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The vow of stability:an ethnography of monastic life
No full textThough monastic life is often imagined to be a flight from the world, Benedictine monks take on the intense social commitment of life in close community. Drawing on long-term anthropological fieldwork in a Catholic English Benedictine monastery, this book traces the monks’ daily lives as they confront the eternal in the fabric of the everyday. Bringing into focus the vow of stability – a lifelong commitment to the monastery and its community – this ethnography explores the rhythms and architecture that sustain shared life in a world of movement and fleeting interaction. At the same time, it analyses those social processes that damage and undermine the monastic institution and those in contact with it – in particular the harm caused by sexual abuse. Engaging with the everyday dynamics of life in close community while paying close attention to the time-depth of monastic history, this is a study of how religious institutions endure and change through generations
Healthcare worker views on antimicrobial resistance in chronic respiratory disease
No full textBackground and objective Antimicrobial resistance (AMR) is a global crisis, however, relatively little is known regarding its impact in chronic respiratory disease and the specific challenges faced by healthcare workers across the world in this field. We aimed to assess global healthcare worker views on the challenges they face regarding AMR in chronic respiratory disease. Methods An online survey was sent to healthcare workers globally working in chronic respiratory disease through a European Respiratory Society clinical research collaboration (AMR-Lung) focussed on AMR in chronic lung disease. Responses from different geographic regions were analysed. Results 279 responses were received across 60 countries. 54.5% of respondents encountered AMR in chronic respiratory disease weekly. There were differences in perceived high-priority diseases and species with AMR burden between Europe, Asia and Africa. 76.4% of respondents thought that inappropriate antimicrobial prescribing in chronic respiratory disease was common. However, only 43.4% of respondents thought that there were adequate antimicrobial stewardship programmes in their area for chronic respiratory disease, with limited availability in outpatient (29.0%) and ambulatory settings (24.7%). Developing rapid diagnostics for antimicrobial susceptibility (59.5%) was perceived to be the most common challenge in implementing antimicrobial stewardship, with an improved understanding of regional epidemiology of AMR strains the most important factor to improve outcome (55.2%). Conclusions: AMR has significant perceived burden in chronic respiratory disease by healthcare professionals globally. However, current implementation of antimicrobial stewardship is limited, with significant challenges related to the availability of rapid diagnostics and understanding of regional epidemiology of AMR strains.</p
Theistic Evolution: A Contemporary Aristotelian-Thomistic Perspective. By Mariusz Tabaczek. Cambridge: Cambridge University Press, 2024. Pp. 315. £85.00.
No full textPiloting an external quality assurance program (QAP) for COVID-19 antigen rapid diagnostic tests (Ag-RDTs):findings and lessons learned from Cambodia
No full textRapid antigen diagnostic tests (Ag-RDTs) that quickly and accurately identify SARS-CoV-2 are an essential part of the COVID-19 response, but multiple factors can affect the validity of Ag-RDTs results. In Cambodia, several commercial Ag-RDTs have become available since the COVID-19 outbreak, but quality control (QC) and external quality assurance (EQA) of these rapid tests have yet to be fully and systematically implemented. We collaborated with laboratory experts in Australia and piloted an EQA programme of the commonly used COVID-19 Ag-RDTs at the University of Health Sciences' MERIEUX Laboratory (Tier 1 site-responsible for the in-country receipt and distribution of QA material) and four other participating laboratories (Tier 2-healthcare facility based) between November 2021 and November 2022. The preimplementation training including the Khmer-translated documentation was conducted virtually for Tier 1 laboratories and in-person for Tier 2 laboratories. All QC (n=290) and EQA (n=60) specimens were distributed to the laboratories and testing was performed according to the frequency of Ag-RDTs use in each laboratory. All National Reference Laboratory-provided EQA and QC specimens were tested and results were submitted via the EDCNet portal using QR code scanning. The Tier 1 laboratory reported 100% concordance with the EQA reference result, while some of Tier 2 laboratories' results were discordant. While continued capacity building and support with troubleshooting have been key to the successful EQA piloting at the UHS laboratory, the programme experienced delays in the shipping/delivery of EQA and QC panels due to customs and border requirements, which could have hindered implementation and potentially impacted the quality of the QA materials. The pilot EQA programme demonstrated potential scalability and provided data on the reliability of test results at the site. However, to ensure sustainability and practicability of this activity, in-country EQA panel preparation may need to be considered.</p
Regulation and governance for the implementation and management of point-of-care testing in Australia:a scoping review
No full textBackground: Point-of-care testing (PoCT) is an increasingly important diagnostic tool in the healthcare system for accessible pathology testing in hospital, primary care, and community care settings. Clear regulation and governance models are important to ensure quality of PoCT results for patient care.Methods: This review aimed to identify existing regulation and guidelines for management of PoCT and how this has been implemented within Australian healthcare services. We conducted a search of academic publications in PubMed and grey literature (national, state, and independent organisations) and other publicly available information from internet searches for governance of PoCT in Australia. Relevant data from these sources were extracted and narratively synthesised.Results: Forty-seven sources (17 studies from PubMed, 30 grey literature) were included in the final review. Of the grey literature sources, fifteen current PoCT governance documents comprising of six standards, five guidelines and four frameworks at the international, national and jurisdictional level were included with an increasing number of grey literature sources since the onset of the COVID-19 pandemic in 2020. The seventeen included research articles were categorised according to implementation barriers and facilitators with the themes of workforce, clinical governance, PoCT workflow, and cost. An understanding of the clinical and cultural context for PoCT was the most frequently reported facilitator of PoCT, while the most frequently reported barrier was related to inadequate data management.Conclusion: This review demonstrated limited and inconsistent sources on regulatory and governance models for implementing and managing PoCT in Australia. Identified PoCT programs showcased diverse implementation and governance models to support quality PoCT, with few reporting formal accreditation. Streamlined, practical regulation and governance for PoCT may increase adoption across healthcare settings while ensuring quality results and meeting the needs of patients and healthcare practitioners.</p
Perceptions of gender role discontinuity and collective nostalgia for traditional gender relations shape men’s support for gender equality
No full textMen’s gender roles have changed dramatically over the past few decades. We examined whether the evaluation of this discontinuity in men’s gender roles predicts cis men's attitudes toward gender equality, and whether nostalgic reverie for traditional gender relations mediates this association. Support was found for our hypothesized mediation model across three studies (and an internal meta-analysis of the main effects) conducted in two different countries (United Kingdom and United States): one correlational (N = 333) and two experimental (Ns = 368 and 432, respectively). Specifically, when discontinuity in men’s gender roles (measured or manipulated) was perceived to be negative relative to positive, men expressed greater nostalgia for traditional gender relations, which reduced support for gender equality. Results not only address a gap in understanding the factors that shape men’s attitudes towards gender equality but also inform the development of interventions that promote gender equality and challenge traditional gender roles and gender stereotypes
Hearing voices and imagining the rainforest:why Artificial Intelligence (AI) cannot compete with the need for the ‘human touch’ in research analysis
No full textWomen's Voices from the Rainforest. Janet Gabriel Townsend (in collaboration with Ursula Arrevillaga, Jennie Bain, Socorro Cancino, Susan F. Frenk, Silvana Pacheco and Elia Pérez). Routledge, London, UK and New York, USA, 1995, pp. viii + 212. ISBN 978-0-415-10532-3 (pbk)
Optimising episodic encoding within segmented virtual contexts
No full textThe encoding of episodic memories depends on segmentation; memory performance improves when segmentation is available and performance is impaired when segmentation is absent. Indeed, for episodic memories to be created, the encoding of information into long-term memory requires the experience of event boundaries (i.e., context-shifts defined by salient moments of change between packets of to-be-learned stimuli). According to this view episodic encoding, and therefore learning, is critically dependent on the nature of working memory. Motived by this theoretical framework, here we explore the effects of segmentation on long-term memory performance, investigating the possibility of optimising learning by aligning the presentation of stimuli to the capacity of working memory. Across two experiments, we examined whether manipulating the boundaries between events influences memory. Participants travelled within a virtual environment, with spatial–temporal gaps between virtual locations providing context-shifts to segment sequentially presented lists of words. Both accurate recall and memory for temporal order improve and the number of falsely recalled words reduces when reducing the quantity of information presented between boundaries. Taken together, the present results suggest that closely matching the quantity of information between boundaries to working memory capacity optimises long-term memory performance.</p
Mapping and explaining sectarianization in the Syrian Uprising:the dynamics of regime-opposition interaction at the domestic level
No full textThis chapter asks what explains why peaceful protest for reform in Syria turned into a sectarian civil war. While looking briefly at the structural roots of the uprising, the stress will be on agency—the narratives and actions of rival political actors--that explain sectarianization. The chapter proceeds with a macro-overview of the origins and trajectory of the uprising, identifying key turning points and watersheds. It then focuses on the rival narratives of the uprising, showing how these converged on a “master narrative” of sectarianism which shaped perceptions and behaviour. It then looks at the consequences of sectarianization for the identities of Syrians, asking whether their perceptions and narratives manifested a turn to sectarian polarization. It argues that while the pre-existing relation of sectarianism to the political order, and the exclusionary political economy strategies of the 2000s, created conditions conducive to discontent, it took the interaction of agency—the regime and its supporters—vs opposition activists and fighters and their backers--to sectarianize this discontent