This article brings an account of reasonable expectations to bear on the question of when unauthorized immigrants have a right to be regularized—that is, to be formally guaranteed freedom from the ...threat of deportation. Contrary to the current literature, which implicitly relies on a flawed understanding of reasonable expectations, this article argues that only those unauthorized immigrants who have both been tacitly permitted by the state despite lacking formal authorization and have remained long enough to develop deep social roots in the state have a right to regularization.
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BFBNIB, DOBA, IZUM, KILJ, NMLJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, ZRSKP
The structural and physiologic changes in a woman's body during pregnancy can predispose pregnant women to low back pain and its associated disability, as well as to complications of pregnancy, ...labor, and delivery. Anecdotal and empirical evidence has indicated that osteopathic manipulative treatment (OMT) may be efficacious in improving pain and functionality in women who are pregnant. Based on that premise, the Pregnancy Research on Osteopathic Manipulation Optimizing Treatment Effects (PROMOTE) study was designed as a prospective, randomized, placebo-controlled, and blinded clinical trial to evaluate the efficacy of an OMT protocol for pain during third-trimester pregnancy. The OMT protocol developed for the PROMOTE study was based on physiologic theory and the concept of the interrelationship of structure and function. The 12 well-defined, standardized OMT techniques used in the protocol are commonly taught at osteopathic medical schools in the United States. These techniques can be easily replicated as a 20-minute protocol applied in conjunction with usual prenatal care, thus making it feasible to implement into clinical practice. This article presents an overview of the study design and treatment protocols used in the PROMOTE study.
In August–September 2004, a cryptosporidiosis outbreak affected >250 persons who visited a California waterpark. Employees and patrons of the waterpark were affected, and three employees and 16 ...patrons admitted to going into recreational water while ill with diarrhoea. The median illness onset date for waterpark employees was 8 days earlier than that for patrons. A case-control study determined that getting water in one's mouth on the waterpark's waterslides was associated with illness (adjusted odds ratio 7·4, 95% confidence interval 1·7–32·2). Laboratory studies identified Cryptosporidium oocysts in sand and backwash from the waterslides' filter, and environmental investigations uncovered inadequate water-quality record keeping and a design flaw in one of the filtration systems. Occurring more than a decade after the first reported outbreaks of cryptosporidiosis in swimming pools, this outbreak demonstrates that messages about healthy swimming practices have not been adopted by pool operators and the public.
The value added by public participation to decision-making in the Office of Environmental Management (EM) in the Department of Energy (DOE) can be enhanced through better organization, improved ...participation strategies and mechanisms, and integration with other aspects of decision-making (e.g., problem definition, mission development, identification and evaluation of decision alternatives, and decision implementation). The opportunity to improve the value added by public participation, however, is contingent on being able to demonstrate that the resources devoted to such activity is a sensible and worthwhile investment. This article summarizes research conducted to expand those savings and improvements and facilitate other improvements by developing a set of performance-based indicators, based on discrete attributes of successful public involvement, for use in evaluating public participation programs and activities in EM, with special emphasis on activities implemented in the field offices of DOE. The success attributes and indicators were developed through reviews of appropriate research literatures and through intensive interviews with and surveys administered to diverse stakeholders, including DOE project managers and public participation specialists, contractor project managers and public participation specialists, representatives of tribal, state, and local governments, federal and state regulatory authorities, environmental interest groups, and other interested parties, at nine DOE facilities in the United States.
Advanced technologies and alternative building methods can radically improve the energy efficiency, affordability, durability, environmental performance, disaster resistance, and safety of the ...nation's housing. However, although many of these technologies and building methods exist, adoption of innovation in the housing industry is not so easy to accomplish. The US housing industry is an incredibly fragmented industry, making widespread change difficult to achieve. The Partnership for Advancing Technology in Housing (PATH) program was created to address these issues of innovation adoption. PATH is an umbrella organization that integrates the efforts of 13 different federal agencies and more than 300 industry partners to encourage the creation and adoption of advanced housing technologies and alternative building materials to improve the nation's housing. PATH coordinates the activities of their participants using a three-pronged approach: research and development, policy formulation, and information dissemination.
Coronary artery bypass graft (CABG) surgery is a common procedure for patients with coronary artery disease. The physiologic effects of postoperative osteopathic manipulative treatment (OMT) ...following CABG have not been documented previously.
To determine the effects of OMT on cardiac hemodynamics post-CABG surgery.
Pilot prospective clinical study (N=29).
Treatment subjects (n=10) undergoing CABG surgery were recruited for postoperative OMT. The primary assessment compared, pre-OMT versus post-OMT, measurements of thoracic impedance, mixed venous oxygen saturation (SvO2), and cardiac index. Records of control subjects (n=19) who underwent CABG surgery--but who did not receive OMT--were assessed for SvO2 and cardiac index at 1 hour and 2 hours postsurgery.
Immediately following CABG surgery (< or = 2 h), OMT was provided to subjects to alleviate anatomic dysfunction of the rib cage caused by median sternotomy and to improve respiratory function. This adjunctive treatment occurred while subjects were completely anesthetized.
A post-OMT increase in thoracic impedance (P < or = .02) in OMT subjects demonstrated that central blood volume was reduced after OMT, suggesting an improved peripheral circulation. Mixed venous oxygen saturation also increased (P < or = .005) after OMT. These increases were accompanied by an improvement in cardiac index (P < or = .01). Comparisons of postoperative measurements in OMT subjects versus those in control subjects revealed statistically significant differences for SvO2 (P < or = .005) and cardiac index (P < or = .02) between the two groups.
The observed changes in cardiac function and perfusion indicated that OMT had a beneficial effect on the recovery of patients after CABG surgery. The authors conclude that OMT has immediate, beneficial hemodynamic effects after CABG surgery when administered while the patient is sedated and pharmacologically paralyzed.
A congressional mandate to dispose of the current US stockpile of lethal unitary weapons (Public Law 99-145, Department of Defense Authorization Act of 1986) has international implications and is ...responsible for a recent major assessment of available disposal alternatives. Eight installations in the continental United States currently host aging stockpiles of chemical warfare agents. The stockpiles are described, the toxicology and physical properties of each agent are characterized, disposal options considered by the US Army are identified, and the role of a programmatic health and environmental assessment in the decision-making process is outlined. Critical findings are that existing community emergency planning and preparedness are inadequate and that communication of risk information requires significant improvement. Measures are under way to address these needs. However, timely disposal of the stockpile entails less of a hazard than continued storage.
We administered 0.5% bupivacaine 30 ml either with or without adrenaline 5 ug ml−1 randomly to 16 healthy outpatients, to determine the efficacy of local and intra-articular local anaesthesia for ...knee arthroscopy and whether or not adrenaline should be added to intra-articular bupivacaine. Bupivacaine concentrations were measured in plasma obtained 15, 30, 45 and 60 min after intra-articular injection. Patients receiving bupivacaine with adrenaline had significantly smaller plasma concentrations of bupivacaine at all times than did patients receiving plain bupivacaine. The maximal concentrations of bupivacaine in the plain group (median 515 ng ml−1, range 46–875 ng ml−1) were greater than those in the adrenaline group (median 33 ng ml−1, range 7–125 ng ml−1) (P = 0.001). All patients found the anaesthetic satisfactory. We conclude that intra-articular/local anaesthesia is satisfactory for outpatient arthroscopic surgery, and that adrenaline should probably be added to bupivacaine before intra-articular injection.
Rethinking Sexuality Larmour, David H.J; Miller, Paul Allen; Platter, Charles
2021, 2021-01-12
eBook
In this collection of provocative essays, historians and literary theorists assess the influence of Michel Foucault, particularly his History of Sexuality, on the study of classics. Foucault's famous ...work presents a bold theory of sexuality for both ancient and modern times, and yet until now it has remained under-explored and insufficiently analyzed. By bringing together the historical knowledge, philological skills, and theoretical perspectives of a wide range of scholars, this collection enables the reader to explore Foucault's model of Greek culture and see how well his interpretation accounts for the full range of evidence from Greece and Rome. Not only do the essays bring to light the assumptions, ideas, and practices that constituted the intimate lives of men and women in the ancient Mediterranean world, but they also demonstrate the importance of the History of Sexuality for fields as diverse as Greco-Roman antiquity, women's history, cultural studies, philosophy, and modern sexuality. The essays include "Situating The History of Sexuality " (the editors), "Taking the Sex Out of Sexuality: Foucault's Failed History" (Joel Black), " Incipit Philosophia " (Alain Vizier), "The Subject in Antiquity after Foucault" (Page duBois), "This Myth Which Is Not One: Construction of Discourse in Plato's Symposium " (Jeffrey S. Carnes), "Foucault's History of Sexuality: A Useful Theory for Women?" (Amy Richlin), "Catullan Consciousness, the 'Care of the Self, ' and the Force of the Negative in History" (Paul Allen Miller), "Reversals of Platonic Love in Petronius' Satyricon" (Daniel B. McGlathery), and an essay from Dislocating Masculinity (Lin Foxhall).
RECENT SCHOLARSHIP has attempted to narrow and revise Foucault’s radical constructionist stance on the question of ankxient sexuality. Amy Richlin maintains that the Roman world should be excluded ...from at least the most absolute formulation of constructionism;¹ for Greece itself, Maud W. Gleason’s work on physiognomical treatises points toward the existence, as early as the Hellenistic era, of the kinaidos as a distinct type whose sexual passivity is a constitutive element of his personality, one which permeates every aspect of his being.² Does the model, then, of the absence of object-based sexual definition and categorization, of the lack of problematization
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