393 research outputs found
The Scholarship of Public Diplomacy: Analysis of a Growing Field
Public diplomacy is a fast-growing area of study with little agreement on its boundaries. In support of the subject’s development as a field of academic inquiry, we present a content analysis of English-language peer-reviewed articles on public diplomacy since 1965 (N= 2,124). We begin with analysis of bibliographic data to establish the field’s institutional boundaries by highlighting trends in scholarship over time and identifying prominent disciplines and journals. We then sketch the field’s conceptual boundaries by analyzing the concepts and topics that appear most in the literature. This process allows us to characterize decades of scholarship on public diplomacy and offer recommendations for future work
Patterns of antibiotic use in hospital-acquired infections.
BACKGROUND: Monitoring the use of antimicrobials in hospitalized patients is critical owing to the risk of resistance selection. This study aimed to describe the patterns of antimicrobial prescription for the most frequent healthcare-associated infections (HAIs) in France, relating drugs and microbiological data. METHODS: We used data from the 2017 point-prevalence survey of HAI and antimicrobial use in France, a large nationally representative sample survey of inpatients. We sought unambiguous correspondence between individual indications of antibiotic regimen and HAI sites to determine which molecules were directed towards which pathogen, considering its resistance profile. RESULTS: Among 75,698 adult patients from 401 hospitals, 5.1% had an active HAI and 4.3% were being treated for an HAI. The two most frequent antibiotic indications were lower respiratory tract (LRTI, 27.7%) and urinary tract infections (UTI, 18.4%). For LRTI, the most prescribed antibiotic was amoxicillin-clavulanic acid (27.6%) and most frequently isolated pathogens (each accounting for around 17% of isolates) were Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli. Meticillin-resistant S. aureus LRTI was more likely to be treated with linezolid. For UTI, ofloxacin, ceftriaxone, amoxicillin/co-amoxiclav were most-prescribed (∼13% each) and E. coli predominantly isolated (52.0%). Extended-spectrum beta-lactamase-producing E. coli UTI were more likely treated by fosfomycin, pivmecillinam or ertapenem. CONCLUSIONS: This study provides a baseline of antimicrobial use in relation to microbiological information in patients with the most common HAIs. These results can serve to direct future efforts in antimicrobial stewardship. Our work could be extended to a broader population, notably in Europe where similar surveys have been conducted
Transcriptional diversity of long-term glioblastoma survivors
BACKGROUND: Glioblastoma (GBM) is a highly aggressive type of glioma with poor prognosis. However, a small number of patients live much longer than the median survival. A better understanding of these long-term survivors (LTSs) may provide important insight into the biology of GBM. METHODS: We identified 7 patients with GBM, treated at Memorial Sloan-Kettering Cancer Center (MSKCC), with survival \u3e48 months. We characterized the transcriptome of each patient and determined rates of MGMT promoter methylation and IDH1 and IDH2 mutational status. We identified LTSs in 2 independent cohorts (The Cancer Genome Atlas [TCGA] and NCI Repository for Molecular Brain Neoplasia Data [REMBRANDT]) and analyzed the transcriptomal characteristics of these LTSs. RESULTS: The median overall survival of our cohort was 62.5 months. LTSs were distributed between the proneural (n = 2), neural (n = 2), classical (n = 2), and mesenchymal (n = 1) subtypes. Similarly, LTS in the TCGA and REMBRANDT cohorts demonstrated diverse transcriptomal subclassification identities. The majority of the MSKCC LTSs (71%) were found to have methylation of the MGMT promoter. None of the patients had an IDH1 or IDH2 mutation, and IDH mutation occurred in a minority of the TCGA LTSs as well. A set of 60 genes was found to be differentially expressed in the MSKCC and TCGA LTSs. CONCLUSIONS: While IDH mutant proneural tumors impart a better prognosis in the short-term, survival beyond 4 years does not require IDH mutation and is not dictated by a single transcriptional subclass. In contrast, MGMT methylation continues to have strong prognostic value for survival beyond 4 years. These findings have substantial impact for understanding GBM biology and progression
First light of the VLT planet finder SPHERE. I. Detection and characterization of the sub-stellar companion GJ 758 B
GJ758 B is a brown dwarf companion to a nearby (15.76 pc) solar-type,
metal-rich (M/H = +0.2 dex) main-sequence star (G9V) that was discovered with
Subaru/HiCIAO in 2009. From previous studies, it has drawn attention as being
the coldest (~600K) companion ever directly imaged around a neighboring star.
We present new high-contrast data obtained during the commissioning of the
SPHERE instrument at the VLT. The data was obtained in Y-, J-, H-, and Ks-bands
with the dual-band imaging (DBI) mode of IRDIS, providing a broad coverage of
the full near-infrared (near-IR) range at higher contrast and better spectral
sampling than previously reported. In this new set of high-quality data, we
report the re-detection of the companion, as well as the first detection of a
new candidate closer-in to the star. We use the new 8 photometric points for an
extended comparison of GJ758 B with empirical objects and 4 families of
atmospheric models. From comparison to empirical object, we estimate a T8
spectral type, but none of the comparison object can accurately represent the
observed near-IR fluxes of GJ758 B. From comparison to atmospheric models, we
attribute a Teff = 600K 100K, but we find that no atmospheric model can
adequately fit all the fluxes of GJ758 B. The photometry of the new candidate
companion is broadly consistent with L-type objects, but a second epoch with
improved photometry is necessary to clarify its status. The new astrometry of
GJ758 B shows a significant proper motion since the last epoch. We use this
result to improve the determination of the orbital characteristics using two
fitting approaches, Least-Square Monte Carlo and Markov Chain Monte Carlo.
Finally, we analyze the sensitivity of our data to additional closer-in
companions and reject the possibility of other massive brown dwarf companions
down to 4-5 AU. [abridged]Comment: 20 pages, 15 figures. Accepted for publication in A&
Photomyogenic response in Niemann–Pick type C: a case report
Contains fulltext :
98214.pdf (publisher's version ) (Closed access)1 maart 201
SPHERE: the exoplanet imager for the Very Large Telescope
Observations of circumstellar environments to look for the direct signal of
exoplanets and the scattered light from disks has significant instrumental
implications. In the past 15 years, major developments in adaptive optics,
coronagraphy, optical manufacturing, wavefront sensing and data processing,
together with a consistent global system analysis have enabled a new generation
of high-contrast imagers and spectrographs on large ground-based telescopes
with much better performance. One of the most productive is the
Spectro-Polarimetic High contrast imager for Exoplanets REsearch (SPHERE)
designed and built for the ESO Very Large Telescope (VLT) in Chile. SPHERE
includes an extreme adaptive optics system, a highly stable common path
interface, several types of coronagraphs and three science instruments. Two of
them, the Integral Field Spectrograph (IFS) and the Infra-Red Dual-band Imager
and Spectrograph (IRDIS), are designed to efficiently cover the near-infrared
(NIR) range in a single observation for efficient young planet search. The
third one, ZIMPOL, is designed for visible (VIR) polarimetric observation to
look for the reflected light of exoplanets and the light scattered by debris
disks. This suite of three science instruments enables to study circumstellar
environments at unprecedented angular resolution both in the visible and the
near-infrared. In this work, we present the complete instrument and its on-sky
performance after 4 years of operations at the VLT.Comment: Final version accepted for publication in A&
How does Brazil measure up? Comparing rankings through the lenses of nation brand indexes
A considerable amount of literature has been published on nation brand and yet not much regarding measurement. The purpose of this paper is to examine nation brand indexes and explore the unbalanced outcomes of a country’s position in these recognized instruments. Although research has been carried out on nation brand, no single study exists comparing a country in four diverse nation brand indexes, which are the reputable ones by Anholt (2007), Fetscherin (2010), Fombrun (2014) and Anholt and Govers (2014). This paper also reflects on the critical studies perspective of the place branding research domain, discussed by Lucarelli and Berg (2011). After a qualitative approach applied to Brazil, it is believed that these indexes mutually support and complement each other - even though they use different approaches, methodologies, samples, and data. Moreover, each of them has their own strengths and weaknesses in terms of accuracy and rationality. Findings from this paper’s evaluation may guide nation brand managers, governments, and researchers to recognize that indexes should be taken into account when analysing a nation brand and its complex image. Therefore, this paper contributes to existing knowledge on the critical studies perspective of the contemporary theoretical structure of the place branding research domain by providing a comparative study based on real data-based rankings of nation brand indexes
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