To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
As health care systems in the United States have become pressured to provide greater value, they have embraced the adoption of innovative population health solutions. One of these initiatives utilizes prehospital personnel in the community as an extension of the traditional health care system. These programs have been labeled as Community Paramedicine (CP) and Mobile Integrated Health (MIH). While variation exists amongst these programs, generally efforts are targeted at individuals with high rates of health care utilization. By assisting with chronic disease management and addressing the social determinants of health care, these programs have been effective in decreasing Emergency Medical Services (EMS) utilization, emergency department visits, and hospital admissions for enrolled patients.
The actual training, roles, and structure of these programs vary according to state oversight and community needs, and while numerous reports describe the novel role these teams play in population health, their utilization during a disaster response has not been previously described. This report describes a major flooding event in October 2015 in Columbia, South Carolina (USA). While typical disaster mitigation and response efforts were employed, it became clear during the response that the MIH providers were well-equipped to assist with unique patient and public health needs. Given their already well-established connections with various community health providers and social assistance resources, the MIH team was able to reconnect patients with lost medications and durable medical equipment, connect patients with alternative housing options, and arrange access to outpatient resources for management of chronic illness.
Mobile integrated health teams are a potentially effective resource in a disaster response, given their connections with a variety of community resources along with a unique combination of training in both disease management and social determinants of health. As roles for these providers are more clearly defined and training curricula become more developed, there appears to be a unique role for these providers in mitigating morbidity and decreasing costs in the post-disaster response. Training in basic disaster response needs should be incorporated into the curricula and community disaster planning should identify how these providers may be able to benefit their local communities.
Gainey CE, Brown HA, Gerard WC. Utilization of mobile integrated health providers during a flood disaster in South Carolina (USA). Prehosp Disaster Med. 2018;33(4):432–435
Leafy spurge (Euphorbia esula L.) is an invasive perennial weed infesting range and recreational lands of North America. Previous research and omics projects with E. esula have helped develop it as a model for studying many aspects of perennial plant development and response to abiotic stress. However, the lack of an assembled genome for E. esula has limited the power of previous transcriptomics studies to identify functional promoter elements and transcription factor binding sites. An assembled genome for E. esula would enhance our understanding of signaling processes controlling plant development and responses to environmental stress and provide a better understanding of genetic factors impacting weediness traits, evolution, and herbicide resistance. A comprehensive transcriptome database would also assist in analyzing future RNA-seq studies and is needed to annotate and assess genomic sequence assemblies. Here, we assembled and annotated 56,234 unigenes from an assembly of 589,235 RNA-seq-derived contigs and a previously published Sanger-sequenced expressed sequence tag collection. The resulting data indicate that we now have sequence for >90% of the expressed E. esula protein-coding genes. We also assembled the gene space of E. esula by using a limited coverage (18X) genomic sequence database. In this study, the programs Velvet and Trinity produced the best gene-space assemblies based on representation of expressed and conserved eukaryotic genes. The results indicate that E. esula contains as much as 23% repetitive sequences, of which 11% are unique. Our sequence data were also sufficient for assembling a full chloroplast and partial mitochondrial genome. Further, marker analysis identified more than 150,000 high-quality variants in our E. esula L-RNA–scaffolded, whole-genome, Trinity-assembled genome. Based on these results, E. esula appears to have limited heterozygosity. This study provides a blueprint for low-cost genomic assemblies in weed species and new resources for identifying conserved and novel promoter regions among coordinately expressed genes of E. esula.
We have deposited dense and pinhole-free thin films of SiO2, Al2O3 and ITO at room temperature via ion beam sputtering. The SiO2 films were found to be of similar quality as thermal oxide with a resistivity greater than 1015 Ω·cm and breakdown field in excess of 7 MV/cm. The Al2O3 films were part of a Pt- Al2O3-Pt vertical tunnel junction and were kept extremely thin, from 2 nm to 4 nm. The current-voltage characteristics of these junctions indicated a breakdown field in excess of 20 MV/cm, roughly twice that achieved by ALD films. This breakdown voltage was found to be independent of junction area, strongly suggesting the absence of pinholes in the film. The ITO films were 50 nm to 100 nm thick. As deposited, they are fully transparent with an electrical resistivity of 5x10-4 Ω·cm.
Catholic social teaching (CST) refers to the corpus of authoritative ecclesiastical teaching, usually in the form of papal encyclicals, on social matters, beginning with Pope Leo XIII's Rerum Novarum (1891) and running through Pope Francis. CST is not a social science and its texts are not pragmatic primers for social activists. It is a normative exercise of Church teaching, a kind of comprehensive applied - although far from systematic - social moral theology. This volume is a scholarly engagement with this 130-year-old documentary tradition. Its twenty-three essays aim to provide a constructive, historically sophisticated, critical exegesis of all the major (and some of the minor) documents of CST. The volume's appeal is not limited to Catholics, or even just to those who embrace, or who are seriously interested in, Christianity. Its appeal is to any scholar interested in the history or content of modern CST.
This chapter is an analytical summary of Rerum novarum. Its goal is to illuminate the purpose of the encyclical and the main lines of Pope Leo’s reasoning, his key premises and central ethical conclusions, and in this way, to articulate as clearly as possible the teaching that comprises Rerum novarum. Rerum’s influence on Catholic teaching and practice is most manifest in the Church’s “social teaching,” which in various ways identifies the encyclical as its founding statement. This identification is made in the names and citations of some of the most important papal contributions to Catholic Social Teaching (CST) and is pervasive throughout the corpus of CST. And it is revealed in the ways in which the accepted principles of CST are present or anticipated in Rerum novarum. Although the chapter does not undertake the large and formidable task of characterizing CST, it does indicate how these principles figure in Pope Leo’s analysis. It also underlines the extent to which these principles are not the main point of Rerum novarum, but stand in the service of the moral and religious reform urged by Pope Leo.
Catholic Social Teaching is just Catholic moral teaching with emphasis upon the political and economic realms. This premise is in tension to the way many envisage the Church’s moral teaching, separating – even to the point of opposing – the Church’s commitment to “social justice” and its teachings on matters of life and sex. After a brief elaboration of the nature and purposes of CST and its dominant “principles,” the chapter reflects on why the disassociation between CST and Catholic moral teaching has come about. It argues that as a body of ethical instruction CST would be much more coherent and pastorally effective by explicitly incorporating the exceptionless moral norms taught and defended by the Church. The final section contains suggestions on how this incorporation might take place.
The common good (bonum commune) has, since antiquity, referred to the aim of social and political association, and was particularly prominent in medieval Christian political theology. Since St. John XXIII’s 1961 encyclical letter, Mater et magistra, ecclesiastical statements about social teaching have employed a formulation of the common good, usually in the version that appeared in the Second Vatican Council’s 1965 Pastoral Constitution for the Church in the Modern World, Gaudium et spes, as “the sum of those conditions of social life that allow social groups and their individual members relatively thorough and ready access to their own fulfillment.” This chapter discusses the origins and development of this formulation as well as the ways that it has been used in subsequent Catholic Social Teaching. While it has sometimes been interpreted as an “instrumental” account of the common good, the sources and uses of the notion suggest that it is the particularly modern political component of a fuller notion of the common good continuous with the tradition. In particular, the recent formulation is concerned to limit the power of the modern state and protect the dignity of the human person in the challenging conditions of political modernity.
The impulse (cupido) for radical social and political change to which Leo XIII refers in the opening lines of his greatest encyclical had stirred widespread unrest during the pontificate of his predecessor, Pope Pius IX (1846–1878). The abolition of monasteries and convents in France and Spain; Kulturkampfs in Germany and Austria, stripping the Church of its remnants of cultural hegemony; and a half-century of acrimonious conflicts with Italian nationalists, including the assassination of the papal minister in 1848 and the pope’s daring escape from the Roman mob and subsequent two-year exile in central Italy; a pontificate culminating in 1870 with the military occupation of Rome by King Victor Emmanuel, the historical mega-theft of Church property by the newly formed Kingdom of Italy, and the precipitous end to more than a thousand years of papal temporal rule.
Aquinas did not speak of “social” teaching, but did synthesize the teaching of the prophets, the Lord, the Fathers, and sound philosophy concerning social matters and responsibilities. He would have regarded the principles of CST as part of the Church’s doctrine of faith and morality (de fide et moribus), insofar as morality – the living out of that faith which consists in true beliefs about the Creator – embodies the principles, precepts, and virtue(s) of justice. For among the cardinal virtues, justice is the one bearing on those of our choices that relate to or impact on other persons, especially persons with whom in one way or another we are associated. And Aquinas’s treatment of justice, mainly but not only in his Summa Theologiae, is very extensive and detailed. This chapter offers (1) an overview of his significance for CST, (2) a review of the appeals to his writings in Rerum novarum and some of its antecedents and successors, and (3) his contribution to some leading features of CST since then, including dignity and equality; private property and associations; “subsidiarity” and the service conception of authority and law; and “solidarity” (local and global).
We are currently performing a monitoring program of the 1612 MHz OH maser emission of several dozen Galactic disk OH/IR stars with the Nancay Radio Telescope (NRT). They are complemented by several OH/IR stars toward the Galactic center, which were monitored with the Hartebeesthoek radio telescope. We use the maser variations to probe the underlying stellar variability. As early monitoring programs already have shown, some stars are large amplitude variables with periods up to 7 years, others show small or even no amplitude variations. This dichotomy in the variability behaviour is assumed to mark the border between the AGB and the post-AGB stages. With the current program, we wish to find objects in transition and to describe their variability properties. We consider the fading out of pulsations with steadily declining amplitudes as a viable process. Promising candidates in the disk are the small-amplitude variables OH 138.0+7.2 and OH 51.8−0.2. ’Non-variable’ OH/IR stars in the Galactic center region may be as frequent as in the disk.
We report here the detection of the J 1-0 rotational line at 88.6 GHz of hydrogen cyanide in comet Halley. Six observational runs were made in the Nov. 19-Dec. 3 1985 period with the IRAM 30-m millimetre radio telescope at Pico Veleta (Spain), when the comet was at rh ~ 1.56 AU from the Sun and Δ ~ 0.63 AU from the Earth.