2,446 research outputs found
A cross-sectional study of cardiovascular disease risk clustering at different socio-geographic levels in India
No full textPerioperative Goal-Setting Consultations by Surgical Colleagues: A New Model for Supporting Patients, Families, and Surgeons in Shared Decision Making
No full textPatients with postoperative complications are often subjected to prolonged life-sustaining treatment based on erroneous assumptions about their goals of care. Shared decision making is an evidence-based approach that helps ensure patients’ wishes and values are honored in their course of treatment. Perioperative palliative care can help create goal-concordant trajectories of care for high risk, seriously ill, or complicated patients, through sophisticated prognostication, higher-level communication, and recommendations based on the best available evidence and patients’ stated goals and priorities. Here, we present a surgeon-to-surgeon consultative model that surmounts many barriers to perioperative palliative care consultation and, as illustrated in the cases presented herein, offers profound and unique benefits for patients, families, and surgeons alike. While the support of a surgical colleague with palliative care skills can be helpful postoperatively in the setting of unanticipated outcomes or prolonged recovery, it is particularly beneficial when accessed preoperatively for the purposes of goal-concordant decision making and advance care planning. We encourage both individuals and professional societies to develop and expand the niche for surgeons interested in assisting with goal setting and shared decision making for patients on a consultative basis, particularly in the preoperative period
Variation in health system performance for managing diabetes among states in India:a cross-sectional study of individuals aged 15 to 49 years
No full textBackground: Understanding where adults with diabetes in India are lost in the diabetes care cascade is essential for the design of targeted health interventions and to monitor progress in health system performance for managing diabetes over time. This study aimed to determine i) the proportion of adults with diabetes in India who have reached each step of the care cascade, and ii) the variation of these cascade indicators among states and socio-demographic groups. Methods: We used data from a population-based household survey carried out in 2015 and 2016 among women and men aged 15 - 49 years in all states of India. Diabetes was defined as a random blood glucose (RBG) ≥200mg/dl or reporting to have diabetes. The care cascade – constructed among those with diabetes – consisted of the proportion who i) reported having diabetes (‘aware’), ii) had sought treatment (‘treated’), and iii) had sought treatment and had a RBG <200mg/dl (‘controlled’). The care cascade was disaggregated by state, rural-urban location, age, sex, household wealth quintile, education, and marital status. Results: 729,829 participants were included in the analysis. Among those with diabetes (19,453 participants), 52.5% (95% CI, 50.6% - 54.4%) were ‘aware’, 40.5% (95% CI, 38.6% - 42.3%) ‘treated’, and 24.8% (95% CI, 23.1% - 26.4%) ‘controlled’. Living in a rural area, male sex, less household wealth, and lower education were associated with worse care cascade indicators. Adults with untreated diabetes constituted the highest percentage of the adult population aged 15 to 49 years in Goa (4.2%, 95% CI, 3.2 % - 5.2%) and Tamil Nadu (3.8%, 95% CI, 3.4% - 4.1%). The highest absolute number of adults with untreated diabetes lived in Tamil Nadu (1,670,035, 95% CI, 1,519,130 - 1,812,278) and Uttar Pradesh (1,506,638, 95% CI, 1,419,466 - 1,589,832).Conclusions: There are large losses to diabetes care at each step of the care cascade in India, with the greatest loss occurring at the awareness stage. While health system performance for managing diabetes varies greatly among India’s states, improvements are generally particularly needed for rural areas, those with less household wealth and education, and men. Although such improvements will likely have the greatest benefits for population health in Goa and Tamil Nadu, large states with a low diabetes prevalence but a high absolute number of adults with untreated diabetes, such as Uttar Pradesh, should not be neglected. Keywords: diabetes; India; care cascade; health system performanc
'The cracked mirror': Anne Sexton's poetics of self-representation
No full textThis thesis re-evaluates the work of the poet Anne Sexton (1928-1974), concentrating, in particular, on the indeterminacies, contradictions and aporia which it finds to be characteristic of her ostensibly frank and self-revelatory writing. The study is based on a close textual
analysis of Sexton's writing, is informed by oststructuralist theories, and is sustained by an
examination and discussion of archive collections of her previously unpublished papers. In seeking an understanding of Sexton's poetics, the thesis identifies and interrogates the strategies of denial and obfuscation apparent in her own explication of her work - principally, by scrutiny of the unpublished, and previously unresearched, drafts of a series of lectures
which she delivered in 1972. Chapters One and Two consider the origins of `confessional' or - Sexton's preferred term - 'personal' poetry and reassess her place within contemporary poetry. They suggest that
Sexton's writing is engaged in a process of negotiation and contestation, both with the boundaries and expectations of confessionalism, and with the strictures of T. S. Eliot's theory of `impersonality'. In support of these arguments, Chapter Two offer a reading of Sexton's
little-known poem, `Hurry Up Please It's Time', alongside its intertext, Eliot's The Waste Land. Chapter Three reassesses received views of the supposedly beneficial interrelationship between confessional speaker and reader. It examines Sexton's appropriation of dramatic
masks and personae and her use of metaphors of striptease and prostitution, and suggests that these are employed simultaneously to appease and to repel an intrusive audience. Similarly, Chapters Four and Five trace Sexton's problematisation of two previously-accepted tenets of confessional poetry: its status as autobiography and its truthfulness, drawing attention to the techniques employed in order to give the impression of both. Chapter Six considers Sexton's
problematic engagement with a language which is not malleable, transparent, and referential but, rather, is experienced as uncooperative and occlusive. Finally, the thesis recuperates Sexton from the common charge of narcissism, arguing that it is the writing, rather than the poet, which is self-reflexive and self-conscious. In this respect, it concludes that her work - perhaps unexpectedly - anticipates many of the tendencies of postmodernist writing
Interview: Anne-Marie Fortier
No full textThis paper is an edited version of an email interview conducted by Debra Ferreday and Adi Kuntsman with Anne-Marie Fortier, the author of Multicultural Horizons: Diversity and the Limits of the Civil Nation (Routledge, 2008). Fortier’s work has been informative in the development of some of the arguments explored in this special issue; in their conversation Ferreday and Kuntsman asked her to comment on the ideas of haunting, racial imaginaries, nostalgia, national anxieties, political feelings and hopes for the future
Anne Moody History Project Recognized by the Mississippi Department of Corrections: Warden and Staff Praised for Work Honoring Anne Moody, author of Coming of Age in Mississippi
No full textCopyright (c) 2019 by Roscoe Barnes III#AnneMoodyThis is a news report about the retirement of Warden Jody Bradley and the praise he and his staff received for their work at Wilkinson County Correctional Facility (WCCF), Woodville, Miss. Commissioner Pelicia E. Hall of the Mississippi Department of Corrections (MDOC) honored Bradley with a letter of congratulations. In that same letter, she commended him and his team for their work with the Anne Moody History Project (AMHP). AMHP is a staff-led community service endeavor created to promote and help preserve the legacy of civil rights pioneer Anne Moody, author of Coming of Age in Mississippi.To learn more about Anne Moody, see her research page here: http://roscoereporting.blogspot.com/p/anne-moody.html#ComingOfAgeinMississippi</div
Consumption Growth and Agricultural Shocks in Rural Madagascar
No full textThe aim of this paper is to evaluate the effect of rainfall and agricultural shocks on consumption growth in Madagascar. We are also interested in the impact of local endowments in infrastructures and social services on consumption growth. To achieve this goal, a micro model of household consumption growth is estimated thanks to household panel data collected by the Reseau des Observatoires Ruraux (ROR) between 1999 and 2004. Additional data sources include the 2001 communes census organized by the Ilo program of Cornell University. Altogether these different data sources make an unusually rich data set, at least when considered with developing country standards. We use panel data fixed effect estimation technique to remove unobserved household and community level time invariant heterogeneity. We find that production shocks have a substantial impact on consumption growth and we find sign of persistence of rainfall shocks. Roads and education seems to improve household’s consumption growth and remotness decreases it.risks, growth, poverty, Food Security and Poverty,
The prevalence of concurrently raised blood glucose and blood pressure in India:a cross-sectional study of 2,035,662 adults
No full textObjective: In order to inform integrated, person-centered interventions, this studyaimed to determine the prevalence of having both a raised blood glucose (BG) andblood pressure (BP) in India, and its variation among states and population groups.Methods: We pooled data from three large household surveys (the AHS, DLHS-4, andNFHS-4), which were carried out between 2012 and 2016 and included adults aged≥15 years. Raised BG was defined as having a plasma glucose reading ≥126 mg/dl iffasted and ≥200 mg/dl if not fasted, and raised BP as a systolic BP ≥140 mmHg ordiastolic BP ≥90 mmHg. The prevalence of having a concurrently raised BG and BP(‘co-morbid’) was age-standardized to India’s national population structure, anddisaggregated by sex, age group, BMI group, rural-urban residency, household wealthquintile, education, state, and region.Results: The age-standardized prevalence of the co-morbidity was 1.5% (95% CI, 1.5-1.5), varying by a factor of 8.3 between states. Among those aged ≥50 years, 4.5%(95% CI, 4.3-4.7) with a BMI<23.0kg/m2 and 16.1% (95% CI, 15.0-17.4) with a BMI≥30kg/m2 were co-morbid. Age, BMI, household wealth quintile, male sex, and urbanlocation were all positively associated with the co-morbidity.Conclusions: A substantial proportion of India’s population had both a raised BG andBP, calling for integrated interventions to reduce CVD risk. We identified large variationamong states, age groups, and by rural-urban residency, which can inform healthsystem planning and the targeting of interventions, such as appropriate screeningprograms, to those most in need
Interactive Computing and Causality
No full text@inproceedings{ci-nicolle-2006, author = {Nicolle, Anne}, title = {Interactive Computing and Causality}, booktitle = {i-C&P, computers and philosophy, an international conference}, year = {2006}, address = {Laval}, month = {mai}, note = {8 p. à paraître}, country = {FR} }International audienc
Fifty Years of Training String Teachers on the UT Austin Campus: An Interview with Phyllis Young
No full text To commemorate the fiftieth anniversary of the University of Texas String Project, Anne Witt spoke with Phyllis Young, who served as the String Project director from 1958 to 1993. Phyllis Young teaches cello and string pedagogy at the University of Texas at Austin, where she holds the Parker C. Fielder Regents Professorship in Music. She was the first female president of ASTA, from 1978 through 1980, and is the author of The String Play, published by the University of Texas Press, and Playing the String Game, published by Shar Publications. The following comments are those of Phyllis Young, recorded during her interview with Anne Witt in the spring of 1998. </jats:p
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