7,937 research outputs found

    The Spiritual Care of the Seriously Ill

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    Do Business Cycles Influence Long-Run Growth? The Effect of Aggregate Demand on Firm-Financed R&D Expenditures

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    This paper finds that inventive activity, as measured by firm-financed R&D expenditures, is procyclical. In addition, the "lost" R&D during recessions is larger than the "extra" R&D during expansions so the overall effect of the business cycle is to reduce firm-financed R&D during the 1957 5o 1999 period. The results suggest that a business cycle activity might influence the long-run growth rate of an economy by reducing firm-financed R&D and productivity growth.Business Cycle; Cycle; Expansion; Growth; Procyclical; Productivity; R&D; Recession

    Notes on Nightingale: The Influence and Legacy of a Nursing Icon

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    {Excerpt}The centenary of the death of Florence Nightingale occurs on 13 August 2010. Like Charles Darwin, Charles Dickens, and John Stuart Mill, Nightingale is one of those monumental Victorians who were genuine household names in their day and for the generations that followed. Like her peers, she was a highly educated individual on a lifelong path of discovery, dedicated to knowledge and science in the service of a better society. But Nightingale was a singular individual among the great Victorians in that she was a womanā€”a woman who achieved a level of fame arguably surpassed only by the queen herself. Nightingale was also exceptional in that the work for which she is best known was not her science, literature, or philosophy, but the professionalizing of a domain of low status and semidomestic women\u27s work: nursing. In compiling this book, we have sought to take key elements of the Nightingale story and legacy and bring fresh analyses from leading scholars and thinkers in the field. The aim has been to provide both an update on the scholarship in several areasā€”the story of Nightingale in the Crimean War, her influence on the colonies of the British Empire, her contribution to statistical sciences, and her impact on the American nursing storyā€”and a review of the current state of play with respect to the endless historiographical myths around her. The contributors represent a wide range of specialized knowledge on the heterogeneous topic of Florence Nightingale. Scholars, of course, have strongly held views and do not necessarily agree with one another. We do not attempt to adjudicate between competing perspectives in the discussion surrounding Nightingale, believing them to be symptomatic of a lively academic field in which scholars continue to debate the interpretation of sources and the significance of events. If Nightingale did not inspire controversy (and its sister, passion), would we still be interested in her a century after her death? Throughout the book there are shades of interpretation and emphasis that vary among contributors. Was Nightingale an opponent of germ theory? Did she create the new model of nursing from which all modern nursing sprang? Read on and make up your own mind! Our hope is that readers develop an awareness of the nuances of historical scholarship and the complexity of the past, as opposed to seeing it as a set of facts. Facts, as any good historian knows, are not set in stone but matters of interpretation. Nightingale lived a long time. She was also a prolific correspondent and writer, and thus the historical record from her own hand is plentiful. This surfeit of riches creates its own methodological challenges. Individuals change their views over time, they sometimes contradict themselves, they write their different messages to different audiences, and their words may mean something different to a contemporary reader. Nightingale\u27s persona evolved from a young passionate woman to a politically astute social actor to a much revered icon, and her writings reflect this evolution

    Physiological cost of walking in those with chronic fatigue syndrome

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    <b>Purpose:</b> To examine the physiological cost of walking in subjects with chronic fatigue syndrome (CFS) and a matched control group, walking at their preferred and at matched walking speeds. <b>Methods:</b> Seventeen people with CFS and 17 matched-controls participated in this observational study of physiological cost during over-ground gait. Each subject walked for 5 min at their preferred walking speed (PWS). Controls then walked for 5 min at the same pace of their matched CFS subject. Gait speed and oxygen uptake, gross and net were measured and oxygen uptake was expressed per unit distance ambulated. CFS subjects completed the CFS-Activities and Participation Questionnaire (CFS-APQ). <b>Results:</b> At PWS the CFS group walked at a slower velocity of 0.84 Ā± 0.21 m s<sup>-1</sup> compared to controls with a velocity of 1.19 Ā± 0.13 m s<sup>-1</sup> (p < 0.001). At PWS both gross and net oxygen uptake of CFS subjects was significantly less than controls (p = 0.023 and p = 0.025 respectively). At matched-velocity both gross and net physiological cost of gait was greater for CFS subjects than controls (p = 0.048 and p = 0.001, respectively). <b>Conclusion:</b> The physiological cost of walking was significantly greater for people with CFS compared with healthy subjects. The reasons for these higher energy demands for walking in those with CFS have yet to be fully elucidated

    Towards the disintermediation of creative music search: Analysing queries to determine important facets

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    Purpose: Creative professionals search for music to accompany moving images in films, advertising, television. Some larger music rights holders (record companies and music publishers) organise their catalogues to allow online searching. These digital libraries are organised by various subjective musical facets as well as by artist and title metadata. The purpose of this paper is to present an analysis of written queries relating to creative music search, contextualised and discussed within the findings of text analyses of a larger research project whose aim is to investigate meaning making in this search process. Method: A facet analysis of a collection of written music queries is discussed in relation to the organisation of the music in a selection of bespoke search engines. Results: Subjective facets, in particular Mood, are found to be highly important in query formation. Unusually, detailed Music Structural aspects are also key. Conclusions: These findings are discussed in relation to disintermediation of this process. It is suggested that there are barriers to this, both in terms of classification and also commercial / legal factors

    Delayer Pays Principle: Examining Congestion Pricing with Compensation

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    Despite its virtues, congestion pricing has yet to be widely adopted. This paper explores the issues of equity and use of toll revenue and several possible alternatives. The equity and efficiency problems of conventional (uncompensated) congestion pricing are outlined. Then, several alternatives are discussed and developed. A new compensation mechanism is developed, called the delayer pays principle. This principle ensures that those who arecause delay to others pay a toll to compensate those who are delayed. We evaluate the effectiveness of this idea by simulating alternative tolling approaches and evaluating the results across several measures, including delay, social cost, consumer surplus, and equity. Different tolling approaches can satisfy widely varying policy objectives, thus this principle is applicable in diverse situations. Such a system is viable and can eliminate some common hurdles of congestion pricing while remaining revenue neutral.
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