5,874 research outputs found

    Pathways to Economic Mobility: Key Indicators

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    Outlines how indicators of social, human, and financial capital affect an individual's chances of moving up or down the economic ladder. Analyzes data on family structure, community, education, race/ethnicity, health, home ownership, and other factors

    The Glasgow tobacco merchants and the American Revolution, 1770-1800

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    The tobacco trade formed the basis of the Chesapeake economy during the Eighteenth Century. Tobacco was shipped to Britain during the -colonial period, in accordance with the Navigation Acts, and then sold in European markets. The French market increased rapidly during the first half of the century, and the Glasgow tobacco companies took the lead in supplying the French monopoly administered by the Farmers General. The Scots gained the advantage over other British merchants by setting up networks of stores to facilitate the collection of tobacco and the sale of goods, and by devising an extensive credit system to cater for the needs of the smaller planters in the Piedmont. The Scottish merchants were in fierce competition with each other, and with English merchants. This competition ensured that the planters were not, to any significant degree, exploited by the merchants. In many cases, the planters were able to combine in order to extract very favourable prices and credit facilities. The Scots were a closely-knit community, and although many left the Glasgow companies to become independent traders they were seen as outsiders. Radical propagandists encouraged this feeling in order to arouse anti-British sentiment. The allegations levelled against the Scots, however, were largely groundless. When war broke out a large proportion of the Scots left the Chesapeake, and the assets of the Glasgow companies were seized. Nevertheless, the Scots set up a system of agents in New York and the West Indies, both to supply the rebelling colonies with goods in exchange for tobacco wherever this was practicable, and to have channels available for a speedy return to the Chesapeake whenever peace was declared. After the war significant numbers of Scots returned to the Chesapeake, in order to collect debts and to trade in goods and tobacco. Many planters returned to their pre-war Scots companies, and trade once again fell into the colonial pattern. Britain dominated the carrying trade, the only major difference being that it was now not necessary to call at a British port before proceeding to Europe, other than to collect orders. The readiness of planters to return to the old pattern of trade suggests that it was advantageous to the Americans, and not a mere product of the Navigation Acts. The Scots were not successful in using trade after the war as a means of recovering debt; and with the outbreak of war in Europe, most companies closed their stores and relied on the assistance of the British government to recovery debts. Yet many of the Scots factors remained in the Chesapeake, and continued to trade and benefit the area

    The Star Formation Rate in the Reionization Era as Indicated by Gamma-ray Bursts

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    High-redshift gamma-ray bursts (GRBs) offer an extraordinary opportunity to study aspects of the early Universe, including the cosmic star formation rate (SFR). Motivated by the two recent highest-z GRBs, GRB 080913 at z = 6.7 and GRB 090423 at z = 8.1, and more than four years of Swift observations, we first confirm that the GRB rate does not trace the SFR in an unbiased way. Correcting for this, we find that the implied SFR to beyond z = 8 is consistent with LBG-based measurements after accounting for unseen galaxies at the faint end of the UV luminosity function. We show that this provides support for the integrated star formation in the range 6 < z < 8 to have been alone sufficient to reionize the Universe.Comment: 4 pages, 4 figures; modified to match version accepted for publication in ApJ Letter

    The racist bodily imaginary: the image of the body-in-pieces in (post)apartheid culture

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    This paper outlines a reoccurring motif within the racist imaginary of (post)apartheid culture: the black body-in-pieces. This disturbing visual idiom is approached from three conceptual perspectives. By linking ideas prevalent in Frantz Fanon’s description of colonial racism with psychoanalytic concepts such as Lacan’s notion of the corps morcelé, the paper offers, firstly, an account of the black body-in-pieces as fantasmatic preoccupation of the (post)apartheid imaginary. The role of such images is approached, secondly, through the lens of affect theory which eschews a representational ‘reading’ of such images in favour of attention to their asignifying intensities and the role they play in effectively constituting such bodies. Lastly, Judith Butler’s discussion of war photography and the conditions of grievability introduces an ethical dimension to the discussion and helps draw attention to the unsavory relations of enjoyment occasioned by such images

    Robotic milking technologies and renegotiating situated ethical relationships on UK dairy farms

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    Robotic or automatic milking systems (AMS) are novel technologies that take over the labor of dairy farming and reduce the need for human-animal interactions. Because robotic milking involves the replacement of 'conventional' twice-a-day milking managed by people with a system that supposedly allows cows the freedom to be milked automatically whenever they choose, some claim robotic milking has health and welfare benefits for cows, increases productivity, and has lifestyle advantages for dairy farmers. This paper examines how established ethical relations on dairy farms are unsettled by the intervention of a radically different technology such as AMS. The renegotiation of ethical relationships is thus an important dimension of how the actors involved are re-assembled around a new technology. The paper draws on in-depth research on UK dairy farms comparing those using conventional milking technologies with those using AMS. We explore the situated ethical relations that are negotiated in practice, focusing on the contingent and complex nature of human-animal-technology interactions. We show that ethical relations are situated and emergent, and that as the identities, roles, and subjectivities of humans and animals are unsettled through the intervention of a new technology, the ethical relations also shift. © 2013 Springer Science+Business Media Dordrecht

    Evaluation of a web-based intervention to reduce antibiotic prescribing for LRTI in six European countries: quantitative process analysis of the GRACE/INTRO randomised controlled trial.

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    To reduce the spread of antibiotic resistance, there is a pressing need for worldwide implementation of effective interventions to promote more prudent prescribing of antibiotics for acute LRTI. This study is a process analysis of the GRACE/INTRO trial of a multifactorial intervention that reduced antibiotic prescribing for acute LRTI in six European countries. The aim was to understand how the interventions were implemented and to examine effects of the interventions on general practitioners' (GPs') and patients' attitudes

    Relationship between microbiology of throat swab and clinical course among primary care patients with acute cough: a prospective cohort study.

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    BACKGROUND: Acute lower respiratory tract infections (ALRTIs) account for most antibiotics prescribed in primary care despite lack of efficacy, partly due to clinician uncertainty about aetiology and patient concerns about illness course. Nucleic acid amplification tests could assist antibiotic targeting. METHODS: In this prospective cohort study, 645 patients presenting to primary care with acute cough and suspected ALRTI, provided throat swabs at baseline. These were tested for respiratory pathogens by real-time polymerase chain reaction and classified as having a respiratory virus, bacteria, both or neither. Three hundred fifty-four participants scored the symptoms severity daily for 1 week in a diary (0 = absent to 4 = severe problem). RESULTS: Organisms were identified in 346/645 (53.6%) participants. There were differences in the prevalence of seven symptoms between the organism groups at baseline. Those with a virus alone, and those with both virus and bacteria, had higher average severity scores of all symptoms combined during the week of follow-up than those in whom no organisms were detected [adjusted mean differences 0.204 (95% confidence interval 0.010 to 0.398) and 0.348 (0.098 to 0.598), respectively]. There were no differences in the duration of symptoms rated as moderate or severe between organism groups. CONCLUSIONS: Differences in presenting symptoms and symptoms severity can be identified between patients with viruses and bacteria identified on throat swabs. The magnitude of these differences is unlikely to influence management. Most patients had mild symptoms at 7 days regardless of aetiology, which could inform patients about likely symptom duration

    Antibiotics for lower respiratory tract infection in children presenting in primary care: ARTIC-PC RCT.

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    BACKGROUND: Antimicrobial resistance is a global health threat. Antibiotics are commonly prescribed for children with uncomplicated lower respiratory tract infections, but there is little randomised evidence to support the effectiveness of antibiotics in treating these infections, either overall or relating to key clinical subgroups in which antibiotic prescribing is common (chest signs; fever; physician rating of unwell; sputum/rattly chest; shortness of breath). OBJECTIVES: To estimate the clinical effectiveness and cost-effectiveness of amoxicillin for uncomplicated lower respiratory tract infections in children both overall and in clinical subgroups. DESIGN: Placebo-controlled trial with qualitative, observational and cost-effectiveness studies. SETTING: UK general practices. PARTICIPANTS: Children aged 1-12 years with acute uncomplicated lower respiratory tract infections. OUTCOMES: The primary outcome was the duration in days of symptoms rated moderately bad or worse (measured using a validated diary). Secondary outcomes were symptom severity on days 2-4 (0 = no problem to 6 = as bad as it could be); symptom duration until very little/no problem; reconsultations for new or worsening symptoms; complications; side effects; and resource use. METHODS: Children were randomised to receive 50 mg/kg/day of oral amoxicillin in divided doses for 7 days, or placebo using pre-prepared packs, using computer-generated random numbers by an independent statistician. Children who were not randomised could participate in a parallel observational study. Semistructured telephone interviews explored the views of 16 parents and 14 clinicians, and the data were analysed using thematic analysis. Throat swabs were analysed using multiplex polymerase chain reaction. RESULTS: A total of 432 children were randomised (antibiotics, n = 221; placebo, n = 211). The primary analysis imputed missing data for 115 children. The duration of moderately bad symptoms was similar in the antibiotic and placebo groups overall (median of 5 and 6 days, respectively; hazard ratio 1.13, 95% confidence interval 0.90 to 1.42), with similar results for subgroups, and when including antibiotic prescription data from the 326 children in the observational study. Reconsultations for new or worsening symptoms (29.7% and 38.2%, respectively; risk ratio 0.80, 95% confidence interval 0.58 to 1.05), illness progression requiring hospital assessment or admission (2.4% vs. 2.0%) and side effects (38% vs. 34%) were similar in the two groups. Complete-case (n = 317) and per-protocol (n = 185) analyses were similar, and the presence of bacteria did not mediate antibiotic effectiveness. NHS costs per child were slightly higher (antibiotics, £29; placebo, £26), with no difference in non-NHS costs (antibiotics, £33; placebo, £33). A model predicting complications (with seven variables: baseline severity, difference in respiratory rate from normal for age, duration of prior illness, oxygen saturation, sputum/rattly chest, passing urine less often, and diarrhoea) had good discrimination (bootstrapped area under the receiver operator curve 0.83) and calibration. Parents found it difficult to interpret symptoms and signs, used the sounds of the child's cough to judge the severity of illness, and commonly consulted to receive a clinical examination and reassurance. Parents acknowledged that antibiotics should be used only when 'necessary', and clinicians noted a reduction in parents' expectations for antibiotics. LIMITATIONS: The study was underpowered to detect small benefits in key subgroups. CONCLUSION: Amoxicillin for uncomplicated lower respiratory tract infections in children is unlikely to be clinically effective or to reduce health or societal costs. Parents need better access to information, as well as clear communication about the self-management of their child's illness and safety-netting. FUTURE WORK: The data can be incorporated in the Cochrane review and individual patient data meta-analysis. TRIAL REGISTRATION: This trial is registered as ISRCTN79914298. FUNDING: This project was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 27, No. 9. See the NIHR Journals Library website for further project information
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