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The landscape of heritage on the African continent is the product of neoliberal economic and social interventions from the 1980s–2000s: the prevalence and influence of heritage NGOs; aid for cultural programmes contingent on government reforms; the use of national heritage policies and projects to signal ready capital; experiments in custodianship and private enterprise that balance conservation with consumerism; and so on. This Element synthesises literature from anthropology, archaeology, history, and geography to describe a significant period of heritage policy and discourse on the African continent – its historical situation, on-the-ground realities, and continuing legacies in the era of sustainable development and climate crises.
Radiocarbon dates on charred plant remains are often used to define the chronology of archives such as lake cores and fluvial sequences. However, charcoal is often older than its depositional context because old-wood can be burnt and a range of transport and storage stages exist between the woodland and stream or lake bed (“inherited age”). In 1978, Blong and Gillespie dated four size fractions of charcoal found floating or saltating in the Macdonald River, Australia. They found larger fragments gave younger age estimates, raising the possibility that taphonomic modifications could help identify the youngest fragments. In 1978 each date required 1000s charcoal fragments. This study returns to a sample from the Macdonald River to date individual charcoal fragments and finds the inherited age may be more than 1700 years (mode 250 years) older than the collection date. Taphonomic factors, e.g., size, shape or fungal infestation cannot identify the youngest fragments. Only two fragments on short-lived materials correctly estimated the date of collection. In SE Australia, this study suggests that wood charcoal will overestimate the age of deposition, taphonomic modifications cannot be used to identify which are youngest, and multiple short-lived materials are required to accurately estimate the deposition age.
The nursing associate role was first deployed in England in 2019 to fill a perceived skills gap in the nursing workforce between healthcare assistants and registered nurses and to offer an alternative route into registered nursing. Initially, trainee nursing associates were predominantly based in hospital settings; however, more recently, there has been an increase in trainees based in primary care settings. Early research has focussed on experiences of the role across a range of settings, particularly secondary care; therefore, little is known about the experiences and unique support needs of trainees based in primary care.
Aim:
To explore the experiences and career development opportunities for trainee nursing associates based in primary care.
Methods:
This study used a qualitative exploratory design. Semi-structured interviews were undertaken with 11 trainee nursing associates based in primary care from across England. Data were collected between October and November 2021, transcribed and analysed thematically.
Findings:
Four key themes relating to primary care trainee experiences of training and development were identified. Firstly, nursing associate training provided a ‘valuable opportunity for career progression’. Trainees were frustrated by the ‘emphasis on secondary care’ in both academic content and placement portfolio requirements. They also experienced ‘inconsistency in support’ from their managers and assessors and noted a number of ‘constraints to their learning opportunities’, including the opportunity to progress to become registered nurses.
Conclusion:
This study raises important issues for trainee nursing associates, which may influence the recruitment and retention of the nursing associate workforce in primary care. Educators should consider adjustments to how the curriculum is delivered, including primary care skills and relevant assessments. Employers need to recognise the resource requirements for the programme, in relation to time and support, to avoid undue stress for trainees. Protected learning time should enable trainees to meet the required proficiencies.
To explore higher education institution (HEI) perspectives on the development and implementation of trainee nursing associates (NAs) in the primary care workforce in England.
Background:
Current shortages of primary health care staff have led to innovative skill mix approaches in attempts to maintain safe and effective care. In England, a new level of nursing practice, NAs, was introduced and joined the workforce in 2019. This role was envisaged as a way of bridging the skills gap between health care assistants and registered nurses and as an alternative route into registered nursing. However, there is limited evidence on programme development and implementation of trainee NAs within primary care settings and HEI perspectives on this.
Methods:
This paper draws from a larger qualitative study of HEI perspectives on the trainee NA programme. Twenty-seven staff involved in training NAs, from five HEIs across England, were interviewed from June to September 2021. The interview schedule specifically included questions relating to primary care. Data relating to primary care were extracted and analysed using a combined framework and thematic analysis approach.
Findings:
Three themes were developed: ‘Understanding the trainee role and requirements’, ‘Trainee support in primary care’ and ‘Skills and scope of practice’. It is apparent that a more limited understanding of the NA programme requirements can lead to difficulties in accessing the right support for trainees in primary care. This can create challenges for trainees in gaining the required competencies and uncertainty in understanding what constitutes a safe scope of practice within the role for both employers and trainees. It might be anticipated that as this new programme becomes more embedded in primary care, a greater understanding will develop, support will improve and the nature and scope of this new level of practice will become clearer.
There is increasing interest in the utilization of proton beam radiation therapy (PRT) to treat pediatric brain tumors based upon presumed advantages over traditional photon radiation therapy (XRT). PRT provides more conformal radiation to the tumor with reduced dose to healthy brain parenchyma. Less radiation exposure to brain tissue beyond the tumor is thought to reduce neuropsychological sequelae. This systematic review aimed to provide an overview of published studies comparing neuropsychological outcomes between PRT and XRT.
Method:
PubMed, PsychINFO, Embase, Web of Science, Scopus, and Cochrane were systematically searched for peer-reviewed published studies that compared neuropsychological outcomes between PRT and XRT in pediatric brain tumor patients.
Results:
Eight studies were included. Six of the studies utilized retrospective neuropsychological data; the majority were longitudinal studies (n = 5). XRT was found to result in lower neuropsychological functioning across time. PRT was associated with generally stable neuropsychological functioning across time, with the exception of working memory and processing speed, which showed variable outcomes across studies. However, studies inconsistently included or considered medical and sociodemographic differences between treatment groups, which may have impacted neuropsychological outcomes.
Conclusions:
Despite methodological limitations, including limited baseline neuropsychological evaluations, temporal variability between radiation treatment and first evaluation or initial and follow-up evaluations, and heterogenous samples, there is emerging evidence of sociodemographic inequities in access to PRT. With more institutions dedicating funding towards PRT, there may be the opportunity to objectively evaluate the neuropsychological benefits of patients matched on medical and sociodemographic variables.
The story starts – for me, at least – with exploring David-Frédéric Ellenberger's collection of papers in the Morija Museum and Archives (MMA) in Lesotho. In the early 2010s, I would make my way to the MMA building in Morija, and ask to see the Ellenberger papers. Some of these were kept in an old tin trunk. The trunk had its own story. The Ellenberger family once used it to transport David-Frédéric's papers between France, Lesotho and South Africa. In the MMA, the trunk formed part of his archive. To find anything in it, I had to dig around. I am an archaeologist, so it seems right that my first encounter with this archive felt like an excavation.
Ellenberger was a French-speaking missionary who worked in Lesotho from 1860 until 1905. In 1912, he published a major book, History of the Basuto, Ancient and Modern. It is still widely used today by people researching the history of southern Africa before the colonial era. There is an important story to be told here about who Ellenberger was and why he wrote the book. It starts with the papers in the old trunk.
Ellenberger's papers are organised into files – newspaper clippings, letters, notebooks, and folders of loose pages on subjects such as early ‘Bantu’ history and Basotho migrations. (‘Bantu’ was a term used by many white writers and some black writers from the late 1800s onward to refer to black people in southern Africa.) To use the archive, I had to carefully remove and sift through these files. The museum had a catalogue giving general descriptions of the files, but it did not always list individual items. So, to find a particular document (if I even knew it was there), I had to sort through all the material in the trunk. It could sometimes take hours or even days to find what I was looking for. When I was working in the archive, I felt that I had to meander through it – that is, take a slow walk following where the documents led me. I had to accept that sometimes I would be taking a very long way round. I enjoyed it because it was a kind of exploration.
Recovering the agency, skill and innovation of archaeological field assistants from historical encounters is essential to interrogating processes of knowledge production, but is often hampered by access to appropriate archival sources and methods. We detail a field project from early twentieth-century Basutoland (modern-day Lesotho) that is unique both for its aim to salvage details of rock-art production as a dying craft and for its archive chronicling the project's intellectual journey from experiment to draft manuscripts to published work over more than three decades. We argue that critical historiographic attention to this archive offers a guide for examining the intimate dynamics of fieldwork and the effects of these micropolitics on the archaeological canon. We demonstrate how sustained attention to long processes of knowledge production can pinpoint multiple instances in which the usability of field assistants’ scientific knowledge is qualified, validated, or rejected, and in this case how an African assistant is transformed into an ethnographic interlocutor. For rock-art studies especially, this represents a need for interrogating the epistemic cultures—not just the content—of foundational historical data.
Understanding, categorizing, and using implementation science theories, models, and frameworks is a complex undertaking. The issues involved are even more challenging given the large number of frameworks and that some of them evolve significantly over time. As a consequence, researchers and practitioners may be unintentionally mischaracterizing frameworks or basing actions and conclusions on outdated versions of a framework.
Methods:
This paper addresses how the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework has been described, summarizes how the model has evolved over time, and identifies and corrects several misconceptions.
Results:
We address 13 specific areas where misconceptions have been noted concerning the use of RE-AIM and summarize current guidance on these issues. We also discuss key changes to RE-AIM over the past 20 years, including the evolution to Pragmatic Robust Implementation and Sustainability Model, and provide resources for potential users to guide application of the framework.
Conclusions:
RE-AIM and many other theories and frameworks have evolved, been misunderstood, and sometimes been misapplied. To some degree, this is inevitable, but we conclude by suggesting some actions that reviewers, framework developers, and those selecting or applying frameworks can do to prevent or alleviate these problems.
Ice shelves restrain flow from the Greenland and Antarctic ice sheets. Climate-ocean warming could force thinning or collapse of floating ice shelves and subsequently accelerate flow, increase ice discharge and raise global mean sea levels. Petermann Glacier (PG), northwest Greenland, recently lost large sections of its ice shelf, but its response to total ice shelf loss in the future remains uncertain. Here, we use the ice flow model Úa to assess the sensitivity of PG to changes in ice shelf extent, and to estimate the resultant loss of grounded ice and contribution to sea level rise. Our results have shown that under several scenarios of ice shelf thinning and retreat, removal of the shelf will not contribute substantially to global mean sea level (<1 mm). We hypothesize that grounded ice loss was limited by the stabilization of the grounding line at a topographic high ~12 km inland of its current grounding line position. Further inland, the likelihood of a narrow fjord that slopes seawards suggests that PG is likely to remain insensitive to terminus changes in the near future.
Antibiotics are not indicated for the treatment of bronchitis and bronchiolitis. Using a nationally representative database from 2006–2015, we found that antibiotics were prescribed in 58% of outpatient visits for bronchitis and bronchiolitis in children, serving as a possible baseline for the expanded HEDIS 2020 measure regarding antibiotic prescribing for bronchitis.
This article addresses a methodological lacuna in studies of African cultural property: states are rarely subjected to the same detailed ethnographic enquiry as communities local to heritage sites. I argue that this is the result of historical circumstances and disciplinary trends treating states as nebulous “up there” entities distinct from the grassroots—and, thus, subject to different modes of enquiry. I demonstrate a corrective approach through a historical ethnographic examination of the government of Lesotho’s archives, examining a period from 1991 to 1993 that saw early efforts to create a national monument at Thaba Bosiu. This detailed view reveals habits of thinking about heritage among bureaucrat-intellectuals, administrators, and international consultants. It offers new insights into how state actors articulated visions for new industries, public participation, and spirituality in public life as well as how to demonstrate incapacity to secure future development funds.
What makes meaning in materials? In the sixteenth century, lustrous, golden, gleaming amber was found, with very few exceptions, in the Duchy of Prussia, Europe's first territory to convert to Lutheranism. This contribution explores the mechanisms by which the inhabitants of the region, and those living beyond it, were invited to engage with the material as an expression of the favour in which God held it. It looks at the ways in which amber was aligned with Lutheran policies and interests. And it explores how amber continued to be used in the form in which it had always been known – that of the rosary bead – despite this object and prayer having been questioned and ultimately jettisoned by Lutherans.
Keywords: amber; Luther; rosary; exegesis; natural history
Several recipes from Leonard Mascall's A profitable booke declaring […] remedies totake out spottes and staines in silks, velvets, linnen and woollen clothes (London, 1583) advise the use of prayers to approximate the passage of time. Readers are instructed to leave or do something for so many ‘paternoster long’ or for a ‘paternoster-while’. This suggests that the Lord's Prayer was still being rhythmically repeated to time profane processes in Protestant England. What then of the large beads also known as paternosters and arrangements of them which often bore the same name?
The word paternoster, although strictly only accurately applied to the bead prompting the ‘Our Father’, was widely used to describe all rosaries in the late Middle Ages. Rosaries ranged from strings of 50 ‘Ave Maria’ beads comprising 5 sets separated by 10 by paternosters to strings of 150 ‘Aves’ comprising 15 decades divided by paternosters, and could even be short strings of only 10 ‘Ave’ beads terminating with a paternoster. Though many essays and exhibitions have focused on rosaries, the examples they give can only be drops in an ocean of thousands if not millions of beads. Scholars of Counter-Reformation Europe and its material culture have documented large numbers of rosaries in contemporary inventories, exposed the breadth of materials used for them, and shown that their role as aids to prayer and sacred offerings did not prevent their pawning or pledging.
If fame were measured in photographs, the Burrell Collection's Head of St John the Baptist in a Tabernacle would be a celebrity (Inv. 1.34; Pl. X). Few objects have been reproduced as frequently or as generously in treatments of English alabasters or of St John's severed head. It has increasingly stolen the limelight from all other known examples and all but entirely eclipsed its two Glasgow fellows (Inv. 1.33 and 1.35; Pl. XI and Pl. XII). Yet this Head of St John in a “howsynge” has been a reluctant star. Its pre-museum life remains buried in the past. Many of the same ideas have been rehearsed again and again. This chapter sets out the state of research to date and looks at Burrell's trio of tabernacles afresh with a focus both on the central panels and on their wooden cases.
SIR WILLIAM - ST JOHN
Though it has usually been stated that Sir William Burrell (1861–1958) acquired his first English alabaster in 1900/1 in Paris, he probably began acquiring them in the 1890s. In 1944, he gave twenty-nine examples to Glasgow, complemented by a further nine, in 1948, 1949, 1951, and 1955. Burrell was competing with other voracious collectors, such as Walter Leo Hildburgh (1876–1955) and Philip Nelson (1872–1953). The tendency has been to see the Burrell Collection as exactly mirroring the collection that the Burrells assembled and enjoyed in their homes. Yet a closer reading of Sir William's meticulous purchase books begun in 1911 reveals that alabasters were occasionally returned or given to others. The tabernacles discussed here were acquired at fairly regularly spaced intervals.
The first of the group to be acquired was Inv. 1.34 (Pl. X). Published in 1920 as in Burrell's collection, this never-before-seen example does not appear in Burrell's notebooks, suggesting purchase before 1911. Philip Nelson clearly states that it goes back to George Grosvenor Thomas (1856–1923), an Australian artist-cum-dealer. Grosvenor Thomas was based in Glasgow between 1885/6 and 1899. Burrell is likely to have known him through his sales of paintings of the Barbizon and Hague Schools, or through his relationship with the Glasgow Boys002E
Currently, mark-making practices as a form of identification and proof of life are an unrealized resource. Over a three-year period, systematic walkover surveys were conducted on and within fortifications and other structures on the island of Alderney to locate historic and modern marks. The investigations presented in this article demonstrate the importance of non-invasive recording and examination of marks to identify evidence connected to forced and slave labourers, and soldiers present on the island of Alderney during the German occupation in World War II. Names, hand and footwear impressions, slogans, artworks, dates, and counting mechanisms were recorded electronically and investigated by using international databases, archives, and translation services. We discuss the value and challenges of interpreting traces of human life in the contexts of conflict archaeology and missing person investigations and underline the need for greater recognition of marks as evidence of past lives.
‘Outlaw’ is not a common category of archaeological thought but it is perhaps more useful than meets the eye. ‘Outlaws’ are typically viewed as contingent on legal and capitalist systems; they are, I suggest, also material, affective phenomena that draw our attention to how transgression, dissent and disorder are conceived through archaeological thinking. Here, I outline some ways in which ‘outlaw’ figures are ‘good to think with’, particularly for historical and colonial contexts but also for broader, more global frontier situations. Through three sketches of archetypal ‘outlaws’ in southern Africa's recent past, I consider where these disruptive figures draw attention to how mobility, violence, rebellion and state imagination (and the limits thereof) have been imagined through material misbehaviours.
The structure and kinematics of the broad line region in quasars are still unknown. One popular model is the disk-wind model that offers a geometric unification of a quasar based on the viewing angle. We construct a simple kinematical disk-wind model with a narrow outflowing wind angle. The model is combined with radiative transfer in the Sobolev, or high velocity, limit. We examine how angle of viewing affects the observed characteristics of the emission line. The line profiles were found to exhibit distinct properties depending on the orientation, wind opening angle, and region of the wind where the emission arises.
At low inclination angle (close to face-on), we find that the shape of the emission line is asymmetric, narrow, and significantly blueshifted. As the inclination angle increases (close to edge-on), the line profile becomes more symmetric, broader, and less blueshifted. Additionally, lines that arise close to the base of the disk wind, near the accretion disk, tend to be broad and symmetric. Single-peaked line profiles are recovered for the intermediate and equatorial wind. The model is also able to reproduce a faster response in either the red or blue sides of the line profile, consistent with reverberation mapping studies.
Cattle raiding is iconic of the colonial frontier in Southern African history and historiography. Incorporating settlers and Africans as aggressors and victims alike, archives and ethnohistories depict raiding as thieving, subverting authority, and inciting conflict. Despite the in-depth anthropological attention given to ‘Bushman raiding’ and frontier commandos, comparatively little work has focused on the social and cultural function of cattle raiding within chiefdoms: that is, examining cattle raiding as socially embedded rather than simply transgressing authority and property ownership. This article explores how these narratives of ‘disorder’ have been constructed, and some alternative perspectives on nineteenth-century cattle raiding as a social institution. Through vignettes drawing on archival, archaeological, ethnographic and folkloric evidence, this article offers glimpses of what narratives of the recent past could look like if views of raiding-as-disorder were revisited and revised. I draw attention to where raids were illegal versus illicit, the role of cattle as social agents, and the logic underpinning designations of raiding as resistance. Developing a view of raiding as social practice permits us to interrogate archival perceptions of raiders as outlaws and raids as analogues for warfare, thus enabling more nuanced investigations of conflict in Southern Africa's past.
Over the last four decades researchers have cast the Maloti-Drakensberg Mountains as a marginal refuge for ‘Bushmen’ amidst constricting nineteenth-century frontiers. Rock art scholarship has expanded on this characterisation of mountains as refugia, focusing on heterogeneous raiding bands forging new cultural identities. Here, we propose another view of the Maloti-Drakensberg: a dynamic political theatre in which polities that engaged in illicit or ‘heterodox’ activities like cattle raiding and hunter-gatherer lifeways set the terms of colonial encounters. We employ the concept of the ‘interior world’ to refigure the region as one fostering subsistence and political behaviours that did not conform to the expectations of colonial authority. Paradoxically, such heterodoxies over time constituted widespread social logics within the Maloti-Drakensberg, and thus became commonplace and meaningful. We synthesise historical and archaeological evidence (new and existing) to illustrate the significance of the nineteenth-century Maloti-Drakensberg, offering a revised southeast-African colonial landscape and directions for future research.