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Gestational diabetes is treated with medical nutrition therapy, delivered by healthcare professionals; however, the optimal diet for affected women is unknown. Randomised controlled trials, such as the DiGest (Dietary Intervention in Gestational Diabetes) trial, will address this knowledge gap, but the acceptability of whole-diet interventions in pregnancy is unclear. Whole-diet approaches reduce bias but require high levels of participant commitment and long intervention periods to generate meaningful clinical outcomes. We aimed to assess healthcare professionals’ views on the acceptability of the DiGest dietbox intervention for women with gestational diabetes and to identify any barriers to adherence which could be addressed to support good recruitment and retention to the DiGest trial. Female healthcare professionals (n 16) were randomly allocated to receive a DiGest dietbox containing 1200 or 2000 kcal/d including at least one weeks’ food. A semi-structured interview was conducted to explore participants’ experience of the intervention. Interviews were audio-recorded, transcribed verbatim and analysed thematically using NVivo software. Based on the findings of qualitative interviews, modifications were made to the dietboxes. Participants found the dietboxes convenient and enjoyed the variety and taste of the meals. Factors which facilitated adherence included participants having a good understanding of study aims and sufficient organisational skills to facilitate weekly meal planning in advance. Barriers to adherence included peer pressure during social occasions and feelings of deprivation or hunger (affecting both standard and reduced calorie groups). Healthcare professionals considered random allocation to a whole-diet replacement intervention to be acceptable and feasible in a clinical environment and offered benefits to participants including convenience.
We examine how institutional selection procedures affect the ideology of state supreme court chief justices. We argue that institutional selection methods empower those charged with choosing chief justices to select court leaders who reflect their own preferences, and we test this theory using data from all 50 American states from 1970 to 2017. Our results show that states that use popular elections to select chief justices tend to produce court leaders whose preferences reflect the electorate, and states that use commission-assisted elite appointment tend to produce chief justices whose preferences mirror those of political elites. While we find that peer election systems produce leaders with preferences similar to median court preferences, court preferences are also associated with other methods of chief justice selection.
E-learning has become commonplace in medical education. Incorporation of multimedia, clinical cases, and interactive elements has increased its attractiveness over textbooks. Although there has been an expansion of e-learning in medicine, the feasibility of e-learning in pediatric neurology is unclear. This study evaluates knowledge acquisition and satisfaction using pediatric neurology e-learning compared to conventional learning.
Methods:
Residents of Canadian pediatrics, neurology, and pediatric neurology programs and medical students from Queens University, Western University, and the University of Ottawa were invited to participate. Learners were randomly assigned two review papers and two ebrain modules in a four-topic crossover design. Participants completed pre-tests, experience surveys, and post-tests. We calculated the median change in score from pre-test to post-test and constructed a mixed-effects model to determine the effect of variables on post-test scores.
Results:
In total, 119 individuals participated (53 medical students; 66 residents). Ebrain had a larger positive change than review papers in post-test score from pre-test score for the pediatric stroke learning topic but a smaller positive change for Duchenne muscular dystrophy, childhood absence epilepsy, and acute disseminated encephalomyelitis. Learning topics showed statistical relationship to post-test scores (p = 0.04). Depending on topic, 57–92% (N = 59–66) of respondents favored e-learning over review article learning.
Conclusions:
Ebrain users scored higher on post-tests than review paper users. However, the effect is small and it is unclear if it is educationally meaningful. Although the difference in scores may not be substantially different, most learners preferred e-learning. Future projects should focus on improving the quality and efficacy of e-learning modules.
This chapter described in detail the nature of Second Style Roman frescoes. It details the aesthetic and psychological impact such works must had exercised upon viewers. It provides examples, analysed in depth, of how often complex and subtle depictions of imaginary architecture were used to create a highly theatricalised ambience. It details the role of theatrical practice and example which may be identified in such painting and how the evidence for this can be seen reflected in both their design and meaning.
The primary subject of this chapter is the extensive ensemble of Second Style paintings found at two major ’Vesuvian’ villas: that of Fannius Synistor at Boscoreale and the Villa of Oplontis in Torre Annunziata. Together with our team of researchers, we were intensely involved in several international projects both in meticulously examining and analysing the organisation and decor of these villas, as well as creating highly detailed virtual reality 3D models of them. The chapter draws extensively upon the results of such research and work. We discuss further the striking relationship between the atrium paintings at Oplontis and the structural pattern of the scaenae frons, including that at the Large Theatre of Pompeii itself.
This chapter moves from painting to ’practice’. A particularly striking example both of theatricalised domestic space and activity is seen in the layout and decoration of dining rooms (triclinia), and in the range of entertainments presented within them. We examine how, responding to changes in the political, cultural and economic conditions of Roman society during this period, these private triclinium spaces and their decorative schemes were often systematic adaptations drawing upon the continuously evolving public discourse generated by theatrical entertainments. The chapter describes the range and nature of presentations that took place within the house, primarily as part of the dinner entertainments. Our focus is upon the likely venues as well as the decor of these spaces, and how, in combination, they created highly theatricalised and richly suggestive settings for performance and its reception. We include a detailed case study of the Pompeian House of Marcus Lucretius, detailing how these elements have been synthesised through the deployment of a pervasive theatricalism to create a highly appropriate setting for visitors as they move through its various rooms and spaces
This chapter details the historical development and cultural significance of theatre structures in Pompeii and Herculaneum. It describes the influence of earlier Hellenistic theatre architecture, as, over time, these theatres evolved into the ‘Roman format’. It cites the importance of theatre to artistic and political life. It details an interpretation of the spatial, kinaesthetic and aesthetic aspects of the Pompeian theatre-going experience inspired in part by studies of the Roman house. It begins an examination of the relationship between modes of perception and experience in the theatrical and the domestic spheres.
This chapter continues the discussion of Second Style paintings, concentrating on prominent examples at Pompeii and in Rome on the Palatine Hill. Paintings from the ‘House of Augustus’ and the adjacent House of Livia are examined and analysed in detail. The focus is upon examples of theatricalism and more overt theatricality evident in such works. Particular attention is drawn to stage-like structures and the suggestion of scenic facades (including depictions of townscapes) which feature prominently in several of the frescoes. There is also a close analysis of the systems of perspectival depiction deployed in these works.
This chapter discusses how the layout and organisation of the ancient Roman house comprised a veritable Mise-en-scène in which both patrons and guests expressed and were conditioned by a culture and aesthetic practices in which the theatre was a dominant influence. It analyses the spatial and decorative organisation of Roman domestic spaces, and describes how these created an intensely theatricalised ambience which directly impacted upon and was reflected in the behaviour of both patrons and guests.
This chapter focuses upon Fourth Style perspective painting. We outline the very extensive historic scholarly debate about the possible depiction in such paintings of Roman stages, while developing our own, more nuanced, assessment. We discuss the different types of theatrical influence we believe are evident in many of these works, including examples the composition of which we suggest were influenced by theatre architecture and scenery. Fourth Style walls often displayed ornamental architectonic structures strongly evocative of the theatrical scaenarum frontes (stage façades) that featured both as elements of actual Roman theatre architecture as well as appearing in cognate edifices such as nymphaea. The Fourth Style frescoes prominently featured the painted depiction of curtains, drapes and, ubiquitously, theatrical masks.
This chapter highlights and defines ‘theatricalism’ and ‘theatricality’ as critical terms, useful for understanding Roman culture. It provides examples of each, suggests how useful the terms are for describing Roman art, architecture, domestic décor, ceremonies and political life. It summarises how subsequent chapters will examine the concepts informing these terms and will use these to further out understanding of crucial aspects of Rome art and society. It also introduces the concept of ‘mixed reality’ and the practice of mnemonics, ekphrasis and phantasia as key examples of how theatricalism figured in Roman artistic, mental and cultural life.
This chapter moves from the physical and visual aspects of the theatre to discuss the nature and varieties of performance as these may have been experienced by ancient spectators, while taking into account too what we believe we know about the cultural role of theatrical and spectacle entertainments. The various diverse forms of theatrical performance are detailed included Atellan farce, mime and shows in the arena. We discuss the varieties of scenic provision, and also explore the nature of the theatricalised experience and perception of ancient spectators. We describe at length the particularly important and highly popular art of pantomime.
This chapter examines the nature of political activity at Pompeii and explores and describes in detail the central role that sponsorship of theatrical performance played in its political life. It identifies some of the prominent political figures at Pompeii, and the evidence for their sponsorship of theatrical entertainments. In looks at the houses and décor of several such politicians, and explores how their espousal of theatre may be reflected in their homes.