Narrative Theory

This essay surveys literary criticism at the intersection of narrative theory and the Victorian novel, which often takes one of two major approaches. In the first approach, critics examine how the act of narration itself shapes and constrains Victorian narratives, whereas in the second approach, critics focus on the relationship between Victorian narratives and their audience. The piece concludes with an account of how psychological perspectives on reading can expand narrative theory’s understanding of what readers do with literary texts and what texts do to their readers in turn

Small Cell Carcinoma of Prostate: A Case Report of a Patient With Concomitant Transitional Cell Cancer of the Bladder

Small cell carcinomas (SCCs) are aggressive neoplasms commonly associated with a pulmonary origin. However, albeit rare, extrapulmonary SCC can occur in a variety of sites with an incidence in North America approximated to be 0.1% to 0.4%. Among these sites, approximately 10% of extrapulmonary SCC cases occur in the prostate and are associated with a poor mortality with a median survival of 10 months. Because of the rarity of the prostatic SCC, there is no formal treatment protocol. In this case report, we present a patient who was diagnosed with SCC in the prostate as primary origin. Adjuvant concurrent chemoradiotherapy was started, which he is tolerating so far. While the management of metastatic disease is well documented with the use of chemotherapy, specific data on nonmetastatic disease is lacking. As some studies suggest, a combined surgical and chemotherapeutic approach is helpful in localized disease. In our case, this approach has led to a good clinical outcome in a disease that does not usually allow such results

Percutaneous Transluminal Balloon Venoplasty: A Less Invasive Technique for Implantation of Cardiac Leads in Patients with Limited Venous Access to the heart

Since its inception, cardiac pacing has made a significant advancement in cardiology. As new therapies and devices emerge, the number of implantations is steadily increasing which requires up-to-date clinical guidelines for management. Although advanced, these mechanical devices often require maintenance and revisions to achieve optimal performance. One of the most common deteriorations is the lead failure. In the case of lead failure requiring revision, new lead implant, or upgrading to a more advanced pacing system, venous stenosis resulting in partial or complete obstruction of the vessel can pose a real problem. This case series report introduces the technique of percutaneous transluminal balloon venoplasty in the setting of venous stenosis as an alternative to more invasive procedures such as lead extraction for lead revision or device upgrade

Two Auction-Based Resource Allocation Environments: Design and Experience

Many computer systems have reached the point where the goal of resource allocation is no longer to maximize utilization; instead, when demand exceeds supply and not all needs can be met, one needs a policy to guide resource allocation decisions. One natural policy is to seek efficient usage, which allocates resources to the set of users who have the highest utility for the use of the resources. Researchers have frequently proposed market-based mechanisms to provide such a goal-oriented way to allocate resources among competing interests while maximizing overall utility of the users.Engineering and Applied Science

Mirage: A Microeconomic Resource Allocation System for Sensornet Testbeds

In this paper, we argue that a microeconomic resource allocation scheme, specifically the combinatorial auction, is well suited to testbed resource management. To demonstrate this, we present the Mirage resource allocation system. In Mirage, testbed resources are allocated using a repeated combinatorial auction within a closed virtual currency environment. Users compete for testbed resources by submitting bids which specify resource combinations of interest in space/time (e.g., "any 32 MICA2 motes for 8 hours anytime in the next three days") along with a maximum value amount the user is willing to pay. A combinatorial auction is then periodically run to determine the winning bids based on supply and demand while maximizing aggregate utility delivered to users. We have implemented a fully functional and secure prototype of Mirage and have been operating it in daily use for approximately four months on Intel Research Berkeley's 148-mote sensornet testbed.Engineering and Applied Science

Percutaneous Transluminal Balloon Venoplasty: A Less Invasive Technique for Implantation of Cardiac Leads in Patients with Limited Venous Access to the heart

Since its inception, cardiac pacing has made a significant advancement in cardiology. As new therapies and devices emerge, the number of implantations is steadily increasing which requires up-to-date clinical guidelines for management. Although advanced, these mechanical devices often require maintenance and revisions to achieve optimal performance. One of the most common deteriorations is the lead failure. In the case of lead failure requiring revision, new lead implant, or upgrading to a more advanced pacing system, venous stenosis resulting in partial or complete obstruction of the vessel can pose a real problem. This case series report introduces the technique of percutaneous transluminal balloon venoplasty in the setting of venous stenosis as an alternative to more invasive procedures such as lead extraction for lead revision or device upgrade

An economic market for the brokering of time and budget guarantees

Grids offer best effort services to users. Service level agreements offer the opportunity to provide guarantees upon services offered, in such a way that it captures the users’ requirements, while also considering concerns of the service providers. This is achieved via a process of converging requirements and service cost values from both sides towards an agreement. This paper presents the intelligent scheduling for quality of service market-oriented mechanism for brokering guarantees upon completion time and cost for jobs submitted to a batch-oriented compute service. Web Services agreement (negotiation) is used along with the planning of schedules in determining pricing, ensuring that jobs become prioritised depending on their budget constraints. An evaluation is performed to demonstrate how market mechanisms can be used to achieve this, whilst also showing the effects that scheduling algorithms can have upon the market in terms of rescheduling. The evaluation is completed with a comparison of the broker’s capabilities in relation to the literature

A Midpoint Process Evaluation of the Los Angeles Basin Racial and Ethnic Approaches to Community Health Across the US (REACH US) Disparities Center, 2007-2009

BACKGROUND: Racial/ethnic minority groups have higher risks for disease resulting from obesity. COMMUNITY CONTEXT: The University of California, Los Angeles, and the Los Angeles County Department of Public Health partnered with community organizations to disseminate culturally targeted physical activity and nutrition-based interventions in worksites. METHODS: We conducted community dialogues with people from 59 government and nonprofit health and social service agencies to develop wellness strategies for implementation in worksites. Strategies included structured group exercise breaks and serving healthy refreshments at organizational functions. During the first 2 years, we subcontracted with 6 community-based organizations (primary partners) who disseminated these wellness strategies to 29 organizations within their own professional networks (secondary worksites) through peer modeling and social support. We analyzed data from the first 2 years of the project to evaluate our dissemination approach. OUTCOME: Primary partners had difficulty recruiting organizations in their professional network as secondary partners to adopt wellness strategies. Within their own organizations, primary partners reported significant increases in implementation in 2 of the 6 core organizational strategies for promoting physical activity and healthy eating. Twelve secondary worksites that completed organizational assessments on 2 occasions reported significant increases in implementation in 4 of the 6 core organizational strategies. INTERPRETATION: Dissemination of organizational wellness strategies by trained community organizations through their existing networks (train-the-trainer) was only marginally successful. Therefore, we discontinued this dissemination approach and focused on recruiting leaders of organizational networks