Collaboration, circulation and the question of counterfeit in the Book Of Jessica

Suspicion is a requirement of professional reading. As one literary critic explains, reflecting on his own process of becoming a better reader: “I have learned to be more suspicious of narrative, not simply for the sake of suspicion, but because the complexity of what is a text deserves my suspicion. I must be suspicious to be a responsible reader of literature.” There is, then, a tension between a text’s designs to make readers believe and a critic’s need to hold that text at a distance, to question it and to remain suspicious. While this tension between text and reader can be considered the basis of any critical reading experience, it is heightened in the case of collaborative writing, the focus of this article

Astro2020 APC White Paper: Enabling Terminal Master's Degrees as a Step Towards a Ph.D

Earning any advanced degree in physics or astronomy is an arduous process and major accomplishment. However, not every journey to the Ph.D. is paved equally. Every year, there are hundreds of students who earn terminal master's degrees in physics and astronomy in the United States. A master's degree on its own is sufficient qualification for many good careers, but for a portion of these students, the master's degree is not the final step in graduate education. When students with master's degrees decide to continue their education and are accepted to Ph.D. programs, they often find that their credits do not transfer and that they will be required to re-do large portions of their master's degree at their new Ph.D.-granting institution. Here we discuss the need for gathering more data to understand both the different pathways to a Ph.D. and the students that choose each route. We also discuss some of the challenges faced by students that earn a master's degree before beginning a Ph.D. program. As students in the physical sciences that complete a master's and a Ph.D. at different schools take over 2 years longer to reach a Ph.D. than students that get both degrees from the same school, we suggest steps that can be taken to help these students succeed in a timely manner

Astro2020 APC White Paper: Enabling Terminal Master's Degrees as a Step Towards a Ph.D

Earning any advanced degree in physics or astronomy is an arduous process and major accomplishment. However, not every journey to the Ph.D. is paved equally. Every year, there are hundreds of students who earn terminal master's degrees in physics and astronomy in the United States. A master's degree on its own is sufficient qualification for many good careers, but for a portion of these students, the master's degree is not the final step in graduate education. When students with master's degrees decide to continue their education and are accepted to Ph.D. programs, they often find that their credits do not transfer and that they will be required to re-do large portions of their master's degree at their new Ph.D.-granting institution. Here we discuss the need for gathering more data to understand both the different pathways to a Ph.D. and the students that choose each route. We also discuss some of the challenges faced by students that earn a master's degree before beginning a Ph.D. program. As students in the physical sciences that complete a master's and a Ph.D. at different schools take over 2 years longer to reach a Ph.D. than students that get both degrees from the same school, we suggest steps that can be taken to help these students succeed in a timely manner

Design and performance of a multicentre, randomized controlled trial of teleconsulting.

We have designed and performed a multicentre, randomized controlled trial of teleconsulting. The trial investigated the effectiveness and cost implications in rural and inner-city settings of using videoconferencing as an alternative to general practitioner referral to a hospital specialist. The participating general practitioners referred a total of 3170 patients who satisfied the entry criteria. Of these, 1040 (33%) failed to provide consent or otherwise refused to participate in the trial. Of the patients recruited to the trial, a total of 1902 (91%) completed and returned the baseline questionnaire. Although the trial was successful in recruiting sufficient patients and in obtaining high questionnaire response rates, the findings will require careful interpretation to take account of the limits which the protocol placed on the ability of general practitioners to select patients for referral

1 Pengaruh Penyuluhan Bencana Banjir Terhadap Kesiapsiagaan Siswa SMP Katolik Soegiyo Pranoto Manado Menghadapi Banjir

Banjir merupakan salah satu bencana yang sering terjadi di Indonesia. Bencana banjir dapat menyebabkan kerugian dan korban jiwa. Kota Manado setiap tahunnya mengalami bencana banjir sehingga memerlukan kesiapsiagaan bencana yang terkoordinasi. SMP Katolik Soegiyo Pranoto salah satu yang selalu terkena dampak ketika DAS Sawangan dan Tondano tidak mampu menampung debit air sungai. Tujuan penelitian ini untuk Menganalisis Penyuluhan Bencana Banjir Terhadap Kesiapsiagaan Siswa SMP Katolik Soegiyo Pranoto Menghadapi Banjir. Sampel dalam penelitian ini berjumlah 52 responden dengan menggunakan teknik total sampling. Desain penelitian yang digunakan yaitu desain one group pre test-post test dan data yang dikumpulkan dari responden dengan menggunakan lembar kuesioner. Hasil Penelitian diperoleh nilai P-value sebesar 0,00 (<0,05) dengan nilai t hitung sebesar 34,69 dan t tabel sebesar 2,009. Kesimpulan menunjukkan adanya pengaruh penyuluhan bencana banjir terhadap kesiapsiagaan siswa SMP Katolik Soegiyo Pranoto Manado menghadapi banjir. Saran dapat digunakan sebagai bahan informasi dan pengembangan ilmu pengetahuan dalam penanggulangan bencana lebih khusus pada kesiapsiagaan

Virtual outreach: economic evaluation of joint teleconsultations for patients referred by their general practitioner for a specialist opinion

Objectives To test the hypotheses that, compared with conventional outpatient consultations, joint teleconsultation (virtual outreach) would incur no increased costs to the NHS, reduce costs to patients, and reduce absences from work by patients and their carers.Design Cost consequences study alongside randomised controlled trial.Setting Two hospitals in London and Shrewsbury and 29 general practices in inner London and Wales.Participants 3170 patients identified; 2094 eligible for inclusion and willing to participate. 1051 randomised to virtual outreach and 1043 to standard outpatient appointments.Main outcome measures NHS costs, patient costs, health status (SF-12), time spent attending index consultation, patient satisfaction.Results Overall six month costs were greater for the virtual outreach consultations (pound724 per patient) than for conventional outpatient appointments (pound625): difference in means pound99 ($162; is not an element of138) (95% confidence interval pound10 to pound187, P=0.03). if the analysis is restricted to resource items deemed "attributable" to the index consultation, six month costs were still greater for virtual outreach: difference in means pound108 (pound73 to pound142, P < 0.0001). In both analyses the index consultation accounted for the excess cost. Savings to patients in terms of costs and time occurred in both centres: difference in mean total patient cost 8 pound (5 pound to 10 pound, P < 0.0001). Loss of productive time was less in the virtual outreach group: difference in mean cost pound11 (pound10 to pound12, P < 0.0001).Condusion The main hypothesis that virtual outreach would be cost neutral is rejected, but the hypotheses that costs to patients and losses in productivity would be lower are supported

Joint teleconsultations (virtual outreach) versus standard outpatient appointments for patients referred by their general practitioner for a specialist opinion: a randomised trial.

BACKGROUND: The current model of general practitioner referral of patients to hospital specialists in the UK is sometimes associated with unnecessary duplication of investigations and treatments. We aimed to compare joint teleconsultations between general practitioners, specialists, and patients (virtual outreach) with standard outpatient referral. METHODS: Virtual outreach services were established in London and Shrewsbury. The general practitioners referred 3170 patients, of whom 2094 consented to participate in the study and were eligible for inclusion. 1051 patients were randomly assigned virtual outreach, and 1043 standard outpatient appointments. We followed up the patients for 6 months after their index consultation. The primary outcome measure was the offer of a follow-up outpatient appointment. Analysis was by intention to treat. FINDINGS: More patients in the virtual outreach group than the standard group were offered a follow-up appointment (502 [52%] vs 400 [41%], odds ratio 1.52 [95% CI 1.27-1.82], p<0.0001). Significant differences in effects were observed between the two sites (p=0.009) and across different specialties (p<0.0001). Virtual outreach increased the offers of follow-up appointments more in Shrewsbury than in London, and more in ear, nose, and throat surgery and orthopaedics than in the other specialties. Fewer tests and investigations were ordered in the virtual outreach group by an average of 0.79 per patient (0.37-1.21, p=0.0002). Patients' satisfaction (analysed per protocol) was greater after a virtual outreach consultation than after a standard outpatient consultation (mean difference 0.33 scale points [95% CI 0.23-0.43], p<0.0001), with no heterogeneity between specialties or sites. INTERPRETATION: The trial showed that allocation of patients to virtual outreach consultations is variably associated with increased offers of follow-up appointments according to site and specialty, but leads to significant increases in patients' satisfaction and substantial reductions in tests and investigations. Efficient operation of such services will require appropriate selection of patients, significant service reorganisation, and provision of logistical support