31 research outputs found

    Progressive Prosecution

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    Understanding energy-related regimes: A participatory approach from central Australia

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    AbstractFor a particular community, what energy-related innovations constitute no-regrets strategies? We present a methodology to understand how alternative energy consuming activities and policy regimes impact on current and future liveability of socio-culturally diverse communities facing climate change. Our methodology augments the energy policy literature by harnessing three concepts (collaborative governance, innovation and political economic regime of provisioning) to support dialogue around changing energy-related activities. We convened workshops in Alice Springs, Australia to build capability to identify no-regrets energy-related housing or transport activities and strategies. In preparation, we interviewed policy actors and constructed three new housing-related future scenarios. After discussing the scenarios, policy and research actors prioritised five socio-technical activities or strategies. Evaluations indicate participants enjoyed opportunities given by the methodology to have focussed discussions about activities and innovation, while requesting more socially nuanced scenario storylines. We discuss implications for theory and technique development

    Dobbs Was Not The Beginning: A Guide on Pregnancy Criminalization

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    Community Justice Exchange partnered with Repro Legal Defense Fund to produce this guide for anyone interested in understanding the ways criminalization of abortion has manifested and harmed people in the past as a way to understand what we might expect in the post-Dobbs era. The guide specifically focuses on the current and anticipated increase of the criminalization of individuals who self-manage their abortion or are suspected of self-managing their abortion. We also identify and provide guidance for possible points of intervention and support that would benefit people being criminalized for self-managed abortion, as well as further resources for understanding and intervening in the criminalization of self-managed abortion

    Consumption of New Zealand blackcurrant extract improves recovery from exercise-induced muscle damage in non-resistance trained men and women: A double-blind randomised trial

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    Background: Blackcurrant is rich in anthocyanins that may protect against exercise-induced muscle damage (EIMD) and facilitate a faster recovery of muscle function. We examined the effects of New Zealand blackcurrant (NZBC) extract on indices of muscle damage and recovery following a bout of strenuous isokinetic resistance exercise. Methods: Using a double-blind, randomised, placebo controlled, parallel design, twenty-seven healthy participants received either a 3 g·day−1 NZBC extract (n = 14) or the placebo (PLA) (n = 13) for 8 days prior to and 4 days following 60 strenuous concentric and eccentric contractions of the biceps brachii muscle on an isokinetic dynamometer. Muscle soreness (using a visual analogue scale), maximal voluntary contraction (MVC), range of motion (ROM) and blood creatine kinase (CK) were assessed before (0 h) and after (24, 48, 72 and 96 h) exercise. Results: Consumption of NZBC extract resulted in faster recovery of baseline MVC (p = 0.04), attenuated muscle soreness at 24 h (NZBC: 21 ± 10 mm vs. PLA: 40 ± 23 mm, p = 0.02) and 48 h (NZBC: 22 ± 17 vs. PLA: 44 ± 26 mm, p = 0.03) and serum CK concentration at 96 h (NZBC: 635 ± 921 UL vs. PLA: 4021 ± 4319 UL, p = 0.04) following EIMD. Conclusions: Consumption of NZBC extract prior to and following a bout of eccentric exercise attenuates muscle damage and improves functional recovery. These findings are of practical importance in recreationally active and potentially athletic populations, who may benefit from accelerated recovery following EIMD

    Radiotherapy plus cisplatin or cetuximab in low-risk human papillomavirus-positive oropharyngeal cancer (De-ESCALaTE HPV):an open-label randomised controlled phase 3 trial

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    Background The incidence of human papillomavirus (HPV)-positive oropharyngeal cancer, a disease affecting younger patients, is rapidly increasing. Cetuximab, an epidermal growth factor receptor inhibitor, has been proposed for treatment de-escalation in this setting to reduce the toxicity of standard cisplatin treatment, but no randomised evidence exists for the efficacy of this strategy. Methods We did an open-label randomised controlled phase 3 trial at 32 head and neck treatment centres in Ireland, the Netherlands, and the UK, in patients aged 18 years or older with HPV-positive low-risk oropharyngeal cancer (non-smokers or lifetime smokers with a smoking history of <10 pack-years). Eligible patients were randomly assigned (1: 1) to receive, in addition to radiotherapy (70 Gy in 35 fractions), either intravenous cisplatin (100 mg/m(2) on days 1, 22, and 43 of radiotherapy) or intravenous cetuximab (400 mg/m(2) loading dose followed by seven weekly infusions of 250 mg/m(2)). The primary outcome was overall severe (grade 3-5) toxicity events at 24 months from the end of treatment. The primary outcome was assessed by intention-to-treat and per-protocol analyses. This trial is registered with the ISRCTN registry, number ISRCTN33522080. Findings Between Nov 12, 2012, and Oct 1, 2016, 334 patients were recruited (166 in the cisplatin group and 168 in the cetuximab group). Overall (acute and late) severe (grade 3-5) toxicity did not differ significantly between treatment groups at 24 months (mean number of events per patient 4.8 [95% CI 4.2-5.4] with cisplatin vs 4.8 [4.2-5.4] with cetuximab; p=0.98). At 24 months, overall all-grade toxicity did not differ significantly either (mean number of events per patient 29.2 [95% CI 27.3-31.0] with cisplatin vs 30.1 [28.3-31.9] with cetuximab; p=0.49). However, there was a significant difference between cisplatin and cetuximab in 2-year overall survival (97.5% vs 89.4%, hazard ratio 5.0 [95% CI 1.7-14.7]; p=0.001) and 2-year recurrence (6.0% vs 16.1%, 3.4 [1.6-7.2]; p=0.0007). Interpretation Compared with the standard cisplatin regimen, cetuximab showed no benefit in terms of reduced toxicity, but instead showed significant detriment in terms of tumour control. Cisplatin and radiotherapy should be used as the standard of care for HPV-positive low-risk patients who are able to tolerate cisplatin. Funding Cancer Research UK. Copyright (c) 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license

    Establishing a large prospective clinical cohort in people with head and neck cancer as a biomedical resource: head and neck 5000

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    BACKGROUND: Head and neck cancer is an important cause of ill health. Survival appears to be improving but the reasons for this are unclear. They could include evolving aetiology, modifications in care, improvements in treatment or changes in lifestyle behaviour. Observational studies are required to explore survival trends and identify outcome predictors. METHODS: We are identifying people with a new diagnosis of head and neck cancer. We obtain consent that includes agreement to collect longitudinal data, store samples and record linkage. Prior to treatment we give participants three questionnaires on health and lifestyle, quality of life and sexual history. We collect blood and saliva samples, complete a clinical data capture form and request a formalin fixed tissue sample. At four and twelve months we complete further data capture forms and send participants further quality of life questionnaires. DISCUSSION: This large clinical cohort of people with head and neck cancer brings together clinical data, patient-reported outcomes and biological samples in a single co-ordinated resource for translational and prognostic research

    Made and Making: The Formation of Somali Muslim Selves in Rural Minnesota

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    This paper examines the role of embodied and discursive religiosity in the self-formation of Somali Muslim high school girls in Faribault, Minnesota. Based on an extended period of field research with a Somali Muslim immigrant community in Faribault, I explore the interactions and intersections between the entangled and ever-shifting terrains in which a group of high school girls from the community is situated: their American socio-cultural context and their Somali Muslim religious and cultural milieu. Relying on scholarly and popular sources of Islamic theology, as well as anthropological scholarship on contemporary piety movements, I analyze the girls\u27 conceptions of what constitutes an ideal Muslim self, what they feel is at stake in being a good Muslim, and the significance they afford to embodied practices of religiosity. Turning to the American socio-cultural context in which the girls are located, I show that it is precisely the interaction between their secular environment and their Islamic milieu that produces the girls\u27 articulation of a good Muslim subjectivity as something that cannot be assumed, but must be consciously chosen through correct practices and behaviors. By participating in this discourse, the girls are imbued with a sense of responsibility to share, represent, and explain Islam, particularly to their non-Muslim peers. Relying on the theoretical framework of Sherry Ortner, this paper concludes by considering how the girls understand and articulate themselves both as continually made and making

    Progressive Prosecution

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    A conversation about energy futures for remote Australian communities – summary and analysis of workshop findings

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    The ‘Energy futures in remote Australian communities’ project conducted two workshops in May 2014 with the purpose of developing a collaborative understanding of how alternative energy-related practices may impact on the future liveability of selected communities in remote Australia, focusing on housing and transport. The workshops had the following specific objectives: 1. To understand participants’ thoughts and preferences with respect to energy-related housing and transport practices that are important for remote Australia (both in the present and considering a set of future scenarios) 2. To learn more about participants’ experiences related to the above topics 3. To seek content and process recommendations that might support ongoing dialogue and collaboration among interested participants (including processes appropriate for smaller remote communities). The workshops were designed to build capacity of people based in particular place-based communities to answer the following key research question through dialogue and conversation, drawing upon participatory and collaborative research approaches: If the future is uncertain, a strong economy, progressive social attitudes and policy support for energy-related innovations cannot be guaranteed. In your region, what particular policies and innovations should be promoted as no-regrets strategies, regardless of what the future holds? What policies and innovative practices may create new synergies or desired development dynamics
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