Media spectacles: The production and reception of Tamil Cinema advertisements

Contemporary popular arts in Third World locations are agents of emergent modernities produced in the context of global interactions. This paper focuses on hand‐painted Tamil cinema advertisements that dominate the urban landscape in Chennai (Madras). Based on ethnographic research I demonstrate that the production network of these objects—methods of training, application of technology, and stylistic criteria—is constantly mutating. Reception of the advertisements unpacks a complex semiotics of internationalism and neo‐traditionalism as well as a mix of commercial and esthetic messages. I argue that these cinema advertisements are emblematic of the modernity of post‐colonial visual culture in India.     

Visualizing Marriage in Hong Kong

ABSTRACT

In this article, I propose using bridal photography and wedding video-recording to gain a better understanding of the meanings of romance and the ideal life among young generations and to consider how relevant images of getting married shed light on the changing social life in Hong Kong. Bridal photography and wedding videorecording not only play the role of documentation but also reflect the social change and values among new married couples in the society. By examining packaged bridal photography and the process of wedding video-shooting, I propose to state how visualization brings subtle influences into the new dynamism of marriage as a ritual and reflects the changing social contexts in today's Hong Kong everyday life.     

Neighborhood linking social capital as a predictor of lung cancer: A Swedish national cohort study

BackgroundThe aim of this nationwide follow-up study was to examine whether neighborhood linking social capital is associated with lung cancer, including incident and mortality cases, after adjustment for individual- and familial-level factors.MethodsThis follow-up study comprised 2,123,707 men and 2,046,174 women aged 25 years or older in Sweden. The follow-up period started on January 1, 2002 and proceeded until first incident of lung cancer, mortality of lung cancer, death from any other cause, emigration or the end of the study period on December 31, 2010. Multilevel logistic regression models (individual-level factors at the first level and neighborhood-level factors at the second level) were used to calculate odds ratios (ORs) with 95% confidence intervals (95% CIs).ResultsWe identified 16,561 lung cancer cases (8422 men and 8139 women) during the follow-up period. Higher ORs of lung cancer, including incident and mortality cases, were observed in individuals who lived in neighborhoods with low social capital (men: OR = 1.37, 95% CI = 1.27–1.47; women: OR = 1.32, 95% CI = 1.23–1.42) than in those living in neighborhoods with high social capital, after adjustment for potential confounding factors.ConclusionThe results of this large national cohort study suggest that neighborhood linking social capital has important independent effects on lung cancer, including incident and mortality cases. These findings indicate that decision-makers must consider the effect of neighborhood-level factors as well as individual- and familial-level factors.     

Gender,Photography and Visual Participatory Methods: An Ethnographic Research Project between Colombia and France

This article explores the construction of gender in urban settings, through visual participatory methods. It is argued that gendered experience may be studied, described and visualized through engaged visual practices using photography as a research tool. I suggest that visual participatory methods provide a new support to explore the multidimensionality of the urban experience in which gender acts. By focusing on visual experience and in the process of “doing gender,” we were interested in new ways to depict gender in two cities, Sarcelles, France, and Medellin, Colombia. In that sense, visual cartographies of gender, a technique developed in both cities, strengthens new ways of understanding gendered experience through a multimodal, critical and embodied visual practice.     

Economic issues for the UK biotechnology sector

This paper examines the economic prospects for the biotechnology industry, focusing on the UK position. I discuss some economic issues relating to the structure of the biotechnology industry and examine whether these factors can account for the relative success of the biotechnology sector in the UK compared to other European countries. I emphasize the importance of the science base, pharmaceutical companies and capital markets in giving the UK an advantage. Looking ahead I argue that prospects are good for the global growth of the industry due to supply and demand side factors. The UK is in a leading position in Europe but faces significant dangers, especially from the public towards biotechnology.     

360度评价法在住培学员岗位胜任能力评价中

目的 运用360度评价法对2015级住培学员岗位胜任力进行评价,对2015级住培学员岗位胜任力现状进行探讨分析。方法 采用问卷调查评价表分别从专业基地主任、学员指导教师、轮转带教教师、同学、自我评价5个角度,对202名住培学员岗位胜任力进行360度反馈评价,岗位胜任力评价内容包含基本能力、职业素养、医患沟通、医学知识等8个方面核心能力;应用EpiData3.02建立数据库,采用SPSS19.0软件进行统计分析,统计分析方法主要为描述性统计分析、单因素方差分析。结果 5类评价主体在基本能力和医学知识2项能力打分较高,在职业精神、沟通能力、职业道德、团队合作、学术研究等其他几项能力打分偏低;在基本能力、职业精神与素质、沟通能力、团队合作和学术研究几方面能力评分,差异均有统计学意义（P＜0.05）;本人各方面打分均偏高,轮转带教教师和同专业基地同学打分居中,专业基地主任、指导导师在各方面打分偏低 结论 360度评价法客观公正地评价住培学员岗位胜任能力,有助于提高住培学员岗位胜任能力,有利于加强团队意识,增强团队建设。     

Endpiece: It works in every country

ObjectivesTo determine whether any vital signs can be used to quickly identify brain lesions in patients with impaired consciousness. DesignCross sectional observational study.SettingEmergency department of an urban hospital, Japan.Participants529 consecutive patients (mean age 65 years) presenting with impaired consciousness (score <15 on the Glasgow coma scale) during 2000.Results312 (59%) had a brain lesion which accounted for the impaired consciousness. The area under the receiver operating curve for systolic blood pressure was 0.90 (SE 0.01), indicating significantly higher accuracy (P<0.01) in the identification of a brain lesion than using diastolic pressure 0.82 (0.02) or pulse rate 0.63 (0.03). Likelihood ratios for systolic blood pressure lower than 90 mm Hg were less than 0.04, and those for systolic pressure higher than 170 mm Hg were greater than 6.09.ConclusionsSystolic blood pressure is useful for diagnosing brain lesions in patients with impaired consciousness.

What is already known on this topic

Brain imaging and neurological examination of patients with impaired consciousness are often a waste of time and resources and can delay correct diagnosis

What this paper adds

Systolic blood pressure distinguishes patients with impaired consciousness who are at high risk from those who are at low risk of an organic brain lesionGeneral use of systolic blood pressure in the diagnosis of impaired consciousness may have clinical and economic benefits     

Dignity and indignation: bridging morality and political economy in contemporary Spain

In the current Spanish conjuncture, characterized by political and economic crisis and the rapid impoverishment of the working classes, we have seen the emergence of moral discourses around indignation and the demand of dignity. While these moral exhortations have rightly been scrutinized with skepticism from Marxist positions for their lack of attention to political economic structures, this paper discusses whether we can find in them elements for what Gavin Smith calls a “revindicative politics,” able to transcend the frame of reference of the society of capital. Exploring the notion of dignity both in the Indignados movement and in my own ethnographic field site of Southern Catalonia—a region where claims to dignity have saturated the sphere of the political for decades—I suggest that the demand for dignity should be understood as an expression of what Ernst Bloch called “nonsynchronous contradictions,” being not entirely reducible to the contemporary workings of capitalist accumulation. Dignity points toward unsettled memories and unfulfilled pasts as well as to a rejection of servile relations and the desire to make sense of oneself outside of the morality of capital. Understanding this demand for dignity forces Marxist anthropologists to look at capital from the “margins,” challenging its centrality. In so doing it also invites us to refine and invigorate our critique of political economy.     

Population priorities: the challenge of continued rapid population growth

Rapid population growth continues in the least developed countries. The revisionist case that rapid population could be overcome by technology, that population density was advantageous, that capital shallowing is not a vital concern and that empirical investigations had not proved a correlation between high population growth and low per capita income was both empirically and theoretically flawed. In the modern world, population density does not play the role it did in nineteenth-century Europe and rates of growth in some of today''s least developed nations are four times than those in nineteenth-century Europe, and without major accumulation of capital per capita, no major economy has or is likely to make the low- to middle-income transition. Though not sufficient, capital accumulation for growth is absolutely essential to economic growth. While there are good reasons for objecting to the enforced nature of the Chinese one-child policy, we should not underestimate the positive impact which that policy has almost certainly had and will have over the next several decades on Chinese economic performance. And a valid reticence about telling developing countries that they must contain fertility should not lead us to underestimate the severely adverse impact of high fertility rates on the economic performance and prospects of many countries in Africa and the Middle East.     

The visual remaking of urban space: Relocation and the use of public housing in “modern” Cairo

Focusing on an urban group that was moved from the center of the capital during 1979–1981 to public housing in a neighborhood in northern Cairo,1 this article explores some of the strategies used by the relocated population to articulate their daily needs and cultural dispositions with the state's hegemonic construction of “modern” space. The discussion focuses on the visual manifestations of these strategies that localize change in durable forms. It is the visibility of these transformations, the article shows, that makes them important signs of distinction and markers of social status. At the same time, it is this visibility that transforms the housing project and remakes the image of Cairo that the state envisaged.     

Dance and glance: Visualizing tribal identity in Highland Yemen

This paper is a study in the ways that esthetic markers—dancing, poetry, clothing, food—underlie, define, and construct conceptions of the tribe in the northern highlands of Yemen. As the rural Yemeni economy has changed from economic and political self‐sufficiency to dependence on the world market and a strong central government, so has the significance of tribalism. Ironically, nationalism is presented by the Yemeni media in tribal terms. While rural expressions of tribal identity have declined, use of tribal markers has intensified in towns and cities even by those who were not formerly defined as tribal. The significance of esthetic phenomena in the formation of identity and the construction of culture is addressed.¹     

Shifting Urban Margins: Accessing Unequal Spaces of Ageing and Care in Zanzibar and Muscat

ABSTRACT

Older people constitute a growing proportion of the urban population and are encountered in all kinds of spaces and neighbourhoods across cities. This article argues that urban seniority and elderly care are a fruitful, new lens to study how inhabitants on the social margins create urban space and social cohesion. This article draws on ethnographic research in the cities of Zanzibar, Tanzania, and Muscat, the capital of Oman. Many older inhabitants of cities experience frailty, serious health problems, or even disabilities and are no longer able to work or make a living, which pushes them towards the social margins. The ethnographic examples and reflections in this article illustrate, first, how cities can be investigated from the perspective of social and spatial marginality. Second, they show how urban dwellers’ social positions can shift between the margins and centres of an urban society depending on their health and access to unequal spaces of ageing and care. And third, the paper analyses how some elders respond to marginality by taking up transnational and cosmopolitan agency.     

Radioiodine Remnant Ablation: Current Indications and Dosing Regimens

ObjectiveTo review and comment on current indica tions for radioiodine remnant ablation (RRA) in patients with differentiated thyroid cancer.MethodsThe stratification of patients as potential candidates for RRA, the benefits and risks of RRA, and the optimal preparation and administered doses of iodine 131 for RRA are discussed.ResultsWhen RRA for patients with low and inter mediate-risk differentiated thyroid cancer is being consid ered, the benefits—including survival, influence on mor bidity and recurrence, and ease of monitoring—should be weighed against the potential risks. RRA should have limited use in many low-risk patients, particularly those with stage I disease who are young and have small pri mary tumors, no lymph node involvement, and no extrano dal invasion. Measurement of serum thyroglobulin 6 to 8 weeks after thyroidectomy during levothyroxine suppres sion can be used for further stratification of risk in these patients. RRA should be used only selectively in low to intermediate-risk patients and reserved primarily for older patients with large tumors, extensive lymph node involve ment, and high-risk (tall cell, insular) subtypes of differ entiated thyroid cancer. Most low-risk to intermediate-risk patients who do warrant RRA can be prepared with recom binant human thyroid-stimulating hormone and given the smallest dose possible (30 to 50 mCi of iodine 131) for successful remnant ablation. Single-photon emission com puted tomography-computed tomographic imaging and dosimetry are new tools that can help in the management of many patients with thyroid cancer.ConclusionAlthough a large database study has shown a trend of increased use of RRA after thyroidectomy between 1990 and 2008 in the United States, recent studies and guidelines suggest a more limited use in patients with low-risk disease, which may change this trend. (Endocr Pract. 2012;18:604-610)     

A Comparison of Bone Mineral Density and Its Predictors in HIV-Infected and HIV-Uninfected Older Men

ObjectiveBone health in older individuals with HIV infection has not been well studied. This study aimed to compare bone mineral density (BMD), trabecular bone score (TBS), and bone markers between HIV-infected men and age- and body mass index (BMI)-matched HIV-uninfected men aged ≥60 years. We investigated the associations of risk factors related to fracture with BMD, TBS, and bone markers in HIV-infected men.MethodsThis cross-sectional study included 45 HIV-infected men receiving antiretroviral therapy and 42 HIV-uninfected men. Medical history, BMD and TBS measurements, and laboratory tests related to bone health were assessed in all the participants. HIV-related factors known to be associated with bone loss were assessed in the HIV-infected men.ResultsThe mean BMD, TBS, and osteopenia or osteoporosis prevalence were similar among the cases and controls. The HIV-infected men had significantly higher mean N-terminal propeptide of type 1 procollagen and C-terminal cross-linking telopeptide of type I collagen levels. Stepwise multiple linear regression analysis demonstrated that low BMI (lumbar spine, P = .015; femoral neck, P = .018; and total hip, P = .005), high C-terminal cross-linking telopeptide of type I collagen concentration (total hip, P = .042; and TBS, P = .010), and low vitamin D supplementation (TBS, P = .035) were independently associated with low BMD and TBS.ConclusionIn older HIV-infected men with a low fracture risk, the mean BMD and TBS were similar to those of the age- and BMI-matched controls. The mean bone marker levels were higher in the HIV group. Traditional risk factors for fracture, including low BMI, high C-terminal cross-linking telopeptide of type I collagen level, and low vitamin D supplementation, were significant predictors of low BMD and TBS.     

Hypoglycemia: Still The Limiting Factor in the Glycemic Management of Diabetes

ObjectiveTo review the prevalence of, risk factors for, and prevention of hypoglycemia from the perspective of the pathophysiologic aspects of glucose counterregulation in diabetes.MethodsThis review is based on personal experience and research and the relevant literature.ResultsAlthough it can result from insulin excess alone, iatrogenic hypoglycemia is generally the result of the interplay of therapeutic insulin excess and compromised defenses against declining plasma glucose concentrations. Failure of β-cells of the pancreas—early in patients with type 1 diabetes mellitus but later in those with type 2 diabetes mellitus (T2DM)—causes loss of the first 2 physiologic defenses: a decrease in insulin and an increase in glucagon. Such patients are critically dependent on epinephrine, the third physiologic defense, and neurogenic symptoms that prompt the behavioral defense (carbohydrate ingestion). An attenuated sympathoadrenal response to declining glucose levels—caused by recent antecedent hypoglycemia, prior exercise, or sleep—causes hypoglycemia-associated autonomic failure (HAAF) and thus a vicious cycle of recurrent hypoglycemia. Accordingly, hypoglycemia is infrequent early in T2DM but becomes increasingly more frequent in advanced (absolutely endogenous insulin-deficient) T2DM, and risk factors for HAAF include absolute endogenous insulin deficiency; a history of severe hypoglycemia, hypoglycemia unawareness, or both; and aggressive glycemic therapy per se.ConclusionBy practicing hypoglycemia risk reduction— addressing the issue, applying the principles of aggressive glycemic therapy, and considering both the conventional risk factors and those indicative of HAAF— it is possible both to improve glycemic control and to minimize the risk of hypoglycemia in many patients. (Endocr Pract. 2008;14:750-756)     

Anidulafungin versus fluconazole in the treatment of Candida albicans chorioretinitis

BackgroundCandida albicans chorioretinitis is the most common cause of endogenous fungal endophthalmitis. Echinocandins are recommended as first-line therapy in the treatment of invasive candidiasis (IC), but in clinically stable patients with IC and endophthalmitis caused by Candida species susceptible to azole compounds these are the first-line treatment due to their better intraocular penetration.Case reportA 42-year-old woman admitted to hospital for duodenal perforation after gastrointestinal surgery and treated with broad-spectrum antibiotics developed C. albicans candidemia. According to protocol, an antifungal treatment with anidulafungin was given. The patient presented no visual symptoms but on routinary ophthalmoscopic examination multiple bilateral chorioretinal lesions were observed. Systemic therapy was changed to fluconazole, with good systemic and ocular results.ConclusionsAzole compounds are the first-line therapy for endophthalmitis associated with candidemia. However, clinical guidelines often propose echinocandins as the first option for IC. In some cases, C. albicans chorioretinitis will require a change in the systemic treatment to assure better intraocular penetration. According to the current evidence and our own experience, routine funduscopy is not necessary in all IC patients. However, we do recommend fundus examination in patients with visual symptoms or those unable to report them (paediatric patients and patients with an altered level of consciousness), and in those who are being treated with echinocandins in monotherapy.     

基于探索性因子分析的输血科人员胜任力模型构建

??????? 目的 构建医院输血科室人员胜任力模型。方法 采用横断面问卷调查收集数据,采用探索性因子分析对胜任力模型内部结构进行分析。 结果 医院输血科室人员胜任力模型包含了6个公因子和24个特征指标,维度分别为：专业技能、个人特质、能力素质、防控差错、遵守规范和职业素养。结论 构建医院输血科室人员胜任力模型可以极大的丰富医院人力资源管理策略,在甄选、培训和绩效测评输血科室人员等方面具有积极的现实意义。     

妇产科医师鉴别胜任特征研究

目的 获取绩效优秀妇产科医师区别于绩效普通妇产科医师的胜任特征。方法 在编制医师胜任特征词典的基础上,以10名绩优和10名绩平医师为研究对象,采用行为事件访谈法收集数据,对不同绩效组医师胜任特征的频次、平均等级分值和最高等级分值的差异采用Wilcoxon秩和检验进行分析。结果 鉴别胜任特征包括严谨细致、团队合作等18项特征。结论 鉴别胜任特征对妇产科医师人力资源规划、招聘、培训有一定参考价值。

     

Who’s in conflict? Racialization of Puerto Ricans in relation to other Latinxs in the New York Times, 2010–2015

ABSTRACT

Puerto Rican migration to the United States has skyrocketed as a result of various political and economic factors faced in Puerto Rico. I focus my attention on how Puerto Ricans are represented in newspapers through narratives of belonging, exclusion and/or perceived threat. I seek to answer is: how are Puerto Ricans and other Latinx groups framed in relation to each other in the New York Times? To answer this query, I perform a content analysis of the paper of record, the New York Times. I argue that Puerto Ricans are not only framed as in conflict in relation to other Latinos, while also being framed as possessing some sort of colour capital that can be transferred over to particular spaces. The NYT constructs boundaries that reinforce while also transform what groups are perceived as threats.