento y extensión de nuevas formas para cambiar el comportamiento y las posturas políticas de los sectores diversos. Résumé À la recherche du professionnalisme, la bureaucratie et le maintien soutenu au 21ème siècle Au 21ème siècle un nombre fortement accru d'êtres humains chercheront à exploiter des moyens soutenus d'existence dans des environnements difficiles. Ainsi, des changements doivent intervenir au niveau des tiers — professionnels, officiels et autres — qui auront soit passé outre, soit sous?estimé la complexité et la diversité des conditions rurales, ainsi que la capacité des ruraux mêmes de déterminer les politiques à long terme; leur propre créativité; et leur expertise en ce qui concerne la présentation et l'analyse des informations complexes. Si l'on veut offrir un meilleur service aux populations déshéritées, le défi sera désormais de savoir quelle méthodologie est la mieux adaptée non seulement à recevoir ce qu'ont à nous apprendre les peuples ruraux (tout en partageant cet apprentissage avec eux et en leur transferant nos propres connaissances); mais aussi, quelle méthodologie leur permettra d'exprimer et de mettre en valeur leur expertise et leur créativité; et pourra enfin améliorer et propager les nouvelles méthodes capables de modifier le comportement et les attitudes des tiers venus de l'extérieur

Early empirical TB treatment in HIV-positive patients admitted to hospital in South Africa: an observational cohort study

Background: Empirical TB treatment in HIV-positive inpatients is common and may undermine the impact of new diagnostics. We sought to describe empirical TB treatment and compare characteristics and outcomes with patients treated for TB after screening. Methods: Retrospective observational cohort study of HIV-positive inpatients treated empirically for TB prior to TB screening. Data on clinical characteristics, investigations and outcomes were collected from medical records. Comparison cohorts with microbiologically-confirmed or empirical TB treatment after TB screening with Xpert MTB/RIF and urine lipoarabinomannan assays were taken from South African STAMP trial site. In-hospital mortality was compared using a competing-risks analysis adjusted for age, sex and CD4 count. Results: Between January 2016 and September 2017, 100 patients excluded from STAMP were treated for TB empirically prior to TB screening. After enrolment in STAMP and TB screening, 240/1177 (20.4%) patients received TB treatment, of whom 123 had positive TB tests and 117 were treated empirically. Characteristics were similar among early empirically treated patients and those treated after TB screening. 50% of early empirical TB treatment was based on radiological investigations, 22% on cerebrospinal or pleural fluid testing, and 28% on clinical features alone. Only 11/100 empirically treated patients had subsequent microbiological confirmation. In-hospital mortality was lower in patients with microbiologically-confirmed TB compared to those treated empirically (adjusted sub-distribution HR 0.5, 95% CI 0.3-0.9). Conclusions: Empirical TB treatment remains common in severely ill HIV-positive inpatients. These patients may benefit from TB screening using existing rapid diagnostics, both to improve confirmation of TB disease and reduce over-treatment for TB

Integrated demultiplexing and amplification of coherent optical combs

The explosive growth of the internet during the last few decades has been enabled by two complementary innovations in optical communications: the use of multiple optical channels within a single optical fibre, and the increase in the bandwidth of individual channels to hundreds of Gbps. Further increases in overall bandwidth look to be provided by more spectrally efficient optical superchannels that use coherent sub-carriers generated using optical orthogonal frequency division multiplexing (OFDM). Yet, a cost effective way of generating these signals has not been demonstrated. One crucial, but missing piece is an effective means to separate the closely frequency spaced optical sub-carriers from the coherent optical comb before placing information on each sub-carrier, and thus creating the OFDM signal. Here, we demonstrate a flexible strategy implemented in a compact photonic integrated circuit (PIC) that is used to separate and amplify these sub-carriers using on-chip injection locking

SiNx-induced intermixing in AlInGaAs/InP quantum well through interdiffusion of group III atoms

We analyze the composition profiles within intermixed and non-intermixed AlInGaAs-based multiple quantum wells structures by secondary ion mass spectrometry and observe that the band gap blue shift is mainly attributed to the interdiffusion of In and Ga atoms between the quantum wells and the barriers. Based on these results, several AlInGaAs-based single quantum well (SQW) structures with various compressive strain (CS) levels were grown and their photoluminescence spectra were investigated after the intermixing process involving the encapsulation of thin SiNx dielectric films on the surface followed by rapid thermal annealing. In addition to the annealing temperature, we report that the band gap shift can be also enhanced by increasing the CS level in the SQW. For instance, at an annealing temperature of 850 degrees C, the photoluminescence blue shift is found to reach more than 110 nm for the sample with 1.2%-CS SQW, but only 35 nm with 0.4%-CS SQW. We expect that this relatively larger atomic compositional gradient of In (and Ga) between the compressively strained quantum well and the barrier can facilitate the atomic interdiffusion and it thus leads to the larger band gap shift. (C) 2012 American Institute of Physics. [http://dx.doi.org/10.1063/1.4764856

Wet Paint: Visual Culture in a Changing Britain – A Round Table Debate

Political decisions and debates regarding the interregional and interna- tional partnerships that constitute Great Britain, including those over Scottish Independence, EVEL (English Votes for English Laws) and proposed legislation on an ‘in/out’ referendum on British membership of the European Union, have contributed to, and intensified, the examination of Britain’s institutions, as well as its national emblems and arche- types. In light of such a dynamic situation, Visual Culture in Britain has asked representatives of British universities, the museum sector and research centres to respond to the idea of a changing Britain through the prism of British art and visual culture, using cogent examples wherever possible, and to outline their observations, understandings and positions within this rapidly developing context

Barriers and facilitators of community-based implementation of evidence-based interventions in the UK, for children and young people's mental health promotion, prevention and treatment: rapid scoping review

Background Community-based organisations continue to take on a greater role in supporting children and young people in the UK with their mental health. However, little evidence exists on the capacity and capability of these settings to effectively implement evidence-based interventions (EBIs). Aims To identify barriers and facilitators of the implementation of EBIs within community settings in the UK, for children and young people's mental health promotion, prevention and treatment. Method A PRISMA-guided, rapid scoping review was conducted, using predefined criteria and a relevant search strategy on eight databases: Ovid EMBASE, Ovid Medline, Ovid PsycINFO, Ovid Global Health: Scopus, Web of Science All Databases, EBSCO CINAHL and EBSCO ERIC. Study characteristics and data on barriers and facilitators were extracted, with results narratively synthesised. Results Five out of 4899 studies met the inclusion criteria, addressing the barriers and facilitators of community-based implementation of EBIs for children and young people's mental health promotion, prevention and treatment. All of the studies that were identified focused on school settings, but we identified no studies that included data on barriers or facilitators of implementing EBIs in other community-based or voluntary sector settings. Conclusions There is a lack of available evidence on the capacity and capability of community settings in the UK to effectively implement EBIs and adhere to evidence-based practice. However, existing findings within schools have highlighted key barriers and facilitators to implementation, such as the importance of meaningful involvement of stakeholders throughout the research process, and greater allocation of resources to support evidence-based decision-making in these settings

Rapid urine-based screening for tuberculosis in HIV-positive patients admitted to hospital in Africa (STAMP): a pragmatic, multicentre, parallel-group, double-blind, randomised controlled trial.

BACKGROUND Current diagnostics for HIV-associated tuberculosis are suboptimal, with missed diagnoses contributing to high hospital mortality and approximately 374 000 annual HIV-positive deaths globally. Urine-based assays have a good diagnostic yield; therefore, we aimed to assess whether urine-based screening in HIV-positive inpatients for tuberculosis improved outcomes. METHODS We did a pragmatic, multicentre, double-blind, randomised controlled trial in two hospitals in Malawi and South Africa. We included HIV-positive medical inpatients aged 18 years or more who were not taking tuberculosis treatment. We randomly assigned patients (1:1), using a computer-generated list of random block size stratified by site, to either the standard-of-care or the intervention screening group, irrespective of symptoms or clinical presentation. Attending clinicians made decisions about care; and patients, clinicians, and the study team were masked to the group allocation. In both groups, sputum was tested using the Xpert MTB/RIF assay (Xpert; Cepheid, Sunnyvale, CA, USA). In the standard-of-care group, urine samples were not tested for tuberculosis. In the intervention group, urine was tested with the Alere Determine TB-LAM Ag (TB-LAM; Alere, Waltham, MA, USA), and Xpert assays. The primary outcome was all-cause 56-day mortality. Subgroup analyses for the primary outcome were prespecified based on baseline CD4 count, haemoglobin, clinical suspicion for tuberculosis; and by study site and calendar time. We used an intention-to-treat principle for our analyses. This trial is registered with the ISRCTN registry, number ISRCTN71603869. FINDINGS Between Oct 26, 2015, and Sept 19, 2017, we screened 4788 HIV-positive adults, of which 2600 (54%) were randomly assigned to the study groups (n=1300 for each group). 13 patients were excluded after randomisation from analysis in each group, leaving 2574 in the final intention-to-treat analysis (n=1287 in each group). At admission, 1861 patients were taking antiretroviral therapy and median CD4 count was 227 cells per μL (IQR 79-436). Mortality at 56 days was reported for 272 (21%) of 1287 patients in the standard-of-care group and 235 (18%) of 1287 in the intervention group (adjusted risk reduction [aRD] -2·8%, 95% CI -5·8 to 0·3; p=0·074). In three of the 12 prespecified, but underpowered subgroups, mortality was lower in the intervention group than in the standard-of-care group for CD4 counts less than 100 cells per μL (aRD -7·1%, 95% CI -13·7 to -0·4; p=0.036), severe anaemia (-9·0%, -16·6 to -1·3; p=0·021), and patients with clinically suspected tuberculosis (-5·7%, -10·9 to -0·5; p=0·033); with no difference by site or calendar period. Adverse events were similar in both groups. INTERPRETATION Urine-based tuberculosis screening did not reduce overall mortality in all HIV-positive inpatients, but might benefit some high-risk subgroups. Implementation could contribute towards global targets to reduce tuberculosis mortality. FUNDING Joint Global Health Trials Scheme of the Medical Research Council, the UK Department for International Development, and the Wellcome Trust