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Numerous studies demonstrate that even for those able to gain access to the health care system, disparities in treatment based on race and ethnicity are profound, even controlling for insurance coverage, education, and income. For example, Moore found that race was the strongest predictor for the receipt of drug therapy, with African Americans 41 73% less likely to receive drug agents (Moore et al., 1994). In a study of over 4000 elderly nursing home residents with cancer who experienced daily pain, African Americans were 63% more likely than whites to receive no pain medication (Bernabei et al., 1998). In diabetes care, African Americans were more likely to be treated with insulin but less likely to receive daily injections or to self-monitor their glucose levels (Cowie and Harris, 1997) A study of African American and white Medicaid-insured children in Detroit found that African American children were much more likely than their white counterparts to receive inadequate therapy, which included obsolete xed-combination medications rather than recommended single-entity prescriptions, and were less likely to receive steroids for adrenergic inhalers, despite higher rates of health care and higher rates of hospitalizations (Bosco et al., 1993). A study on racial differences in receipt of analgesics found that nearly three-fourths (74%) of white patients compared with 57% of African American patients received analgesics for lower extremity fractures in emergency departments (Todd et al., 2001). An assessment of racial/ethnic differences in physicians prescriptions of patient-controlled analgesia for postoperative pain found that after adjustment for age, gender, preoperative

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, Markers for Mapping by Admixture Linkage Disequilibrium in African American and Hispanic Populations, Am J Hum Genet, 69, 1080 1094 (2001) Sobel, E, et al, Detection and Integration of Genotyping Errors in Statistical Genetics, Am J Hum Genet, 70, 496 508 (2002)..

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and facilitate actions by the people engaged in them Practices constrain their practising by forbidding some alternatives and choices, while empowering others as possible, preferable or easier In order to attain the goal, the physical environment of a set of practices is subjugated by means of intelligent artefacts In consequence of its long sociological tradition, a practice has been given a wide variety of de nitions I have discussed the works of Bourdieu (1990), Gar nkel (1967) and Giddens (1984) in order to call attention to the subjectivity of the actors involved in a eld of practices But by proposing a simple de nition of a practice, I risk failing to give due emphasis to the fact that practices have inscribed social positions and relations characterized by particular expectations, rules and procedures.

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can change during the data exchange it is necessary for the network to constantly monitor how far the user is away from the serving base station. If the user moves closer to the BTS the network has to inform the mobile to delay sending its data compared to the current timing. If the user moves farther away it has to start sending its bursts earlier. This process is called timing advance control. As we have seen in the previous paragraph the assignment of uplink and downlink resources is independent from each other. When downloading a large web page for example it might happen that a downlink TBF is assigned while no uplink TBF is established because the mobile has no data to send. Even though no uplink TBF is established, it is necessary from time to time to send layer 2 acknowledgment messages to the network for the data that has been received in the downlink. To send these messages quickly, no uplink TBF has to be established. In this case the PCU informs the mobile in the downlink TBF from time to time which block to use to send the acknowledgment. As this only happens infrequently the network cannot take the previous acknowledgment bursts for the timing advance calculation for the following bursts. Because of this, a number of new methods have been standardized to measure and update the timing advance value while the mobile is engaged in exchanging GPRS data.

People engaged in a working practice acknowledge a set of social positions which are interrelated, which make sense, and which are enacted Practices impart identities and selves that are displayed on appropriate occasions People s experiences in, with and within practices become incorporated into their identities, the social positions that they occupy, the status that they display while they enact the set of practices, and also when they do not perform it Professional identities are linked to a set of institutional practices but they are also performed outside the profession.

where Fcasj is F for the cascade through stage j . Equation (10) is the same as Eq. (8). We can also write this as

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