3,954 research outputs found

    Wavefunction extended Lagrangian Born-Oppenheimer molecular dynamics

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    Extended Lagrangian Born-Oppenheimer molecular dynamics [Niklasson, Phys. Rev. Lett. 100 123004 (2008)] has been generalized to the propagation of the electronic wavefunctions. The technique allows highly efficient first principles molecular dynamics simulations using plane wave pseudopotential electronic structure methods that are stable and energy conserving also under incomplete and approximate self-consistency convergence. An implementation of the method within the planewave basis set is presented and the accuracy and efficiency is demonstrated both for semi-conductor and metallic materials.Comment: 6 pages, 3 figure

    Vancomycin minimum inhibitory concentration is not a substitute for clinical judgment: Response to healthcare-associated ventriculitis and meningitis

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    To the Editor—We read with interest the new clinical practice guideline for healthcare-associated ventriculitis and meningitis published in Clinical Infectious Diseases [1]. The guideline recommends consideration of alternative therapies for the treatment of methicillin-resistant Staphylococcus aureus (MRSA) meningitis and ventriculitis for isolates with a vancomycin minimum in-hibitory concentration (MIC) ≥1μg/mL. We believe this recommendation places inappropriate emphasis on a single determinant of antimicrobial therapy that has uncertain clinical relevance and variable accuracy depending on the antimicrobial susceptibility testing (AST) method used. This may lead clinicians to use less well-evidenced strategies in cases likely to respond to vancomycin

    Inhaled antibiotics for hospital- acquired and ventilator- associated pneumonia

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    To the Editor—We would like to comment on the hospital-acquired (HAP) and ventilator-associated pneumonia (VAP) guidelines recently published in Clinical Infectious Diseases [1]. These guidelines recommend inhaled antibiotics for patients with VAP due to gram-negative bacilli susceptible only to aminoglycosides or polymyxins and for patients not responding to intravenous (IV) antibiotics. It also suggests adjunctive inhaled colistin for HAP or VAP due to Acinetobacter strains susceptible only to polymyxins. Several important considerations related to inhaled antibiotics were not addressed

    State Power and Economic Inefficiency : Explaining Political Failture in Africa

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    SUMMARY The problem of agricultural crisis in Africa has forced a review of the highly centralised and bureaucratised structures used to provide services to farmers since independence, and has resulted in a return to favour of decentralised market mechanisms. This article traces the historical evolution of the present system in the colonial period, and sets out the theoretical and political assumptions which lay behind its retention in the post?colonial period. It then attempts to account for current failures by examining the theoretical inconsistencies and actual conflicts of interest involved in the attempt to use these structures in the political, economic and social conditions prevailing in post?colonial Africa. It concludes by recommending a more flexible approach based upon the use of decentralised private and cooperative structures directly accountable to the farmers who use them. SOMMAIRE Le problème de la crise agricole en Afrique a forcé une révision des structures bureaucratìques et hautement centralisées, utilisées pour procurer des services aux fermiers depuis l'indépendance, ceci a eu pour résultat de plaider en faveur des mécanismes de marché décentralisées. Cet article trace révolution historique du système actuel dans la période coloniale, et présente les assomptions qui sont derrière son maintien dans la période post?coloniale. On tente ensuite d'expliquer les échecs récents en analysant les contradictions théoriques et les conflits d'intérêt actuels impliqués dans les tentatives d'utiliser ces structures sous des conditions politiques, économiques et sociales prévalant dans l'Afrique post?coloniale. L'article conclut en recommandant une approche plus flexible, basée sur l'utilisation de structures privées décentralisées et des structures coopératives imputables aux fermiers utilisateurs. RESUMEN El problema de la crisis agrícola en Africa ha forzado a una revisión de las estructuras altamente centralizadas y burocráticas utilizadas para proporcionar servicios a los agricultores, resultando en un retorno en favor de los mecanismos descentralizados del mercado. Este artículo describe la evolución histórica del sistema actual en el periodo colonial y establece las hipótesis teóricas y políticas que yacen por detrás de su persistencia en el periodo post?colonial. A continuación intenta explicar los fracasos actuales mediante el examen de las incoherencias teóricas y los conflictos de intereses involucrados en el propósito de utilizar estas estructuras en las condiciones políticas, sociales y económicas prevalecientes en Africa post?colonial. Concluye recomendando un enfoque más flexible basado en el uso de estructuras descentralizadas, tanto privadas como cooperativas, directamente responsables ante los granjeros que las utilizan

    Human security and the rise of the social

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    As the concept of human security has become part of the mainstream discourse of international politics it should be no surprise that both realist and critical approaches to international theory have found the agenda wanting. This article seeks to go beyond both the realist and biopolitical critiques by situating all three – political realism, biopolitics and human security – within the history and theory of the modern rise of the social realm from late eighteenth and nineteenth century Europe. Human security is the further expansion of social forms of governance under capitalism, more specifically a form of socialpolitik than realpolitik or biopolitics. Drawing on the work of historical sociologist Robert Castel and political theorist Hannah Arendt, the article develops an alternative framework with which to question the extent to which ‘life’ has become the subject of global intervention through the human security agenda

    Open Education and the emancipation of academic labour

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    I have previously argued that open education is a liberal project with a focus on the freedom of things rather than the freedom of people (Winn, Joss. 2012. “Open Education: From the Freedom of Things to the Freedom of People.” In Towards Teaching in Public: Reshaping the Modern University, edited by Michael Neary, Howard Stevenson, and Les Bell, 133– 147. London: Continuum). Furthermore, I have argued that despite an implicit critique of private property with its emphasis on ‘the commons’, the literature on open education offers no corresponding critique of academic labour (Neary, Mike, and Joss Winn. 2012. “Open Education: Common(s), Commonism and the New Common Wealth.” Ephemera: Theory & Politics in Organization 12 (4): 406–422). In this paper, I develop my critical position that an emancipatory form of education must work towards the emancipation of teachers and students from labour, the dynamic, social, creative source of value in capitalism. In making this argument, I first establish the fundamental characteristics of academic labour. I then offer a ‘form-analytic’ critique of open access, followed by a corresponding critique of its legal form. Finally, I critically discuss the potential of ‘open cooperatives’ as a transitional organisational form for the production of knowledge through which social relations become ‘transparent in their simplicity’ (Marx, Karl. 1976. Capital, Vol. 1. London: Penguin Classics, 172)

    Bezlotoxumab: A Novel Agent for the Prevention of Recurrent Clostridium difficile Infection

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    During the past decade, the incidence and severity of Clostridium difficile infection (CDI) have significantly increased, leading to a rise in CDI-associated hospitalizations, health care costs, and mortality. Although treatment options exist for CDI, recurrence is frequent following treatment. Furthermore, patients with at least one CDI recurrence are at an increased risk of developing additional recurrences. A novel approach to the prevention of recurrent CDI is the use of monoclonal antibodies directed against the toxins responsible for CDI as an adjunct to antibiotic treatment. Bezlotoxumab, a human monoclonal antibody that binds and neutralizes C. difficile toxin B, is the first therapeutic agent to receive United States Food and Drug Administration approval for the prevention of CDI recurrence. Clinical studies have demonstrated superior efficacy of bezlotoxumab in adults receiving antibiotic therapy for CDI compared with antibiotic therapy alone for the prevention of CDI recurrence. Bezlotoxumab was well tolerated in clinical trials, with the most common adverse effects being nausea, vomiting, fatigue, pyrexia, headache, and diarrhea. The demonstrated efficacy, safety, and characteristics of bezlotoxumab present an advance in prevention of CDI recurrence
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