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Viral hemorrhagic fevers (VHFs), such as Ebola virus disease, Marburg virus disease, and Lassa fever, are associated with significant morbidity and mortality and the potential for person-to-person transmission. While most individuals in whom VHF is suspected will ultimately be diagnosed with a non-VHF illness, such patients may present to any United States healthcare facility (HCF) for initial evaluation; therefore, all HCFs must be prepared to evaluate and initiate care for suspect VHF patients, especially if they are acutely ill. Included within this evaluation is the ability to perform basic routine laboratory testing before VHF-specific diagnostic test results are available, as well as rapid malaria testing to assess for a common, dangerous “VHF mimic.”
Objective:
To improve laboratory preparedness and readiness in the initial care of suspect VHF patients who may present to acute care hospitals.
Design:
Plan-Do-Study-Act quality improvement model.
Setting:
Frontline healthcare facilities and their clinical laboratories.
Methods:
We describe the development of a laboratory testing toolkit for a suspect VHF patient that can assist frontline HCFs in providing basic laboratory testing required for the care of these patients.
Results:
The toolkit provides guidance on infection prevention and control, waste management, occupational health, laboratory test collection, processing, and resulting, in the context of suspect VHF patient evaluation.
Conclusions:
The toolkit is designed to be readily adapted by any frontline HCF in the US. With the guidance provided, facilities will be able to support safer initial evaluation of VHF suspects and ensure high-quality patient care.
This contribution proposes an interpretation of Thomas Aquinas’s philosophy of mathematics. It is argued that Aquinas’s philosophy of mathematics is a coherent view whose main features enable us to understand it as a moderate realism according to which mathematical objects have an esse intentionale. This esse intentionale involves both mathematicians’ intellectual activity and natural things being knowable mathematically. It is shown that, in Aquinas’s view, mathematics’ constructive part does not conflict with mathematical realism. It is also held that mathematics’ imaginative reasoning is coherent with Aquinas’s doctrine of formal abstraction and his realistism. It focuses on some of Aquinas’s texts, which it places within their textual and doctrinal context and interprets them in the light of some historical elements.
Africa Day was a practice of elementary school educational performances in kibbutzim, which featured mimetic impressions of Africans by children. As a mode of settler subject formation, Africa Day sustained imagined, “borrowed” indigeneity, while effectively obfuscating Palestinian indigenous existence. As a complex site of simultaneous reiteration and renegotiation of race and racism, the event’s reconstruction brings to the foreground the accumulation of whiteness particular to Zionism, which is not only the violence of racial supremacy, but also the violence of selfish disregard.
This article explores the commentaries on Analects 3.5 and related texts in light of Confucius’ other discussions of the Yi Di. It also speculates on the ways readings of these texts have been shaped by the historical-cultural contexts of the scholars who have interpreted them over the years. Finally, it questions whether there might be a relationship between Analects 3.5 and the pericopes that make up the rest of chapter 3.
We investigate the joint distribution of L-functions on the line $ \sigma= {1}/{2} + {1}/{G(T)}$ and $ t \in [ T, 2T]$, where $ \log \log T \leq G(T) \leq { \log T}/{ ( \log \log T)^2 } $. We obtain an upper bound on the discrepancy between the joint distribution of L-functions and that of their random models. As an application we prove an asymptotic expansion of a multi-dimensional version of Selberg’s central limit theorem for L-functions on $ \sigma= 1/2 + 1/{G(T)}$ and $ t \in [ T, 2T]$, where $ ( \log T)^\varepsilon \leq G(T) \leq { \log T}/{ ( \log \log T)^{2+\varepsilon } } $ for $ \varepsilon > 0$.
On 6 December 2023, seven-year-old William Brown was struck and killed by a hit-and-run driver when he was retrieving his football from the road outside his home. A Year 3 pupil at St Eanswythe's Church of England Primary School in Folkestone, he had walked through the grounds of St Mary and St Eanswythe's Church every day on his way to school and had attended services there. His parents wanted to bury him in the churchyard, but although the Vicar was willing to conduct the burial, the churchyard had been closed by Order in Council in 1857 under the provisions of the Burial Act 1855, with only one exception being made for a burial in 1898. Because the churchyard had been closed, under section 1 of that Act his burial would require an Order of the Privy Council.
This article examines the words used by Christian chroniclers in medieval Iberia to refer to North Africans. Following the Islamic conquests of the Peninsula in the early eighth century, Iberian Christians increasingly associated North Africans with Islam – and, conversely, Muslims with North Africa. I demonstrate that the term “Moor” reflected a growing tendency over the Middle Ages to collapse religious identity and geographical origins, and further suggest that it was racialized in various ways. In other cases, chroniclers employed scriptural identifiers like “Moabite” and “Hagarene” to distinguish between Muslims from North Africa and those from Iberia. While such terms acknowledged a measure of geopolitical specificity in the present, they simultaneously asserted a kinship between contemporary Muslims and ancient biblical peoples, casting them as religious others, denying their coevalness with Christians, and further racializing them. Finally, I discuss the use of the word “barbarian,” which was sometimes applied to Muslims in general, but was occasionally used to refer to North Africans in particular, drawing on Arabic usage to associate barbarity and lack of civilization with North Africa. Ultimately, I argue that the application of such labels to North Africans and Muslims functioned to displace them geographically and temporally, serving Iberian Christian colonizing impulses and projects over time.
Let $G$ be a split semisimple group over a global function field $K$. Given a cuspidal automorphic representation $\Pi$ of $G$ satisfying a technical hypothesis, we prove that for almost all primes $\ell$, there is a cyclic base change lifting of $\Pi$ along any $\mathbb {Z}/\ell \mathbb {Z}$-extension of $K$. Our proof does not rely on any trace formulas; instead it is based on using modularity lifting theorems, together with a Smith theory argument, to obtain base change for residual representations. As an application, we also prove that for any split semisimple group $G$ over a local function field $F$, and almost all primes $\ell$, any irreducible admissible representation of $G(F)$ admits a base change along any $\mathbb {Z}/\ell \mathbb {Z}$-extension of $F$. Finally, we characterize local base change more explicitly for a class of toral representations considered in work of Chan and Oi.
Undocumented status impedes immigrants’ workplace claims to legal rights and better treatment. But what happens when they obtain lawful permanent residency – does the reluctance to make claims in the workplace change? If so, how? Drawing on timeline interviews, I examine changes in the relational legal consciousness and reported workplace claims-making of 98 formerly undocumented Latino immigrants. Most respondents reported increased willingness to engage in, and follow through with, workplace claims. However, gendered differences emerged. Men’s claims largely revolved around wage negotiations, moving to a better paying position, and enforcement of legal rights with an attached monetary value. They were also more likely to frame claims as legal rights. In contrast, women’s claims largely revolved around better work treatment, access to job benefits, and workplace accommodations. They were also more likely to frame claims as moral rights. I explain these outcomes as a function of three relational mechanisms: lawful status being understood relative to experiences being undocumented; gendering in the legalization process; and social ties promoting gendered expectations of lawful permanent residency. My findings highlight the importance of gendered differences in relational legal consciousness and how lived reference points (e.g., prior undocumented experience) inform how legal consciousness changes over time.