31,610 research outputs found
Chronic kidney disease: identification and management in primary care
No full textCKD is an important and common non-communicable condition globally. In national and international guidelines it is defined and staged according to measures of kidney function that allow for a degree of risk stratification using commonly available markers. It is often asymptomatic in its early stages and early detection is important to reduce future risk. The risk of cardiovascular outcomes is greater than the risk of progression to end stage kidney disease for most people with CKD. CKD also predisposes to acute kidney injury – a major cause of morbidity and mortality worldwide. Although only a small proportion of people with CKD progress to end stage kidney disease, renal replacement therapy (dialysis or transplantation) represent major costs for health care systems and burden for patients. Efforts in primary care to reduce the risks of cardiovascular disease, acute kidney injury and progression are therefore required. Monitoring renal function is an important task and primary care clinicians are well placed to oversee this aspect of care along with the management of modifiable risk factors, particularly blood pressure and proteinuria. Good primary care judgement is also essential in making decisions about referral for specialist nephrology opinion. As CKD commonly occurs alongside other conditions, consideration of comorbidities and patient wishes is important and primary care clinicians have a key role in coordinating care while adopting a holistic, patient-centred approach and providing continuity. This review aims to summarise the vital role that primary care plays in pre-dialysis CKD care and to outline the main considerations in its identification, monitoring and clinical management in this context
Thomas Grisell letter to Thomas Rotch, 2nd mo 19th 1823
No full textThomas Grisell's letter reached the Rotch household several months before the unexpected death of Thomas Rotch in August, 1823. This is the last letter of the series and presumably the author learned of his friend's death before another letter was penned. 7.95" x 10" (20.2 by 25.5 cm
Failed Censures: Ecclesiastical Regulation of Women’s Clothing in Late Medieval Italy
No full textChurchmen in the late thirteenth and early fourteenth centuries tried to regulate the costume of Italian women. These efforts failed, and regulation was largely left thereafter to civic authorities.The published version was published as Chapter 3 in Medieval Clothing and Textiles 5Izbicki, Thomas M. (2009), "Failed Censures: Ecclesiastical Regulation of Women’s Clothing in Late Medieval Italy" in Netherton, Robin and Owen-Crocker, Gale R., eds., Medieval Clothing and Textiles 5 (Boydell Press), 37-53ISBN: 9781843834519 (published book)Peer reviewe
Western medieval legal manuscripts in the collections of the University of Pennsylvania
No full textWestern legal manuscripts of the Middle Ages in North American collections are among the least known to scholars. The University of Pennsylvania has a rich collection of these texts, several of which were in the collection of the historian Henry Charles Lea. Included are works of civil law and canon law, as well as collections of papal letters and guides to pastoral care. The descriptions of most of these manuscripts in the catalog of Norman P. Zacour and Rudolf Hirsch are perfunctory, sometimes erring or omitting valuable information. Other manuscripts were added in recent years in the Lawrence J. Schoenberg Collection. Much of this material is being added to the Franklin online catalog of the University’s libraries, but researchers frequently do not search these digital resources. This article provides more complete guidance to the University’s medieval legal manuscripts than any of the existing catalogs offers, whether in print or online. It also provides updated bibliographic information in print or online. Every manuscript has been examined by the author in situ. Among the important works represented in the collection is the Panormia (a work of canon law often attributed to Ivo of Chartres). Authors present include the curialist Thomas of Capua, canonists Petrus de Braco, William of Pagula, Bernardus Raimundi, Adam of Aldersbach, Raymond of Peñafort, and civil lawyers Baldus de Ubaldis, and Bartolus de Saxoferrato. Three of these manuscripts were owned in the past by Sir Thomas Phillipps
Forbidden Colors in the Regulation of Clerical Dress from the Fourth Lateran Council (1215) to the Time of Nicholas of Cusa (d. 1464)
No full textMedieval canon law attempted to distinguish clergy from the laity by restricting their dress choices. The article focuses on prohibition of wearing red or green on the street. Both colors were identified with the nobility.The published version was published as Chapter 7 in Medieval Clothing and Textiles 1Izbicki, Thomas M. (2005), "Forbidden Colors in the Regulation of Clerical Dress from the Fourth Lateran Council (1215) to the Time of Nicholas of Cusa (d. 1464)" in Netherton, Robin and Owen-Crocker, Gale R., eds., Medieval Clothing and Textiles 1 (Boydell Press),105-114ISBN: 9781843831235 (published book
Thomas Crutchfield account book, 1848-1861
No full textA book containing business accounts, including details about travel expenses and the purchase and sale of lumber as well as other goods and services. The author also catalogs personal spending, the dates and pricing of properties offered for rent, and the purchase and leasing of enslaved people. Many entries are consistent with the business activities of Thomas Crutchfield Sr., who died in 1850. Someone continued to make entries in the book for activities dated up to 1861
Thomas Crutchfield account book, 1848-1861
No full textA book containing business accounts, including details about travel expenses and the purchase and sale of lumber as well as other goods and services. The author also catalogs personal spending, the dates and pricing of properties offered for rent, and the purchase and leasing of enslaved people. Many entries are consistent with the business activities of Thomas Crutchfield Sr., who died in 1850. Someone continued to make entries in the book for activities dated up to 1861
Thomas Hazard Jr letter to Thomas Rotch, New York 6 mo 10, 1821
No full textThe author acknowledges receipt of letters after the Rotch return to Kendal, Ohio in the late spring of 1821. Thomas Hazard mentions that his whaling ship, Dawn, has sailed to the Pacific Ocean with 23 hands on board and provisions for three years. He hopes to visit Kendal in the Fall, he also mentions that William Rotch Jr was recovering from a fever.
7.9" x 10" (20 by 25.5 cm
The Memory Palace:Telling the Story of the Interior
Full text linkThis book chapter originated as an invited keynote paper at the Interior Educators 'Interior Futures 'conference at Northumbria University in 2011. The paper was blind peer revwied for publication. The content of the paper represents a process of reflection on my practice as a writer and the designer of narrative structures and building stories, and in it, for the first time, I was able to articulate the relationship between the narrative structures of my first book 'The Secret Lives of Buildings' and my second 'The Memory Palace', explsoring how literary and spatial form can model one another. My invitation to speak at Interior Futures, the inaugural research conference of Interior Edcators, the UK wide interiors academic forum, is also the result of my role in the foundation of the Interiors Forum Scotland, which predated its UK wide successor by several years, and provided a model for this conference
- …
