Journal articles on the topic 'Afforded an accident'

The loading specifications to which passenger vehicle body structures are designed seek to fulfil two basic requirements. Firstly, normal service loads experienced over the life of the vehicle must be met without loss of serviceability. Secondly, passengers and crew must be afforded protection against loads outside the normal service experience. In the specifications used in Europe and the United States there is an emphasis on ‘proof’ loading, that is loading which causes no permanent deformation. This requirement is in conflict with the absorption of energy which is necessary to cushion passengers and crew involved in an accident. The author examines UK accident statistics and proposes alternative ways in which the basic aims of structural crashworthiness can be met.

Recent improvements in design and component technologies are reviewed against a background of accident data analysis, resulting in grounds for confidence in higher safety levels in future rotorcraft transmission designs. Recommendations are made concerning the realization of significant safety and reliability benefits afforded by effective health and usage monitoring systems. The results of this study are applicable to all new aerospace gearbox applications including helicopters, tilt-rotor aircraft, advanced propeller engines and accessory drive systems.

✓ Traumatic atlanto-occipital dislocation is most often fatal. Consequently, there are only scattered case reports of patients surviving this injury, and treatment modalities are anecdotal and varied. The case of an 18-year-old woman who suffered an anterior atlanto-occipital dislocation as the result of a motor-vehicle accident is presented. Rigid posterior fixation and complete reduction of the dislocation were achieved using an anatomically contoured steel loop secured to the occiput and cervical vertebrae. The addition of cancellous bone to the graft afforded long-term stability. This operative treatment provided anatomical realignment of the dislocation and allowed early mobilization of the patient with the use of aggressive rehabilitation. Previously reported cases of patients surviving anterior atlanto-occipital dislocation are reviewed. The use of cervical traction, halo bracing, and operative stabilization is discussed.

In order to learn how mine equipment operators view numerous factors which may affect their alertness, two groups of operators (N = 57 and N = 73) were surveyed through the administration of questionnaires. It was of particular interest to use survey questions which would elucidate the hypothetical links between shift rotation, alertness, and accident causation. Based on the information and impressions obtained during this project, it seems apparent that alertness is greatly influenced by the necessity to work three shifts on a rotating schedule, by the physical and mental stimulation afforded by the task, and by the physical environment. It is also apparent that alertness can be maintained or at least restored by incorporating certain changes in the way tasks are performed and by modifying shift rotation schedules. Future Bureau of Mines research will utilize this information in designing improved shift rotation schedules and in deriving coping strategies which shiftworking mine equipment operators can use to maintain alertness on the job.

The development, implementation, and intermediate results of a Level III (on-scene) study of heavy freight vehicle collisions are presented. The University of New Brunswick’s Accident Research Team, under contract with Transport Canada, has conducted over 50 in-depth investigations over a 3-year period. Although the present findings are based on a relatively small sample, a number of common, and perhaps surprising issues have been identified. Many of the cases highlight the need for increased safety regulations targeted at the design and operation of these vehicles and the infrastructure over which they operate. The most common problems identified include the propensity of heavy trucks to roll over, load security, and inadequate crash protection afforded to the occupant compartment. The issues related to the establishment of an intense investigation protocol are discussed in this paper, as are the findings of the investigations that have occurred over a 3-year period. Recommendations are presented that are directed toward the refinement of a Level III protocol for further heavy-vehicle investigations. In addition, changes are proposed to existing Canadian Motor Vehicle Safety Standards as they apply to heavy trucks.

Mary was angry. Youre going to take my pain medications away, aren't you? These were the first words she spoke as I walked into the examining room. Mary had a complex medical history, beginning with a back injury in 1988 that led to several surgical procedures, multiple injections of local anesthetic and corticosteroids, and placement of a dorsal column stimulator, none of which provided significant relief of her pain. Crippled by severe and sharp pain in her lower back and left leg, she had sought help from several physicians, and had most recently been referred to me specifically, as she put it, to take away the pain medications.Not that the pain medications had afforded Mary a normal life by any stretch of imagination. She was taking eight to ten moderate strength opioid tablets per day in an effort to decrease her pain. She was not active, choosing to spend most of her time at home. She had quit her job shortly after the work-related accident. In fact, the workman's compensation board is still disputing her claim, and this dispute took a toll on Mary.

The preservation of the road infrastructures has become an important issue to the road safety and structural monitoring systems industry aiming to reduce the maintenance cost and also to increase the drivers safety. The collision features of the simulation of car- guard rail. It is found that the vibration features of the guardrail within the accident have a good performance to the accident identification. The vibration data of the guardrail are recorded real-timely by the nodes with accelerator sensors on the guardrail network. Then the collision accident is identified in terms of the vibration threshold. The proposed design is a system which can detect accidents in significantly less time and sends the basic information to first aid center within a few seconds covering geographical coordinate the time and angle in which a vehicle accident had occurred. This alert message is sent to the rescue team in a short time which will help in saving the valuable lives.

PURPOSE Informatics solutions to early diagnosis of cancer in primary care are increasingly prevalent, but it is not clear whether existing and planned standards and regulations sufficiently address patients' safety nor whether these standards are fit for purpose. We use a patient safety perspective to reflect on the development of a computerized cancer risk assessment tool embedded within a UK primary care electronic health record system. METHODS We developed a computerized version of the CAncer Prevention in ExetER studies risk assessment tool, in compliance with the European Union's Medical Device Regulations. The process of building this tool afforded an opportunity to reflect on clinical concerns and whether current regulations for medical devices are fit for purpose. We identified concerns for patient safety and developed nine practical recommendations to mitigate these concerns. RESULTS We noted that medical device regulations (1) were initially created for hardware devices rather than software, (2) offer one-shot approval rather than supporting iterative innovation and learning, (3) are biased toward loss-transfer approaches that attempt to manage the fallout of harm instead of mitigating hazards becoming harmful, and (4) are biased toward known hazards, despite unknown hazards being an expected consequence of health care as a complex adaptive system. Our nine recommendations focus on embedding less-reductionist and stronger system perspectives into regulations and standards. CONCLUSION Our intention is to share our experience to support research-led collaborative development of health informatics solutions in cancer. We argue that regulations in the European Union do not sufficiently address the complexity of healthcare information systems with consequences for patient safety. Future standards and regulations should continue to follow a system-based approach to risk, safety, and accident avoidance.

Background: Road traffic accidents is a leading cause of injury and death globally. The consequences of road traffic accidents are prominent in developing countries that can least afford to meet the health services, economic and societal challenges. Nepal and Bangladesh are two developing country of South Asia who bear a large share of burden due to road traffic injuries.Methods: A non-systematic review of relevant documents using Google scholar and PubMed as well as review of relevant legal documents was done. Results: Nepal and Bangladesh have traffic laws including all the key risk factors as recommended by the World Health Organization except the child restraint systems laws. The existing laws for both countries include speed, drunk driving, use of seatbelts and motorcycle helmet, driver license, vehicle condition, overloading and accident related compensations.In both the countries for post-crash response, national emergency care access number has partial coverage and in Nepal there are some provisions related to trauma registry.Vulnerable groups are pedestrians with majority of male and higher mortality found in rural areas than urban areas for both the countries.Conclusions: Both the countries have traffic laws that focus on the prevention of road traffic accidents and protection of victims. However, amendments in the existing laws are required for confronting immediate challenges of increasing accidents and injuries that both the countries face every year.Keywords: Bangladesh; Nepal; road traffic injury; road traffic accident; traffic acts and laws.

In chemical processing plants and petroleum refineries, the pressure vessels and pipelines suffered often from fire accidents and thus resulted in the metal materials were in overheating state. Elevated temperature could cause the changes in metallographic structure and have unfavorable effects on material mechanical properties. In order to understand better the influence laws of overheating on metallographic structures and material mechanical properties, the methods of theoretical analysis and experimental research were used and the effects of thermal exposure temperature, duration time and cooling rate on microstructure and mechanical properties of low-alloy steel 12MnNiVR, were studied systematically. In the paper, mechanical testing (hardness test) are carried out to understand changes in the mechanical properties that would be observed in the metal exposed to elevated temperatures during a fire accident. The study can provide basis data for the material properties database of metal material suffered from fire accident, and afford technical supports in the key technologies on fire damage FFS (Fitness-For-Service) integrity assessment.

In chemical processing plants and petroleum refineries, the pressure vessels and pipelines suffered often from fire accidents and thus resulted in the metal materials were in overheating state. Elevated temperature could cause the changes in metallographic structure and have unfavorable effects on material mechanical properties. In order to understand better the influence laws of overheating on metallographic structures and material mechanical properties, the methods of theoretical analysis and experimental research were used and the effects of thermal exposure temperature, duration time and cooling rate on microstructure of low-alloy steel 12MnNiVR, were studied systematically. The study can provide basis data for the material properties database of metal material suffered from fire accident, and afford technical supports in the key technologies on fire damage FFS (Fitness-For-Service) integrity assessment.

La prensa suele recoger los casos más graves de accidentes de futbolistas conocidos porque impresionan y nos hacen reflexionar. Pero en categorías no profesionales también ocurren multitud de accidentes, algunos con resultado de muerte, de los que sólo tienen noticias las personas más allegadas a la víctima. El fútbol, deporte que practican alrededor de doscientos millones de personas en todo el mundo, es uno de los que mayor porcentaje de lesiones presenta, debido a sus características y requerimientos, a las diversas superficies de juego y a la gran cantidad de practicantes. En los equipos profesionales ya existe dentro del cuerpo técnico la figura del médico, pero miles de clubes no pueden disponer de él. Aquí se informa de los tipos de lesiones (óseas, musculares y tendinosas) y las intervenciones, primeras y urgentes, que deberían realizarse para solucionar el problema o, al menos, no agravarlo. Así mismo, se explica el concepto de «cadena de supervivencia» y como se debe activar, para hacer frente a otros tipos de accidentes (traumatismo cráneo-encefálicos, desmayos, atragantamientos o «muerte súbita») menos específicos del fútbol, pero de consecuencias más graves.Abstract: Mass media used to talk about the most serious accidents with famous football players because they affect and make us to meditate. But innon professional categories lots of accidents occur too, some of them with death result, which only the relatives know. Football, sport that is practicedby around two hundred million persons worldwide, is one of the highest percentage of injuries presents due to its caractheristics and requeriements, thedifferent playground surfaces and the great amount of players around the world. In the professional teams there is already the role of the doctor insidethe thecnical corps, but thousands of clubes can not afford. In this article it is informed about the kind of injuries (osseous, muscular and tendinous) andthe intervention, first and urgent, that should be done to solve the problem or, at least, to avoid make it more serious. Beside, it is explained the «chainof survival» and how it must be activated, to face another kind of accidentes (cranium traumatism, swoon, choke or «sudden death») less specific infootball but more dangerous.

Using a lifting and balancing task, we contrasted two alternative views of planning joint actions: one postulating that joint action involves distinct predictions for self and other, the other postulating that joint action involves coordinated plans between the coactors and reuse of bimanual models. We compared compensatory movements required to keep a tray balanced when 2 participants lifted glasses from each other’s trays at the same time (simultaneous joint action) and when they took turns lifting (sequential joint action). Compared with sequential joint action, simultaneous joint action made it easier to keep the tray balanced. Thus, in keeping with the view that bimanual models are reused for joint action, predicting the timing of their own lifting action helped participants compensate for another person’s lifting action. These results raise the possibility that simultaneous joint actions do not necessarily require distinguishing between one’s own and the coactor’s contributions to the action plan and may afford an agent-neutral stance.

We developed an iOS-based app with a transmitter/disposable sensor and corresponding manualized intervention for children with autism spectrum disorder. The app signaled the onset of urination, time-stamped accidents for analysis, reminded parents to reinforce intervals of continence, provided a visual outlet for parents to communicate reinforcement, and afforded opportunity for timely feedback from clinicians. We compared this intervention with an intervention that uses standard behavioral treatment in a pilot randomized controlled trial of 33 children with autism spectrum disorder aged 3–6 years with urinary incontinence. Parents in both groups received initial training and four booster consultations over 3 months. Results support the feasibility of parent-mediated toilet training studies (e.g., 84% retention rate, 92% fidelity of parent-implemented intervention). Parents used the app and related technology with few difficulties or malfunctions. There were no statistically significant group differences for rate of urine accidents, toilet usage, or satisfaction at close of intervention or 3-month follow-up; however, the alarm group trended toward greater rate of skill acquisition with significantly less day-to-day intervention. Further development of alarm and related technology and future comparative studies with a greater number of participants are warranted.

The immobilization of a simple fractured jaw with arch bars is a time-consuming, laborious procedure. The alternative method of immobilization described here uses a precisely threaded, 22-gauge, malleable stainless steel wire and a threaded nylon nut. It affords the surgeon relative safety from accidental puncture trauma and makes the interdental immobilization a precise and speedy procedure.

Vehicle security is one of the major concerns that the entire world is currently experiencing. People generally own automobiles, yet these automobiles are not always secure. Vehicle theft occurs in parking lots, public places, and other unsafe areas. The vehicle’s manufacturer does not consider the vehicle security system to be a factor in the overall cost of the vehicle. Nowadays, only a few vehicles come equipped with high-priced security systems. Door locking, alarm system, GSM, GPS, and other security features are built into high-end vehicles only. There is a necessity to build a low-cost security system for vehicles that common people can afford it and the manufacture can built-in the security system in a wide range of automobiles. This paper proposed a method for vehicle theft detection, tracking, and accident identification using the Internet of Things.

The article presents the recommendations on the psychological prevention accepted by American Psychological Association in 2013. The recommendations reviewed in respect to the development principles of transport injuries prevention due to train hitching, the high-risk youth movement becoming more and more popular in Russia. Recommendation system includes nine provisions: the need for a clear theoretical foundations and empirical testing, the use of socially and culturally adapted programs, the combination of risk reduction programs and increasing of resources, program implementation monitoring, allowance of ethical standards, systematicity of preventive actions, advanced training, participation in development of the state preventive policy. Taking into account these recommendations can afford to create a comprehensive prevention system.

Background: Perfusion of the optic nerve has been widely studied using fluorescein angiography (FAG), which is currently regarded as the criterion standard. However, FAG has adverse effects associated with intravenous contrast administration and is limited in its capacity to characterize and stratify the different vascular layers of the optic nerve and retina. The use of new imaging techniques, such as optical coherence tomographic angiography (Angio-OCT), is therefore important. Aim: A qualitative description is made of the vascular layers of the optic nerve and of how vascular events affect radial peripapillary capillaries (RPC). Two patients with central retinal artery occlusion (CRAO), 1 with arteritic anterior ischemic optic neuropathy (AAION), and 3 healthy subjects were studied. Results: The Angio-OCT imaging afforded better visualization of the depth of the RPC and rest of the vascular layers of the retina compared with FAG. Optic nerve surface perfusion was affected in AAION and proved normal in CRAO. Conclusions: Our results indicate that perfusion of the papilla and RPC mainly arises from the papillary plexus that depends on the posterior ciliary artery.

Recent studies have increasingly investigated construction methods for tunnel excavation because of growing underground space development. Although the New Austrian tunneling method (NATM)—a representative tunnel excavation method—can be applied to various ground conditions, as well as having good constructability and economic feasibility, it suffers from problems such as vibration and noise. By contrast, excavation using a tunnel boring machine (TBM)—a representative mechanized construction method—affords advantages such as stable excavation, minimized ground and environmental damage, noise, and vibration. However, it cannot be applied easily to various ground conditions, and it suffers from problems such as high construction costs and delays owing to equipment defects. Therefore, the simultaneous pilot tunnel excavation using the TBM—which affords advantages such as constructability, economic feasibility, and minimized noise and vibration—and rear enlargement blasting using NATM was investigated in this study. A protection shield was installed to minimize accidents occurring from equipment defects (a disadvantage of TBM) and analyze the decrease in the effect of NATM blasting, which depends on the use of the protection shield and the separation distance through 3D numerical analysis.

In the current context, road accidents have become a major loss to society, with ordinary people being left with little help during an emergency. The SAVE-LIFE Helpline is a comprehensive record of various human contributions. This contribution is very important for people who need help, especially for people who cannot afford to pay their bills. The project is intended to help these cases through donors, where the donor can donate money through the web project directly to people in need. Provides communication between provider and client. The donor can donate to the emergency personnel or to the SAVE-LIFE Helpline, which keeps track of those who need help.

This article focuses on Max Weber’s understanding of “ethos” in “The Protestant Ethic and the Spirit of Capitalism” and the benefits afforded by this concept. The reference is not accidental as it is in this work that Weber could consistently explicate his ethical argument. The idea of ethos becomes clearer in comparison with the concept of habitus, which is actively used today in social science. It is shown that the distinction between ethos and habitus may be more productive than the conflation common in modern research. The category “ethos” is compared with the value-rational action from the later typology of action in Weber’s “Economy and Society”, while habitus is associated with traditional action from the same typology. The concept of ethos is further clarified by the example of Weber’s opposition of traditionalism and ethical modern Western capitalism. By focusing on ethical issues and using character as a theoretical tool, Weber not only puts forward a convincing interpretation but lays the foundations for a specific line of analysis in social and economic science. The category of ethos in conjunction with the value-rational type of action acquires special significance due to the potential for novelty and change that is embedded in it.

The coal roadways with water spraying usually have large surrounding rock deformation or roof abscission layer, especially to the roadways with compound rock strata roof, which could lead to sudden roof caving accidents, so it is imperative to research the roof characters and the corresponding controlling methods. In this paper, we firstly analyze the main reasons and characters of the roof deformation or its stability failure with bolt and cable supporting, and then the mechanical properties of the roof are tested in the lab, which could afford detailed datum to the further analysis. Based on the comprehensive researching results of this complex roof, a set of measuring device for the value of water spraying in single roof hole is developed and then applied to a typical coal roadway. Finally, some effective controlling methods are put forward to prevent from the large deformation of the roadways.

This paper sought to assess the role of artisanal and small-scale mining in poverty alleviation, focusing on Barn mining area ward 25 Matopo (Matabeleland South Province). The study adopted a mixed method approach in data collection, comprising the use of questionnaires, interview guides, observation tools and focus group discussions. The study found that ASM contributes to income generation and employment creation and has become a major source of livelihood in many mineral resource endowed areas of Zimbabwe. It was concluded that ASM as an economic activity has improved livelihoods as the income affords the miners an improved standard of life in addition to the ability to buy agricultural inputs and sending their children to school. However, several challenges associated with ASM were identified. These include lack of financial and institutional assistance, gold wars and other unfound agreements made between miners and claim owners. Loss of life in mine accidents, spread of sexually transmitted diseases are some of the negative impacts identified. The study recommended that for the benefits of ASM to be realised in terms of poverty alleviation, ASM activities should be decriminalized and financial support availed to miners.

Object Bicycle accidents are a very important cause of clinically important traumatic brain injury (TBI) in children. One factor that has been shown to mitigate the severity of lesions associated with TBI in such scenarios is the proper use of a helmet. The object of this study was to test and evaluate the protection afforded by a children's bicycle helmet to human cadaver skulls with a child's anthropometry in both “impact” and “crushing” situations. Methods The authors tested human skulls with and without bicycle helmets in drop tests in a monorail-guided free-fall impact apparatus from heights of 6 to 48 in onto a flat steel anvil. Unhelmeted skulls were dropped at 6 in, with progressive height increases until failure (fracture). The maximum resultant acceleration rates experienced by helmeted and unhelmeted skulls on impact were recorded by an accelerometer attached to the skulls. In addition, compressive forces were applied to both helmeted and unhelmeted skulls in progressive amounts. The tolerance in each circumstance was recorded and compared between the two groups. Results Helmets conferred up to an 87% reduction in so-called mean maximum resultant acceleration over unhelmeted skulls. In compression testing, helmeted skulls were unable to be crushed in the compression fixture up to 470 pound-force (approximately 230 kgf), whereas both skull and helmet alone failed in testing. Conclusions Children's bicycle helmets provide measurable protection in terms of attenuating the acceleration experienced by a skull on the introduction of an impact force. Moreover, such helmets have the durability to mitigate the effects of a more rare but catastrophic direct compressive force. Therefore, the use of bicycle helmets is an important preventive tool to reduce the incidence of severe associated TBI in children as well as to minimize the morbidity of its neurological consequences.

Abstract According to Acts 13, after Barnabas and Paul confront the Jewish magician Bar-Jesus on Cyprus and successfully win the allegiance of Roman proconsul, Sergius Paulus, the fellow travelers visit Pisidian Antioch. On the Sabbath in Pisidian Antioch, Paul gives his first and only speech to Jews in Acts (13:16b-41). William M. Ramsay, subscribing to the “province” or “Southern Galatian” hypothesis, understands the addressees of Paul’s Letter to the Galatians to be those converted in response to this speech. Ramsay goes so far as to draw connections between the speech and Paul’s Letter to the Galatians. In contrast, H.D. Betz argues that Galatians was written to Gentiles in Northern Galatia. Betz sees no proof of the historicity of the Acts account and finds no compelling reason, therefore, to associate it with Paul’s Letter to the Galatians. A prolegomenon for both Ramsay and Betz is the purpose of Acts. Kirsopp Lake once asked whether it was “an accident that he [“Luke”] describes Paul’s first dealings with the Romans, the Corinthians, the Ephesians, and the Thessalonians,” noting that “Galatia was the remaining church which Paul founded and wrote to.” This essay argues that both Ramsay and Betz are in a sense correct. Paul’s visit to Pisidian Antioch in Acts 13 provides grounds for Paul’s foundation of the Galatic churches, irrespective of the historicity of its presentation in Acts. Further, it argues that such a stopover has a distinct narrative advantage; namely, it affords an attractively Romanesque stopover early in Paul’s travels for this Roman-born, Roman-named, Rome-bound missionary.

The release of the Barack Obama administration's much-anticipated Nuclear Posture Review (NPR) concluded an intense, yearlong effort to revamp U.S. nuclear weapons policy to better address modern threats. Despite general agreement that the United States' nuclear policy and posture was in need of overhaul, there were strong disagreements over what kinds of changes should be made. At the core of these debates was the issue of U.S. declaratory policy—the stated role and purpose of U.S. nuclear weapons. Whereas some members of the administration advocated that the United States retain all of the flexibility and options afforded by the policy of calculated ambiguity, others contended that to fulfill President Obama's commitment to “put an end to Cold War thinking” and “reduce the role of nuclear weapons in U.S. national security strategy,” the United States should adopt a more restrictive nuclear policy such as no first use (NFU), perhaps in the form of a declaration that the “sole purpose” of U.S. nuclear weapons is to deter a nuclear attack. By not adopting NFU, the NPR missed an important opportunity to reduce the role of nuclear weapons in U.S. strategy. The traditional case for NFU hinges on the argument that the threat of nuclear first use is unnecessary for deterrence. Yet the continued U.S. option to use nuclear weapons first is not only unnecessary but dangerous. Given the size and accuracy of the current U.S. nuclear arsenal, and given the variation in the nuclear capabilities of current and potential adversaries, the first-use option risks creating instabilities in a severe crisis that increase the chances of accidental, unauthorized, or deliberate nuclear use. In a future crisis with a nuclear-armed state, the fear—whether real or imagined—that the United States might attempt a disarming nuclear first-strike increases the possibility of nuclear escalation.

The fundamental identification of flaked stone as artifact is critical to all that follows in archaeology. The identification of sites, interpretations of prehistoric behaviors, adaptations, land use patterns, settlement and subsistence studies, etc. can be distilled to the initial determination of an artifact as being “real” or the result of natural or accidental phenomena such as plow damage. In cultural resource management, artifact identification drives immediate field decisions to modify research strategies and ultimately forms the argumentative basis for research potentials and determinations of significance. Chert flakes and shatter discovered during a NYSDOT sponsored project conducted by New York State Museum-Cultural Resource Survey Program were subjected to a battery of lithic attribute analyses in an attempt to identify artifacts in an agricultural area blanketed by natural chert. With the exception of exotic material types, no single attribute can certainly identify human involvement. A cumulative score of multiple attributes affords greater levels of confidence for cultural vs. natural determinations for larger assemblages. In settings with the “background noise” of natural chert in cultivated soils, cultural genesis determinations of single pieces and very small sparse assemblages must be recognized as hunches or faith-based decisions yet worthy of measured continued investigation.

This study investigates how, in the late 1940s and 1950s, fears of nuclear accidents and nuclear warfare shaped postwar radiobiology. The new and intense forms of radiation generated by nuclear reactor technology, and which would be released in the event of a nuclear war, created concerns about a public-health hazard unprecedented in form and scale. Fears of inadvertent exposure to acute and potentially lethal radiation launched a search for anti-radiation therapies, out of which emerged the new technique of bone marrow transplantation (BMT). This study analyzes the use of BMT first as a research tool to explore the biological effects of ionizing radiation, and then as an adjunct to radiotherapy for the treatment of cancer. In highlighting how BMT became the province of different research and clinical constituencies, this study develops an understanding of the forces and contingencies that shaped its development. Exploring the emergence of BMT and the uses to which it was put, it reveals that BMT remained a technique in the making——unstable and far from standardized, even as it became both a widely used research tool and rapidly made its way into the clinic. More broadly, it casts new light on one route through which the Manhattan Project influenced postwar radiobiology; it also affords new insights into one means by which radiobiology came to serve the interests of the Cold War state. In its focus on BMT this paper provides a new perspective on the evolving relationship between radiobiology and biomedicine in the postwar period.

Policies designed to increase public engagement with biodiversity advocate increased education across a range of educational contexts. Evidence of the benefits of learning in natural environments (LINE) continues to be amassed. LINE affords direct benefits as diverse as educational, health and psychological and indirect benefits ranging from social to financial. Research into the value of LINE has failed to address the full range of benefits. Instead, there has been a narrow focus on easily measurable outcomes and a desire to seek answers to simplistic questions such as "does LINE raise standards more than learning in the classroom?" An attempt is made to outline the full range of benefits which are available to all school students. The outcomes include: benefits to individual participants (knowledge and understanding; skills; attitudes and behaviours; health and well-being; self-efficacy and self-worth); benefits to teachers, schools and the wider community, and benefits to the natural environment sector. Several barriers exist to the effective delivery of LINE. These barriers can be grouped into those that challenge the natural environment sector and those that challenge schools. The challenges facing the sector include a lack of a coordinated effective approach to working with schools at a local level. The challenges facing schools include those frequently mentioned such as the risk of accidents, cost and curriculum pressures. However, another set of challenges exists, at local, institutional and personal levels. These challenges include teachers' confidence, self-efficacy and their access to training in using natural environments close to the school and further afield.

Articular cartilage is an hydrated tissue that withstands and distributes mechanical stresses. The chondrocytes respond to mechanical signals by regulating their metabolic activity through complex biological and biophysical interactions with the extracellular matrix (ECM). The objective of this work was to compare, under mechanical stress, the ECMs synthesized by rat chondrocytes seeded onto biosystems based on alginate (Alg), hyaluronic acid (HA) and a HA amphiphilic derivative. The mechanical stress simulates the traumatisms resulting from accidental shocks or intensive physical exercise by knocking the biosystems together. The investigation of ECMs neosynthesized by chondrocytes was carried out according to various criteria: proliferation, proteoglycans synthesis activity, expression of type I and type II collagens and the expression of α5/β1 integrin. The results obtained for the stress applied on neosynthesized matrixes of 3, 10, 17 and 24 days evidenced a high proliferation and proteoglycans synthesis activity for cells submitted to a knocking process. For all biosystems, the neosynthesized matrix contained an important level of collagen, which was in part of type II, whatever the biosystems. Finally, the chemical modification of HA by long hydrophobic alkyl chains, affords an amphiphilic derivative with viscoelastic properties perfectly mimicking those of matricial environment of chondrocytes. This study showed that the HA amphiphilic derivative induced biological effects similar to those of parent HA containing no hydrophobic modifications.

There has been almost no overlap between behavior genetics and consumer behavior research, despite each field's importance in understanding society. In particular, both have neglected to study genetic influences on consumer adoption and usage of new technologies — even technologies as important as the mobile phone, now used by 5.8 out of 7.0 billion people on earth. To start filling this gap, we analyzed self-reported mobile phone use, intelligence, and personality traits in two samples of Australian teenaged twins (mean ages 14.2 and 15.6 years), totaling 1,036 individuals. ACE modeling using Mx software showed substantial heritabilities for how often teens make voice calls (.60 and .34 in samples 1 and 2, respectively) and for how often they send text messages (.53 and. 50). Shared family environment – including neighborhood, social class, parental education, and parental income (i.e., the generosity of calling plans that parents can afford for their teens) — had much weaker effects. Multivariate modeling based on cross-twin, cross-trait correlations showed negative genetic correlations between talking/texting frequency and intelligence (around –.17), and positive genetic correlations between talking/texting frequency and extraversion (about .20 to .40). Our results have implications for assessing the risks of mobile phone use such as radiofrequency field (RF) exposure and driving accidents, for studying adoption and use of other emerging technologies, for understanding the genetic architecture of the cognitive and personality traits that predict consumer behavior, and for challenging the common assumption that consumer behavior is shaped entirely by culture, media, and family environment.

Abstract Apophysomyces elegans species complex is an important cause of cutaneous mucormycosis in India. However, majority of those cases are reported as case reports only. We desired to analyze our patients with Apophysomyces infection reported over 25 years (1992–2017) to understand the epidemiology, management, and outcome of the disease. During the study period 24 cases were reported, and the majority (95.8%) of them presented with necrotizing fasciitis following accidental/surgical/iatrogenic trauma. One patient presented with continuous ambulatory peritoneal dialysis (CAPD) related peritonitis. Healthcare related Apophysomyces infection was noted in 29.2% patients. In addition to trauma, comorbidities were noted in 37.5% patients (type 2diabetes mellitus-6, chronic alcoholism-2, and chronic kidney disease-1). Of the 24 isolates, 11 isolates starting from year 2014 were identified as Apophysomyces variabilis by molecular methods. Majority (95.8%) of the patients were managed surgically with or without amphotericin B deoxycholate therapy, while one patient was treated with amphotericin B deoxycholate alone. Among 24 patients, seven (29.1%) recovered, six (25%) patients could not afford antifungal management and left the hospital against medical advice, and 11 (45.9%) patients died.The present case series highlights that necrotizing fasciitis caused by A. variabilis is prevalent in India, and the disease may be healthcare related. Although diagnosis is not difficult, awareness among surgeons is still limited about the infection, leading to a delay in sending samples to the mycology laboratory. Apophysomyces infection must be considered in the differential diagnosis in apatient with progressive necrosis of a wound who is not responding to antibacterial therapy.

OBJECTIVEFor patients with highly asymmetrical Parkinson’s disease (PD), unilateral subthalamic nucleus (STN) deep brain stimulation (DBS) has been suggested as a reasonable treatment. However, the results of a previous 2-year follow-up study involving patients with prominently asymmetrical PD who had unilateral STN DBS suggested that simultaneous bilateral surgery should be performed. In the present study, the authors analyze 7-year follow-up data from the same patient group to examine changes in motor benefit from unilateral STN DBS over time and the interval between initial unilateral surgery and a second (contralateral) STN DBS surgery.METHODSEight patients with highly asymmetrical parkinsonism who underwent unilateral STN DBS were evaluated. The factors measured were scores on the motor part of the Unified Parkinson’s Disease Rating Scale (UPDRS III), Hoehn and Yahr (HY) stage, and levodopa equivalent daily dose (LEDD). Evaluations occurred at 3, 6, and 12 months after the initial surgery and annually thereafter.RESULTSThe mean follow-up period was 91.5 months (range 36–105 months). Three years after the initial unilateral surgery, motor benefits on the contralateral side continued; however, an aggravation of the ipsilateral parkinsonism attenuated the improvement in total UPDRS III scores, which reverted to baseline. Axial motor score, LEDD, and HY stage did not differ from the baseline. Seven of 8 patients (87.5%) were considered candidates for a second surgery to offer additional motor benefits. Of the 7 candidates, 4 patients (50% of total patients) underwent the second surgery at 58.5 ± 11.6 (mean ± SD) months after the initial surgery. Three patients were not able to have the second surgery: one patient died of gastric cancer, one patient was severely immobilized by an accident, and one patient could not afford the second surgery. One patient remained content with the initial unilateral surgery throughout the follow-up period.CONCLUSIONSSeven of 8 patients with unilateral STN DBS became candidates for second surgery before battery replacement surgery of the first implanted device. Baseline asymmetry alone may not predict appropriate candidates for unilateral STN DBS. This study provides further evidence that, from a long-term perspective, initial simultaneous bilateral STN DBS should be considered for PD patients with prominently asymmetrical motor symptoms.

Turkey is a nation experiencing disasters, particularly earthquakes, owing to its location. Accidents cause environmental destruction as much as economically. One of the significant bodily damages is that the residences become damaged. Accordingly, the need for housing is indispensable after a collision. To deal with the problem, permanent houses, post-disaster housing, in other words, are produced in numerous regions to afford service for households. Post-disaster housing is essential to helpless families so that all will be capable of returning a fitter living situation ere the disaster. Nevertheless, as permanent housing is made by building it very fast, it is imperative that the living standard of permanent residence is agreeable with the earlier practice of the users. In that way, post-use evaluations of permanent housing, uniquely constructed after the devastating result of a disaster, are becoming critical to following applications to be more prosperous. In this sense, permanent residences in Subaşı Village, Yalova Province in Turkey have been studied within the context of post-earthquake transformation applications on 17 August 1999. In the research, the planning of the houses built in Subaşı Village, the overall evaluations about the design, the principles of entitlement, the planning method of the permanent houses, the demographic features of the shareholders were evaluated. As an outcome of the research, it was observed that the permanent residential areas in Subaşı village could not unite with the existing city. Among the socialization processes of families with various features, it was regarded that distinct qualities of contribution were made to living spaces. Neighborhood relationships and concern for free spaces and ownership organizations influence social relations together. Personal solutions to designs and absence of ownership regulation in public areas further block the formation of administrative units in permanent residential zones. Hence, interspersed life in the areas of current housing does not emerge. The situation has led to the result that in the process of combination of permanent residential spaces with existing urban areas, social facilities and non-residential uses, business and shopping centers, mosque and sports halls should be raised within a wider frame.

Abstract:Realizing the fact that despite having a disabled child and for families that constitute a painful experience, they are able to respond positively to adversity that arise and offer risk to its homeostasis, demonstrating resilient families are afforded the preparation of this study whose objectives were: to determine the levels of resilience of families with disabled children, to analyze factors that may interfere with the levels of resilience of families with disabled children and check if there are differences between the levels of resilience of families with disabled children and families with children with serious health problems or conical. The method used in the study was a quantitative and descriptive-correlational and not experimental type. Data were collected from an accidental non-probabilistic sample of parents/families of children with disabilities or serious or chronic diseases, which constitute the two groups of households (with and without disabilities) in our sample, followed by consulting a Department of Pediatrics totaling one hundred and eighty-six. The data collection instrument used was a questionnaire. Based on the data we found that these families mostly have average levels of resilience, with no record of low levels of resilience. The family resilience is not related to family characteristics, the characteristics of the disability, family and social support available, relating only to one of the dimensions that integrates family functioning, family satisfaction. Comparing the resilience levels of the two groups of families, we found no significant difference.Keywords: Resilience; family; family resilience; disabilities.Resumo:Perceber o facto de apesar de terem um filho deficiente e isso constituir para as famílias uma experiência penosa, estas serem capazes de responder de forma positiva às adversidades que surgem, demostrando serem famílias resilientes, originou a elaboração deste estudo, cujos objetivos foram: determinar os níveis de resiliência das famílias com filhos deficientes; analisar fatores que interferem com os níveis de resiliência das famílias com filhos deficientes e verificar se há diferença entre os níveis de resiliência das famílias com filhos deficientes e das famílias com filhos com problemas de saúde graves ou cónicos. O método utilizado na pesquisa foi do tipo quantitativo, descritivo-correlacional e não experimental. Os dados foram colhidos junto de uma amostra não probabilística acidental de pais/famílias de crianças com deficiência ou doenças graves ou crónicas, que constituíram os dois grupos de famílias (com e sem deficiência) da nossa amostra, acompanhadas na consulta de um Serviço de Pediatria, num total de cento e oitenta e seis. O instrumento de colheita de dados utilizado foi o questionário. Com base nos dados obtidos constatámos que estas famílias têm maioritariamente níveis de resiliência médios, não havendo registo de níveis de resiliência baixos. A resiliência familiar não se encontra relacionada com as características familiares, as características da deficiência e o suporte familiar e social disponível, relacionando- se apenas com uma das dimensões que integra o funcionamento familiar, a satisfação familiar. Comparando os níveis de resiliência dos dois grupos de famílias, constatámos não haver diferença significativa.Palavras-chave: Resiliência; família; resiliência familiar; deficiência.

Abstract.RESILIENCE OF FAMILIES WITH HANDICAPPED CHILDRENRealizing the fact that despite having a disabled child and for families that constitute a painful experience, they are able to respond positively to adversity that arise and offer risk to its homeostasis, demonstrating resilient families are afforded the preparation of this study whose objectives were: to determine the levels of resilience of families with disabled children, to analyze factors that may interfere with the levels of resilience of families with disabled children and check if there are differences between the levels of resilience of families with disabled children and families with children with serious health problems or conical. The method used in the study was a quantitative and descriptive-correlational and not experimental type. Data were collected from an accidental non-probabilistic sample of parents/families of children with disabilities or serious or chronic diseases, which constitute the two groups of households (with and without disabilities) in our sample, followed by consulting a Department of Pediatrics totaling one hundred and eighty-six. The data collection instrument used was a questionnaire. Based on the data we found that these families mostly have average levels of resilience, with no record of low levels of resilience. The family resilience is not related to family characteristics, the characteristics of the disability, family and social support available, relating only to one of the dimensions that integrates family functioning, family satisfaction. Comparing the resilience levels of the two groups of families, we found no significant difference.Key words: Resilience; family; family resilience; disabilities.Resumo.Perceber o facto de apesar de terem um filho deficiente e isso constituir para as famílias uma experiência penosa, estas serem capazes de responder de forma positiva às adversidades que surgem, demostrando serem famílias resilientes, originou a elaboração deste estudo, cujos objetivos foram: determinar os níveis de resiliência das famílias com filhos deficientes; analisar fatores que interferem com os níveis de resiliência das famílias com filhos deficientes e verificar se há diferença entre os níveis de resiliência das famílias com filhos deficientes e das famílias com filhos com problemas de saúde graves ou cónicos. O método utilizado na pesquisa foi do tipo quantitativo, descritivo-correlacional e não experimental. Os dados foram colhidos junto de uma amostra não probabilística acidental de pais/famílias de crianças com deficiência ou doenças graves ou crónicas, que constituíram os dois grupos de famílias (com e sem deficiência) da nossa amostra, acompanhadas na consulta de um Serviço de Pediatria, num total de cento e oitenta e seis. O instrumento de colheita de dados utilizado foi o questionário. Com base nos dados obtidos constatámos que estas famílias têm maioritariamente níveis de resiliência médios, não havendo registo de níveis de resiliência baixos. A resiliência familiar não se encontra relacionada com as características familiares, as características da deficiência e o suporte familiar e social disponível, relacionando-se apenas com uma das dimensões que integra o funcionamento familiar, a satisfação familiar. Comparando os níveis de resiliência dos dois grupos de famílias, constatámos não haver diferença significativa.Palavras-chave: Resiliência; família; resiliência familiar; deficiência.

Abstract Abstract 4725 Introduction Biological subtypes of pediatric Acute Lymphoblastic Leukemia (ALL) have emerged as the most important prognostic factor for response to treatment. Since the genetic subtypes differ according to ethnic groups, it becomes important to consider this factor while comparing survival between different geographic areas. We describe the relative frequency of genetic subtypes and the effect on survival and duration of first remission in patients diagnosed with ALL from a single centre in India. Patients and Methods Bone marrow karyotyping and fluorescent in-situ hybridization (FISH) studies for BCR ABL and TEL AML1 were performed on 98 children diagnosed with ALL at Sir Ganga Ram Hospital, Delhi between Jan 2005 and June 2009. During this period of 54 months, a total of 176 patients were diagnosed with ALL. Cytogenetic analysis could be done only in 98 patients. It could not be done in others due to monetary constraints. 27 did not have adequate metaphase for karyotyping. In those patients with normal karyotype but positive FISH for BCR ABL, quantitative polymerase chain reaction (Q PCR) was done. Those who were positive either by Q-PCR for BCR ABL or by karyotype for t (9; 22) were considered as Philadelphia (Ph) positive for treatment and survival analysis. The treatment protocol used was UK ALL XI for standard risk and BFM 95 for high risk ALL. Ph positive cases were managed with Imatinib mesylate along with chemotherapy. 16 patients were lost to follow up (LFU) and excluded from survival analysis. Results The median age of our study population was 4 years (0.5-18 years). Male: female ratio was 2:1. Most patients had Pre B CALLA positive ALL (n=90). There were 3 cases CALLA negative ALL, 3 of T cell ALL and 2 of biphenotypic leukemia. T cell ALL was 3% in the study population as compared to 10% in all children diagnosed at our centre. Among 71 cases in which karyotype was analyzed, 15 (21.1%) patients had hyperdiploidy, 5 (7 %) had t (9; 22) and 9 (12.7%) had structural abnormalities. TEL AML1 was detected by FISH in 6 (9.4%) out of 64 patients of Pre B ALL. FISH for BCR ABL was positive in 10 (14%) patients, 8 of which were negative for BCR ABL fusion by Q PCR and were considered as false positive. Thus true Ph positive cases were 7 (8.5%) out of 82 cases (5 karyotype, 2 Q PCR). With a median follow up duration of 22 months, the estimated overall survival (OS) and event free survival (EFS) at 30 months were 70.5 ± 6.5% and 60 ± 7.4% respectively. The mean duration of first clinical remission (CR) was 19 ± 2 months. Hyperdiploidy was more common in girls (30.4%) compared to boys (14.6%, p=0.11). It was not significantly associated with any age group or WBC count at presentation. The EFS and OS were not found to be significantly different from the group without hyperdiploidy. The mean CR duration was 8.7 months, probably because 3 cases were diagnosed 2 months prior to the end of the study period. 2 patients with hyperdiploidy died in induction and one died following a road traffic accident. One child developed intestinal mucormycosis with perforation and hence suffered a break in treatment. This child had a CNS relapse 13 months later. TEL AML1 fusion was also more common in girls (18.2%) compared to boys (4.8%), (p=0.17). All positive cases were between 2-9 years of age and all had initial WBC count <50,000/mL. The mean CR duration was 15.1 months. The estimated OS and EFS, excluding case 1 LFU, was 100% at 30 months. Among the Philadelphia positive cases, there was no significance noted in age, sex or initial WBC counts. The mean CR duration was 19.9 months. There was no difference in OS or EFS noted in this group compared to patients with normal cytogenetics. 1 patient relapsed and refused further treatment. Another patient underwent matched sibling donor stem cell transplant in first CR but developed grade IV GVHD and died. Conclusions Earlier reports from India have suggested a larger prevalence of high risk factors like T cell disease and lesser prevalence of favorable factor like TEL AML1. T cell disease is under-represented in this report, as most of these patients could not afford these investigations. False positivity of bcr-abl on FISH study was frequent. We recommend confirmation by QPCR. The survival of Ph positive cases was not worse probably because of inclusion of Imatinib mesylate in the treatment regimen. Overall, good prognostic factors such as TEL AML1 and hyperdiploidy were less commonly seen in our population than in the West. Disclosures: No relevant conflicts of interest to declare.

Immobility, fixation, or paralysis of the vocal folds is an ominous sign when encountered in the clinics. This may be due to a variety of diseases, lesions, injuries, or vascular compromise which may affect the integrity and physiologic mechanism of the vocal folds. The common etiologies include infectious processes such as laryngeal or pulmonary tuberculosis (PTB), malignancy or neoplasms, central problems such as cerebrovascular accidents (CVA), stroke and others.1,2,3 The problem should be addressed immediately because this potentially life threatening and imminent narrowing of the glottic opening may lead to respiratory distress. Vocal fold paralysis due to compression of the recurrent laryngeal nerve from PTB and laryngeal cancer are perennially seen in clinical practice, but immobility of the vocal folds due to cricoarytenoid joint fixation or ankylosis is seldom seen and appreciated. Hence, we present a case of bilateral cricoarytenoid joint ankylosis and discuss its etiology, pathophysiology, differential diagnoses, ancillary procedures, and management. CASE REPORT A 60-year-old man was admitted for the first time because of difficulty of breathing and stridor. One week prior to admission he started to experience difficult breathing associated with productive cough and colds. He consulted in a primary private hospital and was managed as a case of bronchial asthma in exacerbation. Nebulization with salbutamol afforded temporary relief. A few hours prior to admission, difficulty of breathing and productive cough worsened, prompting emergency room consult. He was referred to us for further evaluation of stridor. The patient had no diabetes mellitus, hypertension or allergies to food and drugs. He was diagnosed with refractory bronchial asthma during childhood and had frequent hospitalizations for pulmonary infections. He had no maintenance medication for bronchial asthma and was nebulized with salbutamol during exacerbations. He had PTB and completed six months’ anti-TB medications in 2013. The patient claimed that he had no dyspneic episodes during routine daily activities or upon exertion. No history of hoarseness or joint pain was noted either. A golf caddy, he was a previous 15-pack-year smoker, occasional alcoholic beverage drinker and denied use of illicit drugs. Upon admission, the patient was awake, coherent, not in cardiorespiratory distress. Blood pressure was 110/70 mmHg, pulse rate was 74/minute, respiration was tachypneic at 24 cycles per minute, afebrile. Ear examination showed normal pinnae, no tragal tenderness, patent external auditory canals with no discharge and 80-90% dry central perforations of both tympanic membranes. Anterior rhinoscopy, nasal endoscopy and the oral cavity examination were unremarkable. Head and neck examination showed no cervical lymphadenopathy or palpable mass. Video laryngoscopy showed both vocal folds were immobile and fixed in paramedian position upon inspiration, with a 1–2 mm glottic opening and no mass or lesion appreciated. (Figure 1) The initial impression was impending upper airway obstruction secondary to bilateral vocal fold paralysis. Under general anesthesia, direct laryngoscopy revealed no mass or lesion on both vocal folds and passive mobility test demonstrated resistance and limitation of lateral rotation and movement of the arytenoids on both sides. (Figure 2) The vocal folds did not abduct on lateral retraction of the arytenoids. Tracheostomy was performed and he was discharged after a few days. A subsequent laryngeal electromyography (EMG) study showed no signs of myopathy or acute or chronic denervation changes of the thyroarytenoid muscles, and rheumatoid factor was normal. At this point, bilateral cricoarytenoid fixation or ankylosis was considered and posterior interarytenoid web and bilateral vocal fold paralysis were ruled out. We recommended a lateralization procedure such as unilateral arytenoidectomy with cordectomy. The patient is currently well while he and his family are still contemplating whether he will undergo the surgical procedure. DISCUSSION Respiratory stridor is always considered an ominous sign which implies upper airway obstruction. If severe, stridor may compromise breathing and in some instances is life threatening and a telltale sign of imminent danger requiring immediate endotracheal intubation. Stridor is a musical, high-pitched sound which may be elicited in the presence of laryngeal and upper tracheal obstruction while wheezes are defined as high-pitched, continuous, adventitious lung sounds.4,5 Stridor may be due to several reasons such as immaturity of the laryngeal structures seen in laryngomalacia in newborns, laryngeal infection, foreign body in the airway, and chronic obstructive pulmonary disease.3,6 This may be the reason why bronchial asthma was entertained in the clinical course of our patient and initially at the emergency room. It is unfortunate that despite the non-responsiveness of bronchial asthma to medical therapy and persistence of stridor, no ENT referral to evaluate the upper airway was made until recently. It should be emphasized that patients who develop stridor need to be evaluated by otolaryngologists specifically to ascertain the status of the vocal folds, which in this case turned out to be fixed or ankylosed, a condition which is rarely seen and encountered in clinical practice. Among the differential diagnoses considered in this case were laryngeal cancer, vocal fold paralysis, interarytenoid web, and arthritis.7,8,9 Initially, laryngeal cancer was entertained because of his age, however no mass or suspicious lesion was appreciated on video laryngoscopy and this was ruled out. Because the vocal folds were immobile and fixed in paramedian position upon inspiration, bilateral vocal fold paralysis was considered with the etiology to be determined. Vocal fold paralysis occurs when nerve impulses to the laryngeal muscles are disrupted in case of CVA or stroke, recurrent nerve injury after thyroid surgery or compression of the inferior laryngeal nerve due to pulmonary TB or lung cancer.8,11 On the other hand, vocal fold fixation occurs when movement of the cricoarytenoid joint is compromised in cases of rheumatoid arthritis provided that the innervation is intact.10,11 Another common differential diagnosis which may be entertained is laryngeal TB in which nodular lesions may be seen in the vocal folds, granulation tissues are usually present in the posterior commissure and histopathology shows Langhans cells and caseation necrosis.8 Paralysis is oftentimes unilateral due to compression of the recurrent laryngeal nerve from apical PTB. Although the patient has a history of TB, he was asymptomatic and close examination of the vocal folds revealed no lesions except for bilateral fixation, and this was ruled out. Direct laryngoscopy (DL), the gold standard in the evaluation of laryngeal anatomy especially when dealing with the vocal folds,3 showed smooth, normal-looking vocal folds with no lesions. The passive mobility test is done to differentiate vocal fold paralysis from cricoarytenoid ankylosis, by retracting or pushing the arytenoid laterally. If there is limitation of rotation and movement of the arytenoid laterally and the vocal folds do not abduct, then cricoarytenoid ankylosis or fixation is considered. On the contrary, if the arytenoid rotates and abducts laterally when retracted by forceps, then vocal fold paralysis is considered.1,6 Hence, because there was limitation of rotation and movement of the arytenoids, cricoarytenoid joint fixation was entertained and vocal fold paralysis was ruled out. Interarytenoid web was excluded because the vocal folds had no mucosal adhesions, synechiae, or any scarring within the posterior portion of the glottis. In addition, although the patient’s glottic opening was restricted, no difficulty was encountered during endotracheal intubation since a smaller caliber tube was used. To further confirm the diagnosis of cricoarytenoid fixation, laryngeal electromyography (EMG) revealed no paralysis of the thyroarytenoid muscles with no signs of myopathy and acute or chronic denervation, making bilateral vocal fold paralysis unlikely in this case. Laryngeal EMG is indicated to determine the integrity of the laryngeal muscles and innervation especially in cases of vocal fold paralysis.11 In post-thyroidectomy patients, laryngeal EMG is done 6 months after surgery to determine if the laryngeal nerve injury may recover or is irreversible. The 6-month waiting period is to allow swelling or inflammation to subside and to observe whether the injured nerve will recover prior to further intervention.12 The findings on direct laryngoscopy, passive mobility test and laryngeal electromyography clearly favor the diagnosis of cricoarytenoid joint ankylosis. Other ancillary procedures such as a CT scan may show sclerosis of the arytenoids1,11 in elderly patients and videostroboscopy may be useful in determining the relative vertical height and tension of the vocal folds for assessing the cricoarytenoid function.1 A CT scan was not done because there was no palpable neck mass and no other lesion was entertained that would warrant CT imaging. Videostroboscopy may help and may further show and magnify the movement of the vocal folds for observation however, the findings seen on direct laryngoscopy and laryngeal EMG were deemed enough to support and confirm the diagnosis. The patient may be classified under type IV posterior glottic stenosis - congenital or acquired bilateral cricoarytenoid fixation with or without interarytenoid scarring - based on the classification by Bogdasarian and Olson which was later modified by Irving and associates.3 Interarytenoid web and scarring presents as bilateral impaired abduction but adduction is normal and patients affected tend to have a normal voice while the main presenting symptom is airway compromise. In cricoarytenoid joint ankylosis, adduction and abduction of the vocal folds are limited.3 As previously mentioned, to distinguish cricoarytenoid joint ankylosis from vocal fold paralysis, palpation of the cricoarytenoid joint on rigid endoscopy and laryngeal EMG are necessary for definitive diagnosis.6 The patient’s voice was normal because the vocal folds approximate each other with a 1 to 2 mm glottic opening while no history of aspiration was apparent because the vocal folds are fixed in paramedian position which may prevent fluid from entering the larynx during swallowing. Although the patient’s voice is normal, respiration is compromised manifested as stridor and difficulty of breathing requiring tracheostomy. In contrast, patients with acute or recent unilateral vocal fold paralysis in post-thyroidectomy or post-CVA (stroke) conditions may initially manifest with aspiration. This is because the vocal fold assumes an intermediate position in which the glottic opening is relatively wider compared with the paramedian position. In a few months’ time, the paralyzed fold will compensate, move medially, and assume a paramedian position and aspiration may eventually resolve.13 Cricoarytenoid ankylosis has several etiologies which include arthritides, bacterial infection and trauma. Rheumatoid arthritis may account for numerous clinical diagnoses of cricoarytenoid ankylosis.2 Other causes include gout, Reiter Syndrome, and ankylosing spondylitis. Some anecdotal evidence suggests a mump-associated laryngeal arthritis and fixation secondary to radiation therapy.2, 8 Bacterial involvement of the joint space with infectious microorganisms such as streptococcal species, with resultant ankylosis is also well established.8 External and direct laryngeal trauma may also result in cricoarytenoid joint injury.8 Documented and retrospective studies suggest intubation-related joint injury and posterior or anterior arytenoid displacement secondary to the distal tip of the endotracheal tube engaging the arytenoid during intubation.8 Traumatic obstetric delivery using forceps and postpartum newborn care through vigorous cleansing and suctioning the mouth and pharynx of the newborn are also mentioned in the literature.11 Posterior dislocation resulting from extubation with a partially inflated endotracheal tube cuff is another probable cause.7, 8 Another potential etiology is arytenoid chondritis secondary to prolonged endotracheal intubation, which results in fibrosis.8, 16 Reviewing the patient’s history, however, showed no history of trauma, previous intubation, signs and symptoms of arthritis and serious laryngeal infections. The patient was delivered via normal spontaneous delivery by a traditional birth attendant (“hilot”) and no apparent respiratory distress or postpartum hospitalization was known of by the patient. Cricoarytenoid ankylosis is usually associated with cases of rheumatoid arthritis with 17 to 33% incidence among RA patients.9 House et al. in 2010 described approximately 0.1% incidence of cricoarytenoid joint ankylosis in endotracheal intubations.16 Most cases of vocal fold immobility seen under the service is secondary to vocal fold paralysis due to cerebrovascular accident (stroke), pulmonary problems such as PTB, or laryngeal malignancy and to our knowledge, this is the first reported case of cricoarytenoid joint ankylosis in our institution. Chronic cricoarytenoid joint ankylosis may be mistaken for asthma or chronic bronchitis, with symptoms of dyspnea, hoarseness, or stridor.3 In rheumatoid arthritis, laryngoscopy may show rough and thick mucosa and narrowed glottic chink which were contrary to the recent endoscopic findings. If the etiology is bacterial, there is direct involvement of the joint space with infectious agents, such as streptococcal species, which leads to scarring and thickening of the cricoarytenoid joints.8 Airway compromise occurs most commonly in patients with long-standing cricoarytenoid ankylosis and laryngeal stridor has been described as the sole presentation of the disease as manifested in this case.8, 14, 17 To rule out RA in this case, rheumatoid factor (RF) was done with negative results. Finally, when it comes to upper airway obstruction, the glottic opening or opening of the vocal folds should be thoroughly evaluated. The normal glottic opening in newborns opens approximately 4 mm in a lateral direction. Congenital subglottic stenosis is defined as a subglottic diameter of less than 4 mm.13 In retrospect, it may be presumed that the patient’s glottis may not be seriously compromised since birth because he was able to thrive and breathe with no apparent difficulty. It may be conjectured that narrowing of the glottic opening occurred only later in life. Although asymptomatic, rheumatoid factor was negative, and the etiology of the patient’s ankylosis remains perplexing and elusive. The management of cricoarytenoid ankylosis includes tracheostomy to address the upper airway obstruction. Surgical management includes open arytenoidectomy, arytenoidpexy and endoscopic arytenoidectomy or transverse cordectomy and all have their advantages and disadvantages.6, 11, 16 These are lateralization procedures which aim to widen the glottic opening and wean the patient from tracheostomy afterwards. In closing, when bronchial asthma remains refractory to treatment, the physician should not hesitate to refer to otolaryngologists to rule out other probable upper airway pathologies. Although rare, ankyloses of the cricoarytenoid joint should be considered especially when the movement of the vocal folds is compromised. Although direct laryngoscopy, passive mobility tests and laryngeal EMG are indispensable in clinching the diagnosis, the clinical history is important in determining etiology which in this case remains elusive and perplexing. REFERENCES Woo Peak M. Laryngeal Trauma in Woo Peak Stroboscopy. 1st California: Plural Publishing Inc. 2010. p. 221-226.. Bryson PC, Buckmire RA. Medscape. Arytenoid Fixation. [Updated 2016 Mar 30; cited 2013 Apr]. Retrieved from: https://emedicine.medscape.com/article/866384-overview#a6. Albert D, Boardman S, Soma M. Evaluation and Management of the Stridulous Child. In Flint PW, Haughey BH, Lung VJ, Niparko JK, Richardson MA, Robbins T, et al (editors). Cummings Otorhinolarynglogy Head and Neck Surgery. 5th ed. Philadelphia: Mosby Elsevier. 2010. p. 2896-2897. Lechtzin NM. Stridor. Merck Manual Professional. 2014 [cited 2014 Apr]. Retrieved from Merck Manuals: http://www.merckmanuals.com/professional/pulmonary-disorders/symptoms-of-pulmonary-disorders/stridor Lechtzin NM. Wheezing. Merck Manual Professional. 2014 [cited 2014 Apr]. Retrieved from Merck Manuals: http://www.merckmanuals.com/professional/pulmonary-disorders/symptoms-of-pulmonary-disorders/wheezing Jackson C, Jackson CL. Direct Laryngoscopy in Bronchoesophagology. 5th Philadelphia: W.B. Saunders. 1950. p. 116-117 Cooper R. Extubation and Changing Endotracheal Tubes. In Benumof J, Hagberg CA (editors). Benumof's Airway Management: Principles and Practice. 2nd Philadelphia: Mosby Elsevier. 2007. p. 1160. Heman-Ackah Y, Kelleher K, Sataloff R. Inferior Glottic Ridges That Prevent Vocal Cord Closure. In Sataloff RT, Chowdhury F, Joglekar S, Hawkshaw MJ (editors). Atlas of Endoscopic Laryngeal Surgery. 1st New Delhi: Jaypee Brothers Medical Publishers. 2011. p. 45. Kamanli A, Gok U, Sahin S, Kaygusuz I, Ardicoglu O Yalcin S. Bilateral cricoarytenoid joint involvement in rheumatoid arthritis: a case report. Rheumatology (Oxford). 2001 May; 40 (5): 593-594. PMID: 11371675. Zakaria HM, Al Awad NA, Al Kreedes AS, Al-Mulhim AM, Al-Sharway MA, Hadi MA, et al. Recurrent laryngeal nerve injury in thyroid surgery. Oman Med J. 2011 Jan; 26(1): 34–38. DOI: 10.5001/omj.2011.09; PMID: 22043377 PMCID: PMC3191623. Remacle M, Sandhu G. Bilateral Vocal Fold Immobility. In Oswal V, Remacle M, Jovanvic S, Zeitels SM, Krespi JP, Hopper C (editors). Principles and Practice of Lasers in Otorhinolaryngology and Head and Neck Surgery. 2nd Amsterdam: Kugler Publication. 2014. p. 250-251. Chauhan A, Badhwar S, Patel M, Tiwari S. Post - Intubation Bilateral Arytenoid Dislocation with Acute Respiratory Distress. J Anaesth Clin Pharmacol. 2009 Aug; 25(3):361-62. Banovetz J. Benign Laryngeal Disorders. In Adams GL, Boies LR (editors). Boies Fundamentals of Otolaryngology - A Textbook of Ear, Nose, and Throat Diseases. 6th Singapore: W.B. Saunders. 1989. p. 406-408. Stojanovic SP, Zivic L, Stojanovic J, Belic B. Total fixation of cricoarytenoid joint of a patient with rheumatoid arthritis and Hashimoto thyroiditis. Srp Arh Celok Lek. 2010 Mar-Apr; 138(3-4): 230-2. PMID: 20499506. Hamdan AL, Sarieddine D. Laryngeal Manifestations of Rheumatoid Arthritis. Hindawi Autoimmune Diseases. 2013; 2013: 4-6. DOI:10.1155/2013/103081. Polisar IA, Burbank B, Levitt LM, Katz HM, Morrione TG. Bilateral midline fixation of cricoarytenoid joints as a serious medical emergency. JAMA. 1960; 172(9): 901-906. DOI:10.1001/jama.1960.03020090013003 Burkey B, Goudy S, Rohde S. Airway Control and Laryngotracheal Stenosis in Adults. In Snow JB, Ballenger JJ (editors). Ballenger's Manual of Otorhinolaryngology Head and Neck Surgery. 17th Ontario: BC Decker. 2009. p. 911.

Incident Overview During severe weather conditions on the morning of 18 January 2007, the MSC NAPOLI, a UK-registered vessel, suffered flooding in her engine room in French Territorial Waters. The MSC NAPOLTs Master took the decision that the danger to the vessel was sufficient to order the crew to abandon the ship. All the crew were successfully rescued by UK helicopter from Royal Naval Air Station Culdrose. The Marine Accident Investigation Branch has instigated a full investigation into the causes of the incident. The English Channel is a zone of joint responsibility between France and the UK with regards to maritime pollution incidents under the auspices of the multi lateral Bonn Agreement. There is an Anglo-French joint maritime contingency plan, which is referred to as the Mancheplan. The French and English authorities were faced with a large container ship known to be carrying a cargo that included potentially hazardous materials and to have more than 3,000 tonnes of fuel oil on board. Particular account was taken of the strong advice from environmental experts that the ship's cargo and oil would need to be recovered and should not be left to sink in deep water. The effects of sinking in deep water would have been serious long-term environmental damage. In the first instance, there would be the strong possibility of a large release of oil and spreading of the cargo, with the very real consequences of navigational hazard in the Channel. In any case, the oil would have escaped and found its way onto many beaches on both sides of the English Channel for many years, whereas in shallow waters the hydrocarbons and other pollutants could be recovered much more easily and as soon as possible. In line with the Mancheplan, French authorities led the initial response to the incident, liaising closely throughout with the UK Secretary of State'S Representative for maritime salvage and intervention–commonly known as SOSREP. French tugs arrived on the scene promptly. A French Government intervention team went on board the vessel. Having made an on-scene assessment of its condition, experts concluded that its state was such that it was unlikely to survive prolonged exposure to severe weather conditions. To prevent a serious marine pollution incident, the French and UK Governments recognised that the vessel must be towed to a place of refuge where she could be dealt with in a controlled manner. The need for a place of refuge and its location are always driven by the circumstances of an incident, including the weather, the size and condition of the vessel and the potential threat posed by the vessel and its cargo. Taking all those factors into account, the French authorities were unable to identify a suitable place of refuge on the French coast within about 200 miles. All other options were on the UK south coast from Falmouth to Portland. A full risk assessment was carried out to determine a location providing best shelter and chance of survival to offload oil and hazardous cargo. None of the main ports, including Plymouth, had sufficient depth of water to accommodate the vessel. The Falmouth Harbour-Master reported that the vessel could have anchored outside the harbour, but that Falmouth could not handle or store containers. Moreover, transit to Falmouth, because of the direction of travel and the state of the sea, would have exposed the casualty to severe stress. There was no safe option to enter any south coast port. An anchorage with good shelter from south-west winds was needed. The most suitable option was Portland because it affords shelter combined with good access to port facilities and, later, the potential for moving the ship into the inner harbour. It also meant that the vessel could be towed in a direction that minimised the stress on its hull. A tow was attached on the evening of 18 January. However, in the early hours of 20 January, the cracks on both sides of the ship worsened and the stern of the ship started settling lower in the water. It became clear that the MSC NAPOLI would not reach Portland. The priority became keeping the vessel intact, as there was real concern that it might start to break up, and therefore looking to beaching it in the shallowest water possible. Initially the Port of Portland was the preferred place of refuge in which to take the vessel, however as the condition of the vessel deteriorated it was decided to take her into Lyme Bay - originally in order to stabilise her before continuing to port. When it was understood that the condition of the vessel was such that to tow the vessel to port was not possible - beaching her became the only practical alternative. From the beginning of the incident all decisions had to be made against the presumption that the casualty could, and probably would, sink at any time. Concern was urgent and a decision had to be taken without any delay whatsoever. In accordance with the UK'S National Contingency Plan for Marine Pollution from Shipping and Offshore Installations (NCP), environmental bodies and local authorities were consulted. Moreover, through forward planning, which is an integral part of the UK system, SOSREP already had knowledge about the suitability of locations as possible places of refuge for this vessel. SOSREP decided that the only viable option was to beach the ship in shallow water, where there was a greater chance of successful salvage, and decided to turn the vessel towards an identified beaching site in the shelter of Lyme Bay. During the passage the vessel was under tow which broke on several occasions.

Abstract Across the world acute hospitals are under unprecedented pressures due to shrinking budgets and increasing demand, against this backdrop they are also experiencing record levels of activity in Accident & Emergency and delayed transfers of care. Reducing pressure on hospitals by avoiding unnecessary admissions and delayed discharges has risen up the global policy agenda. However, reviews of strategies and policies have rarely involved discussions about the role that hospital social workers play in achieving timely hospital discharge. Yet discharge planning has become a, if not the, central function of these professionals. This paper presents the results of a small-scale exploratory study of hospital social work in an acute hospital in Northern Ireland. The findings reveal that the work of hospital social workers is characterised by increased bureaucracy, an emphasis on targets and a decrease in the time afforded to forming relationships with older people. Hospital social workers highlight concerns that the emphasis on discharge planning and pressures associated with the austerity agenda limits their capacity to provide other more traditional roles such as advocacy and counselling. It is argued that hospital social work should not be narrowly defined as ‘simply’ co-ordinating discharge plans. The tension that arises between expediting hospital discharge and advocating for older people and their families is also discussed.

In the current era, 60% of the accidents occur due to drowsiness. Drowsiness mainly occurs during early morning and during night times. This kind of road accident can cause a lot of harm to other people and government roads and other properties. These accidents finally lead to high injuries and death. To prevent this kind of accident and to save the lives of people, a lot of research is still going on.There are many kinds of methods to prevent this. But, everyone can't afford it or adjust to the systems environment. Though there are many systems none is able to provide accurate action, speed, sound, and no failure. In this paper, we designed the system in such a way that drivers won't get distracted, it is affordable, easy to fit in car environment and accurate results. In our proposed system when drivers feel dizzy and when he/she closes their eyes a huge beep sound will be produced by using text speech. We do all this with the latest technology of image processing under iot. We use raspberry pi which helps in producing accurate results. A high range of IR cameras will be set up in front of the driver, to monitor drivers facial expression and to calculate the eye ration. As mentioned drowsiness occurs during dusk and dawn IR camera helps in monitoring the face during even at darkness. This system is highly affordable, easy to access, easy implementation and accurate results.

Now a days, most of the elderly person live in home alone. In their day to day living, some activities likely to have some accidents, such as fall. If the fall is unobserved for a longer period, it may lead to severe health trauma or even leads to death. According to the insights announced in National Safety Council, they are the subsequent driving reason for unexpected passing assessing 424000 passing worldwide. The objective of this paper is to develop a device that detects the fall event of the elderly person and intimate to the family members about the event. A call will be made automatically to the contact number provided in the fall detector application installed in the smart phone. It can accompany elderly people both indoors and outdoors in contrast to ambient devices. Computation of this method is simple and it is possible to implement in small size, so it can be easily carried by the elderly people. It can be afforded by

Now a days, most of the elderly person live in home alone. In their day to day living, some activities likely to have some accidents, such as fall. If the fall is unobserved for a longer period, it may lead to severe health trauma or even leads to death. According to the insights announced in National Safety Council, they are the subsequent driving reason for unexpected passing assessing 424000 passing worldwide. The objective of this paper is to develop a device that detects the fall event of the elderly person and intimate to the family members about the event. A call will be made automatically to the contact number provided in the fall detector application installed in the smart phone. It can accompany elderly people both indoors and outdoors in contrast to ambient devices. Computation of this method is simple and it is possible to implement in small size, so it can be easily carried by the elderly people. It can be afforded by

Despite the aggressive enforcement of speed limits, speeding remains the second leading cause of fatalities in vehicle accidents in South Africa. Speeding fines are one mechanism for enforcing speed limits; however, these are only effective deterrents against speeding if fines are enforced. The potential effectiveness of speeding fines to increase safety on South African roads is rendered almost obsolete because so many offenders default on payment. Our aim was to utilise the Theory of Planned Behaviour as a framework to explore motorists’ perceptions of factors that may influence the payment of speeding fines in Cape Town, South Africa. Self-report data were collected from participants who had received fines ( n = 268), about their speed fine-paying behaviour, their perceptions of the consequences of non-payment, subjective and social norms, and control beliefs about the ease with which fines can be paid and motorists’ ability to afford fines. Regression analysis showed that motorists who report paying their fines are more likely than those who do not pay to hold beliefs that non-payment will result in serious consequences, affirm injunctive norms supporting the payment of fines, believe that it is easy to pay fines, and are able to afford to pay. This study provides novel insights into the potential of theories of behaviour change to design evidence-based behavioural interventions to encourage motorists to comply with speeding fines and hence to improve road safety in South Africa.

People suffering from certain permanent disabilities due to accidents, paralysis or old age often depend on others for help with respect to movement. Providing an access to the remote health services using a health monitoring system enhances their independence, since their health is regularly recorded and monitored by the doctor without any efforts. By accessing the services online, they can directly communicate with their doctors only in case of an emergency. Since disabled patients cannot afford to travel, smart healthcare systems help them gain access to healthcare systems. A possible solution to monitor their health status is by developing a health monitoring system based on a smart wheelchair since it is adequate for a wider range of audiences and it does not require a lot of maintenance unlike the wearable systems. Smart wheelchairs not only focus on the mobility of the device but also on health monitoring of the patient. The objective of the present work is to develop a smart sensing wheelchair by implementing sensors within its structures. The technology adopted is Internet of Things wherein the heart rate and blood oxygen levels are detected by sensors, processed by embedded systems and sent to the cloud that initiates a trigger in case of any abnormality. The trigger produced can be in the form of an SMS or an e-mail

Prognostics and health management (PHM) is becoming one of the most popular topics for research and development in the aviation industry. The reasons for this are varied, but one of the main ones is that PHM affords the operator with a way to reduce lifecycle operating costs without necessarily adding expensive accessories that might need to be certified. Many of the papers in this special issue discuss PHM techniques that are based on post flight, or off-board, data processing that adds benefits without additional regulatory constraints. On the other hand, regulators themselves are keenly looking at changing regulations to allow more PHM equipment on board and to allow suppliers and operators to gain maintenance credits from their use. All in all, it is a exciting time to be a engineering working on these topics in the aviation sector. While progress is being made in developing better sensors, models, and analytical methods, the field of aviation itself is changing rapidly. It is seeking to become more sustainable by increasing propulsion efficiencies, it has many players looking to develop and commercialize electrical systems, and it is fast undertaking a digital transformation of the entire ecosystem. In response, system developers and researchers in the field are working on a number of key technologies and methodologies to solve some of the issues that these changes have wrought. This special issue on PHM for Aerospace Systems provides a forum to discuss recent advances pertaining to papers that address topics in this field with an emphasis on Prognostics and Health Management. These topics include advances in anomaly detection and diagnostics, uncertainty management for prognostics, resilient design for fault-tolerant operations, systematic evaluation of PHM for maintenance processes, assessment of retrofit solutions for particular aircraft systems, PHM informed decision-making for safe operations of autonomous aerial systems, impact of noise on prognostic performance, and lessons learned from trends in aircraft fatigue failure accidents for Structural Health Monitoring. We hope that this special joint issue of the International Journal of PHM and SAE International Journal of Aerospace will increase the awareness about innovations in the development of PHM technologies in aerospace and believe that this inspires researchers to focus more attention on this important topic. We would like to express our sincere thanks to all the reviewers of this issue who have generously contributed their valuable time and effort to ensure that it lives up to the Journal’s high quality.

The question of colour in architecture offers many potential points of entry. Taking an historical standpoint, one could discuss the use of bright colour in ancient Greek and Roman architecture, the importance of brilliantly coloured mosaic and stained glass to sacred architecture in the Byzantine and medieval periods, and the primacy of colour in non-Western architectural traditions both ancient and modern. It would be possible to trace prohibitions against the use of applied colour, derived from late 18th century notions of architectural morality—ideals demanding authenticity, honesty and directness in the expression of structure, function and materials. This puritan strand could be pursued into the modern movement, to its quasi-pathological attachment to whiteness.1 It would also be possible to note a trend which ran counter to dominant modernist attitudes to colour, in the eclectic 'neon historicism' of so-called 'post-modernist' architecture. But while it would be remiss of me not to acknowledge the history of colour in architecture in passing, it has been well addressed elsewhere, and is in any case outside the scope of this paper.2 What is significant is that this history is marked throughout by many of the same, largely unspoken, prohibitions against colour that can be traced across other cultural realms—that which David Batchelor has described as a history of 'chromophobia'. As Batchelor writes; 'Chromophobia manifests itself in the many and varied attempts to purge colour from culture, to diminish its significance, to deny its complexity…. [T]his purging of colour is usually accomplished in one of two ways. In the first, colour is made out to be the property of some 'foreign' body—usually the feminine, the oriental, the primitive, the infantile, the vulgar, the queer or the pathological. In the second, colour is relegated to the realm of the superficial, the supplementary, the inessential or the cosmetic. In one, colour is regarded as alien and therefore dangerous; in the other it is perceived merely as a secondary quantity of experience, and thus unworthy or serious consideration.'3 Numerous examples of the attempt to 'purge' colour can be identified throughout the history of architecture in the modern period. The mode of chromophobia particular to architecture may be summarised thus: colour in architecture has been associated with illusion and frivolity, and thus with decoration—it has been seen as being excess or supplementary to 'real' architecture.4 Discussions of colour in architecture can never be completely distinguished from discussions of ornament, or of materials and materiality. Colour is not necessarily a problem in itself—it is acceptable, for instance, when it is inherent to the material or to its weathering process, as in the bright green of copper verdigris. It is the application of colour, in the form of paint or stain, that raises questions of authenticity. The importance of surface and colour have been consistently made subordinate to architectural form; and the idea that colour is acceptable in interiors but not exteriors is merely the expression of another hierarchy, linking and demoting the trivial, contingent, feminised interior in favour of universal, masculinized, heroic external form. In the modern period, a work of 'serious' Architecture (as opposed to vernacular, commercial, or 'popular' architecture) has most often either been white, or coloured in the subdued palette afforded by the inherent characteristics of 'natural' materials.5 This is nowhere more true than in institutional architecture generally, and museum architecture in particular. Museums and their stake in the neutral monochrome The museum as an institution has traditionally functioned as a symbol of the establishment and its authority, a symbolic role often expressed in conventionally monumental architecture. This monumentality has, in turn, been reinforced by prestigious materials: much of the dignity and status of institutional architecture is taken from materials valued for their expense, rarity, or durability.6 Museum buildings are required to last, and thus they must not only use enduring materials, but materials which demonstrate their durability by being self-finishing in their natural, apparently neutral, state. The very idea that 'natural' materials are also somehow 'neutral' opens onto another, more ideological investment that the museum has in avoiding colour. Museums have long held a stake in the idea of an objective stance, and maintained the pretence of an unmediated presentation of historical fact. The notion of the museum as 'white cube' embodies all of this—the idea of the white cube, with its aformal form and achromatic colour, signifies purity and transcendence. Just as the whiteness of modern architecture was a continuation of the hygienic whiteness of doctor's coat, bathroom tiles, and hospital walls, the whiteness of the museum signifies clinical objectivity.7 It also, perhaps more significantly, stands for the ideal of the tabula rasa, the clean slate upon which the documentary evidence of art, history, or any other metanarrative could be methodically examined and arranged. For the museum, abandoning the neutrality of its public presentation may also mean a symbolic abandonment of objectivity. It would mean, if not a surrender to partiality, at least the admission of partiality—and the renunciation of universal whiteness for the specificities of colour. In the modern period, applied colour can never be neutral, but is read as mask, disguise, or stain. In the postmodern period, the discourse of the 'new museology' has challenged and discredited many of the ideological complicities of the idea of the museum as 'white box', linked as they are with a suspiciously absolutist rhetoric of abstract purity. Museums have increasingly begun to render explicit their role in the re-presentation of history, and to work at recontextualising ideas and artefacts. But even if a critical and self-reflexive stance is now more common in museological practice, it has taken much longer to begin to inform museum architecture. It would be a very courageous museum indeed that was willing to cash in all of the chips of its cultural authority, of which prestigious monumental architecture is a particularly powerful source. Most museums are still, if not white, at least respectably neutral, inside and out. But not so the National Museum of Australia (NMA). This museum, in its polychromatic formal complexity, could hardly be further from a 'white cube' museum. The National Museum of Australia: flirting with the flippant The NMA is housed in a loud and gregarious building. From its controversial strategy of literally appropriating elements from other canonical modernist works, through the coded messages of the Braille patterns on its surface, to the device of the extruded string and red 'knot' which passes through and around the building's form, it is relentless in its challenge to conventional institutional architecture. This is nowhere more true than in its colouration—there is hardly a neutral tone in sight. For that matter, there is hardly a 'natural' material in sight either—the majority of the building is constructed from pre-formed aluminium panelling in grey, yellow, red and khaki, crossed in places by sweeping calligraphic symbols.8 The dramatic aerial loop at the museum's entry is white and bright orange. There are walls of black dimpled pre-formed concrete, blue painted poles (get it?), a 'Mexican wave' of multicoloured steel sheets, and of course the richly cacophonous Garden of Australia Dreams. There are also some deliberate plays on colour symbolism—Le Corbusier's gleaming white modernist classic, the Villa Savoye, is reversed and reconstituted in black, corrugated steel. The fact that this forms part of the Institute of Aboriginal and Torres Strait Islander Studies is a hint of the building's clear, even dangerously frank, employment of colour symbolism. Given the architects previous work, we can safely assume that in this case, as elsewhere in the building, the choice of colours is calculated for maximum rhetorical effect. But I am less concerned here with the specific ploys of the architects than with the ways in which the building's reception has been conditioned by its employment of colour, specifically the ways in which it has been construed as populist. The NMA has polarised the architectural community in Australia. While much of the comment directed at the building has centred around its contravention of standards of taste and propriety in civic architecture, I would argue that this is only the symptom of a deeper reaction against its apparent frivolity, as signified most strongly by its colour. This is exemplified in a critique of the building by Stephen Frith, a respected Canberra academic. Concluding a polemical review in the Canberra Times, Frith asks: But why such tongue-lashings and breast-beatings over what has quickly established itself as a happy theme park to mediocrity? Surely its condoning of the ruthless kitsch of petty capitalism in its imagery and finishes provides for some spectre of merit? The problem becomes one of the civic domain in which architecture and its rhetoric is interpreted. For a supposedly public work, the museum is an intensely private building, privately encoded with in-jokes, and in the end hugely un-funny... The confection of cheap cladding and plasterboard is a spurious sideshow of magpie borrowings passing themselves off as cultural reference...9 Everything in this passage decries what Frith reads as the NMA's verisimilitude of popularity - the reference to theme-parks, sideshows, commercialism - a confection constructed with poor quality materials and finishes, which nevertheless flirts 'pretentiously' with the canon of modern architecture. To Frith the building reads not as a cheap and cheerful reflection of the Australian vernacular, but as a demeaning attempt to raise a laugh from the elite at the expense of the uncomprehending masses. His complaint is thus two-fold—that the building has insufficient gravitas, and that this is compounded rather than redeemed by the fact that it is not truly popular at all, but rather 'intensely private'. There is an important distinction to be made here, then, between 'populism' and 'popularity'. Populism has the negative connotation of deliberately seeking popular acceptance at the cost of quality, intellectual rigour, or formal aesthetic value. 'Popularity' still retains its more neutral modern sense, either of actual public involvement, or of things that are socially recognised as popular. In architecture, populism is already hedged about with prohibitions springing from the idea that a deliberately populist architecture is somehow fraudulent. A piece of serious, civic, monumental architecture should neither set out expressly to be popular, nor to look like it is, so the logic goes: if a work of high architecture happens to gain popular acclaim, then that is a happy accident. But there are significant reasons why such popularity must be seen to be incidental to other, more lofty concerns. Given that colour is seen to be 'popular', a highly coloured building is thus assumed to be 'lowering' itself in order to appeal to popular taste. Old systems of thought endure, and both museums and architecture are each subject to an unspoken hierarchy that still sees 'populism', if not actual popularity, as inferior. Conclusions: colour as the sign of a critical engagement But there is another possible reading of the NMA's apparent populism. I would argue that the building in fact presents and problematises the question of popularity in formal architectural terms. This leads to a proposition: that there is a 'look' of populism that exists independently of any intended or actual popularity, or even a connection with popular culture. I would argue that the NMA opens an elaborate play on this 'look' of the popular, and that it does so by manipulating certain key aesthetic devices: literal and figurative elements, visual jokes, non-orthogonal forms, and most significantly, bright and mixed colour. Such devices carry a weight of expectation and association, they cause a building to be read or socially recognised as being populist, largely as a result of pre-existing dichotomies between 'high' and 'low' art. In this conception the NMA, turning the modernist prohibition on its head, uses colour as the deliberately frivolous disguise of a profoundly serious intent. Rather than concealing the absence of meaning, it conceals an overabundance of meaning—a despairing accumulation of piled up allegories, codes and fragments. It is thus deeply ironic that the NMA has been read as a light, flippant, and populist confection, since I would argue that it could hardly be further from being those things. Rather than taking the usual path, of seeking cultural authority through allusion to traditional monumental architecture, the NMA makes perverse references to the seemingly trivial, commercial, and populist. The reasons why the architects might want the building to be (mis)read in this way are complex. But by renouncing the aesthetic trappings of a serious institution, the NMA reveals the very superficiality of such trappings. Furthermore, by renouncing the 'look of authority' in favour of colour, frivolity, and apparent populism, it introduces a note of doubt. Could the building, and thus the institution - a national museum, remember, charged with representing the nation and placed in the national capital - really be as flippant as it seems? Or is there some more subtle game afoot, a subversive questioning of accepted notions of Australian national history and national identity? I would argue that this is so. In the NMA, then, colour is the sign of a critical engagement. It positions the building itself as a discourse or discussion, not only of architectural colour as conferring inferiority and flippancy, but of a lack of colour as conferring authority and legitimacy. Of course, it is precisely because of architecture's history of chromophobia that colour can itself become a tool for subversiveness, provide an invitation to alternative readings, and collapse unspoken hierarchies. In this respect, the colour in and of the NMA provides an emblem of that which has long been marginalised in architecture, and in culture more generally. Notes 1. Mark Wigley writes that the primacy of whiteness in high modernist architecture (particularly the work of Le Corbusier) lies partly in the removal of decoration. '[The] erasure of decoration is portrayed [by Le Corbusier] as the necessary gesture of a civilized society. Indeed, civilization is defined as the elimination of the 'superfluous' in favour of the 'essential' and the paradigm of inessential surplus is decoration. Its removal liberates a new visual order. Echoing an argument at least as old as Western philosophy, Le Corbusier describes civilization as a gradual passage from the sensual to the intellectual, from the tactile to the visual. Decoration's 'caresses of the senses' are progressively abandoned in favour of the visual harmony of proportion.' Mark Wigley, White Walls, Designer Dresses: The Fashioning of Modern Architecture, MIT Press, Cambridge, Mass., 1995, pp. 2-3 2. See for example John Gage's superb and authoritative history of the use and meaning of colour, Colour and Meaning: Art, Science and Symbolism, Thames and Hudson, London, 1999. For a survey of the use of colour in architecture, see Tom Porter, Architectural Colour: A Design Guide to Using Colour on Buildings, Whitney Library of Design, New York, 1982, or the more recent Architectural Design Profile number 120: Colour in Architecture, AD, vol. 66, no 3/4, March/April 1996. These are only a few examples of the available literature. 3. David Batchelor, Chromophobia, Reaktion Books, London, 2000, pp. 22-23. 4. The notable exception to this - the architecture of schools is emblematic in itself: colour is appealing to children, so the logic would go, because they have undeveloped, 'primitive' tastes. 5. William Braham has perceptively examined the allure of 'natural' materials and colours in the modern period. He writes that 'the natural can only be understood as a somewhat flexible category of finishes, not by a single principle of use, manufacture, or appearance. The fact that a family of paint colours neutrals, ochres, and other earth colours fit within the definition of natural is only partly explained by their original manufacture with naturally occurring mineral compounds. Though they are opaque surface coatings, they resemble the tones produced in natural materials by weathering.' He goes on to say that the 'natural/neutral palette' is characterised by 'the difficult pursuit of authenticity', and this question goes indeed to the heart of the issue of colour in architecture. William W. Braham, 'A Wall of Books: The Gender of Natural Colours in Modern Architecture', JAE Journal of Architectural Education, vol. 53. No.1, September 1999, p. 10. 6. But perhaps more important than actual durability in institutional architecture is the appearance of durability, and this appearance is undermined by protective treatments like paint, whether coloured or not. Materials which are seen as flimsy or fragile may as well be coloured, so the logic goes, since they require constant re-painting anyway, and since it fits their low status. 7. Mark Wigley, White Walls, Designer Dresses: The Fashioning of Modern Architecture, MIT Press, Cambridge, Mass., 1995, p. 5. 8. Aluminium panelling is a new technology and a new material one that was unknown in the high modernist period but which is becoming increasingly ubiquitous today. The fact that aluminium panelling is coloured during the manufacturing process opens a new and interesting question: is this colour inherent, or is it simply applied earlier in the building process? Is it, in other words, an 'honest' or a 'dishonest' colour? Given that aluminium does have its own colour, and that it can be lacquered or anodised to retain that colour, it seems that the aluminium panelling of the NMA have been received as 'dishonest'. 9. Frith, 'A monument to lost opportunity', The Canberra Times, 20 March 2001 Citation reference for this article MLA Style Stead, Naomi. "White cubes and red knots" M/C: A Journal of Media and Culture 5.3 (2002). [your date of access] < http://www.media-culture.org.au/0207/whitecubes.php>. Chicago Style Stead, Naomi, "White cubes and red knots" M/C: A Journal of Media and Culture 5, no. 3 (2002), < http://www.media-culture.org.au/0207/whitecubes.php> ([your date of access]). APA Style Stead, Naomi. (2002) White cubes and red knots. M/C: A Journal of Media and Culture 5(3). < http://www.media-culture.org.au/0207/whitecubes.php> ([your date of access]).

The epigraph to the call for papers for this issue of M/C Journal is taken from Act 2 Scene II of William Shakespeare’s Hamlet Prince of Denmark. As it appears in the call for papers, the referenced fragment of Hamlet’s speech, ‘for there is nothing either good or bad but thinking makes it so’ (Shakespeare 75), could lead a reader to suspect that morality derives from reasoned thought in the play and that, according to the speaker, the object of moral judgment is neither good nor bad prior to such thought. Spoken in the context of a disagreement between Hamlet and Rosencrantz and Guildenstern about whether Denmark is a prison, the epigraph supports this reading; Hamlet believes that Denmark is a prison, and the two courtiers do not. However, consideration of the entire passage from which the epigraph is taken suggests a subtlely different interpretation. In response to Rosencrantz and Guildenstern’s assertion that Denmark is not a prison, Hamlet remarks: Why, then ‘tis none to you, for there is nothing either good or bad but thinking makes it so. To me it is a prison. (Shakespeare 75) Rather than prompting the previous interpretation, a reading of the entire passage reveals Hamlet describing a sort of relativism. Rosencrantz and Guildenstern have their point of view, and Hamlet has his. Hamlet labels neither point of view good or bad here. So why does he introduce the language of morality at all? Why doesn’t he say, ‘Why, then, ‘tis none to you: to me it is a prison,’ instead, omitting the fragment that comprises the epigraph entirely? What function does the epigraphic fragment perform? Addressing these questions in the context of the discussion occurring in Hamlet can provide insight into the contemporary intellectual concerns posed by this call for papers, in particular, the cultural cost of employing a hierarchical or bureaucratic morality to guide determinations, especially consensual ones, about pursuing or discarding specific lines of inquiry. Scene II follows Hamlet’s encounter with his father’s ghost, an event that coincides with the onset of the Prince’s perceived madness. Unsure of its true cause, the King and Queen enlist Rosencrantz and Guildenstern to visit Hamlet and to discover the reason for his recent, strange behavior. The King and Queen promise the two friends money, social recognition, and public appreciation in exchange for their detective work. Rosencrantz and Guildenstern agree to this plan; in fact, once they contract with the crown, they are obligated to carry it out. Their conversation with Hamlet not only fails to produce the desired result but also makes some turns that actually undermine the King and Queen’s purpose. Not only does Hamlet appear more rational than the King and Queen suspect but he also seems quite willing to perform madness, thus meeting the expectations of his audience, in order to speak in an uncensored and unmannerly fashion. In addition, Hamlet only mentions ‘bad’ once, following the passage cited above, in reference to his recent dreams, which Guildenstern notes, whether good or bad, ‘indeed are ambition’ (Shakespeare 75). Their conversation with Hamlet produces other associations, however, between moral judgment and ambition, ambition and dreams, dreams and shadows, and shadows and social relations. This chain of associations builds connection between the worth, and rightness, of any given judgment and the social role of the judging individual. The passage cited above, which embeds the epigraph to this call for papers, is constructed in such a way that it is unclear whether significance attaches to the moral conclusion resulting from thought or the process of thinking itself, which ends up supplanting a thing’s neutral, objective existence with a subjectively-derived judgment of a thing’s worth. In either case, who thinks matters. Rosencrantz and Guildenstern are not authoritative; Hamlet, although considered mad, is. When he closes the passage under consideration with ‘to me it is a prison’ (Shakespeare 75), he makes this assertion confident that what Denmark is to him carries more weight than what Rosencrantz and Guildenstern deem it. In part, his confidence derives from knowing that, as outsiders and employees of the crown, Rosencrantz and Guildenstern are not in the position to make a public statement of this sort. Additionally, Hamlet’s words are empowered, worthy as words to hear and to heed, even if mad, worthy because he speaks them, and worthy for the moral judgments they convey. As set up in Act 2 Scene II of the play, the rhetorical situation presents a dialectical communication act that exposes the tension between Rosencrantz and Guildenstern’s dialogue, which conforms to the constraints of unauthoritative, but purchased, speech, and Hamlet’s, which represents the allowable excesses of authoritative, though suspiciously irrational, speech. The former must presume the literalness of language; for instance, Denmark is not a prison, if prison refers to the physical space of incarceration. The latter, unbound to the literalness of language, can use language figuratively. Denmark is a prison to Hamlet, not in the restrictive sense to which Rosencrantz and Guildenstern refer, but metaphorically. Hamlet’s figurative play, connected to his authoritative role and to the permission his role affords him to go crazy without threat of ending up in prison, leads to an interpretive moment, which would have undone the conventions of this rhetorical situation had Hamlet not cut it short. If he had conceded that beggars comprise the social body, and therefore speak with authority, and that monarchs exist in their shadow, guided by the linguistic precedents beggars either perform or circulate, rather than insisting that such an idea exemplifies his inability to reason, Hamlet would have not only justified his own deauthorization but also given up his rights both to perform madness and to use language metaphorically. In other words, if Hamlet had permitted himself to push his own interpretation a bit farther, he would have disclosed the artificiality of the socio-rhetorical conventions that guarantee his words an audience, a disclosure he absolutely refuses to put into words – that is, literally. To use metaphorical language, then, although a privilege that follows from social status and the authority that status affords, permits the speaker to avoid accountability of the sort that Rosencrantz and Guildenstern must demonstrate, specifically, to the King and the Queen. Hamlet, for instance, does not have to admit that his authority is an accident of birth; however, Rosencrantz and Guildenstern and the audience for the play know that it is his inheritance. Hamlet does not have to say to Rosencrantz and Guildenstern that he is a thinker, and they are not; although he does, in effect, when he utters the fragment that is the epigraph to this call for papers. Subordinated to the phrase that begins with ‘Why, then ’tis none to you,’ the epigraph might be rewritten as: ‘when you think, you think badly and come to the wrong conclusions.’ In other words, Hamlet does not trust Rosencrantz and Guildenstern to say anything other than what they are literally expected to say, what is conventional for them to say, and what they are paid by the King and Queen to say. Hamlet’s thinking, while apparently mad, still functions, authoritatively, yet there is no evidence provided in the play for the audience to know, without a doubt, that Denmark is or is not a prison. The truth, which must be interpreted, and therefore becomes a product of thinking, strictly follows from the rank of the speaker. The truth of Rosencrantz and Guildenstern’s speech derives from the extent to which it suits their station and their role and from the extent to which is satisfies the contractual situation compelling it; the truth does not follow from the content of their words. Rather, since they are paid to discover the source of Hamlet’s madness, their words must serve this economic purpose. The truth of Hamlet’s speech is also measured by its fit to his role. However, his role insures that an audience will attend to and interpret the meaning of the words he speaks. The truth of the rhetorical situation represented in Act 2 Scene II, then, is that the speech following from Hamlet’s position matters more than that uttered by paid courtiers; in fact, his is the only speech that means anything at all beyond simply marking social location or fulfilling an economic transaction. The epigraph suggests, then, not that there is a method for discriminating between good and bad ideas as such, but that an audience receives all ideas relative to the social role of the speaker. Those spoken by actors who use language in ways unfitting their social roles are unimaginable in Hamlet, unless, of course, they have inherited authority, as Hamlet has, and are thought mad. Consequently, speakers act responsibly toward their audiences, playing their parts, speaking their scripted lines. Clearly, Act 2 Scene II teaches readers that the objective or moral quality of any particular idea has less significance than does the recognised authority of the speaker and his or her adherence to socio-rhetorical conventions delimiting language exchange in particular contexts. The world in 2005 bears little or no resemblance to the world that Shakespeare inhabited; however, this lesson still holds true. Today, the free exchange of intellectual ideas—thought to be the primary activity, for instance, of professors and students on college and university campuses—is constrained in ways similar to those on display in Act 2 Scene II. Those who have less authority might pursue lines of inquiry, both in classrooms and in scholarship, that follow up on, apply, or restate authoritative positions. They are at less risk for receiving a low grade, for being rejected or criticised by their colleagues, and for losing their jobs if they do so. This type of teaching and learning, writing and research creates a sort of consensus, sometimes referred to as schools of thought, that at their best challenge and at their worst prohibit imagination. Rosencrantz and Guildenstern could not imagine uttering the words, ‘Denmark is a prison.’ Their language and their structures of imagination are restricted by their economic and their social roles and, because of both, the expectations of their audience. In 2005, those in all social positions can imagine speaking such a critique; however, some might elect not to, self-censoring solely for the purpose of achieving one personal goal or another—a grade, professional recognition, or promotion. Hamlet, unable to imagine Denmark as anything but a prison, takes on an historical burden, transferred to him by his father’s ghost, that requires a break with convention, and with the rhetorical expectations of someone occupying his role, hence his presumed madness. While to Rosencrantz and Guildenstern, economic survival requires preserving consensual thinking; according to Hamlet, it will lead to the end of his life, to the demise of Denmark, to the conclusion of Danish history. It is Hamlet’s duty, then, and that of all contemporary intellectuals, to think therefore to imagine, at risk of being thought mad, beyond consensus to sustain the production of ideas and history, the moral ingredient of thoughtful exchange, and to prevent the alternative, that is, the fate of Rosencrantz and Guildenstern. The interjection that is the epigraph to this call for papers conveys as much to a postmodern, intellectual audience. Ideas have power in Hamlet’s world, no less chaotic, violent, and presumptively immoral than the world in 2005. It is a bad idea, a sort of madness actually, to act, then as now, as if language primarily functions bureaucratically, for the connected purposes of enforcing consensus, or canonicity, as a morally good idea, and of consolidating personal gain, as the sole measure of ethical conduct. Note All quotations appearing in this essay have been taken from Act 2 Scene II of William Shakespeare’s Hamlet Prince of Denmark. Ed. Willard Farnham. New York: Penguin Books, 1985. 74-6. References Shakespeare, William. Hamlet Prince of Denmark. Ed. Willard Farnham. New York: Penguin Books, 1985. Citation reference for this article MLA Style Hood, Carra Leah. "Schools of Thought: The Madness of Consensus." M/C Journal 8.1 (2005). echo date('d M. Y'); ?> <http://journal.media-culture.org.au/0502/08-hood.php>. APA Style Hood, C. (Feb. 2005) "Schools of Thought: The Madness of Consensus," M/C Journal, 8(1). Retrieved echo date('d M. Y'); ?> from <http://journal.media-culture.org.au/0502/08-hood.php>.

Responsibility frames in media coverage describe the mediated attribution of responsibility for causes and remedies (treatments, solutions) for health issues, mostly differentiating between individual and societal responsibility. Field of application/theoretical foundation: Media coverage of health topics, public opinion formation, attribution of responsibility, framing studies, social media on health issues Example studies: Gollust & Lantz (2009); Kim & Willis (2007); O’Hara & Smith (2007); Stefanik-Sidener (2013); Yoo & Kim (2012); Zhang & Jin (2015) Information on Kim & Willis, 2007 Authors: Sei-Hill Kim, Leigh Anne Willis Health topic: Obesity Research questions: How have the media presented the causes and solutions for obesity? Have certain causes and solutions appeared more often than others? How has media coverage of causal and solution responsibility changed over the years? Have mentions of certain causes and solutions increased or decreased? Object of analysis: Newspaper and television news data containing “obesity” or “obese” appearing in the headline, lead paragraphs, or index terms; articles published in The New York Times, The Washington Post, Chicago Sun-Times, The San Francisco Chronicle, The Houston Chronicle, and USA Today; news transcripts on obesity from three television networks (ABC, CBS, NBC); after conducting a systematic sampling, n = 300 articles and n = 200 transcripts were analyzed Time frame of analysis: January 1995 to August 2004 Info about variables Variables: Variables included attributions of causal and treatment responsibility, cause or treatment option was coded as ‘‘not present’’ (0) or ‘‘present’’ (1). Level of analysis: News article respectively tv transcript Causal responsibility Solution responsibility Personal causes (Scott’s pi= .81) Unhealthy diet: Consuming too much food, consuming too much unhealthy food, addictive or emotional eating. Sedentary lifestyle: Lack of exercise, Lack of physical activities. Genetic conditions: Genetic=biological factors that may produce obesity (e.g., imbalance of hunger hormones that may stimulate appetite). Others: E.g., poor adult role models. Personal solutions (Scott’s pi= .74) Healthy diet: Consuming less food, consuming healthy food. Physically activities: More exercise and physical activities. Medical treatments: Medications (e.g., diet pills), surgical treatments of obesity (e.g., gastric bypass, gastric stapling). Others: E.g., working with a support group, talking to a counselor, parents as role models. Societal causes (Scott’s pi= .86) The food industry: Obesity-promoting foods (fast=junk food), super-sizing, large increase in fast=junk food restaurants, other aggressive marketing promotions. Schools & education: Unhealthy foods in school cafeterias, lack of physical activity programs at schools, lack of public education about healthy eating and lifestyle. Socioeconomic factors: Low-income families may not be able to afford healthy food, exercise equipment, or a gym membership. They may be too busy to prepare their own healthy food. Others: E.g., automobile-oriented society (e.g., drive-thru stores and restaurants, big-box stores), unsafe community (crime, traffic, accident), and limited opportunities for outdoor activities. Societal solutions (Scott’s pi= .81) Regulations of the food industry: Regulating obesity-promoting foods, super-sizing, vending machines, and other aggressive marketing promotions, taxing unhealthy food. Changes in schools & education: Healthier food in school cafeteria, more physical activity programs at schools, more public education. Socioeconomic changes: Narrowing income gap, healthy food should be more affordable and available, more affordable exercise. Others: E.g., less automobile-oriented and more walking-oriented society (less drive-thru stores and restaurants, less big-box stores), safer community, and more opportunities for outdoor activities. Information on Stefanik-Sidener, 2013 Author: Kelsey Stefanik-Sidener Health topic: Diabetes Research questions: What was the dominant frame used in news stories about diabetes? What were the most common cause and solution frames used for each type of diabetes? Object of analysis: Diabetes coverage in the New York Times (N = 239) Time frame of analysis: 2000 to 2010 Info about variables Variables: The articles were coded for the presence of three types of frames for both causes of and solutions to diabetes, respectively: behavioral, societal, or medical, frames were not mutually exclusive Level of analysis: News article General cause frame (Krippendorff’s Alpha= .96) General solution frame (Krippendorff’s Alpha= .64) Behavioral causal frame Poor diet, lack of physical activity, or other individual-level issues Personal solutions Improving one’s diet or increasing activity levels Societal cause frames Poor food environments, car-centered culture, poor nutrition in schools, or other broad problems Societal solution frames Improving access to healthy foods, increasing nutrition education, or other public policy/societal-level solutions Medical cause frames Family history, genetics, age Medical solution frames Blood sugar control, medication, or surgery Information on Yoo & Kim, 2012 Authors: Jina H. Yoo, Junghyun Kim Health topic: obesity Research questions: What typifications (i.e., causal claims and solution claims) have been made in videos on YouTube with regard to the obesity issue? How do these typifications vary among different types of media formats on YouTube? Object of analysis: YouTube was searched with the keywords “obesity” and “obese” on 5 March 2010 and owing to capacity limits, the number of available videos was limited to 1,000 per each keyword; after a systematic random sampling and excluding irrelevant videos, total sample of N = 417 YouTube videos was analyzed Time frame of analysis: 2000 to 2010 Info about variables Variables: articles were coded for the presence of causal claims and solution typifications, behavioral, biological, and systematic causal factors on obesity being causal claims and behavioral solution, medical or pharmacological solution and systematic solution Reliability: Intercoder reliability was calculated for each category, and average intercoder reliability coefficient was .89. The Cohen’s kappa coefficient for each variable ranged between .77 and 1.00 Level of analysis: each whole video, including all of the video’s visual, audio, and text presentation Causal claims for obesity Solution typifications for obesity Behavioral causal claim Obesity is due to the individual’s lifestyle choices, including lack of exercise, wrong diet, lack of willpower and self-control, etc. Behavioral solution Improving one’s diet or increasing activity levels Biological causal claim Obesity is due to genetic or hormonal problems Medical or pharmacological solution To use diet pills or have a gastric bypass surgery as a means of treating obesity. Systematic causal claim Obesity is based on environmental influences and policy choices, including detrimental practices of corporations and government, such as the fast food industry’s marketing practices, school cafeterias’ unhealthy foods, inadequate or inaccurate information about food and nutrition, etc. Systematic solution A societal level of obesity treatment, such as implementing obesity-related policies, banning fast food marketing, removing vending machines from school, etc. Information on Zhang & Jin, 2015 Authors: Yuan Zhang, Yan Jin Health topic: Depression Research question: Do cultural values and organizational restraints shape the responsibility frames for health issues? Object of analysis: US (n = 228) and Chinese (n = 224) newspaper coverage on depression, including New York Times and USA Today, Philadelphia Inquirer, Houston Chronicle, Star Tribune and Denver Post; Chinese newspapers were not further specified, except for People’s Daily and Beijing Daily Time frame of analysis: 2000 to 2012 Info about variables Variables: News framing of causal and problem-solving responsibilities was measured at individual and societal levels, with individual-level and society-level causes and solutions. Each cause and solution included four subcategories which were measured nominally as 0 (absent) or 1 (present). Reliability: For the US data, a pretest in which two coders both coded a randomly selected 10% of the sample yielded Pearson’s r of 0.737 (p < 0.001) for individual causes, 0.862 (p < 0.001) for societal causes, 0.790 (p < 0.001) for individual solutions, and 0.907 (p < 0.001) for societal solutions. For the Chinese data, a pretest in which two bilingual coders both coded a randomly selected 10% of the sample yielded Pearson’s r of 0.861 (p < 0.001) for individual causes, 0.893 (p < 0.001) for societal causes, 0.807 (p < 0.001) for individual solutions, and 0.899 (p < 0.001) Level of analysis: Article Variables & operational definitions: In the appendix References Gollust, S. E., & Lantz, P. M. (2009). Communicating population health: Print news media coverage of type 2 diabetes. Social Science & Medicine (1982), 69(7), 1091–1098. https://doi.org/10.1016/j.socscimed.2009.07.009 Kim, S.?H., & Willis, A. (2007). Talking about obesity: News framing of who is responsible for causing and fixing the problem. Journal of Health Communication, 12(4), 359–376. https://doi.org/10.1080/10810730701326051 O’Hara, S. K., & Smith, K. C. (2007). Presentation of eating disorders in the news media: What are the implications for patient diagnosis and treatment? Patient Education and Counseling, 68(1), 43–51. https://doi.org/10.1016/j.pec.2007.04.006 Stefanik-Sidener, K. (2013). Nature, nurture, or that fast food hamburger: Media framing of diabetes in the New York Times from 2000 to 2010. Health Communication, 28(4), 351–358. https://doi.org/10.1080/10410236.2012.688187 Yoo, J. H., & Kim, J. (2012). Obesity in the new media: a content analysis of obesity videos on YouTube. Health Communication, 27(1), 86–97. https://doi.org/10.1080/10410236.2011.569003 Zhang, Y., & Jin, Y. (2015). Who's responsible for depression? The Journal of International Communication, 21(2), 204–225. https://doi.org/10.1080/13216597.2015.1052532 Zhang, Y., & Jin, Y. (2015). Who's responsible for depression? Journal of International Communication, 21(2), 204–225.