Corbett Hospital

ABSTRACT The election of Fiame Naomi Mata‘afa to the office of prime minister of Samoa has attracted attention on the grounds that it represents a victory for women across the Pacific region. But there is limited gendered analysis of her campaign and the highly contested formation of government process that followed. We fill that gap. Drawing on a range of empirical material, including interviews with Fiame, we argue that while her win was unequivocally one for women, she was not elected because she was a woman. We acknowledge that gender had some significance for the way she mobilized support, but find that her traditional status, experience, and the salience of the issues on which she campaigned were much more important in the minds of voters. These findings matter because the disjuncture between the dynamics of domestic politics and international commentary can be perceived as reinforcing the claim that a feminist agenda is being ‘imposed’ by outsiders.

Science in the elementary grades is often deprioritized in comparison to ELA and mathematics. We wondered, how comprehensively, frequently, and consistently is science included in elementary schools' schedules? We reviewed daily schedules for 14 schools in 9 districts across the U.S. to qualitatively examine how science is represented on the daily instructional schedule. These schools were selected as "best case scenarios" recommended by district or state science leaders as places where science is taken seriously. We complemented these schedules with data from 21 interviews with teachers, science specialists, and school leaders to better understand how science actually appears in children's daily instructional experiences. We found that, in these schools, science is taught comprehensively (though not as comprehensively as ELA or mathematics), has the potential for being taught frequently (even in the lower elementary grades), and is taught somewhat consistently (albeit usually in some kind of rotation with social studies). We present implications for how leaders can craft school schedules to make science comprehensive, frequent, and consistent in the elementary grades, to provide important opportunities to learn and thrive for all children.

ABSTRACT Brij V. Lal was the most prolific writer on post-colonial politics in Fiji. Many of these writings concerned political leaders and the nature of political leadership. Biographies of A.D. Patel and Jai Ram Reddy stand out, but Lal's other writings on politics nevertheless foregrounded people, and the way their personalities shaped, and were shaped by, the times in which they lived. In this article I consider how this biographer’s sensibility implicitly invokes a theory of political leadership and re-read Lal’s contribution to the study of politics in Fiji from this standpoint. I argue that his ‘political history of the subject’ offers both a justification for, and approach to, studying leadership in a person-centred way.

The home range of a species is determined by a complex interplay of extrinsic and intrinsic factors, which can have profound impacts on the species’ resource use. Understanding these dynamics is especially important for conserving critically endangered species. In this study, we used satellite telemetry to investigate the home range of the critically endangered lesser florican (Sypheotides indicus) in Gujarat, India. We analysed GPS locations from 10 lesser floricans deployed with GPS/GSM transmitters between 2020 and 2022. The average home range size (95% KDE) was 10.73 ± 10.70 km2 (mean ± SD), while the average core area (50% KDE) was 1.95 ± 1.56 km2 (mean ± SD). The monthly and daily distances covered were 286.29 ± 599.42 km and 10.11 ± 19.78 km, respectively. Our analysis indicated that suitable habitats and movement patterns were the most important factors explaining the variation in home range size. Specifically, our results suggest that lesser floricans prefer multi-use agro-grassland habitat systems with heterogeneous structures to accommodate different life history requirements. This preference may reflect the depletion and degradation of grasslands across the species’ range. Therefore, managing grassland habitats amidst croplands should be one of the key conservation strategies for the lesser florican.

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A high proportion of suspicious pigmented skin lesions referred for investigation are benign. Techniques to improve the accuracy of melanoma diagnoses throughout the patient pathway are needed to reduce the pressure on secondary care and pathology services. To determine the accuracy of an artificial intelligence algorithm in identifying melanoma in dermoscopic images of lesions taken with smartphone and digital single-lens reflex (DSLR) cameras. This prospective, multicenter, single-arm, masked diagnostic trial took place in dermatology and plastic surgery clinics in 7 UK hospitals. Dermoscopic images of suspicious and control skin lesions from 514 patients with at least 1 suspicious pigmented skin lesion scheduled for biopsy were captured on 3 different cameras. Data were collected from January 2017 to July 2018. Clinicians and the Deep Ensemble for Recognition of Malignancy, a deterministic artificial intelligence algorithm trained to identify melanoma in dermoscopic images of pigmented skin lesions using deep learning techniques, assessed the likelihood of melanoma. Initial data analysis was conducted in September 2018; further analysis was conducted from February 2019 to August 2019. Clinician and algorithmic assessment of melanoma. Area under the receiver operating characteristic curve (AUROC), sensitivity, and specificity of the algorithmic and specialist assessment, determined using histopathology diagnosis as the criterion standard. The study population of 514 patients included 279 women (55.7%) and 484 white patients (96.8%), with a mean (SD) age of 52.1 (18.6) years. A total of 1550 images of skin lesions were included in the analysis (551 [35.6%] biopsied lesions; 999 [64.4%] control lesions); 286 images (18.6%) were used to train the algorithm, and a further 849 (54.8%) images were missing or unsuitable for analysis. Of the biopsied lesions that were assessed by the algorithm and specialists, 125 (22.7%) were diagnosed as melanoma. Of these, 77 (16.7%) were used for the primary analysis. The algorithm achieved an AUROC of 90.1% (95% CI, 86.3%-94.0%) for biopsied lesions and 95.8% (95% CI, 94.1%-97.6%) for all lesions using iPhone 6s images; an AUROC of 85.8% (95% CI, 81.0%-90.7%) for biopsied lesions and 93.8% (95% CI, 91.4%-96.2%) for all lesions using Galaxy S6 images; and an AUROC of 86.9% (95% CI, 80.8%-93.0%) for biopsied lesions and 91.8% (95% CI, 87.5%-96.1%) for all lesions using DSLR camera images. At 100% sensitivity, the algorithm achieved a specificity of 64.8% with iPhone 6s images. Specialists achieved an AUROC of 77.8% (95% CI, 72.5%-81.9%) and a specificity of 69.9%. In this study, the algorithm demonstrated an ability to identify melanoma from dermoscopic images of selected lesions with an accuracy similar to that of specialists.

Jag kommer i artikeln att diskutera socionomstudenters skrivande ur ett textteoretiskt perspektiv, och mer specifikt se på utredningar av barn i fara, en process och texttyp som är vanlig inom socialtjänsten och ställer specifika krav på både interaktion och skrivande. Jag menar att relationerna mellan det akademiska skrivandet och det professionella borde uppmärksammas mer för att tydliggöra de akademiska färdigheternas roll inom professionen.

Introduction: The STEMI Accelerator Program occurred in 16 U.S. metropolitan regions and resulted in more patients receiving timely reperfusion. We assessed whether implementing key care processes was associated with shorter reperfusion times. Methods: Hospitals (n=167 with 23,498 STEMI patients) were surveyed pre- (02/2012) and post- (08/2014) intervention with a standardized care process questionnaire. Survey data were then merged with patient-level clinical data over the same time period. For reperfusion times, hospitals were stratified by whether they implemented a specific process of care, had a pre-existing process, or never implemented the process. Results: Uptake of several care processes increased following intervention: pre-hospital activation (62% to 91% of hospitals; p<0.001), single call transfer protocol from an outside facility (45% to 70%; p<0.001) and emergency department (ED) bypass for both direct presenters via paramedics (48% to 59%; p=0.002) and transfer patients (56% to 79%; p=0.001). There were significant differences in median first medical contact-to-device (FMC) times (Figure) among patients treated at hospitals that implemented pre-activation compared to non-implementers (88 min for implementers; vs 89 min for pre-existing; vs 98 min for non-implementers; p<0.001 for group comparisons). Similarly, patients treated at hospitals implementing single call transfer protocols had shorter median FMC times (112 min vs 128 min vs 152 min; p<0.001). ED bypass was also associated with shorter FMC times for both direct presenters (84 min vs 88 min vs 94 min; p<0.001) and transfers (123 min vs 127 min vs 167 min; p<0.001). Conclusions: The STEMI Accelerator program increased the uptake of key care processes, which were in turn associated with shorter median reperfusion times. These findings support ongoing efforts to implement regional STEMI networks focused upon pre-hospital activation, single call transfer protocols and ED bypass.

This article examines the perceptions and attitude of the semi-nomadic pastoral community “Van Gujjars” on the use and conservation of natural resources in Corbett Tiger Reserve, India. In this research article, in-depth interview and questionnaire data (n = 340) about demography and perceptions were examined from both qualitative and quantitative information. Respondents have expressed their perception about their own territories, problems, attachments, positive or negative change that occurred during their stay in and around protected area. Respondents overall positive attitudes towards conservation scenarios despite high losses from wildlife while living around protected area suggest that they may support conservation if their livelihood needs are met. Most of the respondents support the concept of conservation, and some respondents have negative attitude towards management authorities, mainly because of restricted access to the forest resources. The study illustrates and suggests a number of options for the viability of resettlement of pastoralist community. A majority of respondents indicated that there is a need for public participation in planning and implementation of resettlement process. Resettlement of Van Gujjar community may be better if exercised with the consensus of all the stakeholders. Resettlement will provide better livelihood opportunity to the pastoral community and enhance the economic status of these people as the educational level increases in time, while also improving habitat recovery leading to better biodiversity conservation. Thus, resettlements could benefit both the pastoral people and the natural resources.