3,973 research outputs found
Climate Impacted Littoral Phenomena and customary property rights
This article looks at the relationship between different structures of property rights and climate change in littoral areas. It presents a critical historical political economy perspective on the Hohfeldian analysis of property as a legal and jurisprudential concept, primarily by contextualising it as embedded in broader social, economic and environmental relations. Through consideration of contemporary developments in environmental practices in Ghana and Australia, it argues that dramatic changes in customary property rights since their incorporation in the capitalist mode of production have greatly enhanced anthropogenic activities which, in turn, have placed such rights at great risk: of submergence, of losing economic and cultural value, and of disrupting extant economic and biophysical practices. The policy implications arising from such concerns are considere
J D Bernal: philosophy, politics and the science of science
This paper is an examination of the philosophical and political legacy of John Desmond Bernal. It addresses the evidence of an emerging consensus on Bernal based on the recent biography of Bernal by Andrew Brown and the reviews it has received. It takes issue with this view of Bernal, which tends to be admiring of his scientific contribution, bemused by his sexuality, condescending to his philosophy and hostile to his politics. This article is a critical defence of his philosophical and political position
J D Bernal: philosophy, politics and the science of science
This paper is an examination of the philosophical and political legacy of John Desmond Bernal. It addresses the evidence of an emerging consensus on Bernal based on the recent biography of Bernal by Andrew Brown and the reviews it has received. It takes issue with this view of Bernal, which tends to be admiring of his scientific contribution, bemused by his sexuality, condescending to his philosophy and hostile to his politics. This article is a critical defence of his philosophical and political position
Report of radio interference test on Fifth Dimension, Inc. multicoder, model no. HDA4M-839, serial no. 7243
Electromagnetic interference and susceptibility testing of multicoder compliance to radio interference requirement
Service user, carer and provider perspectives on integrated care for older people with frailty, and factors perceived to facilitate and hinder implementation: A systematic review and narrative synthesis
© 2019 Sadler et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Introduction Older people with frailty (OPF) can experience reduced quality of care and adverse outcomes due to poorly coordinated and fragmented care, making this patient population a key target group for integrated care. This systematic review explores service user, carer and provider perspectives on integrated care for OPF, and factors perceived to facilitate and hinder implementation, to draw out implications for policy, practice and research. Methods Systematic review and narrative synthesis of qualitative studies identified from MEDLINE, CINAHL, PsycINFO and Social Sciences Citation Index, hand-searching of reference lists and citation tracking of included studies, and review of experts’ online profiles. Quality of included studies was appraised with The Critical Appraisal Skills Programme tool for qualitative research. Results Eighteen studies were included in the synthesis. We identified four themes related to stakeholder perspectives on integrated care for OPF: different preferences for integrated care among service users, system and service organisation components, relational aspects of care and support, and stakeholder perceptions of outcomes. Service users and carers highlighted continuity of care with a professional they could trust, whereas providers emphasised improved coordination of care between providers in different care sectors as key strategies for integrated care. We identified three themes related to factors facilitating and hindering implementation: perceptions of the integrated care intervention and target population, service organisational factors and system level factors influencing implementation. Different stakeholder groups perceived the complexity of care needs of this patient population, difficulties with system navigation and access, and limited service user and carer involvement in care decisions as key factors hindering implementation. Providers mainly also highlighted other organisational and system factors perceived to facilitate and hinder implementation of integrated care for OPF
Stabilization of GABAA Receptors at Endocytic Zones Is Mediated by an AP2 Binding Motif within the GABAA Receptor β3 Subunit
The strength of synaptic inhibition can be controlled by the stability and
endocytosis of surface and synaptic GABAA receptors (GABAARs), but the surface
receptor dynamics that underpin GABAAR recruitment to dendritic endocytic
zones (EZs) have not been investigated. Stabilization of GABAARs at EZs is
likely to be regulated by receptor interactions with the clathrin-adaptor AP2,
but the molecular determinants of these associations remain poorly understood.
Moreover, although surface GABAAR downmodulation plays a key role in
pathological disinhibition in conditions such as ischemia and epilepsy,
whether this occurs in an AP2-dependent manner also remains unclear. Here we
report the characterization of a novel motif containing three arginine
residues (405RRR407) within the GABAAR β3-subunit intracellular domain (ICD),
responsible for the interaction with AP2 and GABAAR internalization. When this
motif is disrupted, binding to AP2 is abolished in vitro and in rat brain.
Using single-particle tracking, we reveal that surface β3-subunit-containing
GABAARs exhibit highly confined behavior at EZs, which is dependent on AP2
interactions via this motif. Reduced stabilization of mutant GABAARs at EZs
correlates with their reduced endocytosis and increased steady-state levels at
synapses. By imaging wild-type or mutant super-ecliptic pHluorin-tagged
GABAARs in neurons, we also show that, under conditions of oxygen–glucose
deprivation to mimic cerebral ischemia, GABAARs are depleted from synapses in
dendrites, depending on the 405RRR407 motif. Thus, AP2 binding to an RRR motif
in the GABAAR β3-subunit ICD regulates GABAAR residency time at EZs, steady-
state synaptic receptor levels, and pathological loss of GABAARs from synapses
during simulated ischemia
The role of carbon capture, utilization, and storage for economic pathways that limit global warming to below 1.5°C
The 2021 Intergovernmental Panel on Climate Change (IPCC) report, for the first time, stated that CO2 removal will be necessary to meet our climate goals. However, there is a cost to accomplish CO2 removal or mitigation that varies by source. Accordingly, a sensible strategy to prevent climate change begins by mitigating emission sources requiring the least energy and capital investment per ton of CO2, such as new emitters and long-term stationary sources. The production of CO2-derived products should also start by favoring processes that bring to market high-value products with sufficient margin to tolerate a higher cost of goods
The effects of PTSD treatment during pregnancy: systematic review and case study
Background: PTSD in pregnant women is associated with adverse outcomes for mothers and their children. It is unknown whether pregnant women with PTSD, or symptoms of
PTSD, can receive targeted treatment that is safe and effective.
Objective: The purpose of the present paper was to assess the effectiveness and safety of treatment for (symptoms of) PTSD in pregnant women.
Method: A systematic review was conducted in accordance with the PRISMA guidelines in Pubmed, Embase, PsychINFO, and Cochrane. In addition, a case is presented of a pregnant woman with PTSD who received eye-movement desensitization and reprocessing (EMDR) therapy aimed at processing the memories of a previous distressing childbirth.
Results: In total, 13 studies were included, involving eight types of interventions (i.e. trauma-focused cognitive behavioural therapy, exposure therapy, EMDR therapy, interpersonal psychotherapy, explorative therapy, self-hypnosis and relaxation, Survivor Moms
Companion, and Seeking Safety Intervention). In three studies, the traumatic event pertained to a previous childbirth. Five studies reported obstetrical outcomes. After requesting additional information, authors of five studies indicated an absence of serious adverse
events. PTSD symptoms improved in 10 studies. However, most studies carried a high risk of bias. In our case study, a pregnant woman with a PTSD diagnosis based on DSM-5 no longer fulfilled the criteria of PTSD after three sessions of EMDR therapy. She had an uncomplicated pregnancy and delivery.
Conclusion: Despite the fact that case studies as the one presented here report no adverse events, and treatment is likely safe, due to the poor methodological quality of most studies it is impossible to allow inferences on the effects of any particular treatment of PTSD (symptoms) during pregnancy. Yet, given the elevated maternal stress and cortisol levels in pregnant women with PTSD, and the fact that so far no adverse effects on the unborn child have been reported associated with the application of trauma-focused therapy, treatment of PTSD during pregnancy is most likely safe
Effect of Intravaginal Clindamycin Cream on Pregnancy Outcome and on Abnormal Vaginal Microbial Flora of Pregnant Women
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