2,132 research outputs found

    A Tribute to Charlie Angell

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    A long-time Book Review Editor for Bridgewater Review, English Professor, former union president and student advisor without peer, Dr. Charles F. Angell passed away on June 13, 2012, just days before our last issue went to press – too soon for us to honor him properly with a tribute, and just plain too soon. What follows are words written by some of Charlie’s colleagues who knew him personally and professionally, and who attest to the deep and lasting effect that he made in his time with us at Bridgewater State

    Comparing Technical Students\u27 L1 and L2 Reading Levels

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    本論は日本の大学で工学を専攻する日本人学生を対象とした読解力についての研究である。被験者となる学生は3つの大学に及び,学生の日本語と英語での読解力の差を検討した。日本語と英語の読解力において学力の混在したクラスの学生(2大学)のほうが推薦入試によるクラス(1大学)より読解力が優れていた。本研究により日本語で読解力の劣る学生は英語での読解力が劣ることが窺がわれた。この点は今後の課題となった

    Adam Smith’s Green Thumb and Malthus’ Three Horsemen: Cautionary tales from classical political economy

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    This essay identifies a contradiction between the flourishing interest in the environmental economics of the classical period and a lack of critical parsing of the works of its leading representatives. Its focus is the work of Adam Smith and Thomas Malthus. It offers a critical analysis of their contribution to environmental thought and surveys the work of their contemporary devotees. It scrutinizes Smith's contribution to what Karl Polanyi termed the "economistic fallacy," as well as his defenses of class hierarchy, the "growth imperative" and consumerism. It subjects to critical appraisal Malthus's enthusiasm for private property and the market system, and his opposition to market regulation. While Malthus's principal attraction to ecological economists lies in his having allegedly broadened the scope of economics, and in his narrative of scarcity, this article shows that he, in fact, narrowed the scope of the discipline and conceptualized scarcity in a reified and pseudo-scientific way

    A Quality Assessment of a Collaborative Model of a Pediatric Antimicrobial Stewardship Program

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    BACKGROUND: Infectious Diseases Society of America guidelines recommend that key antimicrobial stewardship program (ASP) personnel include an infectious disease (ID) physician leader and dedicated ID-trained clinical pharmacist. Limited resources prompted development of an alternative model by using ID physicians and service-based clinical pharmacists at a pediatric hospital. The aim of this study was to analyze the effectiveness and impact of this alternative ASP model. METHODS: The collaborative ASP model incorporated key strategies of education, antimicrobial restriction, day 3 audits, and practice guidelines. High-use and/or high-cost antimicrobial agents were chosen with audits targeting vancomycin, caspofungin, and meropenem. The electronic medical record was used to identify patients requiring day 3 audits and to communicate ASP recommendations. Segmented regression analyses were used to analyze quarterly antimicrobial agent prescription data for the institution and selected services over time. RESULTS: Initiation of ASP and day 3 auditing was associated with blunting of a preexisting increasing trend for caspofungin drug starts and use and a significant downward trend for vancomycin drug starts (relative change -12%) and use (-25%), with the largest reduction in critical care areas. Although meropenem use was already low due to preexisting requirements for preauthorization, a decline in drug use (-31%, P = .021) and a nonsignificant decline in drug starts (-21%, P = .067) were noted. A 3-month review of acceptance of ASP recommendations found rates of 90%, 93%, and 100% for vancomycin, caspofungin, and meropenem, respectively. CONCLUSIONS: This nontraditional ASP model significantly reduced targeted drug usage demonstrating acceptance of integration of service-based clinical pharmacists and ID consultants

    Airborne LiDAR reveals a vast archaeological landscape at the Nan MadolWorld Heritage Site

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    An airborne LiDAR survey of the Nan MadolWorld Heritage Site and adjacent Temwen Island revealed a complex, irrigated cultivation system, the first found in the Central and Eastern Caroline Islands. This informs the goals of the sustainable conservation project, funded by the U.S. Department of State Ambassadors Fund for Cultural Preservation, that inspired the survey, and expands understanding of Nan Madol and its place in the network of Pacific island interaction and trade. Fieldwork verified the presence, across Temwen, of low, wet, cultivable areas, many of which are connected by water channels or separated by earthen berms. The berms themselves may also have been cultivated. In complexity, labor investment, and organization, the system is comparable to Nan Madol itself, the largest archaeological site in Micronesia, with structures on about 100 artificial islets built of stone and coral on a reef flat. Constructed over a millennium, Nan Madol was the seat of the Saudeleur Dynasty, which persisted from about 1200 to 1600 CE. The cultivation system appears to have been able to provide ample food for consumption, feasting, and redistribution or trade. If the landscape alteration described here proves to date to the time of the Saudeleur Dynasty, it will offer many avenues of research into the economic basis of Nan Madol's regional dominance.This research was funded by the U.S. Department of State via an Ambassadors Fund for Cultural Preservation large grant, award number SLMAQM18GR222

    Ethics and the Public Administrator

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    This article provides an overview and analysis of the practical problems of developing and implementing a code of ethics for public administrators. The article addresses three key issues: (1) What are public ethics and where do they come from? (2) What are the central ethical issues facing public administrators? and (3) Are there practical tools and guidelines to assist public servants to be both ethical and effective public managers? The article concludes with a plea for consideration of ethical issues, and it presents five general ethical principles for public administrators

    Lifetime cardiovascular management of patients with previous Kawasaki Disease

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    Kawasaki disease (KD) is an inflammatory disorder of young children, associated with vasculitis of the coronary arteries with subsequent aneurysm formation in up to one-third of untreated patients. Those who develop aneurysms are at life-long risk of coronary thrombosis or the development of stenotic lesions, which may lead to myocardial ischaemia, infarction or death. The incidence of KD is increasing worldwide, and in more economically developed countries, KD is now the most common cause of acquired heart disease in children. However, many clinicians in the UK are unaware of the disorder and its long-term cardiac complications, potentially leading to late diagnosis, delayed treatment and poorer outcomes. Increasing numbers of patients who suffered KD in childhood are transitioning to the care of adult services where there is significantly less awareness and experience of the condition than in paediatric services. The aim of this document is to provide guidance on the long-term management of patients who have vascular complications of KD and guidance on the emergency management of acute coronary complications. Guidance on the management of acute KD is published elsewhere
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