Opening Statement Research Articles

Turn analysis and patient-centredness in paediatric otolaryngology surgical consultations.

Physician and patient/parent communication is of utmost importance in consultations to improve the shared decision-making (SDM) processes. This study investigated SDM-related outcomes through turn analysis and an assessment of patient-centred dialogue. Multi-centre prospective cohort study analysing audio- and video-recorded patient/parent-physician interactions. Two tertiary paediatric hospitals in Halifax, Nova Scotia and Salt Lake City, Utah. Paediatric otolaryngologists, patients and parents during consultation for adenotonsillectomy. Medical dialogue measures (turn analysis, patient-centredness scores via the Roter Interaction Analysis System) and SDM questionnaires (SDM-Q-9). Turn density was significantly higher for physicians than patients/parents (P<.001), as were total statements (P<.001), and total time talking (P<.001). The opening statement was completed by the physician in 91.5% of interactions and was significantly longer than family opening statements (P=.003). The mean number of informed consent elements addressed per interaction was 4.5 out of 6. The mean patient-centredness score was 0.2 (range 0-0.56). Significant negative correlations between patient-centredness score and physician turn density (r=-.390, P=.002), physician mean turn time (r=-.406, P=.001), total physician statements (r=-.426, P=.001) and total physician speaking time (r=-.313, P=.016) were noted. There were no correlations in SDM questionnaire scores with turn analysis variables, informed consent elements or patient-centredness scores. Surgeons dominated the consultation in terms of talking, mostly in a unidirectional manner. Neither patient-centredness nor turn analysis correlated with perceptions of SDM from the parents' perspective.

Literary Projection of Nature and Environment in Abhijñāna-Śākuntalam: Reflection of Faith-Based Care for the Environment

Abhijñāna Śākuntalam, as Sanskrit play by the renowned poet Kālidāsa offers the utmost importance to nature and the environment. It is the responsibility of all and everyone, irrespective of their social strata; king, sages, their sons and daughter and their disciples’ given equal responsibility and accountability to care for the environment. The king is advised not to kill the animals roaming inside a guarded territory of the Āśrama (cottage) of the sages. Śakuntalā was advised by her father Kaṇva to look after the plants and animals. The reciprocal nature of mutual dependence between Human and Environment vividly delved in Abhijñāna Śākuntalam. The King’s major responsibility includes preserving environment, one such example; the text eludes King Duṣyanta, taming a mad elephant, destroying the plants, while the king introduces himself to the Śakuntalā the very first time, another example is, the opening statement in Abhijñāna Śākuntalam reflects the concern of environment protection, the very importance of the people who care and nurture environment and have describes as: Yāsṛṣṭiḥsraṣṭurādyā vahatividhihutaṃ yāhaviryā ca hotrī, Ye Dvekālaṃ vidhattaḥ śrūtiviṣaya guṇā yā sthitā vyāpyaviśvam, Yām āhuḥ sarvabīja-prakṛtiriti yayā prāṇinaḥ prāṇavantaḥ, Pratyakṣābhiḥ prapannastanubhiravatuvastābhiraṣṭābhirīśaḥ [A.S 1.1]. Eight forms has Shiva, Lord of all and king: And these are water, first created thing; And fire, which speeds the sacrifice begun; those who care for nature; and time’s dividers, moon and sun; The all-embracing ether, path of sound; The earth, wherein all seeds of life are found; And air, the breath of life: may he draws near, Revealed in these, and bless those gathered here (Ryder,1999). The eight elements described in Abhijñāna Śākuntalam viz; the five gross elements along with time and space, and the people in general who care for nature are considered to be the constituents of god or Shiva. The environment and nature treated here as one entity represented here as, Lord Shiva, one of the trinities of Hindu god, shows the reflection of faith in relation to the care for the environment

The word of the editor

Opening statement of the editor of the journal "Religious freedom" №24

Rush: Revolution, Madness, and the Visionary Doctor Who Became a Founding Father

Rush: Revolution, Madness, and the Visionary Doctor Who Became a Founding Father

Meet the candidates for ALA president: Vote in the election this spring

The ACRL Board of Directors posed the following questions to the candidates (Patricia “Patty” Wong and Steven Yates are ACRL members) for ALA president, and C&amp;RL News is pleased to publish their responses. Each candidate was given 1,500 words to respond to seven questions and contribute an optional opening statement. The responses are identified under each question.

РІЗНОРІВНЕВІ ВЕРБАЛЬНІ МАРКЕРИ СУГЕСТІЇ У ВСТУПНИХ ПРОМОВАХ АДВОКАТІВ ОБВИНУВАЧЕННЯ (НА МАТЕРІАЛІ СУЧАСНИХ АМЕРИКАНСЬКИХ ЮРИДИЧНИХ ТРИЛЕРІВ)

The article sets out to justify the author’s opinion on the fact that the main peculiarity of the prosecution attorneys’ opening statements is their power of suggestion, i.e. exerting emotional and psychological influence on the jury with the purpose of changing their emotions, feelings and train of thoughts in favour of the attorney and their client. A lexical-semantic classification of multi-level verbal markers of suggestion has been worked out in the article under consideration to show which language units prosecution attorneys give preference to in order to exert the influence of suggestion on the jury. The classification in question shows that the notion of suggestion exists on all speech levels: phonetic, morphological, lexical-semantic and syntactic, with lexical-semantic being the most abundant in prosecution attorneys’ opening statements. Verbal markers of suggestion on lexical-semantic level were divided into those of direct and indirect nomination. Verbal markers of suggestion on phonetic, morphological and syntactic levels perform only supplementary function in exerting the influence of suggestion on the jury members. The article concludes that the prosecution attorneys purposely use a great amount of multi-level verbal markers of suggestion at the same time to have the massive impact on the jury’s thoughts, emotions, feelings, attitudes. The classification under consideration has been worked out in the scope of modern American legal thrillers, written by professional attorneys who depict the slightest details of real American legal proceedings.

The Inciting Incident

In literary terms, a trial lawyer has to decide how to introduce the inciting incident, the central moment of change or conflict around which the entire story revolves. More precisely, the question is whether to begin - the opening statement or final argument - with the inciting incident, or to precede it with some amount of exposition. That decision, in turn, depends on the nature of the story itself. Is the central conflict self-explanatory, requiring little or no contest? Or does the story require nuance and background in order to be understandable? This essay uses examples from film and literature - from Kafka's Metamorphosis to Mark Twain's Huckleberry Finn, and from Casablanca to Saving Private Ryan - to explore the different approaches to this problem.

Collective editorial on the neoliberal university

This collective editorial on the neoliberal university follows eight days of strike action at sixty UK universities called by the University and College Union (UCU) in two separate legal disputes, one on pensions and one on pay and working conditions. Anticipating the recent labor strike after previous industrial disputes in 2018 at UK universities, the work included here emanates from two dialogues at the Nordic Geographers Meeting (NGM) in summer 2019, a public meeting called Protest Pub and a conference session on the neoliberal subject and the neoliberal academy. After an opening statement by the editors, this collective endeavor begins with the urgent collaborative action of graduate students and early-career academics and is followed by reflections on life in the neoliberal academy from those involved in the dialogues at the NGM 2019 in Trondheim. Additionally, the editorial introduces the content of the present issue.

Preface

preface In this time of protests against anti-Black violence, this issue brings together a range of essays that highlight the multifaceted work required to dismantle white supremacy and create a just world. The Feminist Studies editorial collective’s opening statement, “Anti-Black Violence, Police Brutality, White Supremacy,” grieves the many Black lives lost to police brutality, racial capitalism, and COVID-19 and pledges solidarity with efforts to achieve justice for Black people. Several essays in this volume advance the necessary work of examining structural racism in its myriad guises. Heather Berg’s analysis of the #MeToo movement and Julienne Obadia’s analysis of the movement to recognize polyamory as a sexual orientation find that both movements adopt an individualizing politics of white, middle-class respectability that looks to the law and the state for protection; in so doing, both movements erase the needs and experiences of people of color and working-class people. Minh-Ha T. Pham’s essay about making face masks, Jaime Madden’s commentary about socioeconomic divides pervading online instruction, and Callie Danae Hirsch’s artwork each respond to the effects of structural racism brought into stark relief by the COVID-19 pandemic. The next three authors featured in this issue grapple with the ethical and methodological complexities of doing feminist research and activism. Aslı Zengin reflects on the challenges of conducting ethnographic research in Turkey, Su Holmes explores what feminist research may offer to women struggling 248Preface with eating disorders, and Becky Thompson offers two poems featuring the dilemmas faced by an aid worker assisting refugees in Greece. Three additional essays interrogate the relationship between gender and conceptions of home. Focusing on writings by prominent male nationalist figures in early twentieth-century India, Gyanendra Pandey explores the contrast between these men’s domestic lives and their proclaimed commitments to reforming Indian womanhood. Cynthia Belmont and Angela Stroud explore how the survivalist magazine Offgrid encourages “disaster consumerism” as a means for white, middle-class men to salvage their masculinity in the name of protecting their homeland. Elizabeth Currans highlights how participants in the Michigan Womyn’s Music Festival struggled, over time, to make it more hospitable to people of color and to genderqueer, non-binary, and transwomen participants . We close the issue on a hopeful note with pieces that illuminate the transformative power of feminist lineages of learning and collective knowledge-making. In her poems about making lace and crochet, Dana Sonnenschein foregrounds women’s history of teaching each other “the art of making something of absences.” Anna Guevara and Maya Arcilla describe recent activism by feminists against Philippine president Rodrigo Duterte’s draconian Anti-Terrorism Law. Shelley Streeby ’s review essay underscores how working-class, Black, feminist author Octavia Butler continues, even after her death, to inspire writers, artists , and activists to engage in collaborative, interdisciplinary, and intersectional feminist world-making. With its sustained attention to racial, sexual, economic, and ecological forces, Butler’s speculative fiction serves as a vital resource for envisioning justice and making equity a shared reality. In “Left of #MeToo,” Heather Berg intervenes in current discussions of the #MeToo” movement by exploring its origin in “black left feminism .” According to Berg, the contemporary #MeToo movement simplifies its analysis to “men doing bad things to women,” which reinforces a rigid gender binary, ignores how racial capitalism and class domination enable harassment, implies that “legitimate working women” need to be protected from association with sex workers, and imagines “the state (and its private extension in corporate HR departments) as an uncomplicated ally,” which “betrays a position of extreme privilege in relation to most working people.” Indeed, while the mainstream #MeToo movement focuses on the poor enforcement of harassment protections, Preface 249 domestic and agricultural workers are excluded from such laws in the first place. Drawing on black left feminism and sex worker feminism as resources for escaping what she calls the “dead ends” of the #MeToo movement, Berg calls for a position “left of #MeToo” that emphasizes working people’s need for organizing, not for protection from the state. “A theory of workplace abuse needs to be a theory of racial capitalism,” Berg concludes, “one that acknowledges that neither different bosses nor...

Spring Sounds Spring Seas by James Nyoraku Schlefer, shakuhachi; Yumi Kurosawa, koto

Reviewed by: Spring Sounds Spring Seas by James Nyoraku Schlefer, shakuhachi; Yumi Kurosawa, koto Julia Topper (bio) Spring Sounds Spring Seas. Orchestra of the Swan. James Nyoraku Schlefer, shakuhachi; Yumi Kurosawa, koto. MSR Classics, MS 1429, New York, 2012. One CD (64 minutes). (CD) $12.95. Recorded live in concert on May 28, 2011, Spring Sounds Spring Seas is a beautifully produced album that explores the range of possibilities available when Japanese and Western classical traditions are artfully blended. This world premiere recording is presented by Kyo-Shin-An Arts, a foundation dedicated to facilitating the production of new musical works that integrate Japanese traditional instruments in Western classical ensembles. The album is a collaboration between the composer, shakuhachi performer, and artistic director of Kyo-Shin-An Arts, James Nyoraku Schlefer; koto virtuoso Yumi Kurosawa; composer Daron Hagen; and the Orchestra of the Swan, led by conductors Kenneth Woods and David Curtis. There are three works presented on Spring Sounds Spring Seas that feature solo shakuhachi, 20-string koto, and the Orchestra of the Swan: Schlefer's "Haru no Umi Redux" and "Shakuhachi Concerto," and Hagen's "Koto Concerto: Genji." For those listeners old-fashioned enough to purchase the physical CD rather than streaming the album on Spotify, the accompanying liner notes provide a brief description of each piece as well as short biographies of the performers. The majority of the notes are in English, but Japanese biographies are given for Schlefer and Kurosawa. Artwork decorating the cover [End Page 150] and liner is minimalist and elegant and is appropriate for the feel of the album overall. Schlefer's compositions are performed first, and while "Shakuhachi Concerto" is a beautiful work that features his skillful playing on shakuhachi, "Haru no Umi Redux" stands out of the two and alone makes this CD worth listening to. The original "Haru no Umi" ("Spring Sea") was composed by Michio Miyagi in 1929 for koto and shakuhachi and is held up as a seminal example of the New Japanese Music movement of the 1920s. Schlefer's version adds a new opening before the initial statement of the original piece as well as before its return. The new opening statement is programmatic in nature, the strings of the ensemble calling to mind the waves of the ocean and bubbles rising from the depths of the sea before slowly joining together in shimming clustered chords reminiscent of the reed pipes of the Japanese shō and then giving way to the koto and shakuhachi. The new material before the reinstatement of Miyagi's piece similarly aims to suggest images of the sea but with a more frantic pace that ends with a dramatic, stunning buildup to the sounds of the koto and violin. The varying instrumentation of the duet nods to Miyagi's original koto and shakuhachi arrangement as well as to French violinist Renée Chemet and Miyagi's version that features koto and violin. The ensemble accompaniment enhances rather than overwhelms these duets, to stunning effect. The "Shakuhachi Concerto" that comes after "Haru no Umi Redux" consists of three movements that follow a classic concerto form and feature shakuhachi, strings, harp, and percussion. The liner notes describe the shakuhachi's role in the piece as "both soloist and team player, alternately in concert or in conflict with the orchestra." The movements are titled "Hazy Awareness," "Crystal Solitude," and "Outside." Overall, the piece is restless, anxious, and even frenzied at times. Schlefer's performance of the shakuhachi here is brilliant and clearly demonstrates why he has achieved the rank of Grand Master from Kyoto's Mujuan Shakuhachi Dojo, one of a very few nonJapanese artists to do so. The last piece featured on Spring Sounds Spring Seas is Hagen's "Koto Concerto: Genji," commissioned by Kyo-Shin-An-Arts for koto, winds, French horn, strings, and marimba. As the title suggests, the work is based on the famous literary work The Tale of Genji, each of the five movements taking their titles from Genji's chapters: "Cicada Shell," "Falling Flowers," "Maiden on the Bridge," "Floating Bridge of Dreams," and "Vanished into the Clouds." Featuring the koto in this composition is an obvious choice—the protagonist of...

Archaeologists explore mythology

North American journal of Celtic studies Vol. 4, No. 1 (Spring 2020) Copyright © 2020 by The Ohio State University REVIEW ESSAY Archaeologists explore mythology EDEL BHREATHNACH Mallory, J. P. 2016. In search of the Irish dreamtime. Archaeology and early Irish literature. London : Thames & Hudson. ISBN 978-0-500-05184-9. 320 pp. £18.95 (hardback). Waddell, John. 2018. Myth and materiality. Oxford: Oxbow Books. ISBN (paperback) 978-178570 -975-3; ISBN (digital) 978-1-78570-976-0. 182 pp. £15.99 (paperback). Archaeologists, linguists, and mythographers working on the evidence of their respective disciplines in Ireland are gifted with a very rich seam of primary material to the extent that they can carve out a niche topic for themselves without great difficulty. Yet, for all periods from prehistory to the modern period, genuine cross-disciplinary research is rare. There are reasons for this situation prevailing in Ireland: an historical antagonism between the disciplines and, hence, the absence of a tradition of collaboration; a lack of funding for long-term projects that would enable researchers to tease out the evidence of their respective disciplines and develop thoroughly considered syntheses. The need to remedy this situation is greater than ever: the amount of archaeological evidence being uncovered in Ireland for most periods continues to increase exponentially as a result of development-led excavations, while proper analysis of this material, especially cross-disciplinary analysis, lags far behind. Yet the potential for future studies cannot be understated and is an issue that researchers in the field must address. This opening statement does not deny that some scholars over the past 30 years or so have made valiant attempts to foster cross-disciplinary studies, none more so than Edel Bhreathnach [bhreathnachedel@gmail.com] is former CEO of The Discovery Programme: Centre for Archaeology & Innovation Ireland. She is author of Ireland in the medieval world AD 400–1000 (Dublin: Four Courts Press, 2014) and co-editor of Monastic Europe. Medieval communities, landscapes and settlements (Turnhout: Brepols, 2019). 120 North American journal of Celtic studies Professors John Waddell and Jim Mallory, whose books form the basis of this particular review. Both have been involved in projects that have sought to use Irish evidence—archaeological , mythological, and historical—to gain a more nuanced and complex view of Irish society in prehistory and the early medieval period. In addition, they have sought to introduce other approaches to the evidence, anthropological and comparative in nature , in an effort to explain links between Ireland, Britain, and the Continent, or certain institutions and beliefs in Irish society at a given time. Their research emanates from the increasing focus in recent decades on the four major ceremonial landscapes in Ireland that also feature prominently in the literature: Emain Macha (Navan Fort, Co. Armagh), Crúachu (Rathcroghan, Co. Roscommon), Temair (Tara, Co. Meath), and Uisnech (the Hill of Uisneach, Co. Westmeath). Emain was the focus of the Navan Research Group (formed in 1986 by Jim Mallory) and its related journal Emania. The Discovery Programme’s Tara Research Project led by Conor Newman began in 1991 and continues to the present, and it has been cross-disciplinary since the beginning. Crúachu has been the focus of a project in the Department of Archaeology in NUI Galway and an active program of surveying and land management is currently in operation there. Hence this is the backdrop to the volumes under consideration here. John Waddell’s Myth and materiality can be viewed as a companion volume—probably for a wider and more international audience—to his Archaeology and Celtic myth. An exploration (Waddell 2014). Both books draw on a detailed scientific and collaborative volume published in 2009 relating to surveys undertaken at Rathcroghan (Waddell, Fenwick, & Barton 2009). Hence Waddell’s core corpus and focus are the monuments of the Crúachu/ Rathcroghan landscape and what they meant to the communities that laid them out and built them. Throughout Myth and materiality, he also keeps the other great ceremonial landscapes in mind as he interrogates archaeology, literature, and mythology in his quest to understand these places. His stated aim is ‘to promote the thesis that myth may illuminate archaeology and that on occasion archaeology may shed light...

A Model of Interpersonal Trust, Credibility, and Relationship Maintenance.

> I wasn’t upset by my child’s bad reaction to the treatment. I was upset because no one told me it was a possibility beforehand. > I don’t think our doctor looked at us during the entire visit. She just kept typing away. > I couldn’t get in touch with my child’s medical team for three days after the scans. I just had to sit around and worry until the nurse finally returned my calls. Trust is essential to the clinician-family relationship in pediatrics, and it is affected by the actions or inactions of clinicians. High levels of trust can support confidence, peace of mind, and a sense of security. Broken trust can lead to anxiety, second-guessing, and frustration. In these opening statements, parents describe lapses in clinicians’ honesty, fidelity, and caring that impaired their trust. Mounting evidence suggests that the US health care system is entering into a crisis of trust, with Americans reporting decreased trust in physicians and the health care system over the last half century.1 In 2014, a report found that only 58% of American patients agreed that doctors could be trusted, ranking 24th among all countries surveyed.1 Lee et al2 argued that this erosion of trust has resulted from the deprioritization of relationships in modern US health care, and they recommended a framework for increasing trust between patients and health care organizations or health care teams. Although this organizational trust is important, we argue that interpersonal trust in pediatrics between each family and clinician is paramount. Every clinician has an opportunity … Address correspondence to Bryan Sisk, MD, Department of Pediatrics, Washington University School of Medicine, 4523 Clayton Ave, Campus Box 8005, St Louis, MO 63110. E-mail: siskb{at}wustl.edu

The brevity and severity of ‘Golden Age’ piracy trials

A sampling of piracy and piracy-related trials involving mainly English (later British) and colonial courts between 1670 and 1731 shows that from opening statements through deliberations they were rapid affairs, few extending beyond a single calendar date, and that on average they appear to have convicted about six of every 10 defendants who pleaded Not Guilty. That conviction figure is impacted by high-volume trials in 1700 and 1722 that acquitted relatively large numbers of defendants; eliminating these two trials from the mix yields a significantly higher conviction rate (about seven in 10) for those who pleaded Not Guilty. This article presents its sampling data, noting appropriate cautions, in the context of the era’s legal proceedings and practices.

Do Myelin Oligodendrocyte Glycoprotein Antibodies Represent a Distinct Syndrome?

Do Myelin Oligodendrocyte Glycoprotein Antibodies Represent a Distinct Syndrome?

We Don't Need Another Hero: 10th Berlin Biennial for Contemporary Art

We Don't Need Another Hero: 10th Berlin Biennial for Contemporary Art

WAYS OF REPRESENTATION OF MAIN SUGGESTIVE STRATEGIES

This article is devoted to the research of the mechanisms of suggestive influence represented in professional layers – prosecutors and attorneys – speech within the English law discourse on the material of a particular witness examination part of the court procedure. Some basic suggestive strategies and tactics used in this step and brief characteristics of their intentiality and ways of representation are presented. It is stated that suggestion as a means of persuasion and manipulation on a psyche is possible only due to the existence of a certain mechanism which gives a person an opportunity to perceive the suggested influences and reflect them. The authors suppose that the analysis of an effective manipulation of professional opponents – a plaintiff and a defendant (some basic suggestive-psychological algorithms used at the opening statement as well as suggestive strategies, tactics and methods applied) might considerably enhance the perspectives of studying characteristic features of law discourse thus allowing to get closer to the understanding of how a person’s brain works as well as the nature of consciousness and subconsciousness together with the anthropocentric approach aimed at realization of manipulation/suggestion within the situation of an institutional communication.

The Neurophysiology of Corporate Apologies: Why Do People Believe Insincere Apologies?

CEOs typically offer apologies after transgressions are discovered whether mistakes were corrected or not. Seemingly insincere apologies, however, may damage the company by impugning its reputation. This study uses neurophysiologic data to identify why people believe apologies and identify when resolutions have occurred. Participants watched videos of corporate apologies and earned $3 for each video they watched. They could wager any of their earnings on whether the mistake was resolved with a chance to double their money. Participants could not consciously identify problem resolution, but the similarity of electrodermal activity and a measure of sympathetic and parasympathetic switching could with 61.3% accuracy ( p = .001). Wagers were unrelated to whether problems were resolved or not. Yet electrodermal activity components predicted whether a wager was made with 75% accuracy ( p = .001). Analysis of physiologic data showed that when leaders identify the problem in an opening statement, address the audience directly, use concrete language to describe how the company will remedy the problem, and minimize the harm done, physiologic arousal is reduced, signaling that the problem will be resolved. Our analysis shows that people believe insincere apologies when the statements made, whether truthful or not, produce a calming effect in listeners.

A Bargaining Model v. Reality in FTC v. Qualcomm: A Reply to Kattan &amp;amp; Muris

In a recent article Joe Kattan and Tim Muris (K&M) criticize our article on the predictive power of bargaining models in antitrust, in which we used two recent applications to explore implications for uses of bargaining models in courts and antitrust agencies moving forward. K&M focus exclusively upon one aspect of our prior article: We argued that, as in AT&T/Time Warner, the market realities at issue in FTC v. Qualcomm are inconsistent with the use of Dr. Carl Shapiro’s bargaining model to predict competitive effects in the relevant market. K&M criticize our analysis and invite us to delve more deeply into the record evidence presented at trial, which they argue support the FTC’s case and Dr. Shapiro’s economic analysis. We accept their invitation. We demonstrate K&M’s position that the evidence “supports Shapiro’s testimony overwhelmingly” ignores the sound empirical evidence employed by Dr. Aviv Nevo during trial and has not aged well in light of the internal Apple documents made public in Qualcomm’s Opening Statement following the companies’ decision to settle the case. The documents undermine Apple’s public complaints about Qualcomm, call into question the validity of the underlying theory of harm in the FTC’s case, and directly refute some of the arguments K&M put forth in their critique of our prior article. We also discuss the implications of the newly-public internal Apple documents for the FTC’s case.

Utopian Acts 2018 Conference Report: Birkbeck, University of London, September 1, 2018

Utopian Acts 2018 Conference Report: Birkbeck, University of London, September 1, 2018

Utopian Acts 2018 Conference Report: Birkbeck, University of London, September 1, 2018

Utopian Acts 2018 Conference Report: Birkbeck, University of London, September 1, 2018