1,162 research outputs found

    Antibiotic prescribing and outcomes of lower respiratory tract infection in UK primary care

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    BackgroundLower respiratory tract infection (LRTI) is common in the community, and may result in hospitalization or death. This observational study aimed to investigate the role of antibiotics in the management of LRTI in UK primary care.MethodsPatients receiving a first diagnosis of LRTI during 2004 and satisfying inclusion and data quality criteria were identified in the General Practice Research Database. Factors associated with respiratory infection-related admissions and death in the 3 months following initial diagnosis were identified using Cox proportional hazards regression.ResultsAntibiotic prescribing on the day of diagnosis was associated with a decreased rate of respiratory infection-related admission (hazard ratio: 0.73; 95% confidence interval: 0.58–0.92), while antibiotic prescribing in the previous 7 days (1.92; 1.24–2.96) and prior referral or hospitalization (1.48; 1.20–1.83) were associated with an increased risk of admission. Female sex (0.73; 0.64–0.84), allergic rhinitis (0.48; 0.27–0.83), influenza vaccination (0.75; 0.65–0.87), prior inhaled corticosteroid use (0.63; 0.52–0.76) and antibiotic prescription on the day of diagnosis (0.31; 0.26–0.37) were associated with decreased respiratory infection-related mortality, while a Charlson comorbidity index of &gt; 2 (2.24; 1.72–2.92), antibiotic prescription in the previous 7 days (1.56; 1.20–2.03) and frequent consultation (1.62; 1.09–2.40) were associated with increased mortality.ConclusionsAntibiotic prescribing on the day of LRTI diagnosis was associated with reductions in admissions and mortality related to respiratory infection. Antibiotics may help to prevent adverse outcomes for some patients with LRTI. <br/

    A technical manual for stream improvement on Prince Edward Island

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    by Todd Dupuis, Daryl Guignion, Rosie MacFarlane, and Robert Redmond ; prepared for Morell River Management Cooperative Inc.; Bibliography p. 141-142.Source type: Electronic(1

    Ep. #100 - Robert Macfarlane

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    This recording and transcript form part of a collection of podcasts conducted by the Cultures of Energy at Rice University. Cultures of Energy brings writers, artists and scholars together to talk, think and feel their way into the Anthropocene. We cover serious issues like climate change, species extinction and energy transition. But we also try to confront seemingly huge and insurmountable problems with insight, creativity and laughter.On this week’s landmark 100th episode of the podcast, the artist-almost-known-as-Bebeny tells the true crime story behind her name. Then (14:07) we welcome to the centenary party celebrated writer (and walker!) Robert Macfarlane, author most recently of Landmarks (PenguinRandomHouse, 2015) as well as a frequent contributor to The Guardian. We start with how Rob got from his humble beginnings in 19th century Victorian literary studies to the marvelous entanglements of language and landscape that have been his muse and craft for many years now. Rob talks about his work to salvage the linguistic attentiveness to nature found in the cultures of Britain as well as his fascination of late with what happens when a rapidly changing climate outstrips our lexical resources. That leads us to “solastalgia,” the existential distress we experience through rapid environmental change and dwelling loss. And to Rob’s landscape word of the day project which reveals a hunger for biodiverse terrain language. We ruminate on the “English eerie” as an alternative to the pastoral and how it impacts our peripheral vision of environmental disruption. We touch on the plastics crisis, apocalyptic dreams, shifting baseline syndrome, the gap between childhood and nature, and children as wondernauts. Rob tells us about his trip to the Onkalo nuclear waste storage facility in Finland, a structure devoted to the time scale of eternity, and the problem of communicating danger to future cultures. Then we share our encounters with ice, talk cryo-human relations and the true meaning of nostalgia. If you enjoyed this conversation, please check out Rob’s new film, Mountain (dir. Jennifer Peedom, 2017), and his beautiful new children’s book done together with Jackie Morris, The Lost Words (Hamish Hamilton, 2017), which we’ll go ahead and call our official Cultures of Energy holiday gift recommendation. Please also take a moment to review the pod at iTunes and support the indiegogo campaign for the graphic novel The Beast https://www.indiegogo.com/projects/the-beast-is-a-comic-about-two-dirty-industries-art-comics#/ which thematizes the entanglement of the oil and advertising industries in Canada

    Hartly House, Calcutta : a novel of the days of Warren Hastings /

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    Annotated by John Macfarlane and H.E.A. Cotton.Reprint. Originally published: Calcutta : Thacker, Spink, 1908. The statement "Reprinted from the edition of 1789" is incorrect.Anonymous. The author given is a character in the novel.Mode of access: Internet

    Meet the New Lawyer (reviewing Julie Macfarlane, The New Lawyer: How Settlement Is Transforming the Practice of Law (2008))

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    The publication of Professor Julie Macfarlane\u27s solid and important book establishes a new, high water mark in the maturation of the alternative dispute resolution field. The author maintains, with strong support from research and interviews, that the legal profession is in a process of transformation, having taken on board many of the key principles and assumptions developed over the past three decades of ADR practice and scholarship. ADR has long since ceased to be alternative in the sense of novel or unorthodox, and Macfarlane argues that lawyers are increasingly being called upon to act, not as warriors in court battles, but as advocates for consensus and conflict resolution. While Macfarlane leaves little doubt that she sees this as a largely positive trend, her emphasis is on demonstrating that the alteration of law practice is inevitable and on exploring the implications of this emerging change. Mindful that doubting lawyers and law students are potentially a more important audience than the already-converted choir of ADR scholars and practitioners, Macfarlane is cautious not to reject tradition nor to disrespect existing norms. Indeed, if I have a concern with the book, it is whether, in her thoughtful effort to appeal to the mainstream of the legal profession, the author understates how dramatic and rapidly accelerating are the changes upon us, and how real and potentially counterproductive are the forces of resistance

    Zadeh–MacFarlane–Jamshidi theorems on decoupling of a fuzzy rule base

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    AbstractThis paper outlines the inspiration received by the author from the Zadeh–MacFarlane–Jamshidi trio in his pursuit concerning the theory and Application of fuzzy logic. Beginning with Zadeh’s pioneering work, a hierarchical control system was developed, in collaboration with MacFarlane, for application in robotic manipulators. Subsequently, the work was extended to an analytical basis for controller tuning using fuzzy decision making. On the prompting of Jamshidi to address the issue of knowledge-base simplification, theorems were developed related to decoupling a fuzzy rule base. These developments provided a theoretical basis for applying single-context decision making to a problem governed by the knowledge base of coupled fuzzy rules. The developed theorems establish an analytical equivalence between the decisions made from a coupled set of fuzzy rules and an uncoupled set of fuzzy rules concerning the same problem domain. These developments have been applied to supervisory control of an industrial fish cutting machine. The paper presents the pertinent theory and illustrative examples

    Notice from W.B. Macfarlane, Placement Officer and J. Carroll, Chief of Housing and Employment, December 14, 1942

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    Notice regarding the selection and assignment of incarceree employees at Heart Mountain incarceration camp.The Japanese American Archival Collection documents the people, places, and daily life of Japanese Americans, primarily those who lived in the once thriving community of pre-war Florin in the Sacramento region, as well as the conditions in American incarceration camps during World War II. The approximately 7,000 original items include personal and official letters, photographs, diaries, arts and crafts, newsletters, textiles, camps artifacts, yearbooks and other publications

    The ethics of teaching business ethics: a reflective dialogue

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    This paper takes the form of a reflective dialogue between three teachers of business ethics working in different continents. Originating as a conference debate, it takes as its theme the notion of ideological ‘neutrality’ and the role of the business ethics teacher. A position statement outlines an argument for ‘restraint’ as a modern day Aristotelian mean to protect student academic freedom. Two responses follow. The first of these provides a moderate advocacy position based on Socratic principles. The second response outlines the notion of teaching as a relational process necessitating delayed disclosure and moral courage on the part of the teacher. The paper concludes with a brief reflection by the author of the position statemen
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