Many workers have been drawn to the gig economy by the promise of flexible, autonomous work, but scholars have highlighted how independent working arrangements also come with the drawbacks of precarity. Digital platforms appear to provide an alternative to certain aspects of precarity by helping workers find work consistently and securely. However, these platforms also introduce their own demands and constraints. Drawing on 20 interviews with online freelancers, 19 interviews with corresponding clients and a first-hand walkthrough of the Upwork platform, we identify critical literacies (what we call gig literacies), which are emerging around online freelancing. We find that gig workers must adapt their skills and work strategies in order to leverage platforms creatively and productively, and as a component of their ‘personal holding environment’. This involves not only using the resources provided by the platform effectively, but also negotiating or working around its imposed structures and control mechanisms.

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Short courses of PTZ/VAN were not associated with a greater risk of short- or 60-day adverse renal outcomes compared to other empiric broad-spectrum combinations.

Background-Whether mechanical dyssynchrony indices predict reverse remodeling (RR) or clinical response to cardiac resynchronization therapy (CRT) remains controversial. This prospective study evaluated whether echocardiographic dyssynchrony indices predict RR or clinical response after CRT. Methods and Results-Of 184 patients with heart failure with anticipated CRT who were prospectively enrolled, 131 with wide QRS and left ventricular ejection fraction Ͻ35% had 6-month follow-up after CRT implantation. Fourteen dyssynchrony indices (feasibility) by M-mode (94%), tissue velocity (96%), tissue Doppler strain (92%), 2D speckle strain (65% to 86%), 3D echocardiography (79%), and timing intervals (98%) were evaluated. RR (end-systolic volume reduction Ն15%) occurred in 55% and more frequently in patients without (71%) than in patients with (42%) ischemic cardiomyopathy (Pϭ0.002). Overall, only M-mode, tissue Doppler strain, and total isovolumic time had a receiver operating characteristic area under the curve (AUC) greater than the line of no information, but none of these were strongly predictive of RR (AUC, 0.63 to 0.71). In nonischemic cardiomyopathy, no dyssynchrony index predicted RR.

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