Underground tales, overground lives: mobile work identities through to post-retirement

Although there has been recent attention given to the subject of mobile work, there has been less focus, within mobility studies, on the work of those who enable movement: the job of the transport worker. This article takes this incarnation of mobile workers as the basis for understanding the ways in which mobile work identities are pulled through into retirement. The article firstly proposes that transport workers, as movement enablers, have particular identities, and are an important and neglected topic of study within mobilities. Secondly, it suggests that the post-work identities of mobile workers are contingent on their experiences during their working lives and that these are particular to mobile work. The article is evidenced through data gathered during a mobile ethnographic study with two retired London Underground employees. The participants joined the researchers on a walking tour of a disused underground railway station in London, ‘Hidden London’, organised by the London Transport Museum and their experiences and emotional responses were recorded and analysed. Understanding post-work identities through the embodied and spatial experiences of the present, the research sought insights of the past and future; the continuity and fluidity of working identities that permeated through to post-work lives. This article argues that mobile work identities are specific identities that shape a distinct post-retirement identity

Pharmacological prevention of type 2 diabetes.

audience: researcher, professional, studen

The enchanted snake and the forbidden fruit: the ayahuasca ‘fairy tale’ tourist

This ethnographic study increases our understanding of Westerners seeking genuine fairy tale experiences of magic, transformation and enchantment within South American psychedelic ayahuasca tourism. Examining 63 tourists, this study shows how vision-based spirit sensegivers facilitate individuals in exorcising demons, to make sense of themselves as spiritual beings within an enchanted universe. However, and with this potion quickly wearing off upon returning to the West, tourists feel abandoned by their spirits, and disconnected from the fairy lands. Coupled with not wanting to re-experience intense inner tensions from stepping in and out of a fairy tale, further tourism is rejected. As such, ayahuasca tourism becomes a ‘forgotten’ fairy tale, rarely told

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Auroral plasma acceleration above martian magnetic anomalies

Aurora is caused by the precipitation of energetic particles in a planetary atmosphere, the light intensity roughly proportional to the precipitating particle energy flux. From auroral research in the terrestrial magnetosphere it is known that bright auroral displays, discrete aurora, results from an enhanced energy deposition caused by downward accelerated of electrons. The process is commonly referred to as the auroral acceleration process. Discrete aurora is the visual manifestation of the structuring inherent in highly magnetized plasma. A strong magnetic field limits the transverse (to the magnetic field) mobility of charged particles, effectively guiding the particle energy flux along magnetic field lines

IMF direction derived from cycloid-like ion distributions observed by mars express

Abstract. Although the Mars Express (MEX) does not carry a magnetometer, it is in principle possible to derive the interplanetary magnetic field (IMF) orientation from the three dimensional velocity distribution of pick-up ions measured by the Ion Mass Analyser (IMA) on board MEX because pick-up ions ’ orbits, in velocity phase space, are expected to gyrate around the IMF when the IMF is relatively uniform on a scale larger than the proton gyroradius. Upstream of bow shock