Pyramidal deliberative democracy

This dissertation has two main objectives. First, to outline an ICT-facilitated model of democracy called ‘pyramidal democracy’ that reconciles deliberative democracy with mass engagement. Second, to suggest how this model of democracy might engender the democratisation of the global economy and thus the provision of a basic level of economic security for all global citizens. At the core of the model is the pyramidal deliberative network, a means of organising citizens into small online deliberative groups and linking these groups together by means of an iterative process of delegate-selection and group-formation. The pyramidal network enables citizens to aggregate their preferences in a deliberative manner, and then project social power by authorizing the delegates at the top-tier of the pyramidal network to communicate their social demands to elected officials or to other points of authority. The envisioned outcome is the democratisation of the public sphere by means of the proliferation of deliberative networks in the government, market, and civil society spheres. Transnational pyramidal networks may make it feasible to instantiate a new citizen-based schema of global governance and, thereby, facilitate the reform of the United Nations and enable a transition towards global peace, sustainability, and distributive justice. Distributive justice might be achieved by means of implementing the six components of a democratised economy: participatory budgeting, fee-and-dividend taxes, a basic income, monetary reform, workplace democracy, and the sharing economy. Taken together, these components might enable the universal provision of a social minimum – a universal basic income sufficient for basic security and real freedom. Taken to its logical conclusion, a democratised economy may also enable a transition towards a post-scarcity economic order characterised by a maximal stock of humanmade and natural capital that would not exceed the sustainable carrying capacity of the earth

Compassion and Integrity in Health Professions Education

Issues related to professionalism have come to the fore in health professions education. Strategies designed to evaluate and increase components of professionalism are now of interest to educators. Skills in improving levels of professionalism can be accurately assessed and taught. Professionalism encompasses attributes of compassion and integrity. Tools to measure indices of compassion have been developed. There are three critical stages in which attributes of compassion and integrity can be assessed: prior to admission, during education, and graduation standards. One effective means of transferring skills related to professionalism is modeling. Health professions educators need to be more aware of the issues related to the assessment of elements of professionalism

Target marketing can help attract city residents

While suburban growth continues, city living is regaining popularity. It is common knowledge that urban neighborhoods often attract young, single professionals, but a more precise identification of potential city dwellers could help cities understand and develop their comparative advantages. Now, perhaps more than ever, cities need to know which people want to live in them and how their vision of urban life may be accommodated by public policy. A common concern expressed among urban mayors is that the quality of their city services, especially schools, stacks up poorly against that of most suburbs. Improving public education is often cited as the key to attracting suburbanites to cities. Enhancing school quality is indeed an important element in any urban revitalization effort, but it may be less critical than is commonly assumed. Consider that households made up of married couples with children under 18 now account for only a quarter of the nation\u27s total, down from 4 in 10 households in 1970

Multiple mineral horizons in layered outcrops at Mawrth Vallis, Mars, signify changing geochemical environments on early Mars

Refined calibrations of CRISM images are enabling identification of smaller deposits of unique aqueous materials on Mars that reveal changing environmental conditions at the region surrounding Mawrth Vallis. Through characterization of these clay-sulfate assemblages and their association with the layered, phyllosilicate units of this region, more details of the aqueous geochemical history can be gleaned. A stratigraphy including five distinct mineral horizons is mapped using compositional data from CRISM over CTX and HRSC imagery across 100s of km and from CRISM over HiRISE imagery across 100s of meters. Transitions in mineralogic units were characterized using visible/near-infrared (VNIR) spectral properties and surface morphology. We identified and characterized complex “doublet” type spectral signatures with two bands between 2.2 and 2.3 μm at one stratigraphic horizon. Based on comparisons with terrestrial sites, the spectral “doublet” unit described here may reflect the remnants of a salty, evaporative period that existed on Mars during the transition from formation of Fe-rich phyllosilicates to Al-rich phyllosilicates. Layered outcrops observed at Mawrth Vallis are thicker than in other altered regions of Mars, but may represent processes that were more widespread in wet regions of the planet during its early history. The aqueous geochemical environments supporting the outcrops observed here include: (i) the formation of Fe3+-rich smectites in a warm and wet environment, (ii) overlain by a thin ferrous-bearing clay unit that could be associated with heating or reducing conditions, (iii) followed by a transition to salty and/or acidic alteration phases and sulfates (characterized by the spectral “doublet” shape) in an evaporative setting, (iv) formation of Al-rich phyllosilicates through pedogenesis or acid leaching, and (v) finally persistence of poorly crystalline aluminosilicates marking the end of the warm climate on early Mars. The “doublet” type units described here are likely composed of clay-sulfate assemblages formed in saline, acidic evaporative environments similar to those found in Western Australia and the Atacama desert. Despite the chemically extreme and variable waters present at these terrestrial, saline lake environments, active ecosystems are present; thus, these “doublet” type units may mark exciting areas for continued exploration important to astrobiology on Mars

Effects of treadmill slip and trip perturbation-based balance training on falls in community-dwelling older adults (STABILITY): study protocol for a randomised controlled trial

INTRODUCTION: Falls among older adults are most frequently caused by slips and trips and can have devastating consequences. Perturbation-based balance training (PBT) have recently shown promising fall preventive effects after even small training dosages. However, the fall preventive effects of PBT delivered on a treadmill are still unknown. Therefore, this parallel-group randomised controlled trial aims to quantify the effects of a four-session treadmill-PBT training intervention on falls compared with treadmill walking among community-dwelling older adults aged 65 years or more. METHODS AND ANALYSIS: 140 community-dwelling older adults will be recruited and randomised into either the treadmill-PBT or the treadmill walking group. Each group will undergo three initial training sessions within a week and an additional ‘booster’ session after 26 weeks. Participants in the treadmill-PBT group will receive 40 slip and/or trip perturbations induced by accurately timed treadmill belt accelerations at each training session. The primary outcome of interest is daily life fall rates collected using fall calendars for a follow-up period of 52 weeks. Secondary outcomes include physical, cognitive and social–psychological fall-related risk factors and will be collected at the pre-training and post-training test and the 26-week and 52-week follow-up tests. All outcomes will be analysed using the intention-to-treat approach by an external statistician. A Poisson’s regressions with bootstrapping, to account for overdispersion, will be used to compare group differences in fall rates. ETHICS AND DISSEMINATION: The study protocol has been approved by the North Denmark Region Committee on Health Research Ethics (N-20200089). The results will be disseminated in peer-reviewed journals and at international conferences. TRIAL REGISTRATION NUMBER: NCT04733222

A study of the centrally produced pi0pi0pi0 channel in pp interactions at 450 GeV/c

The reaction pp -> pf (pi0pi0pi0) ps has been studied at 450 GeV/c. The pi0pi0pi0 effective mass spectrum shows clear eta(547) and pi2(1670) signals. Branching ratios for the eta(547) and pi_2(1670) are given as well as upper limits for the decays of the omega(782), a1(1260) and a2(1320) into 3pi0.Comment: 10 pages, Latex, 4 Figure

Programming moir\'e patterns in 2D materials by bending

Moir\'e superlattices in twisted two-dimensional materials have generated tremendous excitement as a platform for achieving quantum properties on demand. However, the moir\'e pattern is highly sensitive to the interlayer atomic registry, and current assembly techniques suffer from imprecise control of the average twist angle, spatial inhomogeneity in the local twist angle, and distortions due to random strain. Here, we demonstrate a new way to manipulate the moir\'e patterns in hetero- and homo-bilayers through in-plane bending of monolayer ribbons, using the tip of an atomic force microscope. This technique achieves continuous variation of twist angles with improved twist-angle homogeneity and reduced random strain, resulting in moir\'e patterns with highly tunable wavelength and ultra-low disorder. Our results pave the way for detailed studies of ultra-low disorder moir\'e systems and the realization of precise strain-engineered devices

Oncogenic Transformation by Inhibitor-Sensitive and -Resistant EGFR Mutants

BACKGROUND: Somatic mutations in the kinase domain of the epidermal growth factor receptor tyrosine kinase gene EGFR are common in lung adenocarcinoma. The presence of mutations correlates with tumor sensitivity to the EGFR inhibitors erlotinib and gefitinib, but the transforming potential of specific mutations and their relationship to drug sensitivity have not been described. METHODS AND FINDINGS: Here, we demonstrate that EGFR active site mutants are oncogenic. Mutant EGFR can transform both fibroblasts and lung epithelial cells in the absence of exogenous epidermal growth factor, as evidenced by anchorage-independent growth, focus formation, and tumor formation in immunocompromised mice. Transformation is associated with constitutive autophosphorylation of EGFR, Shc phosphorylation, and STAT pathway activation. Whereas transformation by most EGFR mutants confers on cells sensitivity to erlotinib and gefitinib, transformation by an exon 20 insertion makes cells resistant to these inhibitors but more sensitive to the irreversible inhibitor CL-387,785. CONCLUSION: Oncogenic transformation of cells by different EGFR mutants causes differential sensitivity to gefitinib and erlotinib. Treatment of lung cancers harboring EGFR exon 20 insertions may therefore require the development of alternative kinase inhibition strategies