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1 – 10 of 56Twin to Twin Transfusion Syndrome (TTTS) is a well understood, yet under-recognized, placental disease affecting any given pregnancy at a rate of 1 in 1,000. There is no…
Abstract
Purpose
Twin to Twin Transfusion Syndrome (TTTS) is a well understood, yet under-recognized, placental disease affecting any given pregnancy at a rate of 1 in 1,000. There is no clustering of TTTS; instead the threat remains pathologically distinctive due to its pervasiveness. However, while incidence rates are random, survival rates are not. Despite compliant acceptance of “routine prenatal care,” sadly, there are many women who for currently unknown reasons are not receiving the advanced prenatal care needed to appropriately screen for, diagnosis and treat TTTS. And these women are paying the ultimate price for such obstetrical oversight.
Methodology
This study hypothesizes that differential care being given by primary obstetricians of TTTS patients is resulting in experienced inequalities. Utilizing social reproduction theory, and through ethnographic and quantitative analyses of primary data, this study seeks to divulge the complex social processes taking place (or failing to take place) within the world of American obstetrics, and begin to understand how they are affecting TTTS mortality and morbidity rates.
Findings
Findings illuminate a profound imbalance of power and influence amongst the following entities: American Congress of Obstetricians and Gynecologists and Society of Maternal Fetal Medicine; obstetrical training and practice; and levels of patient awareness and advocacy.
Value
This study argues that the current social relations being reproduced by these entities are perpetuating a climate that allows for disregard of proper TTTS management. Specifically, this study theoretically explores what social relations and subsequent (in)actions are being reproduced prior to TTTS diagnoses, and applies the effects of those observations.
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Vanessa Urch Druskat and Anthony T. Pescosolido
The purpose of this paper is to help clarify the actions of effective emergent leaders in self-managing work teams (SMWTs). Multiple methods were used to test hypotheses that…
Abstract
The purpose of this paper is to help clarify the actions of effective emergent leaders in self-managing work teams (SMWTs). Multiple methods were used to test hypotheses that leader's behaviors consistent with the development of emotionally competent team norms (interpersonal understanding, caring behavior, creating an optimistic environment, and proactive problem solving) would be more strongly linked to team trust, open communication, personal task engagement, and team effectiveness than traditional task-focused leader's behaviors (directive statements, using questions). Most hypotheses were supported. Directive leader's behaviors were for the most part negatively associated with team trust, open communication, and personal task engagement. It is argued that in SMWTs that have a history and a future together, emergent leaders who engage in behaviors that build emotional competence in the team are more likely to create team effectiveness than emergent leaders focused on directing team members.
The referendum debate in Ireland on whether voting in favour of the Lisbon Treaty has filled the pages of newspapers and the online media. Several anti-EU campaigns have emerged…
Abstract
The referendum debate in Ireland on whether voting in favour of the Lisbon Treaty has filled the pages of newspapers and the online media. Several anti-EU campaigns have emerged and politicians have shown their own attitudes towards the ratification process. Being our first contact with reality newspapers enable potential readers to better understand their lives and socio-political events (Van Dijk, 1991; Richardson, 2007). It has been argued that newspapers construe public identities for individuals and social groups through specific textual strategies and contribute to our understanding of belonging to a community (Fairclough, 1995a). Some scholars have proved that, in reporting on European matters, British newspapers are mainly Eurosceptic and tend to depict EU leaders in a negative light (Musolff, 2004; Nasti, 2012). It has also been demonstrated that when reporting on European integration newspapers tend to define what it means to be a European citizen by construing their own images of Europe. By doing so, newspapers have the power to support or subvert the feeling of European belonging by showing desired or unwanted scenarios. In his analysis of newspaper discourse, Fowler (1991) points out how transitivity is of great interest in newspaper analysis as it is a potential tool to investigate the same event in different ways, thus providing different views on the social and political events reported.
Against this framework, the present chapter aims to analyse, by combining a quantitative and a qualitative approach, how newspapers construct professional, social and private identity of the European politicians involved in the Lisbon Treaty debate following the features introduced by Fairclough (1995b) and Halliday and Matthiessen (2004) transitivity model. This study also investigates what qualities and features are attributed to EU leaders and to what extent the stereotyped roles of previous studies are also revealed through the analysis of material, mental and verbal processes.
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Academic freedom is a complicated issue for military service academies. As accredited institutions of higher learning, academic freedom is valued. At the same time, the academies…
Abstract
Academic freedom is a complicated issue for military service academies. As accredited institutions of higher learning, academic freedom is valued. At the same time, the academies are subject to regulations that guide speech and publishing by the Department of Defense. This chapter explores the balance between maintaining academic freedom while upholding the discipline contained in regulations concerning free speech. The chapter concludes with a view to the future and opportunities for further research.
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In In Re Widening of Beekman Street, a nineteenth century legal case in New York State which involved questions of who owned the bodies of the dead – whether it was the state, the…
Abstract
In In Re Widening of Beekman Street, a nineteenth century legal case in New York State which involved questions of who owned the bodies of the dead – whether it was the state, the church who owned the land where they were buried or the relatives of the deceased – we see an interesting legal aporia. Claims of ownership were complicated by the idea that the dead perhaps owned themselves, having once been full legal subjects. In this and other legal cases in US law (with similar results in the UK as well) a kind of compromise is reached where, as the body decays, the question of its self-ownership becomes increasingly settled in favour of other parties. Yet, even in such cases, the body and its sense of personhood lingers to haunt, as it were, the certainties of law about who precisely owns whom The uncertainties that are made manifest among the dead have their equivalents among the living as well; the presence of slavery at the time meant that in some cases even living persons did not own themselves. In this mix of overlapping forms of self and other ownership then, we see an anxiety in the law, one that it must settle definitively even as the very terms of legal personhood resist the very closure that the law seeks.
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This chapter will use A Propos de Nice, filmed by Jean Vigo and Boris Kaufman in February and March 1930, as a case study to illustrate how city films created segmented views of…
Abstract
This chapter will use A Propos de Nice, filmed by Jean Vigo and Boris Kaufman in February and March 1930, as a case study to illustrate how city films created segmented views of quotidian urban life in both form and content. In terms of form, short clips are juxtaposed in a rapid montage to form a segmented portrait of the city. In terms of content, the segments in Vigo's film, and the city film genre as a whole, are full of everyday events such as drinking coffee, washing clothes, sunbathing, and playing boules. The portrait of Nice that emerges within the film, then, is one of quotidian segmentation. This chapter will conduct a visual analysis of the film as it progresses, situating it within the history of Nice, cinematic conceptions of the city prior to its production, the city film genre, and the French avant-garde.
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David Thompson and Giacomo Squicciarini
The vehicle–track interaction and the resulting dynamic response of the vehicle involve a number of complex nonlinear problems. Large vertical loads act through a small contact…
Abstract
The vehicle–track interaction and the resulting dynamic response of the vehicle involve a number of complex nonlinear problems. Large vertical loads act through a small contact patch leading to very high contact pressures. Transverse loads acting through this contact induce a relative velocity between wheel and rail expressed in non-dimensional form as a creepage. The wheel and rail profiles determine the contact patch shape and affect the ability of the vehicle to run stably. If the yaw stiffness of the axles is too low, the vehicle will become unstable at a relatively low speed; conversely, if the yaw stiffness is too high, the curving behaviour will be adversely affected. The vehicle suspension, especially the secondary suspension, also affects the ride comfort of passengers. Finally, it is shown how the speed profiles of accelerating and decelerating trains can be calculated from basic assumptions about the train power, adhesion and rolling resistance.
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