Spot News Versus Reportage: Newspaper Models, the Distribution of Newsroom Credibility, and Implications for Democratic Journalism in Mexico

This article describes social-organizational models that Mexican newspapers have evolved in response to competition from electronic media. The spot news model competes through simulation and cannibalization, and it is organized for efficiency. Its routine of speed and steep hierarchy keep newsroom credibility centralized among newspaper leaders, which makes it difficult for new sources to convince reporters to listen to them, and for reporters, in turn, to convince editors to publish new sources. The reportage model, in contrast, competes with electronic media through differentiation, emphasizing investigation and analysis over speed. Its newsroom is correspondingly organized according to a slower schedule and a flatter hierarchy. The reportage model therefore decentralizes newsroom credibility by allowing reporters the expertise and autonomy they need to put new sources into print. Though these two models represent simultaneous reactions to market competition, they have opposing effects on democratic journalism as measured by pluralism and accountability.Gates Cambridge Trus

Surmounting the Verification Barrier Between the Field of Professional Human Rights: Fact-Finding and the Non-Field of Digital Civilian Witnessing

This is the author accepted manuscript. The final version is available in "Produsing Theory in a Digital World 2.0: The Intersection of Audiences and Production in Contemporary Theory. Volume 2"This work was supported by the Economic and Social Research Council (grant number ES/K009850/1) and by the Isaac Newton Trust

A report prepared for the UN Special Rapporteur on extrajudicial, summary and arbitrary executions

Since 2011, CGHR has collaborated with the UN Special Rapporteur on extrajudicial, summary or arbitrary executions, providing research support to his mandate. In 2012, a team of researchers produced a ‘Research Pack’ on the threats to the right to life of journalists for an Expert Meeting held in Cambridge, ultimately contributing to the Special Rapporteur’s report that year to the Human Rights Council. In 2013, work began on a broader collaboration studying violations of the right to life across the African continent, culminating in a report, ‘Unlawful Killings in Africa,’ to guide the Special Rapporteur’s future activity. In 2014, a CGHR research team began a study of how the use of information and communication technologies affects the right to life, resulting in this report and the ICTs and Human Rights blog. This report was originally a discussion document prepared by CGHR Research Associate Dr Ella McPherson in collaboration with the mandate of the Special Rapporteur and ahead of a meeting of experts held in Cambridge in February 2015. The discussion document, as well as the discussion at the expert meeting, contributed to the Special Rapporteur’s thematic report on the use of information and communications technologies to secureThe use of information and communication technologies (ICTs) is creating a wealth of new opportunities as well as a variety of new risks for human rights practice. Given the pace of innovation in the development and use of ICTs, our understanding of their impact on human rights lags. This report provides a crucial and in depth look at ICT initiatives and trends across the key human rights practices of prevention, fact-finding, and advocacy, identifying both risks and opportunities. In prevention, ICTs can be harnessed to protect human rights defenders, to prevent violations in police-civilian interactions, and in data-driven early warning systems and communication-based conflict prevention. That said, ICTs also create new security risks for human rights defenders and can violate the right to privacy. In fact-finding, ICTs afford the spontaneous and solicited participation of civilian witnesses in the production of human rights evidence. Of course, a greater volume and variety of information from unknown and untrained sources creates problems of misinformation and verification, which technology only goes so far to mitigate. In advocacy, ICTs provide new channels for quickly and visibly mobilizing publics, for directly engaging with advocacy targets, and for spreading awareness of human rights. That said, the effects of these new advocacy channels are unclear, and they may imperil categories of human rights and the reputations of human rights organizations. The report also considers how digital divides and the political economy of ICTs influence the nature, extent, and distribution of these opportunities and risks. In doing so, it outlines a research framework for understanding ICTs and human rights practice to underpin academics’ and practitioners’ assessment, development, and deployment of ICTs for and in the spirit of human rights. An earlier version of this report, prepared for an expert meeting ahead of the June 2015 session of the UN Human Rights Council, informed the thematic report on ICTs and the right to life presented at that session by the Special Rapporteur on extrajudicial, summary, or arbitrary executions. As such, the projects profiled represent a snapshot of that timeframe; this report is therefore accompanied by a regularly updated, student-run Tumblr blog, ictandhr.tumblr.com, which welcomes submissions on new initiatives

Adjunctive rifampicin for Staphylococcus aureus bacteraemia (ARREST): a multicentre, randomised, double-blind, placebo-controlled trial.

BACKGROUND: Staphylococcus aureus bacteraemia is a common cause of severe community-acquired and hospital-acquired infection worldwide. We tested the hypothesis that adjunctive rifampicin would reduce bacteriologically confirmed treatment failure or disease recurrence, or death, by enhancing early S aureus killing, sterilising infected foci and blood faster, and reducing risks of dissemination and metastatic infection. METHODS: In this multicentre, randomised, double-blind, placebo-controlled trial, adults (≥18 years) with S aureus bacteraemia who had received ≤96 h of active antibiotic therapy were recruited from 29 UK hospitals. Patients were randomly assigned (1:1) via a computer-generated sequential randomisation list to receive 2 weeks of adjunctive rifampicin (600 mg or 900 mg per day according to weight, oral or intravenous) versus identical placebo, together with standard antibiotic therapy. Randomisation was stratified by centre. Patients, investigators, and those caring for the patients were masked to group allocation. The primary outcome was time to bacteriologically confirmed treatment failure or disease recurrence, or death (all-cause), from randomisation to 12 weeks, adjudicated by an independent review committee masked to the treatment. Analysis was intention to treat. This trial was registered, number ISRCTN37666216, and is closed to new participants. FINDINGS: Between Dec 10, 2012, and Oct 25, 2016, 758 eligible participants were randomly assigned: 370 to rifampicin and 388 to placebo. 485 (64%) participants had community-acquired S aureus infections, and 132 (17%) had nosocomial S aureus infections. 47 (6%) had meticillin-resistant infections. 301 (40%) participants had an initial deep infection focus. Standard antibiotics were given for 29 (IQR 18-45) days; 619 (82%) participants received flucloxacillin. By week 12, 62 (17%) of participants who received rifampicin versus 71 (18%) who received placebo experienced treatment failure or disease recurrence, or died (absolute risk difference -1·4%, 95% CI -7·0 to 4·3; hazard ratio 0·96, 0·68-1·35, p=0·81). From randomisation to 12 weeks, no evidence of differences in serious (p=0·17) or grade 3-4 (p=0·36) adverse events were observed; however, 63 (17%) participants in the rifampicin group versus 39 (10%) in the placebo group had antibiotic or trial drug-modifying adverse events (p=0·004), and 24 (6%) versus six (2%) had drug interactions (p=0·0005). INTERPRETATION: Adjunctive rifampicin provided no overall benefit over standard antibiotic therapy in adults with S aureus bacteraemia. FUNDING: UK National Institute for Health Research Health Technology Assessment

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat