Narrative desire and historical reparations: Three contemporary British authors

British novelists since Walter Scott have exhibited an interest in history, but this discursive affinity has transformed itself into a veritable obsession in the fiction of the last two decades. Indeed, a concern with and distrust of history and historiographic projects is often hailed as a defining characteristic of postmodernism. And while writers of new historical novels cannot be said to form a movement as such, the predominance of such texts reveals the presence of communal concerns, and a readily identifiable strain of literary production that addresses the circulation of mutual symptoms, beliefs, and anxieties as a response to living in this particular moment in history. Adopting and adapting the theories of Hayden White and Peter Brooks, I highlight various types of narrative desire that drive both narrators and readers in their emplotment of history. Examining three representative novels---A. S. Byatt\u27s Possession: A Romance, Ian McEwan\u27s Black Dogs, and Salman Rushdie\u27s Midnight\u27s Children---this study explores the communal logic and impulse that identifies both reading and constructing narratives as purposeful gestures in coming to terms with our present and future. Each novel attempts to control the ambiguities of history and our ability truly to know it by allowing historical fact and fiction to merge, overlap, and create a new whole. These novels also reflect a number of cultural anxieties about the various narratives that have been constructed to explain the past: Byatt contests the postmodern dismissal of Victorian ideologies in the working through of narratives; McEwan requires a reassessment of the Enlightenment narrative in the face of the collective trauma of the twentieth century\u27s violent history; and Rushdie re-narrates recent Indian history in order to find an issue out of the impasse of fundamentalist and monolithic conceptions of national identity. These novelists, in different ways, employ what has become known as postmodern artifice, sometimes as a way to reject the notion of historical construction, sometimes to advocate it, but always to bring us closer to what they believe are significant values and truths

Assessment of a Pharmacist-Led Antibiotic Time-out for Transition of IV Vancomycin to Oral Linezolid

Introduction: Intravenous (IV) vancomycin requires therapeutic drug monitoring and line placement and may prolong hospital stay. Linezolid requires less monitoring, is orally bioavailable, and may expedite transitions of care. This study assessed the impact of a pharmacist-led antibiotic timeout for the transition from IV vancomycin to oral linezolid. Methods: This single-center, quasi-experimental study included admitted adult patients receiving IV vancomycin for over 48 hours. Patients receiving vasopressors, of immunocompromised status, or with specific antibiotic indications were excluded. The primary outcome was the pharmacist intervention acceptance rate. Secondary outcomes included median hospital length of stay, median antibiotic treatment days, and incidence of adverse effects. Results: Of the 317 screened patients, 94 were eligible for the antibiotic time-out assessment, of which 66 met the criteria for oral linezolid. Of those meeting the criteria, 27 interventions were made, of which 20 (74%) were accepted. The median length of antibiotic treatment days was six days between both groups (p = .352). No differences in safety outcomes were observed. Discussion: A pharmacist-led antibiotic timeout for IV vancomycin to oral linezolid resulted in a high intervention acceptance rate and increased oral linezolid use without impacting safety outcomes. These results support the use of this strategy for antimicrobial stewardship. Conclusion: This study illustrates the impact of a pharmacist-led antibiotic timeout for the transition from IV vancomycin to oral linezolid therapy as an antimicrobial stewardship tool

A Systematic Review of Recall Regimen and Maintenance Regimen of Patients with Dental Restorations. Part 2: Implant-Borne Restorations

Purpose To evaluate the current scientific evidence on patient recall and maintenance of implant-supported restorations, to standardize patient care regimens and improve maintenance of oral health. An additional purpose was to examine areas of deficiency in the current scientific literature and provide recommendations for future studies. Materials and Methods An electronic search for articles in the English language literature from the past 10 years was performed independently by multiple investigators using a systematic search process. After application of predetermined inclusion and exclusion criteria, the final list of articles was reviewed to meet the objectives of this review. Results The initial electronic search resulted in 2816 titles. The systematic application of inclusion and exclusion criteria resulted in 14 articles that satisfied the study objectives. An additional 6 articles were added through a supplemental search process for a total of 20 studies. Of these, 11 were randomized controlled clinical trials, and 9 were observational studies. The majority of the studies (15 out of 20) were conducted in the past 5 years and most studies were conducted in Europe (15), followed by Asia (2), South America (1), the United States (1), and the Middle East (1). Results from the qualitative data on a combined 1088 patients indicated that outcome improvements in recall and maintenance regimen were related to (1) patient/treatment characteristic (type of prosthesis, type of prosthetic components, and type of restorative materials); (2) specific oral topical agents or oral hygiene aids (electric toothbrush, interdental brush, chlorhexidine, triclosan, water flossers) and (3) professional intervention (oral hygiene maintenance, and maintenance of the prosthesis). Conclusions There is minimal evidence related to recall regimens in patients with implant-borne removable and fixed restorations; however, a considerable body of evidence indicates that patients with implant-borne removable and fixed restorations require lifelong professional recall regimens to provide biological and mechanical maintenance, customized for each patient. Current evidence also demonstrates that the use of specific oral topical agents and oral hygiene aids can improve professional and at-home maintenance of implant-borne restorations. There is evidence to demonstrate differences in mechanical and biological maintenance needs due to differences in prosthetic materials and designs. Deficiencies in existing evidence compel the forethought of creating clinical practice guidelines for recall and maintenance of patients with implant-borne dental restorations

Emergence of off-axis equilibria in a quantum vortex gas

We experimentally study the emergence of high-energy equilibrium states in a chiral vortex gas of like-circulation vortices realized within a disk-shaped atomic Bose-Einstein condensate. In contrast to the familiar triangular Abrikosov lattice, the lowest-energy state of the superfluid in a rotating frame, we observe the formation of rotating vortex equilibria that are highly disordered and have significant energy per vortex. Experimental stirring protocols realize equilibrium states at both positive and negative absolute temperatures of the vortex gas. At sufficiently high energies the system exhibits a symmetry breaking transition, resulting in an off-axis equilibrium phase that no longer shares the symmetry of the container. By initializing vortices in a non-equilibrium distribution with sufficient energy, relaxation to equilibrium is observed within experimental timescales and an off-axis equilibrium state emerges at negative absolute temperature. The observed equilibria are in close agreement with mean field theory of the microcanonical ensemble of the vortex gas.Comment: V1: 13 pages, 6 figures, 5 in main tex

Deep-sea microbes as tools to refine the rules of innate immune pattern recognition.

The assumption of near-universal bacterial detection by pattern recognition receptors is a foundation of immunology. The limits of this pattern recognition concept, however, remain undefined. As a test of this hypothesis, we determined whether mammalian cells can recognize bacteria that they have never had the natural opportunity to encounter. These bacteria were cultivated from the deep Pacific Ocean, where the genus Moritella was identified as a common constituent of the culturable microbiota. Most deep-sea bacteria contained cell wall lipopolysaccharide (LPS) structures that were expected to be immunostimulatory, and some deep-sea bacteria activated inflammatory responses from mammalian LPS receptors. However, LPS receptors were unable to detect 80% of deep-sea bacteria examined, with LPS acyl chain length being identified as a potential determinant of immunosilence. The inability of immune receptors to detect most bacteria from a different ecosystem suggests that pattern recognition strategies may be defined locally, not globally.R01 AI093589 - NIAID NIH HHS; P30 DK034854 - NIDDK NIH HHS; U19 AI133524 - NIAID NIH HHS; R01 AI147314 - NIAID NIH HHS; R01 AI116550 - NIAID NIH HHS; R37 AI116550 - NIAID NIH HHS; R01 AI123820 - NIAID NIH HHSAccepted manuscrip

Recent Single Event Effects Compendium of Candidate Electronics for NASA Space Systems

We present the results of single event effects (SEE) testing and analysis investigating the effects of radiation on electronics. This paper is a summary of test results

Safety and tolerability of donepezil 23 mg in moderate to severe Alzheimer's disease

<p>Abstract</p> <p>Background</p> <p>Donepezil 23 mg/d, recently approved in the United States for treatment of moderate to severe Alzheimer's disease (AD), was developed to address the need for an additional treatment option for patients with advanced AD. This report, based on a pivotal phase 3 study, presents a detailed analysis of the safety and tolerability of increasing donepezil to 23 mg/d compared with continuing 10 mg/d.</p> <p>Method</p> <p>Safety analyses comprised examination of the incidence, severity, and timing of treatment-emergent adverse events (AEs) and their relationship to treatment initiation; changes in weight, electrocardiogram, vital signs, and laboratory parameters; and the incidence of premature study discontinuation. The analysis population (n = 1434) included all randomized patients who took at least 1 dose of study drug and had a postbaseline safety assessment. To further examine the effect of transition from a lower to a higher donepezil dose, a pooled analysis of safety data from 2 phase 3 trials of donepezil 5 mg/d and 10 mg/d was also performed.</p> <p>Results</p> <p>The safety population comprised 1434 patients: donepezil 23 mg/d (n = 963); donepezil 10 mg/d (n = 471); completion rates were 71.1% and 84.7%, respectively. The most common AEs were nausea, vomiting, and diarrhea (donepezil 23 mg/d: 11.8%, 9.2%, 8.3%; donepezil 10 mg/d: 3.4%, 2.5%, 5.3%, respectively). AEs that contributed most to early discontinuations were vomiting (2.9% of patients in the 23 mg/d group and 0.4% in the 10 mg/d group), nausea (1.9% and 0.4%), diarrhea (1.7% and 0.4%), and dizziness (1.1% and 0.0%). The percentages of patients with AEs in the 23 mg/d group, as well as the timing, type, and severity of these AEs, were similar to those seen in previous donepezil trials with titration from 5 to 10 mg/d. Serious AEs were uncommon (23 mg/d, 8.3%; 10 mg/d, 9.6%).</p> <p>Discussion</p> <p>The 23 mg/d dose of donepezil was associated with typical cholinergic AEs, particularly gastrointestinal-related AEs, similar to those observed in studies with a dose increase from 5 to 10 mg/d.</p> <p>Conclusion</p> <p>The good safety and predictable tolerability profile for donepezil 23 mg/d supports its favorable risk/benefit ratio in patients with moderate to severe AD.</p> <p>Trial Registration</p> <p><a href="http://www.clinicaltrials.gov/ct2/show/NCT00478205">NCT00478205</a></p

Turbulent relaxation to equilibrium in a two-dimensional quantum vortex gas

We experimentally study emergence of microcanonical equilibrium states in the turbulent relaxation dynamics of a two-dimensional chiral vortex gas. Same-sign vortices are injected into a quasi-two-dimensional disk-shaped atomic Bose-Einstein condensate using a range of mechanical stirring protocols. The resulting long-time vortex distributions are found to be in excellent agreement with the mean-field Poisson-Boltzmann equation for the system describing the microcanonical ensemble at fixed energy H and angular momentum M. The equilibrium states are characterized by the corresponding thermodynamic variables of inverse temperature β and rotation frequency ω. We are able to realize equilibria spanning the full phase diagram of the vortex gas, including on-axis states near zero-temperature, infinite temperature, and negative absolute temperatures. At sufficiently high energies the system exhibits a symmetry breaking transition, resulting in an off-axis equilibrium phase at negative absolute temperature that no longer shares the symmetry of the container. We introduce a point vortex model with phenomenological damping and noise that is able to quantitatively reproduce the equilibration dynamics.We experimentally study emergence of microcanonical equilibrium states in the turbulent relaxation dynamics of a two-dimensional chiral vortex gas. Same-sign vortices are injected into a quasi-two-dimensional disk-shaped atomic Bose-Einstein condensate using a range of mechanical stirring protocols. The resulting long-time vortex distributions are found to be in excellent agreement with the mean-field Poisson-Boltzmann equation for the system describing the microcanonical ensemble at fixed energy H and angular momentum M. The equilibrium states are characterized by the corresponding thermodynamic variables of inverse temperature β and rotation frequency ω. We are able to realize equilibria spanning the full phase diagram of the vortex gas, including on-axis states near zero-temperature, infinite temperature, and negative absolute temperatures. At sufficiently high energies the system exhibits a symmetry breaking transition, resulting in an off-axis equilibrium phase at negative absolute temperature that no longer shares the symmetry of the container. We introduce a point vortex model with phenomenological damping and noise that is able to quantitatively reproduce the equilibration dynamics

Functionalized Poly(3-hexylthiophene)s via Lithium–Bromine Exchange

Poly(3-hexylthiophene) (P3HT) is one of the most extensively investigated conjugated polymers and has been employed as the active material in many devices including field-effect transistors, organic photovoltaics and sensors. As a result, methods to further tune the properties of P3HT are desirable for specific applications. Herein, we report a facile postpolymerization modification strategy to functionalize the 4-position of commercially available P3HT in two simple steps–bromination of the 4-position of P3HT (Br–P3HT) followed by lithium−bromine exchange and quenching with an electrophile. We achieved near quantitative lithium–bromine exchange with Br–P3HT, which requires over 100 thienyl lithiates to be present on a single polymer chain. The lithiated-P3HT is readily combined with functional electrophiles, resulting in P3HT derivatives with ketones, secondary alcohols, trimethylsilyl (TMS) group, fluorine, or an azide at the 4-position. We demonstrated that the azide-modified P3HT could undergo Cu-catalyzed or Cu-free click chemistry, significantly expanding the complexity of the structures that can be appended to P3HT using this method.National Science Foundation (U.S.) (ECCS-0939514

Recovery of a temperate reef assemblage in a marine protected area following the exclusion of towed demersal fishing.

Marine Protected Areas MPA have been widely used over the last 2 decades to address human impacts on marine habitats within an ecosystem management context. Few studies have quantified recovery of temperate rocky reef communities following the cessation of scallop dredging or demersal trawling. This is critical information for the future management of these habitats to contribute towards conservation and fisheries targets. The Lyme Bay MPA, in south west UK, has excluded towed demersal fishing gear from 206 km(2) of sensitive reef habitat using a Statutory Instrument since July 2008. To assess benthic recovery in this MPA we used a flying video array to survey macro epi-benthos annually from 2008 to 2011. 4 treatments (the New Closure, previously voluntarily Closed Controls and Near or Far Open to fishing Controls) were sampled to test a recovery hypothesis that was defined as 'the New Closure becoming more similar to the Closed Controls and less similar to the Open Controls'. Following the cessation of towed demersal fishing, within three years positive responses were observed for species richness, total abundance, assemblage composition and seven of 13 indicator taxa. Definitive evidence of recovery was noted for species richness and three of the indicator taxa (Pentapora fascialis, Phallusia mammillata and Pecten maximus). While it is hoped that MPAs, which exclude anthropogenic disturbance, will allow functional restoration of goods and services provided by benthic communities, it is an unknown for temperate reef systems. Establishing the likely timescales for restoration is key to future marine management. We demonstrate the early stages of successful recruitment and link these to the potential wider ecosystem benefits including those to commercial fisheries