814 results on '"John Harrington"'
Search Results
202. 36. The Ashland Tragedy
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Cox, John Harrington and Jabbour, Alan
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- 2013
203. 35. John Hardy
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Cox, John Harrington and Jabbour, Alan
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- 2013
204. 40. A West Virginia Feud Song
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Cox, John Harrington and Jabbour, Alan
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- 2013
205. 39. A Tolliver-Martin Feud Song
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Cox, John Harrington and Jabbour, Alan
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- 2013
206. 10. Lord Thomas and Fair Annet (Child, No. 73)
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Cox, John Harrington and Jabbour, Alan
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- 2013
207. 43. Black Phyllis
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Cox, John Harrington and Jabbour, Alan
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- 2013
208. 44. Jesse James
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Cox, John Harrington and Jabbour, Alan
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- 2013
209. 41. The Vance Song
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Cox, John Harrington and Jabbour, Alan
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- 2013
210. 3. The Twa Sisters (Child, No. 10)
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Cox, John Harrington and Jabbour, Alan
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- 2013
211. 4. Lord Randal (Child, No. 12)
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Cox, John Harrington and Jabbour, Alan
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- 2013
212. 2. Earl Brand (Child, No. 7)
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Cox, John Harrington and Jabbour, Alan
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- 2013
213. 1. Lady Isabel and the Elf Knight (Child, No. 4)
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Cox, John Harrington and Jabbour, Alan
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- 2013
214. 22. Bessie Bell and Mary Gray (Child, No. 201)
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Cox, John Harrington and Jabbour, Alan
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- 2013
215. 21. The Gypsy Laddie (Child, No. 200)
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Cox, John Harrington and Jabbour, Alan
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- 2013
216. 23. Geordie (Child, No. 209)
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Cox, John Harrington and Jabbour, Alan
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- 2013
217. Spatiotemporal climatology of the Arabian Subtropical Anticyclone
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Ali S. Alghamdi and John Harrington
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Atmospheric Science ,Earth and Planetary Sciences (miscellaneous) ,General Earth and Planetary Sciences ,General Environmental Science - Abstract
The Arabian Subtropical Anticyclone (ASA) plays an essential role in regulating weather systems over the Arabian Peninsula (Arabia) and adjacent areas. A need exists to document specific details of the spatial and temporal climatology of the ASA. In order to identify the monthly ASA position/center, the local maximum geopotential height (gph) should be located at different vertical levels. The common automated method did not work for the ASA in the warm season and an approach involving wind flow patterns was needed. The ASA was better defined in the lower troposphere in the cool season and in the mid- to upper-troposphere during the warm season. The near surface ASA begins in Aug over northern Arabia and migrates southeast until it reaches the Arabian Sea in Feb. Apr is the onset of the middle-troposphere ASA. From May to Aug, this anticyclone moves to the north with increasing height. The upper-level ASA is located over northeast Arabia in May and goes north in Jun and Jul. Seasonal changes in energy fluxes and atmospheric circulation patterns linked with the Asian Monsoon are identified as possible drivers of the temporal changes in the ASA.
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- 2022
218. Diagnosis of circadian rhythm sleep wake disorders: history and physical examination
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Teofilo Lee-Chiong and John Harrington
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- 2023
219. Human-Environment Thinking and K-12 Geography Education
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Thomas Larsen, Matthew Gerike, and John Harrington
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Geography, Planning and Development ,Earth-Surface Processes - Published
- 2021
220. Oral corticosteroids stewardship for asthma in adults and adolescents: A position paper from the Thoracic Society of Australia and New Zealand
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John Gornall, Laurence Ruane, Li Ping Chung, Anne E Holland, Helen K. Reddel, Philip G. Bardin, Sinthia Bosnic-Anticevich, Trudy Hopkins, Christopher Barton, Mark Hew, Vanessa M. McDonald, Peter G. Gibson, Lata Jayaram, John Blakey, John W. Upham, and John Harrington
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Adult ,Pulmonary and Respiratory Medicine ,Harm reduction ,medicine.medical_specialty ,Adolescent ,business.industry ,medicine.medical_treatment ,Administration, Oral ,medicine.disease ,Asthma ,Harm ,Adrenal Cortex Hormones ,Chronic Disease ,medicine ,Humans ,Position paper ,Smoking cessation ,Anti-Asthmatic Agents ,Stewardship ,Medical prescription ,Intensive care medicine ,business ,Adverse effect ,New Zealand - Abstract
Oral corticosteroids (OCS) are frequently used for asthma treatment. This medication is highly effective for both acute and chronic diseases, but evidence indicates that indiscriminate OCS use is common, posing a risk of serious side effects and irreversible harm. There is now an urgent need to introduce OCS stewardship approaches, akin to successful initiatives that optimized appropriate antibiotic usage. The aim of this TSANZ (Thoracic Society of Australia and New Zealand) position paper is to review current knowledge pertaining to OCS use in asthma and then delineate principles of OCS stewardship. Recent evidence indicates overuse and over-reliance on OCS for asthma and that doses >1000 mg prednisolone-equivalent cumulatively are likely to have serious side effects and adverse outcomes. Patient perspectives emphasize the detrimental impacts of OCS-related side effects such as weight gain, insomnia, mood disturbances and skin changes. Improvements in asthma control and prevention of exacerbations can be achieved by improved inhaler technique, adherence to therapy, asthma education, smoking cessation, multidisciplinary review, optimized medications and other strategies. Recently, add-on therapies including novel biological agents and macrolide antibiotics have demonstrated reductions in OCS requirements. Harm reduction may also be achieved through identification and mitigation of predictable adverse effects. OCS stewardship should entail greater awareness of appropriate indications for OCS prescription, risk–benefits of OCS medications, side effects, effective add-on therapies and multidisciplinary review. If implemented, OCS stewardship can ensure that clinicians and patients with asthma are aware that OCS should not be used lightly, while providing reassurance that asthma can be controlled in most people without frequent use of OCS.
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- 2021
221. Architecture and implementation of a Software-Defined Radio baseband processor.
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Ulrich Ramacher, Wolfgang Raab, J. A. Ulrich Hachmann, Dominik Langen, Jörg Berthold, R. Kramer, A. Schackow, Cyprian Grassmann, Mirko Sauermann, P. Szreder, F. Capar, G. Obradovic, W. Xu, Nico Brüls, Kang Lee, Eugene Weber, Ray Kuhn, and John Harrington
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- 2011
- Full Text
- View/download PDF
222. Identifying organ dysfunction trajectory-based subphenotypes in critically ill patients with COVID-19
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Sergio Alvarez-Mulett, Chang Su, Katherine Hoffman, Fei Wang, Edward J. Schenck, Fernando J. Martinez, Zhenxing Xu, Parag Goyal, Luis Gomez-Escobar, Jerry Lee, Monika M. Safford, Thomas R. Campion, David R. Price, Lisa K. Torres, and John Harrington
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Male ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Organ Dysfunction Scores ,Critical Illness ,Multiple Organ Failure ,Science ,Severity of Illness Index ,Article ,Internal medicine ,Severity of illness ,medicine ,Humans ,Aged ,Hemophagocytic lymphohistiocytosis ,Multidisciplinary ,SARS-CoV-2 ,business.industry ,Respiration ,Organ dysfunction ,COVID-19 ,Middle Aged ,Prognosis ,medicine.disease ,Pathophysiology ,Respiratory failure ,Viral infection ,Medicine ,Female ,SOFA score ,medicine.symptom ,business - Abstract
COVID-19-associated respiratory failure offers the unprecedented opportunity to evaluate the differential host response to a uniform pathogenic insult. Understanding whether there are distinct subphenotypes of severe COVID-19 may offer insight into its pathophysiology. Sequential Organ Failure Assessment (SOFA) score is an objective and comprehensive measurement that measures dysfunction severity of six organ systems, i.e., cardiovascular, central nervous system, coagulation, liver, renal, and respiration. Our aim was to identify and characterize distinct subphenotypes of COVID-19 critical illness defined by the post-intubation trajectory of SOFA score. Intubated COVID-19 patients at two hospitals in New York city were leveraged as development and validation cohorts. Patients were grouped into mild, intermediate, and severe strata by their baseline post-intubation SOFA. Hierarchical agglomerative clustering was performed within each stratum to detect subphenotypes based on similarities amongst SOFA score trajectories evaluated by Dynamic Time Warping. Distinct worsening and recovering subphenotypes were identified within each stratum, which had distinct 7-day post-intubation SOFA progression trends. Patients in the worsening suphenotypes had a higher mortality than those in the recovering subphenotypes within each stratum (mild stratum, 29.7% vs. 10.3%, p = 0.033; intermediate stratum, 29.3% vs. 8.0%, p = 0.002; severe stratum, 53.7% vs. 22.2%, p
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- 2021
223. Bio-imperialism. Disease, terror and the construction of national fragility
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John Harrington
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Issues, ethics and legal aspects ,Health (social science) ,Health Policy ,Genetics - Published
- 2021
224. ‘Breathing Fire’: Impact of Prolonged Bushfire Smoke Exposure in People with Severe Asthma
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Gibson, Tesfalidet Beyene, Erin S. Harvey, Joseph Van Buskirk, Vanessa M. McDonald, Megan E. Jensen, Jay C. Horvat, Geoffrey G. Morgan, Graeme R. Zosky, Edward Jegasothy, Ivan Hanigan, Vanessa E. Murphy, Elizabeth G. Holliday, Anne E. Vertigan, Matthew Peters, Claude S. Farah, Christine R. Jenkins, Constance H. Katelaris, John Harrington, David Langton, Philip Bardin, Gregory P. Katsoulotos, John W. Upham, Jimmy Chien, Jeffrey J. Bowden, Janet Rimmer, Rose Bell, and Peter G.
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severe asthma ,particulate matter ,wildfire smoke ,bushfire smoke - Abstract
Wildfires are increasing and cause health effects. The immediate and ongoing health impacts of prolonged wildfire smoke exposure in severe asthma are unknown. This longitudinal study examined the experiences and health impacts of prolonged wildfire (bushfire) smoke exposure in adults with severe asthma during the 2019/2020 Australian bushfire period. Participants from Eastern/Southern Australia who had previously enrolled in an asthma registry completed a questionnaire survey regarding symptoms, asthma attacks, quality of life and smoke exposure mitigation during the bushfires and in the months following exposure. Daily individualized exposure to bushfire particulate matter (PM2.5) was estimated by geolocation and validated modelling. Respondents (n = 240) had a median age of 63 years, 60% were female and 92% had severe asthma. They experienced prolonged intense PM2.5 exposure (mean PM2.5 32.5 μg/m3 on 55 bushfire days). Most (83%) of the participants experienced symptoms during the bushfire period, including: breathlessness (57%); wheeze/whistling chest (53%); and cough (50%). A total of 44% required oral corticosteroid treatment for an asthma attack and 65% reported reduced capacity to participate in usual activities. About half of the participants received information/advice regarding asthma management (45%) and smoke exposure minimization strategies (52%). Most of the participants stayed indoors (88%) and kept the windows/doors shut when inside (93%), but this did not clearly mitigate the symptoms. Following the bushfire period, 65% of the participants reported persistent asthma symptoms. Monoclonal antibody use for asthma was associated with a reduced risk of persistent symptoms. Intense and prolonged PM2.5 exposure during the 2019/2020 bushfires was associated with acute and persistent symptoms among people with severe asthma. There are opportunities to improve the exposure mitigation strategies and communicate these to people with severe asthma.
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- 2022
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225. Peptidomics of Haemonchus contortus
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John Harrington, Camille Allain, Armelle Buzy, Aaron G. Maule, David F. Bruhn, Jean-Claude Guillemot, Dominique Lesuisse, and Vincent Mikol
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Direct sequencing ,General Chemical Engineering ,Absolute quantification ,Neuropeptide ,General Chemistry ,Biology ,biology.organism_classification ,Life stage ,Chemistry ,Nematode ,Biochemistry ,parasitic diseases ,medicine ,Parasite hosting ,Anthelmintic ,QD1-999 ,Haemonchus contortus ,medicine.drug - Abstract
The nematode Haemonchus contortus (the barber's pole worm) is an endoparasite infecting wild and domesticated ruminants worldwide. Widespread anthelmintic resistance of H. contortus requires alternative strategies to control this parasite. Neuropeptide signaling represents a promising target for anthelmintic drugs. Identification and relative quantification of nematode neuropeptides are, therefore, required for the development of such therapeutic targets. In this work, we undertook the profiling of the whole H. contortus larvae at different stages for the direct sequencing of the neuropeptides expressed at low levels in these tissues. We set out a peptide extraction protocol and a peptidomic workflow to biochemically characterize bioactive peptides from both first-stage (L1) and third-stage larvae (L3) of H. contortus. This work led to the identification and quantification at the peptidomic level of more than 180 mature neuropeptides, including amidated and nonamidated peptides, arising from 55 precursors of H. contortus. The differential peptidomic approach provided evidence that both life stages express most FMRFamide-like peptides (FLPs) and neuropeptide-like proteins (NLPs). The H. contortus peptidome resource, established in this work, could add the discovery of neuropeptide system-targeting drugs for ruminants.
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- 2021
226. Heartworm disease – Overview, intervention, and industry perspective
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Ronald Kaminsky, Paul M. Selzer, Doug Carithers, Sandra Noack, and John Harrington
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0301 basic medicine ,Best practice ,Dirofilaria immitis ,030231 tropical medicine ,Active components ,Infectious and parasitic diseases ,RC109-216 ,Disease ,Mechanism of action ,Cat Diseases ,Heartworm disease ,03 medical and health sciences ,Lactones ,0302 clinical medicine ,Dogs ,Intervention (counseling) ,Environmental health ,Medicine ,Animals ,Pharmacology (medical) ,Dog Diseases ,Anthelmintic resistance ,Pharmacology ,Macrocyclic lactones ,Invited Review ,Animal health ,biology ,business.industry ,biology.organism_classification ,Disease control ,030104 developmental biology ,Infectious Diseases ,Cats ,Parasitology ,Dirofilariasis ,business - Abstract
Dirofilaria immitis, also known as heartworm, is a major parasitic threat for dogs and cats around the world. Because of its impact on the health and welfare of companion animals, heartworm disease is of huge veterinary and economic importance especially in North America, Europe, Asia and Australia. Within the animal health market many different heartworm preventive products are available, all of which contain active components of the same drug class, the macrocyclic lactones. In addition to compliance issues, such as under-dosing or irregular treatment intervals, the occurrence of drug-resistant heartworms within the populations in the Mississippi River areas adds to the failure of preventive treatments. The objective of this review is to provide an overview of the disease, summarize the current disease control measures and highlight potential new avenues and best practices for treatment and prevention., Graphical abstract Image 1
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- 2021
227. ‘Choking the national demos’: research partnerships and the material constitution of global health
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John Harrington
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050502 law ,Legal norm ,2019-20 coronavirus outbreak ,Constitution ,media_common.quotation_subject ,05 social sciences ,Legislature ,K1 ,Municipal law ,Public administration ,medicine.disease ,Political science ,050501 criminology ,Nation state ,Global health ,medicine ,Choking ,Law ,0505 law ,media_common - Abstract
By foregrounding a widened view of the rule of law in transnational legal processes, the works under discussion in this symposium can support innovative critical perspectives on global health law –a field that has gained wide attention due to the spread of COVID-19 around the world (Lander, 2020; Bhatt, 2020). Legal and socio-legal scholars in the decade and a half before the pandemic worked on locating global health law and articulating its underlying principles. Lawrence Gostin's 2014 monograph offers a synoptic view centred on international institutions (e.g. the World Health Organization, World Trade Organization, UN Human Rights Council) and problems (e.g. infectious-disease response, tobacco control), along with an elaboration of its normative basis in universal moral principle and international human rights law (Gostin, 2014). Struggles over access to essential medicines and intellectual property in the early 2000s are, for example, represented in terms of the right to health constraining international trade law. Andreas Fischer-Lescano and Guenther Teubner's 2004 reading is oriented more by social theory than by doctrinal or ethical frames (Fischer-Lescano and Teubner, 2004, pp. 1006, 1008). A functional health regime has ‘differentiated out’, they observe, and operates as a discrete communication system across borders, albeit one that is threatened by the preponderant economic system. On this model, the battle for access to medicines amounts to ensuring, via human rights guarantees, that the rationality of the health system is not replaced by that of its economic rival in legal and policy communications (Fischer-Lescano and Teubner, 2004, pp. 1030, 1046).
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- 2021
228. Changing Nature-Society Conditions and the Oyster Industry, Willapa Bay, Washington
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Lisa M. Butler Harrington and John Harrington
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General Medicine - Published
- 2021
229. 'Elective affinities': the art of medicine and the common law
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John Harrington
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business.industry ,Common law ,Medicine ,Theology ,business ,Affinities ,Classics - Abstract
N/A
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- 2020
230. Evidence for a core-shell structure of hydrothermal carbon
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Andy Brown, Burkhard Kaulich, Andrew B. Ross, Luke J.R. Higgins, Bhoopesh Mishra, and John Harrington
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chemistry.chemical_classification ,Materials science ,Shell (structure) ,chemistry.chemical_element ,Core (manufacturing) ,02 engineering and technology ,General Chemistry ,010402 general chemistry ,021001 nanoscience & nanotechnology ,Condensation reaction ,01 natural sciences ,Aldehyde ,Hydrothermal circulation ,0104 chemical sciences ,chemistry.chemical_compound ,Monomer ,chemistry ,Chemical engineering ,Furan ,General Materials Science ,0210 nano-technology ,Carbon - Abstract
Hydrothermal carbonisation (HTC) has been demonstrated to be a sustainable thermochemical process, capable of producing functionalised carbon materials for a wide range of applications. In order to better apply such materials, the local chemistry and reaction pathways governing hydrothermal carbon growth must be understood. We report the use of scanning transmission X-ray microscopy (STXM) to observe chemical changes in the functionality of carbon between the interface and bulk regions of HTC. Spatially-resolved, element-specific X-ray photo-absorption spectra show the presence of differing local carbon chemistry between bulk “core” and interface “shell” regions of a glucose-derived hydrothermal carbon spherule. STXM provides direct evidence to suggest that mechanistic pathways differ between the core and shell of the hydrothermal carbon. In the shell region, at the water-carbon interface, more aldehyde and/or carboxylic species are suspected to provide a reactive interface for bridging reactions to occur with local furan-based monomers. In contrast, condensation reactions appear to dominate in the core, removing aryl-linking units between polyfuranic domains. The application of STXM to HTC presents opportunities for a more comprehensive understanding of the spatial distribution of carbon species within hydrothermal carbon, especially at the solvent-carbon interface.
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- 2020
231. #weareone: blood donation, terrorism and dreams of inclusion in Kenya
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John Harrington
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Kenya ,060101 anthropology ,media_common.quotation_subject ,05 social sciences ,Geography, Planning and Development ,0507 social and economic geography ,06 humanities and the arts ,Criminology ,050701 cultural studies ,Somali ,Independence ,language.human_language ,Injustice ,Politics ,Arts and Humanities (miscellaneous) ,Anthropology ,Political science ,Donation ,Elite ,Terrorism ,language ,0601 history and archaeology ,media_common - Abstract
This article examines responses to the terrorist attack on the Westgate Shopping Centre in Nairobi in September 2013 in order to investigate the role played by blood donation, as an expression of national dreams, in the political imaginary of contemporary Kenya. It considers the symbolic effectiveness of calls for blood donation made by political figures in the aftermath of the attacks. Such calls drew on a tradition of donation drives begun in the early years of independence, which emphasized the modernizing imperative of the new state and the importance of unity, hard work and self-sacrifice in building the nation. However, the reaction to Westgate, including calls for blood donation, also needs to be understood with reference to the response of American and other leaders to equivalent terrorist attacks in more recent years. These elite dreams found resonance among ordinary citizens and blood donation recruiters. But they were also subjected to trenchant critiques that sought to expose the reality of the transfusion system, as well as the inequality and injustice that mark the general healthcare system and Kenyan society as a whole. These shortcomings were also highlighted by mobilization drives organized by Kenya's Somali and Asian communities both before and during the Westgate crisis. The latter are presented by their organizers as a means of overcoming historic exclusion and discrimination.
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- 2020
232. Implications of the Anthropocene for Professional Ethics in American Geography Education
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Thomas Barclay Larsen and John Harrington
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- 2022
233. OxyVita® Hb: A Step Forward in Delivering Oxygen Carrying Capacity for Therapeutic Applications
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Hanna Wollocko, John Harrington, Jonathan Jahr, Kenneth Steier, and Jacek Wollocko
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- 2022
234. The symmetry and structural characteristics of the core of the Arabian Subtropical Anticyclone and associated surface climatology over Arabia: A spatial perspective
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Ali S. Alghamdi and John Harrington
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Atmospheric Science - Published
- 2023
235. Circulating Mitochondrial DNA as Predictor of Mortality in Critically Ill Patients
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Jin Won Huh, Augustine M.K. Choi, John Harrington, Ilias I. Siempos, Kiichi Nakahira, and Edward J. Schenck
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Pulmonary and Respiratory Medicine ,Mitochondrial DNA ,medicine.medical_specialty ,Receiver operating characteristic ,business.industry ,Area under the curve ,CINAHL ,Cochrane Library ,Critical Care and Intensive Care Medicine ,03 medical and health sciences ,0302 clinical medicine ,Model for End-Stage Liver Disease ,030228 respiratory system ,Multicenter trial ,Internal medicine ,medicine ,Biomarker (medicine) ,030212 general & internal medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background Despite numerous publications on mitochondrial DNA (mtDNA) in the last decade it remains to be seen whether mtDNA can be used clinically. We conducted a systematic review to assess circulating cell-free mtDNA as a biomarker of mortality in critically ill patients. Methods This systematic review was registered with PROSPERO (CRD42016046670). PubMed, CINAHL, the Cochrane Library, Embase, Scopus, and Web of Science, and reference lists of retrieved articles were searched. Studies measuring circulating cell-free mtDNA and reporting on all-cause mortality in critically ill adult and pediatric patients were included. The primary and secondary outcomes were mortality and morbidity, respectively. Results Of the 1,566 initially retrieved publications, 40 studies were included, accounting for 3,450 critically ill patients. Substantial differences between studies were noted in how mtDNA was isolated and measured. Sixteen of the 40 included studies (40%) explored the association between mtDNA levels and mortality; of those 16 studies, 11 (68.8%) reported a statistically significant association. The area under the receiver operating characteristic (AUROC) curve for mtDNA and mortality was calculated for 10 studies and ranged from 0.61 to 0.95. Conclusions There is growing interest in mtDNA as a predictor of mortality in critically ill patients. Most studies are small, lack validation cohorts, and utilize different protocols to measure mtDNA. When reported, AUROC analysis usually suggests a statistically significant association between mtDNA and mortality. Standardization of mtDNA protocols and the completion of a large, prospective, multicenter trial may be warranted to firmly establish the clinical usefulness of mtDNA.
- Published
- 2019
236. COVID19 and Human Right To Food: Lived Experiences of the Urban Poor in Kenya with the Impacts of Government’s Response Measures, A Participatory Qualitative Study
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Carolyn Kemunto Nyamasege, John Harrington, Elizabeth Wambui Kimani-Murage, David Osogo, Emmy Kageha Igonya, and David Ngira
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Government ,Right to food ,Lived experience ,Political science ,digestive, oral, and skin physiology ,Citizen journalism ,Urban poor ,Socioeconomics ,Qualitative research - Abstract
Background Globally, governments put in place measures to curb the spread of COVID-19. Information on the effects of these measures on the urban poor is limited. This study aimed to explore the lived experiences of the urban poor in Kenya in the context of government’s COVID-19 response measures and its effects on the human right to food. Methods A participatory qualitative study was conducted in two informal settlements in Nairobi between January and March 2021. Analysis draws on eight focus group discussions, eight in-depth interviews, twelve key informant interviews, two photovoice sessions and three digital storytelling sessions. Phenomenology was applied to understand an individual’s lived experiences with the human right to food during COVID -19. Thematic analysis was performed using NVIVO software. Results The human right to food was affected in various ways. Many people lost their livelihoods affecting affordability of food due to response measures such as social distancing, curfew, and lockdown. The food supply chain was disrupted causing limited availability and access to affordable, safe, adequate, and nutritious food. Consequently, hunger and an increased consumption of low-quality food was reported. The government and other stakeholders instituted social protection measures. However, these were inadequate and marred with irregularities. Some households resorted to scavenging food from dumpsites, skipping meals, sex-work, urban-rural migration and depending on food donations to survive. On the positive side, some households resorted to progressive measures such as urban farming and food sharing in the community. Generally, there was a view that the response measures could have been more sensitive to the human rights of the urban poor. Conclusions The government’s COVID-19 restrictive measures exacerbated the already existing vulnerability of the urban poor to food insecurity and violated their human right to food. Future response measures should be executed in ways that respect the human right to food and protect marginalized people from resultant vulnerabilities.
- Published
- 2021
237. COVID- 19 and human right to food: lived experiences of the urban poor in Kenya with the impacts of government's response measures, a participatory qualitative study
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Elizabeth Wambui Kimani-Murage, David Osogo, Carolyn Kemunto Nyamasege, Emmy Kageha Igonya, David Otieno Ngira, and John Harrington
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Human Rights ,Government ,Communicable Disease Control ,Public Health, Environmental and Occupational Health ,COVID-19 ,Humans ,K1 ,Kenya - Abstract
Background Globally, governments put in place measures to curb the spread of COVID-19. Information on the effects of these measures on the urban poor is limited. This study aimed to explore the lived experiences of the urban poor in Kenya in the context of government’s COVID-19 response measures and its impact on the human right to food. Methods A qualitative study was conducted in two informal settlements in Nairobi between January and March 2021. Analysis draws on eight focus group discussions, eight in-depth interviews, 12 key informant interviews, two photovoice sessions and three digital storytelling sessions. Phenomenology was applied to understand an individual’s lived experiences with the human right to food during COVID − 19. Thematic analysis was performed using NVIVO software. Results The human right to food was affected in various ways. Many people lost their livelihoods, affecting affordability of food, due to response measures such as social distancing, curfew, and lockdown. The food supply chain was disrupted causing limited availability and access to affordable, safe, adequate, and nutritious food. Consequently, hunger and an increased consumption of low-quality food was reported. Social protection measures were instituted. However, these were inadequate and marred by irregularities. Some households resorted to scavenging food from dumpsites, skipping meals, sex-work, urban-rural migration and depending on food donations to survive. On the positive side, some households resorted to progressive measures such as urban farming and food sharing in the community. Generally, the response measures could have been more sensitive to the human rights of the urban poor. Conclusions The government’s COVID-19 restrictive measures exacerbated the already existing vulnerability of the urban poor to food insecurity and violated their human right to food. Future response measures should be executed in ways that respect the human right to food and protect marginalized people from resultant vulnerabilities.
- Published
- 2021
238. Towards a Welsh health law: devolution, divergence and values
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Erin Thomas, John Harrington, and Barbara Hughes-Moore
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Parliament ,media_common.quotation_subject ,Context (language use) ,Legislation ,Public administration ,Devolution ,language.human_language ,Welsh ,Political science ,language ,Health law ,Positive law ,Settlement (litigation) ,media_common - Abstract
COVID-19 and Brexit have given political impetus to re-examine Wales’s place within the United Kingdom’s devolution settlement. Health has been a key site for divergence in law and policy as between the administrations in Cardiff and London. In light of these contests, and the longer-running trends in devolution, this article considers whether a distinct ‘Welsh’ health law has now emerged. We examine the constitutional context and the range of sources for this new legal field. We argue that a set of values can be identified through an attentive reading of the legislative output of the Welsh Parliament, through reflection on the policy development of health in Wales, through the devolution process. While accepting that these are varied and heterogeneous, these values are as much an expression of universal ethical goals as they are of any delineable Welsh essence. No mere summation of positive law, these values allow one to define a distinctive realm of Welsh health law, have the potential to act as an interpretative lens for analysing law and policy flowing from Westminster, and could potentially act as a value structure for further Welsh legislation.
- Published
- 2021
239. Geographic Thought and the Anthropocene: What Geographers Have Said and Have to Say
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Thomas Barclay Larsen and John Harrington
- Published
- 2021
240. ILC2 cells from severe allergic and eosinophilic asthma demonstrate increased expression of TSLP receptor (TSLPR) and enhanced proliferative capacity
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Bilal Malik, Peter A. B. Wark, John W. Upham, John Harrington, Nathan W. Bartlett, and Rebecca Mckerrow
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business.industry ,Proliferative capacity ,Immunology ,Medicine ,Eosinophilic asthma ,TSLP Receptor ,business - Published
- 2021
241. Anomalous grain boundary conduction in BiScO3-BaTiO3 high temperature dielectrics
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John Harrington, Julian S. Dean, Steven J. Milne, Teresa Roncal-Herrero, Andy Brown, Derek C. Sinclair, and Linhao Li
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Phase transition ,Materials science ,Polymers and Plastics ,Metals and Alloys ,Analytical chemistry ,Dielectric ,Conductivity ,Electronic, Optical and Magnetic Materials ,Dielectric spectroscopy ,Differential scanning calorimetry ,visual_art ,Phase (matter) ,Ceramics and Composites ,visual_art.visual_art_medium ,Grain boundary ,Ceramic - Abstract
A combination of X-ray diffraction, analytical-electron microscopy, differential scanning calorimetry, impedance spectroscopy and electromotive force measurements (for oxide-ion transport number measurements, tion) are used to report on the influence of a small amount of a continuous Bi2O3-rich phase along the grain boundaries in sample composition x = 0.4 (BS0.4BT) of the high temperature dielectric solid solution series, x(BiScO3)-(1-x)(BaTiO3). Its presence produces a dramatic change in conductivity of ~ two orders of magnitude and a switch in tion over the range ~ 600 - 800 °C that is not observed for other ceramics with lower BiScO3 content. Below ~ 700 °C the grain boundaries in BS0.4BT act as electrically blocking layers and dominate the impedance of the ceramics. In contrast, at > 800 °C the grain boundaries become highly conductive due to a polymorphic phase transition to, and melting of δ-Bi2O3 which results in the current percolating along the grain boundaries and therefore avoiding the grains. The value of tion increases from ~ 0.13 at ~ 600 °C to near unity at ~ 800 °C for BS0.4BT, consistent with oxide ion conduction due to the presence of liquid Bi2O3 at grain boundary regions. This behaviour was reproduced by adding a small excess of 3 wt% Bi2O3 into x = 0.3 (BS0.3BT) samples to induce a Bi2O3-rich grain boundary phase, not otherwise present in this composition.
- Published
- 2021
242. Irish Theater in America: Essays on Irish Theatrical Diaspora
- Author
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John Harrington
- Published
- 2009
243. (Hydroxy)apatite on cement: insights into a new surface treatment
- Author
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Susan A. Cumberland, Cerys A Jenkins, Paul A. Bingham, Mark S'ari, Matthew J. Baker, Pieter Bots, Paul R. Edwards, Joanna C. Renshaw, Ronald J. Turner, Alex Scrimshire, Andrea Hamilton, Andy Brown, Alan Richardson, and John Harrington
- Subjects
H200 ,Cement ,Materials science ,Aqueous solution ,Nucleation ,engineering.material ,Nanocrystalline material ,Apatite ,law.invention ,Portland cement ,Coating ,Chemical engineering ,Chemistry (miscellaneous) ,law ,visual_art ,visual_art.visual_art_medium ,engineering ,TA170 ,General Materials Science ,Layer (electronics) - Abstract
(Hydroxy)apatite (HAp) [Ca10(PO4)6(OH)2], has emerging potential as a cement coating material, with applications in environmental remediation, nuclear waste storage and architectural preservation. In these low temperature environments and when precipitating from aqueous solution on to a porous substrate, the crystal size, nucleation sites and modified surface properties created are key to designing the most effective coating. In this study we show that bacterial (biogenic) or chemical (abiotic) syntheses on to Portland cement alter these critical performance parameters. We identify that the most significant difference between these two methods is the rate of pH change of the solution during synthesis, as this alters the surface properties and layer structure of HAp formed on cement. We show that iron present in Portland cement is not incorporated into the HAp structure; that formation of nanoparticulate/nanocrystalline HAp begins in the top 20–50 μm of the cement pore structure; and that a slow pH rise in the deposition solution controlled by bacteria metabolic activity leads to a rougher and more hydrophilic HAp coating compared to the abiotic synthesis. The results present the possibility of tailoring the surface topography and hydrophilicity of (hydroxy)apatite coated cement.
- Published
- 2021
244. 5. Conservatives, Nationalists, and American Romantics Debating Legal Education in Kwame Nkrumah’s Ghana
- Author
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John Harrington and Ambreena Manji
- Published
- 2021
245. Defining a Severe Asthma Super-Responder: Findings from a Delphi Process
- Author
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Liang-Wen Hang, Karrinda Kenny, Louis-Philippe Boulet, Jane Duke, Désirée Larenas-Linnemann, Claude S. Farah, Mónica De Gennaro, Peter A. B. Wark, Hubertus Jersmann, Maria Teresa Costantino, Dermot Ryan, Mark Hew, Vanessa M. McDonald, Mohammad Hashim Khan, Pin-Kuei Fu, Mitesh Patel, Majdy Idrees, David A. Jackson, Violina Vasileva, Constance H. Katelaris, Matthew Masoli, Nunzio Crimi, Celeste Porsbjerg, Janet Rimmer, Veronica Lawriwskyj, Ying-Chun Chien, Norma Linaker, Sally E. Wenzel, Alan Altraja, Ricardo Campos, Carlos Torres-Duque, Manlio Milanese, Enrico Heffler, Eleftherios Zervas, Andréanne Côté, Guy Brusselle, Alan James, Luis Perez-de-Llano, Jorge Maspero, David Langton, Francesca Puggioni, Mona Al-Ahmad, Riyard Al-Lehebi, Adel H. Mansur, Tom Brown, José Luis Miguel, Chris Corrigan, Arnaud Bourdin, James Fingleton, Brian J. Lipworth, Shrikant Pawar, Paula Kauppi, Philip G. Bardin, Alexandra Nanzer-Kelly, Carlos Andrés Celis-Preciado, Santus Pierachille, David Price, George Christoff, Pauline Hughes, Hitashi Rupani, João Fonseca, Nikolaos G. Papadopoulos, Naghmeh Radhakrishna, Lauri Lehtimäki, Rekha Chaudhuri, Anne-Maree Cheffins, Tara Mackenzie, Christian Taube, Kenneth R. Chapman, Charlotte Suppli Ulrik, Giorgio Walter Canonica, Mariko Koh Siyue, Maria Elisabetta Conte, Giovanna Elisiana Carpagnano, Chantal E. Le Lievre, Mohsen Sadatsafavi, Unnur S. Bjornsdottir, Praveen Akuthota, Mark FitzGerald, Andrew Menzies-Gow, Jaideep Dhariwal, Stelios Loukides, Michael E. Wechsler, Paul E Pfeffer, Matthew J. Peters, Giuseppe Guida, Zinta Harrington, Konstantinos Kostikas, Ian Clifton, Tze Lee Tan, Andriana I. Papaioannou, Li Ping Chung, John W. Upham, Parameswaran Nair, John Harrington, Aikaterini Detoraki, Liam G Heaney, Roberta Parente, Paul M. O'Byrne, Jo A Douglass, Kanok Pipatvech, Ming-Ju Tsai, Caterina Bucca, Vibeke Backer, Peter Middleton, Patrick Mitchell, Paddy Dennison, Luisa Ricciardi, Njira L Lugogo, Job F M van Boven, Flavia C.L. Hoyte, Stephen J. Fowler, Gregory Katsoulotos, Bassam Mahboub, Rovira Francisco, Nicola A. Hanania, John Corless, Mona-Rita Yacoub, Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), and Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)
- Subjects
medicine.medical_specialty ,Exacerbation ,[SDV]Life Sciences [q-bio] ,Delphi method ,Biologics ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Randomized controlled trial ,law ,medicine ,Immunology and Allergy ,Asthma ,Asthma treatment ,Consensus ,Delphi Technique ,Humans ,Surveys and Questionnaires ,Quality of Life ,030212 general & internal medicine ,Intensive care medicine ,ComputingMilieux_MISCELLANEOUS ,business.industry ,Minimal clinically important difference ,medicine.disease ,3. Good health ,030228 respiratory system ,Asthma Control Questionnaire ,Allergists ,business - Abstract
Background Clinicians are increasingly recognizing severe asthma patients in whom biologics and other add-on therapies lead to dramatic improvement. Currently, there is no agreed-upon super-responder (SR) definition. Objective To survey severe asthma experts using a modified Delphi process, to develop an international consensus-based definition of a severe asthma SR. Methods The Delphi panel was composed of 81 participants (94% specialist pulmonologists or allergists) from 24 countries and consisted of three iterative online voting rounds. Consensus on individual items, whether acceptance or rejection, required at least 70% agreement by panel members. Results Consensus was achieved that the SR definition should be based on improvement across three or more domains assessed over 12 months. Major SR criteria included exacerbation elimination, a large improvement in asthma control (two or more times the minimal clinically important difference), and cessation of maintenance of oral steroids (or weaning to adrenal insufficiency). Minor SR criteria were composed of a 75% exacerbation reduction, having well-controlled asthma, and 500 mL or greater improvement in FEV1. The SR definition requires improvement in at least two major criteria. In the future, the SR definition should be expanded to incorporate quality of life measures, although current tools can be difficult to implement in a clinical setting and further research is needed. Conclusions This international consensus-based definition of severe asthma SRs is an important prerequisite for better understanding SR prevalence, predictive factors, and the mechanisms involved. Further research is needed to understand the patient's perspective and to measure quality of life more precisely in SRs.
- Published
- 2021
246. Indicators, security, and sovereignty during Covid-19 in the Global South
- Author
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John Harrington
- Subjects
Government ,Neoliberalism (international relations) ,Corporate governance ,05 social sciences ,K1 ,CONTEST ,Global governance ,050601 international relations ,Solidarity ,0506 political science ,03 medical and health sciences ,0302 clinical medicine ,Sovereignty ,Political science ,Political economy ,030212 general & internal medicine ,Law ,Decolonization - Abstract
The spread of COVID-19 has seen a contest over health governance and sovereignty in Global South states, with a focus on two radically distinct modes: (1) indicators and metrics and (2) securitisation. Indicators have been a vehicle for the government of states through the external imposition and internal self-application of standards and benchmarks. Securitisation refers to the calling-into-being of emergencies in the face of existential threats to the nation. This paper contextualises both historically with reference to the trajectory of Global South states in the decades after decolonisation, which saw the rise and decline of Third-World solidarity and its replacement by neoliberalism and global governance mechanisms in health, as in other sectors. The interaction between these modes and their relative prominence during COVID-19 is studied through a brief case-study of developments in Kenya during the early months of the pandemic. The paper closes with suggestions for further research and a reflection on parallel trends within Global North states.
- Published
- 2021
247. ‘Africa Needs Many Lawyers Trained for the Need of their Peoples’
- Author
-
John Harrington and Ambreena Manji
- Subjects
050502 law ,History ,Expatriate ,05 social sciences ,Academic freedom ,Authoritarianism ,African nationalism ,Politics ,Law ,Political science ,050501 criminology ,Legal education ,Social progress ,Decolonization ,0505 law - Abstract
In the late 1950s and early 1960s, the setting up of university law schools in many African nations led to often bitter battles over the purpose of legal education. The stakes in these struggles were high. Deliberately neglected under colonial rule, legal education was an important focus for the leaders of new states, including Kwame Nkrumah, first President of Ghana. It was also a significant focus for expatriate British scholars and American foundations, seeking to shape the development of new universities in Africa. Disputes centred on whether training would have a wholly academic basis, and be taught exclusively in the University of Ghana, or be provided in addition through a dedicated law school with a more practical ethos. This debate became entangled in a wider confrontation over academic freedom between Nkrumah’s increasing authoritarian government and the university, with its significant body of expatriate lecturers, and indeed in wider political and class struggles in Ghana as a whole. Tensions came to a head in the period between 1962 and 1964 when the American Dean of Law was deported along with other staff on the foot of allegations of their seditious intent. In this paper we document these complex struggles, identifying the broader political stakes within them, picking out the main, rival philosophies of legal education which animated them, and relating all of these to the broader historical conjuncture of decolonisation. Drawing on a review of archival materials from the time, published histories and memoirs, as well as interviews, we aim to show that debates over legal education had a significance going beyond the confines of the Law Faculty. They engaged questions of African nationalism, development and social progress, the ambivalent legacy of British rule and the growing influence of the United States in these territories.
- Published
- 2019
248. ‘Breathing Fire’: Impact of Prolonged Bushfire Smoke Exposure in People with Severe Asthma
- Author
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Tesfalidet Beyene, Erin S. Harvey, Joseph Van Buskirk, Vanessa M. McDonald, Megan E. Jensen, Jay C. Horvat, Geoffrey G. Morgan, Graeme R. Zosky, Edward Jegasothy, Ivan Hanigan, Vanessa E. Murphy, Elizabeth G. Holliday, Anne E. Vertigan, Matthew Peters, Claude S. Farah, Christine R. Jenkins, Constance H. Katelaris, John Harrington, David Langton, Philip Bardin, Gregory P. Katsoulotos, John W. Upham, Jimmy Chien, Jeffrey J. Bowden, Janet Rimmer, Rose Bell, and Peter G. Gibson
- Subjects
Adult ,Male ,Air Pollutants ,Health, Toxicology and Mutagenesis ,Australia ,Public Health, Environmental and Occupational Health ,Environmental Exposure ,Middle Aged ,Asthma ,Fires ,Smoke ,Quality of Life ,Humans ,Female ,Particulate Matter ,Longitudinal Studies - Abstract
Wildfires are increasing and cause health effects. The immediate and ongoing health impacts of prolonged wildfire smoke exposure in severe asthma are unknown. This longitudinal study examined the experiences and health impacts of prolonged wildfire (bushfire) smoke exposure in adults with severe asthma during the 2019/2020 Australian bushfire period. Participants from Eastern/Southern Australia who had previously enrolled in an asthma registry completed a questionnaire survey regarding symptoms, asthma attacks, quality of life and smoke exposure mitigation during the bushfires and in the months following exposure. Daily individualized exposure to bushfire particulate matter (PM2.5) was estimated by geolocation and validated modelling. Respondents (n = 240) had a median age of 63 years, 60% were female and 92% had severe asthma. They experienced prolonged intense PM2.5 exposure (mean PM2.5 32.5 μg/m3 on 55 bushfire days). Most (83%) of the participants experienced symptoms during the bushfire period, including: breathlessness (57%); wheeze/whistling chest (53%); and cough (50%). A total of 44% required oral corticosteroid treatment for an asthma attack and 65% reported reduced capacity to participate in usual activities. About half of the participants received information/advice regarding asthma management (45%) and smoke exposure minimization strategies (52%). Most of the participants stayed indoors (88%) and kept the windows/doors shut when inside (93%), but this did not clearly mitigate the symptoms. Following the bushfire period, 65% of the participants reported persistent asthma symptoms. Monoclonal antibody use for asthma was associated with a reduced risk of persistent symptoms. Intense and prolonged PM2.5 exposure during the 2019/2020 bushfires was associated with acute and persistent symptoms among people with severe asthma. There are opportunities to improve the exposure mitigation strategies and communicate these to people with severe asthma.
- Published
- 2022
249. Attributable mortality of acute respiratory distress syndrome: A systematic review, meta-analysis, and survival analysis using targeted minimum loss-based estimation
- Author
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Mayra Pinilla Vera, David R. Price, Augustine M.K. Choi, Jin Won Huh, Katherine Hoffman, Lisa K. Torres, John Harrington, Rebecca M. Baron, Ilias I. Siempos, Clara Oromendia, Edward J. Schenck, Iván Díaz, Angelica Higuera, Laura E. Fredenburgh, and Luis Gomez-Escobar
- Subjects
Pulmonary and Respiratory Medicine ,ARDS ,medicine.medical_specialty ,Critical Illness ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Medicine ,Humans ,030212 general & internal medicine ,Hospital Mortality ,Risk factor ,Survival analysis ,Respiratory Distress Syndrome ,business.industry ,030208 emergency & critical care medicine ,medicine.disease ,Intensive care unit ,Survival Analysis ,Intensive Care Units ,Relative risk ,Meta-analysis ,Causal inference ,Emergency medicine ,Observational study ,business - Abstract
BackgroundAlthough acute respiratory distress syndrome (ARDS) is associated with high mortality, its direct causal link with death is unclear. Clarifying this link is important to justify costly research on prevention of ARDS.ObjectiveTo estimate the attributable mortality, if any, of ARDS.DesignFirst, we performed a systematic review and meta-analysis of observational studies reporting mortality of critically ill patients with and without ARDS matched for underlying risk factor. Next, we conducted a survival analysis of prospectively collected patient-level data from subjects enrolled in three intensive care unit (ICU) cohorts to estimate the attributable mortality of critically ill septic patients with and without ARDS using a novel causal inference method.ResultsIn the meta-analysis, 44 studies (47 cohorts) involving 56 081 critically ill patients were included. Mortality was higher in patients with versus without ARDS (risk ratio 2.48, 95% CI 1.86 to 3.30; pConclusionsARDS has a direct causal link with mortality. Our findings provide information about the extent to which continued funding of ARDS prevention trials has potential to impart survival benefit.PROSPERO Registration NumberCRD42017078313
- Published
- 2021
250. 'Africa Needs Many Lawyers Trained for the Need of Their Peoples': Struggles over Legal Education in Kwame Nkrumah’s Ghana
- Author
-
John Harrington and Ambreena Manji
- Abstract
In the late 1950s and early 1960s, the setting up of university law schools in many African nations led to often bitter battles over the purpose of legal education. The stakes in these struggles were high. Deliberately neglected under colonial rule, legal education was an important focus for the leaders of new states, including Kwame Nkrumah, the first president of Ghana. It was also a significant focus for expatriate British scholars and American foundations seeking to shape the development of new universities in Africa. Disputes centered on whether training would have a wholly academic basis and be taught exclusively in the University of Ghana or be provided in addition through a dedicated law school with a more practical ethos. This debate became entangled in a wider confrontation over academic freedom between Nkrumah’s increasing authoritarian government and the university, and indeed in wider political and class struggles in Ghana as a whole. Tensions came to a head in the period between 1962 and 1964 when the American Dean of Law was deported along with other staff over allegations of their seditious intent. This chapter documents these complex struggles, identifying the broader political stakes within them, picking out the main, rival philosophies of legal education which animated them, and relating all of these to the broader historical conjuncture of decolonization. Drawing on a review of archival materials from the time, the chapter shows that debates over legal education had a significance going beyond the confines of the law faculty. They engaged questions of African nationalism, development and social progress, the ambivalent legacy of British rule and the growing influence of the United States in these territories.
- Published
- 2021
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