1,721,738 research outputs found
The management of acute infective conjunctivitis in general practice
No full textAcute infective conjunctivitis (AlC) is a common self-limiting condition presenting to general practice. However, evidence is limited on GPs current management of AlC, patients' understanding of conjunctivitis or the most appropriate management strategy for AlC in general practice.The aims of this thesis where to: 1) To determine GPs' current management strategies for AlC 2) To gain an understanding of patients concerns and beliefs about AlC and develop a patient information leaflet (PIL). 3) To assess the effect of common management strategies for AlC on symptom resolution and patients belief in antibiotics.Three complementary studies were used: 1) A postal survey of 300 GPs regarding their diagnosis and management of AlC. 2) A qualitative study involving interviews with 25 patients to explore conjunctivitis from the patients' perspective. 3) An open randomised controlled tria~ with 307 recruits, to assess the effect of different management strategies (immediate, delayed or no offer of antibiotics; a patient information leaflet and an eye swab) for AlC in general practice.The results were: 1) Survey: 95% of responding GPs usually prescribe topical antibiotics for AlC despite 58% stating that they thought at least half of the cases they see are viral in origin. Only 36% of GPs believed they could discriminate between viral and bacterial infection 2) Qualitative study: patients regarded conjunctivitis as a minor illness although some considered it might become more serious if not treated. They stated a preference not to take medication but believed that conjunctivitis would not clear without treatment. However, they were open to alternative management approaches (e.g. delayed prescription approach) because they trusted their GPs judgement. Once aware of the self-limiting nature of conjunctivitis, patients felt they would prefer to wait a few days to see if it improved before seeking medical advice even if this resulted in a few more days of symptoms. 3) Randomised trial: different prescribing strategies did not affect symptom severity in the ftrst 3 days, but duration of moderately bad symptoms was less with antibiotics (control 4.83 days, immediate 3.26 days (p=0.001), delayed 3.86 days (p=0.002)). Compared with no initial offer of antibiotics, antibiotic use was higher in the immediate group (control 30%, immediate 99% (p=0.001), delayed 53% (p=0.004)) as was belief in the effectiveness of antibiotics (control 47%, immediate 67% (p=0.03); delayed 55% (p=0.35)) and intention to re-consult (control 40%, immediate 68% (p=0.001), delayed 41 % (p=0.98)). A patient information leaflet or an eye swab had no affect on the main outcomes, but an eye swab seemed to increase patient worry about AlC and a PIL seemed to increase satisfaction with the consultation and the amount of information received. Re-attendance in the next two weeks was less in the delayed group (delayed OR 0.33 (0.11;0.98); immediate OR 0.65 (0.26; 1.63)).In conclusion: Most general practitioners prescribe topical antibiotics for most cases of acute infective conjunctivitis -a self-limiting condition. Most patients are unaware of the self-limiting nature of AlC. A delayed prescribing approach is probably the most appropriate strategy to use for the management of acute conjunctivitis in primary care - it reduces antibiotic use by nearly 50%, shows no evidence of 'medicalisation', provides similar symptom duration and severity to immediate prescribing and reduces re-attendance in the short term compared with no offer of antibiotics
Tetrameryx shuleri Excavation, Reverse
No full textThe reverse side of a black and white photograph of students and other field crew excavating the fossil remains of an extinct species of pronghorn antelope (Tetrameryx shuleri) at the Lake Tawakoni - Iron Bridge Dam research site. The fossils were excavated, identified, and preserved under the instruction of Professor Hazel A. Peterson, Earth Sciences Department faculty. [handwritten inscription] Students: William A. Owens, John H. Martin, Sara Fanning, Lucy McLaughlin, Jeff Holland, (unidentified freshman - Pat Kemp?), Owens\u27 son in foreground, Doris Watson; Sabine Authority contractors in background (in hats). Excavation of Tetrameryx shuleri - rare antelope skull at Iron Bridge - Lake Tawakoni research site, fall of 1959, under Hazel A. Peterson, ETSC Instructor (and photographer). (Owens is now well-known author on agriculture and prof. at Columbia Univ.) H.A.P., 1979https://lair.etamu.edu/scua-joan-echols-images/1017/thumbnail.jp
Weaponising peace: the Greater London Council, cultural policy and ‘GLC peace year 1983’
No full textThis paper explores how the Greater London Council (1981–1986) deployed community focused cultural policy initiatives to disseminate cultural forms of nuclear scepticism during its ‘GLC Peace Year 1983’ campaign. Drawing upon archival sources and interviews, this paper will present an overview of Peace Year’s cultural programme, which promoted London’s ‘nuclear-free zone’ through arts commissions, poster campaigns, pop concerts, murals, documentary films and photography exhibitions. Focusing on two GLC funded projects aimed at promoting positive representations of women’s peace activism, this paper will reflect upon the emotional and political impacts of the GLC’s radical cultural strategy.</p
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Beyond the ‘Campaign for a Popular Culture’: community art, activism and cultural democracy in 1980s London
No full textThis thesis offers a new cultural history of State sponsored cultural production in London under the Labour led Greater London Council during the 1980s, bringing the GLC’s cultural policy interventions to the attention of historians of art and culture. The Greater London Council’s Arts and Recreation Committee, and in particular its new ‘Community Arts’ and ‘Ethnic Arts’ Sub-Committees, sought to challenge the Arts Council’s dominant model of cultural sponsorship which aimed to broaden public access to ‘the arts’. The GLC attempted instead to foster a participative ‘cultural democracy’ in London, often centred upon particular political themes and identities. Alongside existing accounts which focus exclusively upon the GLC’s cultural policy discourse, this new cultural history attends to the other side of the sponsorship equation, namely, what cultural forms were prioritised by the various committees, how such policies were perceived by the recipient cultural producers, what cultural texts were produced as a result of GLC sponsorship and how these cultural forms were received more broadly. It explores how the GLC impacted upon cultural production in London, looking to the interrelationship between particular GLC sponsored cultural outputs, whether artworks, murals, posters or films, and wider political and social themes pertinent to that historical moment. In particular, this thesis interrogates cultural forms funded under the auspices of two city-wide campaigns, ‘GLC Peace Year’ (1983) and ‘London Against Racism’ (1984), in order to consider the relationship between GLC cultural sponsorship, cultural production, new social movement activism and democratic participation. Cultural forms of nuclear criticism were funded during ‘Peace Year’ to raise awareness about the GLC’s Nuclear-Free Zone, contradicting central government’s nuclear stance in 1983. These included artist-commissioned poster campaigns and banners, peace murals, pop concerts, community theatre, photography exhibitions and documentary films, including some related to peace activism by women. This case study traces Peace Year’s cultural output to consider the effects of this appeal to London’s nuclear anxieties. The second case study offers a re-reading of the GLC’s new ‘Ethnic Arts’ Sub-Committee’ and its attempts to instigate an anti-racist cultural policy, as part of a broader campaign that sought to address the issue of discrimination in London and across all areas of Council work. It begins by recording a number of the GLC’s initiatives in this area, including its sponsorship of various forms of black cultural production and in particular, the controversial ‘Anti-Racist Mural Project’. Through an examination of contemporaneous and subsequent critical accounts of the GLC’s experiments alongside Council minutes and papers, this account adds nuance to existing narratives by identifying the climate of coexisting and competing discourses at the GLC relating to the state sponsorship of culture and diversity. Ultimately, ‘Beyond The ‘Campaign For A Popular Culture’: Community Art, Activism And Cultural Democracy In 1980s London’ presents a history of the practices and policies of the GLC that is pointedly cultural in focus and attempts to open this field of study to researchers interested in visual culture, art history, community art, identity politics, activism and urban history, alongside those with an interest in cultural policy making at a local government level
Pleistocene Horse Skull, Reverse
No full textThe reverse side of a black and white photograph of students restoring a Pleistocene (Ice Age) horse\u27s skull. The skull was discovered at the Lake Tawakoni - Iron Bridge Dam research project site. The skull was excavated, identified, and preserved under the instruction of Professor Hazel A. Peterson, Earth Sciences Department faculty. [handwritten inscription] Pleistocene horse\u27s skull from Iron Bridge - Lake Tawakoni research under Hazel A. Peterson, 1959. (Photo in Lab ETSC.) Rose Lemmon on left, Eva Harness on right, (both freshmen then), doing restoration work.https://lair.etamu.edu/scua-joan-echols-images/1008/thumbnail.jp
- …
