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The Burden of Treatment Among Delhi’s Homeless: An Analysis of Street Medicine Consultations
No full textBackground: The health challenges faced by the homeless are widely unaccounted for in the global south. In India, the lack of a primary healthcare sector in urban areas has led informal healthcare providers, such as Street Medicine, to step in.
Methods: By compiling data collected by the Centre for Equity Studies’ Street Medicine teams from June 2016 to October 2018 (n =16,635), this study provides the first empirical assessment of the homeless disease burden in a global south country, while limited to only the people experiencing homelessness that the teams treat, hence being a burden of treatment. Our analysis quantifies this burden among those who seek care from Street Medicine teams and identifies variations in this burden’s distribution across demography and time.
Results: The majority (n = 13,557; 81.5%) of Street Medicine cases can be attributed to 19 diagnoses or symptoms, which are mostly therapeutically-simple conditions. The distribution of disease seems to be affected by different configurations of three characteristics: demographics (age and sex), urban geography (where homeless reside), and season.
Conclusion: The Street Medicine teams must reflect on the balance they wish to achieve by addressing the relatively common and mild conditions documented in the dataset, and more severe and established diseases within homeless communities. Rapid diagnostic tests for resource-constrained settings could be integrated into Street Medicine practice in order to strengthen the data on which resource allocation decisions are made and improve assessments of homeless disease burden
Homelessness and Mental Illness: Using Participatory Action Research to Inform Mental Health Counseling
No full textHomelessness and mental illness frequently occur together. Individuals who have a mental illness and are homeless may experience a range of challenges and are often underserved by behavioral health professionals. This study used Participatory Action Research to form a working group (n=6), which met at a homeless shelter located in a small city in the United States (U.S) mid-Atlantic region, to generate insights and responses to the challenges they had encountered. The authors posed several research questions in the context of lived experiences of individuals who experience homelessness and mental illness. The researchers used Interpretive Phenomenological Analysis to interpret the data in light of these questions. We generated four key themes: the trauma of homelessness and mental illness, the power of personal connection, personal agency, and achievement, and meaning through action. For mental health counselors, suggestions include incorporating a trauma-informed framework, minimal turnover in counselor coverage, and a client-centered approach.
Ferdinand Georg Waldmüller, un destin encore inaccompli
No full textCommentaire suivant les expositions au petit palais du Musée du Louvre, 2009 (cf. le livre de l’exposition (note 1), et au Musée du Belvédère, Vienne 2023.Commentaire suivant les expositions au petit palais du Musée du Louvre, 2009 (cf. le livre de l’exposition (note 1), et au Musée du Belvédère, Vienne 2023
The Temporalities of Agony: Maurice Denis, the Plague, and the Decorative in Le Voyage d’Urien
No full textIn 1893, painter Maurice Denis collaborated with his friend, the novelist André Gide, for the illustrations of Le Voyage d'Urien. This short novel narrates the story of a symbolic and fantasised journey, which leads Urien and his fellow travelers to land on an island struck by the plague. With the lithograph on page 48, representing four plague-stricken individuals, I argue that Denis transposed his theories on the decorative, formulated in his "Définition du Néo-Traditionnisme" in 1890. I contend in this essay that through this lithograph Denis synchronizes multiple temporal levels by representing the same figure four times. On the level of the subject, the agony of the plague-stricken relates to a private time distinct from society’s public time. Moreover, the sequencing of the disease into four stages partakes in the journey towards absolution. Regarding the composition of the work, the decorative elements belong to their own temporality which is integrated on the spatiality of the page and recalls a so-called “archaic” and “primitive” time. 
Orthodoxy, Orthopraxy, and Locke’s Arguments for Toleration
No full textA Letter Concerning Toleration (1689) comprises John Locke’s mature thoughts on religious toleration. In it, Locke offers three political arguments against state religious coercion. He argues that it is impossible, impermissible, and inadvisable for the civil magistrate to enforce ‘true religion,’ which Locke defines as the ‘inward and full persuasion of the mind’ (Works, 6:10). Notwithstanding the various internecine conflicts within Christianity, conflicts which motivated Locke’s concern with toleration, all of the many-splendored sects of Christianity nonetheless share the notion that orthodoxy (correct belief) is required for salvation. Since the early days of Christianity, orthodoxy has represented the lowest-common-denominator obligation of adherents to Christianity. Locke’s political arguments in the Letter, at least in their first instance, assume an orthodox definition of “true religion.” This is likewise true of those who have either defended or criticized Locke’s arguments in the secondary literature. In contrast to Locke and his commentators, we will argue that the dominant characterization of “true religion” globally and throughout history does not concern correct religious belief as much as it concerns correct religious practice, or orthopraxy. Even though it has not received as much attention in the literature, Locke does discuss orthopraxy–what he calls ‘outward worship’–at length in the second half of the Letter (Works, 6:29-39). We will demonstrate how versions of all three political arguments for toleration can be redeployed to constrain the power of the magistrate within an orthoprax conception of true religion
Relief, but at What Cost? An Analysis of the Establishment of Comfort Women Stations in China, 1930-1939
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Arbitrary-precision computation of the gamma function
No full textWe discuss the best methods available for computing the gamma function Γ(z) in arbitrary-precision arithmetic with rigorous error bounds. We address different cases: rational, algebraic, real or complex arguments; large or small arguments; low or high precision; with or without precomputation. The methods also cover the log-gamma function log Γ(z), the digamma function ψ(z), and derivatives Γ⁽ⁿ⁾(z) and ψ⁽ⁿ⁾(z). Besides attempting to summarize the existing state of the art, we present some new formulas, estimates, bounds and algorithmic improvements and discuss implementation results
Improving Margins of Resection in Surgical Oncology with the Intelligent Surgical Knife
No full textMargins of resection in surgical oncology are often a trade-off between decreasing cancer recurrence and preserving a patient’s aesthetic and function. The intelligent surgical knife (iKnife) aims to provide margins of resection in real-time leading to improved clinical outcomes while giving surgeons the confidence to excise tumors with smaller margins of resection. The iKnife utilizes mass spectrometry to identify the lipid and protein profiles of cells as they are cut with an electric cauterization tool. Through techniques such as multivariate analysis, proprietary software can discern healthy and cancerous tissue without the need for histological sectioning and staining. The effectiveness of the iKnife has been demonstrated ex vivo and in vivo with several types of tumors such as breast, ovarian, and colon cancer. The iKnife presents an exciting novel tool in the field of surgical oncology with the ability to provide an avenue to personalized medicine in the future