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The worship of Vishwakarma, a god long associated with India's hereditary artisans and their tools, has achieved new relevance with the rise of industrial capitalism in South Asia. No longer moored solely to artisanal caste interests, worship of the god heralds a range of publics in which technē (crafting, fabricating, or making) is an exalted activity and public concern. Using “technophany” as a conceptual framework, we argue that deifications of technology and technicity sit at the core of Vishwakarma worship. Rather than treat religion and technology as ontologically distinct modalities of being-in-the-world, we use this framework to show how artisans, technicians, mechanics, and engineers use Vishwakarma worship to bring industrial technologies into alignment with the cosmos. Drawing on historical and ethnographic materials, we push beyond earlier scholarship that has treated Vishwakarma worship as a holdover from peasant culture or as a set of practices pitted against industrial capitalism.
A national need is to prepare for and respond to accidental or intentional disasters categorized as chemical, biological, radiological, nuclear, or explosive (CBRNE). These incidents require specific subject-matter expertise, yet have commonalities. We identify 7 core elements comprising CBRNE science that require integration for effective preparedness planning and public health and medical response and recovery. These core elements are (1) basic and clinical sciences, (2) modeling and systems management, (3) planning, (4) response and incident management, (5) recovery and resilience, (6) lessons learned, and (7) continuous improvement. A key feature is the ability of relevant subject matter experts to integrate information into response operations. We propose the CBRNE medical operations science support expert as a professional who (1) understands that CBRNE incidents require an integrated systems approach, (2) understands the key functions and contributions of CBRNE science practitioners, (3) helps direct strategic and tactical CBRNE planning and responses through first-hand experience, and (4) provides advice to senior decision-makers managing response activities. Recognition of both CBRNE science as a distinct competency and the establishment of the CBRNE medical operations science support expert informs the public of the enormous progress made, broadcasts opportunities for new talent, and enhances the sophistication and analytic expertise of senior managers planning for and responding to CBRNE incidents.
The rate of postmastectomy tissue expander (TE) infection remains excessively high, ranging between 2% and 24%. We hypothesized that current perioperative antimicrobial regimens utilized for breast TE reconstruction may be outdated as a result of recent changes in microflora and susceptibility patterns.
We reviewed the records of all patients who had a TE reconstructive procedure and developed a definite breast TE infection between 2003 and 2010 at MD Anderson Cancer Center. Antimicrobials were stratified into 3 groups: systemic perioperative, local irrigation, and oral immediate postoperative antimicrobials. These were considered discordant if they did not target the isolated organisms, while a breakthrough infection was defined as an infection that occurred despite concordant antimicrobial coverage.
Overall, 75 patients with a definite TE infection were identified. The most common organisms identified were methicillin-resistant Staphylococcus epidermidis (29%), methicillin-resistant Staphylococcus aureus (15%), and gram-negative rods (26%). The use of systemic perioperative antimicrobials was deemed discordant in 51% of the cases. Although 79% of the patients received broad-spectrum perioperative local antimicrobial irrigation, 63% developed a breakthrough infection. Even though 61% received oral postoperative prophylactic antimicrobials, 63% of the times they were deemed discordant.
Contrary to the proven effectiveness of a single dose of perioperative antibiotics, the common use of local antimicrobial irrigation and prolonged postoperative oral antibiotics appears to be an inadequate component of our preventive armamentarium. Also, because methicillin-resistant staphylococcal and pseudomonal infections occurred approximately 60% of the time, at institutions that have observed an increase of these organisms, it may be prudent that perioperative antimicrobials target these microorganisms.
Objectives: It has been estimated that up to 90% of the US population is exposed to at least 1 traumatic event during their lifetime. Although there is growing evidence that most people are resilient, meaning that they have the ability to adapt to or rebound from adversity, between 5% and 10% of individuals exposed to traumatic events meet criteria for posttraumatic stress disorder. Therefore, identifying the elements of resilience could lead to interventions or training programs designed to enhance resilience. In this article, we test the hypothesis that the effects of stressor conditions on outcomes such as job-related variables may be mediated through the cognitive and affective registrations of those events, conceptualized as subjective stress arousal.
Methods: The subjects were 491 individuals employed in public accounting, who were sampled from a mailing list provided by the American Institute of Certified Public Accountants. The stressors used in this study were role ambiguity, role conflict, and role overload and the outcome measures were performance, turnover intentions, job satisfaction, and burnout. Stress arousal was measured using a previously developed stress arousal scale. We conducted a series of 2 EQS structural modeling analyses to assess the impact of stress arousal. The first model examined only the direct effects from the role stressors to the outcome constructs. The second model inserted stress arousal as a mediator in the relations between the role stressors and the outcomes.
Results: The results of our investigation supported the notion that subjective stress arousal provides greater explanatory clarity by mediating the effects of stressors upon job-related outcome. Including stress arousal in the model provided a much more comprehensive understanding of the relation between stressor and outcomes, and the contribution of role ambiguity and role conflict were better explained.
Conclusions: By understanding these relations, anticipatory guidance and crisis intervention programs can be designed and implemented to enhance human resilience. These data could serve to improve training programs for these “at risk” professional groups or even the population as a whole.
(Disaster Med Public Health Preparedness. 2011;5:98–105)
Summary
As on Earth, other solid-surfaced planetary bodies in the solar system display landforms produced by tectonic activity, such as faults, folds, and fractures. These features are resolved in spacecraft observations directly or with techniques that extract topographic information from a diverse suite of data types, including radar backscatter and altimetry, visible and near-infrared images, and laser altimetry. Each dataset and technique has its strengths and limitations that govern how to optimally utilize and properly interpret the data and what sizes and aspects of features can be recognized. The ability to identify, discriminate, and map tectonic features also depends on the uniqueness of their form, on the morphologic complexity of the terrain in which the structures occur, and on obscuration of the features by erosion and burial processes. Geologic mapping of tectonic structures is valuable for interpretation of the surface strains and of the geologic histories associated with their formation, leading to possible clues about: (1) the types or sources of stress related to their formation, (2) the mechanical properties of the materials in which they formed, and (3) the evolution of the body's surface and interior where timing relationships can be determined. Formal mapping of tectonic structures has been performed and/or is in progress for Earth's Moon, the planets Mars, Mercury, and Venus, and the satellites of Jupiter (Callisto, Ganymede, Europa, and Io).