67 research outputs found

    [v]at is going on? Local and global ideologies about Indian English

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    ABSTRACTThis article examines local and global language ideologies surrounding a particular phonetic feature in Indian English, the pronunciation of /v/ as [w]. By focusing on how local and global participants – both individuals and institutions – imagine language variation through disparate framings of “neutral” and “standard,” it highlights how processes of globalization and localization are interconnected, dialogic, and symbiotic. Compared are (i) sociolinguistic constructions of Indian cartoon characters, (ii) American “accent training” institutes, (iii) Indian call center and language improvement books, (iv) American speakers’ interpretations of merged IE speech, and, (v) IE speakers’ attitudes about IE, “neutral,” and ”standard” language. The relative social capital of these populations mediates both how each constructs its respective ideology about language variation, and how these ideologies dialogically interact with each other. (Language variation, language ideologies, dialogic, standard language)1</jats:p

    The impact of using computer decision-support software in primary care nurse-led telephone triage:Interactional dilemmas and conversational consequences

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    Telephone triage represents one strategy to manage demand for face-to-face GP appointments in primary care. Although computer decision-support software (CDSS) is increasingly used by nurses to triage patients, little is understood about how interaction is organized in this setting. Specifically any interactional dilemmas this computer-mediated setting invokes; and how these may be consequential for communication with patients. Using conversation analytic methods we undertook a multi-modal analysis of 22 audio-recorded telephone triage nurse-caller interactions from one GP practice in England, including 10 video-recordings of nurses' use of CDSS during triage. We draw on Goffman's theoretical notion of participation frameworks to make sense of these interactions, presenting 'telling cases' of interactional dilemmas nurses faced in meeting patient's needs and accurately documenting the patient's condition within the CDSS. Our findings highlight troubles in the 'interactional workability' of telephone triage exposing difficulties faced in aligning the proximal and wider distal context that structures CDSS-mediated interactions. Patients present with diverse symptoms, understanding of triage consultations, and communication skills which nurses need to negotiate turn-by-turn with CDSS requirements. Nurses therefore need to have sophisticated communication, technological and clinical skills to ensure patients' presenting problems are accurately captured within the CDSS to determine safe triage outcomes. Dilemmas around how nurses manage and record information, and the issues of professional accountability that may ensue, raise questions about the impact of CDSS and its use in supporting nurses to deliver safe and effective patient care

    Integrating neuroimaging biomarkers into the multicentre, high-dose erythropoietin for asphyxia and encephalopathy (HEAL) trial: rationale, protocol and harmonisation

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    Introduction: MRI and MR spectroscopy (MRS) provide early biomarkers of brain injury and treatment response in neonates with hypoxic-ischaemic encephalopathy). Still, there are challenges to incorporating neuroimaging biomarkers into multisite randomised controlled trials. In this paper, we provide the rationale for incorporating MRI and MRS biomarkers into the multisite, phase III high-dose erythropoietin for asphyxia and encephalopathy (HEAL) Trial, the MRI/S protocol and describe the strategies used for harmonisation across multiple MRI platforms. Methods and analysis: Neonates with moderate or severe encephalopathy enrolled in the multisite HEAL trial undergo MRI and MRS between 96 and 144 hours of age using standardised neuroimaging protocols. MRI and MRS data are processed centrally and used to determine a brain injury score and quantitative measures of lactate and n-acetylaspartate. Harmonisation is achieved through standardisation-thereby reducing intrasite and intersite variance, real-time quality assurance monitoring and phantom scans. Ethics and dissemination: IRB approval was obtained at each participating site and written consent obtained from parents prior to participation in HEAL. Additional oversight is provided by an National Institutes of Health-appointed data safety monitoring board and medical monitor

    The Football Sign

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    Usaha Sendiri Kenali 50 Tanda Bahwa Anda Akan Lebih Sukses Jika Menjadi Seorang Pengusaha

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    Jika Anda bertanya-tanya apakah entrepreneur cocok untuk Anda, atau Anda ingin tahu pasti bahwa bisnis yang sudah Anda mulai cocok dengan temperamen Anda, buku ini cocok untuk Anda! Di dunia perusahaan startup saat ini, para entrepreneur mengganggu industri dan mendorong perekonomian tidak seperti sebelumnya. Ini adalah kehidupan menyenangkan di mana tidak ada hari seperti hari berikutnya. Namun, seiring dengan petualangan muncul banyak ketidakpastian, dan tidak semua individu cocok dengan kehidupan entrepreneur. Entrepreneur adalah individu yang unik dengan karakter dan pola pikir yang sangat spesifik. Ditulis oleh dua entrepreneur sukses, buku ini akan menginspirasi Anda untuk mengikuti impian Anda dan menciptakan kesuksesan Anda sendiri! Setelah memulai, mengelola, dan menjual beberapa bisnis jutaan dolar, Joel Comm dan John Rampton memahami apa yang diperlukan untuk berhasil di ranah yang sangat kompetitif ini. Dalam buku ini, Comm dan Rampton merinci 50 kualitas berbeda yang ditemukan pada orang yang dapat melakukan dengan baik sebagai entrepreneur. Kualitas yang tercantum tidak hanya dapat memutuskan apakah Anda akan berhasil dalam bisnis Anda sendiri, tetapi juga memberikan cetak biru dan serangkaian taktik untuk memanfaatkan manfaat yang menyertainy

    Self-employed: 50 signs that you might be an entrepreneur

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