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Illness and death were an important part of monastic life in the seventeenth century; healthy nuns cared for their sick and dying Sisters every day. Their chronicles and obituaries emphasize the importance of prolonged or severe diseases, and dwell, in long descriptions, upon the last moments of exemplary individuals. Though formulaic, these writings do provide clues about the ways in which English Benedictine nuns construed the concept of imitatio Christi. They reveal both the tragic suffering of individual women and the communal constructions they allowed. The suffering body found a power it never enjoyed in health: it assumed an aura of martyrdom akin to holiness. It became a holy relic, a witness of the truth and effectiveness of the basic principles of the Roman Church. Through such writings, the English nuns in exile hoped to edify populations beyond the walls of their cloisters.
The ecological paradigm in stormwater management mimics natural hydrology by diverting stormwater into well-designed green stormwater infrastructure (GSI) practices that also enhance biodiversity and community resilience. The challenge for municipalities is to devise institutions to encourage the adoption of GSI. Detroit, Michigan, imposed a drainage charge on all city property owners based on the extent of impervious areas. Property owners can reduce the drainage charge by using GSI. This analysis situates an economic model within the Governing Knowledge Commons (GKC) framework. The team evaluated fourteen properties where the owner installed GSI. Properties with positive net present values for their GSI tended to be less complicated and offered more cobenefits. Information gathered from broader conversations suggests that many property owners did not know how to reduce their drainage charges with GSI practices. Therefore, the drainage charge’s price signal may not work as intended. The GKC institutional analysis showed that noneconomic factors, such as prosocial values or corporate policy, also influence GSI adoption. Sharing information may encourage others to adopt GSI practices. Nongovernmental organizations can act as information brokers to share knowledge that might otherwise be proprietary or hard to find. Highly visible projects may educate property owners about GSI practices.
Drawing on narrative theory, this chapter bridges understandings of security, popular culture and identity to show how stories matter. It argues that television shows are a site where gendered, raced, and nationalised identities are narrated, and particular subjectivities created. It applies this critical narrative approach to an analysis of the television series Homeland, a popular drama that tracks the efforts of the CIA to thwart the latest terrorist threat to America. This analysis considers both the meaning within Homeland and the process of meaning-making by members of the show’s British audience; in doing so, it moves away from understanding audiences as passive consumers of ideological messages contained in texts, to understanding how audiences negotiate their understanding of the show and themselves. It also considers how these terrorism stories articulate gendered and racialized boundaries of inclusion and exclusion. This links security and identity, politics and culture, texts and audiences. Although it demonstrates the articulation of identity within security stories, it also draws attention to ways that audiences can resist those identities.
Jean Epstein's influence on specific filmmakers and films is harder to trace, and certainly more diffuse, than the impact of his philosophy and photogénie on the development of film theory and philosophies of cinema. For some critics, it is the loose school with which Epstein has been associated that represents the nexus of influence in the history of cinema. Epstein's fascination with CUs, details, and unforeseen aspects of filmic images has undoubtedly influenced the very idea of cinephilia. Epstein belongs to discussions of the role of embodied experiencing in queer cinema that should extend to both silent movies and films that are not obviously queer. The corporeal aesthetics of liminal/closeted queerness in some of Epstein's films likely influenced subsequent filmmakers. An obvious example would be Robert Bresson's Pickpocket.
A symbiotic alliance for leprosy care had formed between the colonial state and the Catholics earlier in the nineteenth century. However, at the end of the nineteenth century, this alliance was renegotiated within the transforming landscape of Surinamese society to incorporate Protestants as well. O. A. Peters, was to investigate the state of the art of leprosy care in Guiana and Trinidad. The British medical officers in Guiana and Trinidad informed Peters that according to general scientific opinion, leprosy was contagious. The Catholic priests even believed that healthy women settled themselves expressly in Batavia to have sexual intercourse with leprosy sufferers, whose lust had supposedly significantly increased as a result of their disease. To settle the dispute between the religious groups, and to reach a new consensus, the Schimmelpenninck Committee advocated a pillarization within a new leprosy asylum.
The COVID-19 pandemic has profoundly affected healthcare systems worldwide. High and often inappropriate antimicrobial use has been reported in COVID-19 care, potentially increasing the risk of bacterial resistance and other adverse events. This study aimed to characterize and quantitatively assess antimicrobial use among Brazilian patients hospitalized with severe acute respiratory syndrome (SARS) due to SARS-CoV-2 infection.
Methods:
This retrospective observational cohort study included patients hospitalized with SARS caused by SARS-CoV-2 at the University Hospital of Brasília (HUB) during 2020 and 2021. Data on antimicrobial regimens, duration of therapy, and days of use were extracted from medical records.
Results:
The median age was 61 years (IQR, 49–72); most patients were unvaccinated against COVID-19 (76.3%), and comorbidities were highly prevalent (90.1%). Patients were stratified by clinical severity at hospital discharge: 301 (47.2%) were classified as Severe COVID-19 and 337 (52.8%) as Critical COVID-19. Greater clinical severity was consistently associated with increased antimicrobial exposure across multiple indicators, including the proportion of patients receiving antimicrobials, days of therapy (DOT), length of therapy (LOT), and the DOT/LOT ratio and an inverse association was observed for antimicrobial-free days (AFD). According to the World Health Organization (WHO) AWaRe classification, Watch-group antibiotics were most frequently prescribed (91.9% of patients); however, Reserve-group antibiotics showed the greatest increases in both frequency and duration of use with increasing disease severity.
Conclusions:
In this single-center Brazilian cohort, antimicrobial therapy was highly prevalent (94.4%). Higher clinical severity was strongly associated with greater antimicrobial exposure and fewer AFD.
The Sound Barrier marked the beginning of a new strain of epic-scale adventure to David Lean's cinema that would eventually see him dubbed 'the poet of the far horizon'. The Sound Barrier's aerophilia reflected the zeitgeist of postwar Britain. David Lean's working relationship with Sam Spiegel, simultaneously highly productive and highly antagonistic, began with their large-scale war film The Bridge on the River Kwai. Pre-empting Lawrence of Arabia, Lean wanted to show the human presence as tiny in comparison with the immensity and sublimity of his environment. Apollo, the sun god, has an additional pertinence in relation to Lawrence of Arabia which often shows its hero framed against the sun and depicted as a kind of solar deity. What is interesting about Lean's three films centred on 'men of vision' is the extent to which they show the limitations and strains of trying to fulfill Apollonian destiny.
This chapter explores the different ways in which the EU has been associated with Northern Ireland politics in the broadest sense – i.e. how it has contributed to addressing the conflict and also its impact on political parties, interest groups and notions of identity. It notes that the EU’s impact on resolving the Northern Ireland conflict has been largely benign. For Northern Ireland political parties, the EU has typically been an issue of low political salience. Interest groups traditionally played an important role in terms of delivering services and engaging with the EU, but the introduction of devolution has undermined their role and vitality. On issues of identity, the EU has not had a neutralising impact on national identity. The question of governance. In terms of political dynamics, the EU has not produced a more governance-driven approach in Northern Ireland.
The planetary health diet (PHD) is a mostly plant-based diet that aims to optimise human health while minimising the environmental impact of food production. Limited data exist on whether the PHD fulfils key nutritional requirements during pregnancy. This research aimed to examine the PHD in early pregnancy and how it aligns with daily nutrient intake and European Food Safety Authority (EFSA) dietary guidelines. Pregnant women (n 678) from two Irish cohorts (ROLO and MicrobeMom) were analysed, and PHD index (PHDI) scores were assigned based on data from 3-d food diaries. Women were dichotomised by the median score to create a ‘High PHDI’ (> 88·99) and a ‘Low PHDI’ group (≤ 88·99). Differences in nutrient intakes and adherence to dietary guidelines between ‘High’ and ‘Low’ PHDI groups were explored. Compared with those with a ‘Low’ score, those with a ‘High’ PHDI score reported higher intakes of dietary fibre (g/d) (17·32 (13·39, 21·08) v. 21·74 (18·28, 25·88), P < 0·001), Fe (mg/d) (10·48 (8·48, 12·82) v. 12·06 (9·48, 14·60), P < 0·001), folate (µg dietary folate equivalent per d) (250·73 (193·88, 312·45) v. 279·57 (219·43, 356·81), P < 0·001) and Ca (mg/d) (837·75 (695·36, 1056·72) v. 956·57 (751·84, 1155·03), P < 0·001). A greater proportion of women in the ‘High PHDI’ group met EFSA recommendations for dietary fibre intake (10·3 % v. 28·9 %, P < 0·001). The PHD may support maternal nutritional adequacy in pregnancy while promoting environmental sustainability. Our findings provide valuable insights that can inform future dietary recommendations for pregnancy, contributing to both maternal health and planetary well-being.
William Trevor's short story, 'Lost Ground', from After Rain, conforms to Aristotle's vision of tragedy because it depicts a truly horrendous situation inside a family in Northern Ireland over a two-year period, between 1989 and 1991. 'Lost Ground' revolves around a Protestant family named the Leesons. In 'Lost Ground' Trevor utilises historically significant dates that touch upon the pain, trauma and division in the history of Northern Ireland. The truth, though, is that peace is not entertained by the 'community' that is described in 'Lost Ground', and any sense of 'brotherhood' gives way to fratricide. In a modern prose version of an Aristotelian tragic tale, Trevor shows that for those who cannot escape repeating the past, the idea of forgiveness and peace is neither possible nor desirable.
This chapter describes the relationships between Israeli goals of political control and population management and the political rights which were granted to the Palestinians. The ethnic representation of the various ethnicities meant enhancing and solidifying the constructed ethnic identities at the expense of the more inclusive Palestinian affinity. The role of the Military Government and other state apparatuses in ensuring Palestinians' vote for Mapai was clear to those in charge of the surveillance apparatuses. Although elevated to their position by those in charge of the surveillance apparatuses, Palestinian Knesset members (MKs) were referred as the representatives of the Arab minority. The Israeli Communist Party (ICP) occupied a unique position in Israeli politics. It was a Jewish-Arab party, though unlike other Jewish-Arab settings such as municipalities of mixed cities, student unions or the Histadrut, it was not dominated by Mapai, and within it, the Palestinians were not secluded.
Early modern women poets' search for cultural authority and poetic voice involved a vexed, sometimes contradictory relationship to literary models. Classical poetry was especially awkward for women writers to accommodate and imitate, for a variety of social and cultural reasons. The poetry of Lucy Hutchinson, nee Apsley, places the vexed relationship to the exemplary authority of mostly male classical authors in a particularly intriguing light. Hutchinson's impulse to scriptural explication is unlikely to have troubled any biblicist contemporaries. But in turning to Ovid of all writers to satisfy it, her poetics seems out of line with contemporary reassertions of the primacy of scripture, and more like older humanistic attempts to reconcile classical and biblical creation myths. An allusion to the Metamorphoses illuminates a tension between Hutchinson's humanist poetics and scripturalist theology. The scholarly approach to interpretation of scripture can be detected in her Genesis narrative.