Minerva Elements Records

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    Tracing Breton footprints from Fleury to Reims: the codicological evidence for the exegetical compilation in Orléans 182 and Reims 395
    Corrigan, S (CNRS Éditions, 2023)
    The focus of this article is a compilation of biblical exegesis, here entitled Glossae Floriacenses in Vetus et Nouum Testamentum, that ranges from short explanatory glosses to more extensive passages of interpretation, and also incorporates two independent works in their entirety: Adrevald of Fleury’s De benedictionibus patriarcharum and the Venerable Bede’s Nomina regionum atque locorum de Actibus apostolorum. The Glossae Floriacenses also preserve multiple layers of Old Breton glosses (main text, interlinear, marginal additions), as well as several Old English glosses. This dynamic work survives in two codices, Orléans, Médiathèque, MS 183, and Reims, Bibliothèque municipale, MS 395. The methodology employed here involves a detailed survey of these codicological contexts in order to expand our understanding of the transmission and use of the Glossae Floriacenses. In the case of Orléans 182, there is strong evidence for Fleury as the provenance of the codex as a whole, but this analysis also evidences substantial interactions with nearby regions, particularly Brittany and Auxerre. In the case of Reims 395, several manuscript in the codex date to the eleventh century, and include the Glossae Floriacenses, Odo of Cluny’s Sermo de sancto Benedicto, and a range of works dedicated to the celebration of Mary Magdalene. This grouping indicates links of transmission between a number of Loire Valley and Burgundy regions, particularly Brittany, Fleury, Cluny, Auxerre, and Vézelay.
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    Mechanisms of service ecosystem emergence: Exploring the case of public sector digital transformation
    Simmonds, H ; Gazley, A ; Kaartemo, V ; Renton, M ; Hooper, V (ELSEVIER SCIENCE INC, 2021-12)
    This research extends literature on the emergence of service ecosystems by developing new theoretical insight and explanation into how service ecosystems experience change and stability over time. Empirically, our case study focuses on digital transformation in the New Zealand public sector and the enterprise services market in 2010–2017. The exploratory and illustrative study builds on 22 in-depth interviews and extensive document analysis. We reveal three key mechanisms of service ecosystem emergence: compression, ecotonal coupling, and refraction. These mechanisms contribute to overcoming conflationary theorizing and the value of emergence in service research by establishing emergent relationality and a processual intertwining of being and becoming. These become the basis of multi-levelled, multidimensional complexity and cumulative organizing. We conclude the work by discussing the paper's contribution to service research.
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    Pretty polyglot: parrotisation as the difference in repetition, again
    Laird, T (Unlikely, 2023)
    This paper was written on Kulin Country — moving between the unceded lands of the Wurundjeri, Boon Wurrung, and Dja Dja Wurrung peoples. On Kulin Country, birds are powerfully symbolic: Bunjil, the creator spirit, travels as a wedgetail eagle, and Waa, the protector, travels as a crow. Even the humble parrots, as Wurundjerri knowledge holder Mandy Nicholson reminds us, are Bunjil's children, and they carry Bunjil's messages, for those who know how to listen.
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    Files, Families and the Nation: An Archival History, Perhaps
    Silverstein, J (ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2023-10-02)
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    Mental Health First Aid training for China: protocol for a randomised controlled trial
    Reavley, NJ ; Morgan, AJ ; Jorm, AF ; Kitchener, BA ; Lu, S ; Li, W ; Wang, Y ; Kelly, CM ; Zhao, M ; He, Y (ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2023-01-01)
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    A Network of Sites and Upskilled Therapists to Deliver Best-Practice Stroke Rehabilitation of the Arm: Protocol for a Knowledge Translation Study
    Carey, LM ; Cahill, LS ; Blennerhassett, JM ; Nilsson, M ; Lannin, NA ; Thijs, V ; Hillier, S ; Cadilhac, DA ; Donnan, GA ; Morris, ME ; Churilov, L ; Walker, M ; Ramanathan, S ; Pollack, M ; May, E ; Cloud, GC ; Mcgowan, S ; Wijeratne, T ; Budge, M ; Mckinnon, F ; Olver, J ; Hogg, T ; Murray, M ; Haslam, B ; Koukoulas, I ; Nielsen, B ; Mak-Yuen, Y ; Turville, M ; Neilson, C ; Butler, A ; Kim, J ; Matyas, TA (MDPI, 2023-12)
    Implementation of evidence-informed rehabilitation of the upper limb is variable, and outcomes for stroke survivors are often suboptimal. We established a national partnership of clinicians, survivors of stroke, researchers, healthcare organizations, and policy makers to facilitate change. The objectives of this study are to increase access to best-evidence rehabilitation of the upper limb and improve outcomes for stroke survivors. This prospective pragmatic, knowledge translation study involves four new specialist therapy centers to deliver best-evidence upper-limb sensory rehabilitation (known as SENSe therapy) for survivors of stroke in the community. A knowledge-transfer intervention will be used to upskill therapists and guide implementation. Specialist centers will deliver SENSe therapy, an effective and recommended therapy, to stroke survivors in the community. Outcomes include number of successful deliveries of SENSe therapy by credentialled therapists; improved somatosensory function for stroke survivors; improved performance in self-selected activities, arm use, and quality of life; treatment fidelity and confidence to deliver therapy; and for future implementation, expert therapist effect and cost-effectiveness. In summary, we will determine the effect of a national partnership to increase access to evidence-based upper-limb sensory rehabilitation following stroke. If effective, this knowledge-transfer intervention could be used to optimize the delivery of other complex, evidence-based rehabilitation interventions.
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    Quantifying Firebrand and Radiative Heat Flux Risk on Structures in Mallee/Mulga-Dominated Wildland-Urban Interface: A Physics-Based Approach
    Wickramasinghe, A ; Khan, N ; Filkov, A ; Moinuddin, K (MDPI, 2023-12)
    Fire spread in the Wildland–Urban Interface (WUI) can occur due to direct flame contact, convection, radiation, firebrand attack, or their combinations. Out of them, firebrand attack significantly contributes to damaging structures. To improve the resistance of buildings in wildfire-prone areas, the Australian Standards AS3959 provides construction requirements introducing Bushfire Attack Levels (BAL) based on quantified radiation heat flux. However, quantifying firebrand attack presents challenges, and the standard does not provide specific recommendations in this regard. This study aims to address this research gap by quantifying firebrand flux on houses according to the BALs in Mallee/Mulga-dominated vegetation using physics-based modelling. The study follows the AS3959 vegetation classifications and fire-weather conditions. The study considers Fire Danger Indices (FDI) of 100, 80, and 50 and identifies the housing components most susceptible to firebrand attack and radiant heat flux. The findings reveal an increasing firebrand flux with higher BAL values across all FDIs, with a greater percentage difference observed between FDIs 50 and 80 compared to FDIs 80 and 100. Furthermore, an exponential relationship is found between radiative heat flux and firebrand flux. This research contributes the development of effective strategies to mitigate the firebrand danger and enhance the resilience of structures to enhance AS3959.
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    Management of Poststroke Hyperglycemia: Results of the TEXAIS Randomized Clinical Trial
    Bladin, CF ; Cheung, NW ; Dewey, HM ; Churilov, L ; Middleton, S ; Thijs, V ; Ekinci, E ; Levi, CR ; Lindley, R ; Donnan, GA ; Parsons, MW ; Meretoja, A ; Tiainen, M ; Choi, PMC ; Cordato, D ; Brown, H ; Campbell, BCV ; Davis, SM ; Cloud, G ; Grimley, R ; Lee-Archer, M ; Ghia, D ; Sanders, L ; Markus, R ; Mueller, C ; Salvaris, P ; Wu, T ; Fink, J (LIPPINCOTT WILLIAMS & WILKINS, 2023-12)
    BACKGROUND: Hyperglycemia in acute ischemic stroke reduces the efficacy of stroke thrombolysis and thrombectomy, with worse clinical outcomes. Insulin-based therapies are difficult to implement and may cause hypoglycemia. We investigated whether exenatide, a GLP-1 (glucagon-like peptide-1) receptor agonist, would improve stroke outcomes, and control poststroke hyperglycemia with minimal hypoglycemia. METHODS: The TEXAIS trial (Treatment With Exenatide in Acute Ischemic Stroke) was an international, multicenter, phase 2 prospective randomized clinical trial (PROBE [Prospective Randomized Open Blinded End-Point] design) enrolling adult patients with acute ischemic stroke ≤9 hours of stroke onset to receive exenatide (5 µg BID subcutaneous injection) or standard care for 5 days, or until hospital discharge (whichever sooner). The primary outcome (intention to treat) was the proportion of patients with ≥8-point improvement in National Institutes of Health Stroke Scale score (or National Institutes of Health Stroke Scale scores 0-1) at 7 days poststroke. Safety outcomes included death, episodes of hyperglycemia, hypoglycemia, and adverse event. RESULTS: From April 2016 to June 2021, 350 patients were randomized (exenatide, n=177, standard care, n=173). Median age, 71 years (interquartile range, 62-79), median National Institutes of Health Stroke Scale score, 4 (interquartile range, 2-8). Planned recruitment (n=528) was stopped early due to COVID-19 disruptions and funding constraints. The primary outcome was achieved in 97 of 171 (56.7%) in the standard care group versus 104 of 170 (61.2%) in the exenatide group (adjusted odds ratio, 1.22 [95% CI, 0.79-1.88]; P=0.38). No differences in secondary outcomes were observed. The per-patient mean daily frequency of hyperglycemia was significantly less in the exenatide group across all quartiles. No episodes of hypoglycemia were recorded over the treatment period. Adverse events of mild nausea and vomiting occurred in 6 (3.5%) exenatide patients versus 0 (0%) standard care with no withdrawal. CONCLUSIONS: Treatment with exenatide did not reduce neurological impairment at 7 days in patients with acute ischemic stroke. Exenatide did significantly reduce the frequency of hyperglycemic events, without hypoglycemia, and was safe to use. Larger acute stroke trials using GLP-1 agonists such as exenatide should be considered. REGISTRATION: URL: www.australianclinicaltrials.gov.au; Unique identifier: ACTRN12617000409370. URL: https://www.clinicaltrials.gov; Unique identifier: NCT03287076.
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    The Role of a Smart Health Ecosystem in Transforming the Management of Chronic Health Conditions
    Nourse, R ; Dingler, T ; Kelly, J ; Kwasnicka, D ; Maddison, R (JMIR PUBLICATIONS, INC, 2023-12-18)
    The effective management of chronic conditions requires an approach that promotes a shift in care from the clinic to the home, improves the efficiency of health care systems, and benefits all users irrespective of their needs and preferences. Digital health can provide a solution to this challenge, and in this paper, we provide our vision for a smart health ecosystem. A smart health ecosystem leverages the interoperability of digital health technologies and advancements in big data and artificial intelligence for data collection and analysis and the provision of support. We envisage that this approach will allow a comprehensive picture of health, personalization, and tailoring of behavioral and clinical support; drive theoretical advancements; and empower people to manage their own health with support from health care professionals. We illustrate the concept with 2 use cases and discuss topics for further consideration and research, concluding with a message to encourage people with chronic conditions, their caregivers, health care professionals, policy and decision makers, and technology experts to join their efforts and work toward adopting a smart health ecosystem.