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At the end of the 1970s, however, the British Broadcasting Corporation (BBC) would, for arguably the first time, take the initiative in spy genre with a seven-part serialised adaptation of John le Carre's novel Tinker Tailor Soldier Spy. In deciding to adapt a le Carre novel as a classic serial, the BBC by implication accepted his literary status albeit in a consciously bold and daring move. This chapter expresses Tinker Tailor as a key moment of intervention in both the television spy genre and British television drama. It provides a close analysis of the serial, adopting what Sarah Cardwell describes as a 'televisual' approach to the classic novel adaptation through considering how features specific to the medium shape textual characteristics. Whilst Callan and The Sandbaggers have been relatively marginalised in the history of British television drama as somewhat ephemeral texts, Tinker Tailor is a far more iconic programme.
As You Like It reappeared in 1920 and at regular intervals thereafter, but the stag did not, and Playfair's theatrical modernism became part of the mainstream of staging practice at Stratford, as it did elsewhere. The Stratford-upon-Avon Herald insisted that 'it has been said a thousand times before: we know exactly where we are with As You Like It. For all its thin veneer of disguise, the Forest of Arden is rural Warwickshire, and the snake and hungry lioness but escapees from a passing circus. Once in the forest we are in Shakespeare's own country, where the purest of love reigns' (7 July). For some, though, this was an Arden in which the prospect of picnics was not untouched by the more troubling aspects of rural life, manifested most obviously in a staging of 4.2.
In 1847 the American Medical Association introduced its Code of Ethics, which deemed it ‘derogatory to professional character … for a physician to hold a patent for any surgical instrument, or medicine’. This chapter examines how the American patent system and the AMA’s ethics influenced B.F. Palmer, who in 1846 received the first patent for an artificial limb in the United States. While Palmer’s extra-medical position helped him avoid ethical controversy, the patent system also reinforced his aspirations to professional stature as a ‘surgeon-artist’. In arguing for a patent extension in 1860, Palmer and his attorney framed the patent as a kind of social contract, asserting the surgeon-artist’s exclusive, expert, and philanthropic character and depicting a benevolent professionalism in close parallel with that of the AMA. Palmer appealed to the moral economies of patenting and medicine alike, yet his argument also cast the sentimental work of resolving impairment in the hard fiscal terms legible to the Commissioner of Patents. The surgeon-artist’s professionalism depended on an ethic of beneficent contribution to the public good, underwritten by the authority of medicine, protected by the patent, and measured against the costs of charity.
Modern traditions of activist media grow out of the increased opportunities for intervention into the public sphere created by the Internet and modern technology. In recent years online media activism has been said to have been at the centre of uprisings during the Arab Spring, the development of countercultural movements like Occupy and the populist right. In Northern Ireland, this form of activism emerged but it failed to diminish much older, deeply historic tradition of activist journalism and writing in Irish republicanism. Journals, pamphlets, newspapers and free sheets all persisted in the years after the signing of the Good Friday peace agreement providing a challenge to the narratives of digital utopianism and its claims for a public sphere dynamically and completely restructured by the Internet.
Antibiotic stewardship programs (ASPs) aim to optimize antibiotic prescribing, as prolonged use increases the risk of adverse events, antimicrobial resistance, and unnecessary healthcare costs. This study aimed to determine the period prevalence of prolonged antibiotic treatment durations for community-onset infections in Dutch hospitals and to identify risk factors.
Methods:
A retrospective cohort study was conducted among adults treated for urinary tract infections (UTI), respiratory tract infections (RTI), or skin and soft tissue infections (SSTI) in four Dutch secondary care hospitals from January 1, 2021, to December 31, 2023. Patients were included if they were admitted for ≥12 hours and treated with antibiotics within 48 hours. Antibiotic prescriptions were linked to infectious diagnoses to calculate length of therapy and compared against national guidelines to assess prolonged treatment. Backward stepwise multivariable logistic regression was used to identify risk factors.
Results:
Of 9,878 admissions, 39.6% had UTIs, 44.9% RTIs, and 15.4% SSTIs. Prolonged antibiotic use was observed in 30%, with the highest proportion in RTIs (49.6%). Among RTIs, prolonged use occurred in 51.0% of community-acquired pneumonia (CAP) and 55.9% of aspiration pneumonia, with a combined median excess duration of 1.6 days (IQR: 0.9–3.6)). Prolonged use was 14.3% in UTIs and 13.1% in SSTIs. Risk factors included positive cultures, intravenous-to-oral switch, aspiration pneumonia or CAP (RTIs), and cystitis (UTIs).
Conclusions:
A high period prevalence of patients with RTIs receiving prolonged antibiotic treatment was observed. The identified risk factors should be considered in ASPs to improve prescribing and reduce non-guideline-concordant antibiotic therapy.
Decades before the rhetoric of the 'responsibility to protect' entered into international discourse during the 1990s, Dag Hammarskjöld responded to the Congolese request by immediately declaring that the UN had an obligation to protect the sovereignty of the Congo from Belgian incursion. Hammarskjöld's main objective was to contain the crisis by ensuring that all aid and support for the Congo came through the UN, thereby preventing the superpowers from drawing the conflict into the Cold War. The troika proposal, which arose in the context of the Congo debate, raised the dimensions of the problem such as the ongoing broader discussions about the nature of the UN environment and the anti-colonial crusade. In parallel to the controversy surrounding the credentials debate, the position of Britain and the US was further complicated by two other issues; the Soviet troika proposal and the campaign to declare a formal end to colonialism.
This chapter outlines how early Chartism grew out of the traditions, which profoundly informed its intellectual and popular print cultures. Rather than elitist moralists as historians have held them, or demagogic sell-outs as William Thackeray contended, these men repackaged popular culture and the radical enlightenment to produce a moral populism for an understanding of the characteristics of Chartism. One of the environments from which this moral populism would emerge was the Freethought culture of the 1820s. Although politics was an important part of this plebeian intellectual culture, political reform was not seen as realistic throughout the 1820s, and energy was largely channelled into Freethought, debating societies, Owenism, and trade unionism. The irreverent style of sceptical philosophy and the strategic importance of undercutting the moral hegemony of the Anglican Church both informed a deeply heterodox and satirical culture surrounding the development of working-class Radicalism in the early 1830s.
Alongside the 1984-5 British miners’ strike developed a large and diverse support campaign. This chapter focuses on the role of London’s radical left in that movement, emphasising how activists constructed solidarity networks between the coalfields and the capital. Alongside the activity of members of the Communist Party and Trotskyist groups, it discusses feminist, black, and lesbian and gay support groups, highlighting how the miners’ industrial struggle resonated and was politicised in diverse ways. The chapter shows how radical left Labour members and local councils sought to blur the distinction between institutional and extra-parliamentary activism through their support for the strike. This complex support movement therefore challenged the boundaries of the radical left and class politics, reflecting a broader period of flux and realignment
In the early 2000s, the Internet, the blogosphere and new online medias were said to have recreated and expanded the countercultural political uprisings of the late 1960s. The radicalism of the underground press, equality, anti-war and anti-colonial movements never quite managed the translate their counter-hegemonic activism into a dynamic restructuring of politics in the West. However, academics and activists saw potential in the Internet to offer a space with which to counter the narratives of political elites, capitalism, globalisation and the domination of western corporations. In Ireland, a group of writers, led by former republican prisoners, developed an activist media space that was critical of Sinn Féin, dissidents and the dominant narratives of the Peace Process. The print magazine Fourthwrite and the online magazine The Blanket, harnessed old and new technology to provide a sustained countercultural critique of their times. That they sustained themselves for much of the 2000s without a specific political vehicle or purpose while producing some of the most compelling and inclusive writing about the times is testament to the opportunities that technology provides for committed modern activists.
Supporting voice hearers to explore and make meaning of their voice-hearing experiences can be helpful, but many mental health workers lack confidence or do not feel they have the skills required to do this. Although more is needed, some resources and training are available to assist workers in this area. To date, there are no suitable measures to evaluate the impact of these resources and training. Therefore, Supporting Voice Hearers Measure (SVHM) was developed. SVHM is a 23-item scale designed to evaluate mental health workers’ beliefs, attitudes, confidence and behaviours related to working with voice hearers.
Aims
To describe the development and testing of the SVHM.
Method
Measurement properties explored included rating scale validity, unidimensionality, reliability, construct validity and person-fit statistics. Additionally, evaluations of concurrent validity, responsiveness and time taken to complete SVHM were completed.
Results
A total of 548 completions of SVHM were included in the analysis. One item was interfering with measurement precision and was subsequently removed. The resultant 22-item measure demonstrated generally good measurement properties according to the quality criteria set. It demonstrated good concurrent reliability with confidence in working with voice hearers (r = 0.49, p < 0.001), strong responsiveness and evidence of feasibility, with a median time for completion of 3 min 39 s.
Conclusions
These results suggest that SVHM is a promising measure of mental health workers’ beliefs, attitudes, confidence and behaviours related to working with voice hearers. Future research should explore how changes in mental health workers’ beliefs, attitudes, confidence and behaviours impact the experiences and outcomes achieved by the voice hearers they are working with.