314 research outputs found
A repeated measures, randomised cross-over trial, comparing the acute exercise response between passive and active sitting in critically ill patients
No full textEarly mobilisation of critically ill patients is safe and beneficial, but the metabolic cost of exercise remains unquantified. This study compared the acute exercise response in critically ill participants during passive and active sitting. Method: We conducted a prospective, randomised, cross-over study, in ventilated patients receiving rehabilitative physiotherapy. Ten participants completed a passive chair transfer, or a sit on the edge of the bed, followed by the alternate exercise activity on the consecutive day. The primary outcome measure was oxygen consumption. Results: In comparison to resting supine, a passive chair transfer elicited no change in oxygen consumption, carbon dioxide production or minute ventilation; but mean arterial pressure (91.86 mmHg (95% CI 84.61 to 99.10) to 101.23 mmHg (95% CI 93.35 to 109.11) (p = 0.002)) and heart rate (89.13 bpm (95% CI 77.14 to 101.13) to 97.21 bpm (95% CI 81.22 to 113.20) (p = 0.008)) increased. Sitting on the edge of the bed resulted in significant increases in oxygen consumption (262.33 ml/min (95% CI 201.97 to 322.70) to 353.02 ml/min (95% CI 303.50 to 402.55), p = 0.002), carbon dioxide production (171.93 ml/min (95% CI 131.87 to 211.98) to 206.23 ml/min (95% CI 151.03 to 261.43), p = 0.026), minute ventilation (9.97 l/min (95% CI 7.30 to 12.65) to 12.82 l/min (95% CI 10.29 to 15.36), p < 0.001), mean arterial pressure (86.81 mmHg (95% CI 77.48 to 96.14) to 95.59 mmHg (95% CI 88.62 to 102.56), p = 0.034) and heart rate (87.60 bpm (95% CI 73.64 to 101.56) to 94.91 bpm (95% CI 79.57 to 110.25), p = 0.007). When comparing the 2 activities, sitting on the edge of the bed elicited a significantly larger increase in oxygen consumption (90.69 ml/min (95% CI 44.04 to 137.34) vs 14.43 ml/min (95% CI -27.28 to 56.14), p = 0.007) and minute ventilation (2.85 l/min (95% CI 1.70 to 3.99) vs 0.74 l/min (95% CI -0.92 to 1.56), p = 0.012). Conclusion: Sitting on the edge of the bed is a more metabolically demanding activity than a passive chair transfer in critically ill patients.</p
Quality improvement: the delivery of true early mobilisation in an intensive care unit
No full textEarly mobilisation initiatives within the critical care environment have been shown to improve outcomes for patients. Early mobilisation has been defined as occurring within the first two to five days of the intensive care stay, but in practice this can be difficult to deliver. We conducted a quality improvement (QI) project to deliver early mobilisation in a large general intensive care unit. Mechanically ventilated medical patients received an integrated package of care involving two additional daily sessions of mobility therapy, in combination with minimal sedation where possible. Prospective baseline data was collected from January to March 2012; the QI project commenced in April 2012. Improvement cycle 1 completed in March 2015 and improvement cycle 2 in March 2016. Results have suggested a reduction in time to first mobilisation for intensive care survivors from 16.3 days in 2012, to 4.3 days at the end of improvement cycle 2. This was associated with a decrease in mean intensive care length of stay from 20.8 days in 2012, to 11.2 days at the end of improvement cycle 2. This QI project enabled patients to mobilise out of bed within the first five days of their intensive care stay and to be discharged earlier from the ICU, on going analysis is required to verify these findings.</p
Privacy Future Directions
No full textPrivacy law is in a precarious position. Scholars and commentators are unable to agree on a universal definition for what privacy entails and what interests or rights privacy law should protect when balanced against changing societal norms, rapid technological advancements and freedom of speech concerns. As Boyd aptly states “[n]either privacy nor publicity is dead, but technology will continue to make a mess of both.” In this respect, this chapter examines how the future of privacy law should take shape in New Zealand. It summarises important shortfalls in New Zealand’s current privacy laws and the improvements required to keep pace with international legal developments.
The first-named author, Daimhin Warner, first addresses the shortfalls and improvements needed in relation to the Privacy Act 2020. The second-named and third-named authors, Nikki Chamberlain and Stephen Penk, then address shortfalls and improvements needed in the common law
America\u27s Future: A Conversation with Nikki Haley
No full textNikki Haley was elected the 116th governor of South Carolina in 2010, the first female governor of South Carolina and the first minority female governor in America. She was reelected in 2014, and in 2016 Time Magazine named her among the 100 most influential people in the world.
From 2017 to 2019, she served as U.S. Ambassador to the United Nations, as a member of the President’s Cabinet and on the National Security Council.
In 2019, she founded Stand For America. She is the author of If You Want Something Done: Leadership Lessons from Bold Women (2022) and With All Due Respect: Defending America with Grit and Grace (2019)
Letter from Nikki Bridges, to National Coalition for Redress/Reparations, May 13, 1981
No full textLetter from Nikki Bridges to the National Coalition for Redress/Reparations (NCRR) regarding Bridges donation requests and a poem.The Jim Matsuoka Nikkei for Civil Rights and Redress Collection includes brochures, meeting notes and agendas, publications, booklets, and other material related to the Nikkei for Civil Rights and Redress (NCRR), formally known as the National Coalition for Redress/Reparations. The National Coalition for Redress/Reparations was officially formed on July 12, 1980, and included members of the Los Angeles Community Coalition for Redress/Reparations (LACCRR), Japanese Community Progressive Alliance (JCPA), Tule Lake Committee, Nihonmachi Outreach Committee, the Asian/Pacific Student Union, and other members of the community. The material was collected by Jim Matsuoka, a founding member of the organization. Matsuoka also served on the board and was the treasurer. In addition to the NCRR material, the collection also contains event flyers and Day of Remembrance material. For issues of the Nikkei for Civil Rights and Redress newsletter "Banner" published after 2007, visit the NCRR website at https://ncrr-la.org/
Author of newly released Bicycles, Nikki Giovanni gives tips on writing a love poem
No full textA new book of love poetry has been published by internationally known author Nikki Giovanni, University Distinguished Professor of English at Virginia Tech
Black women in the poetry of Nikki Giovanni, 1977
No full textThe primary intent of this thesis is to discuss the significance of Black women and the images they project in the poetry of Nikki Giovanni. An attempt has been made to identify reoccurring female images and interpret the historical, social and political implications of these reoccurring female images in the poetry of Nikki Giovanni. The study reveals the importance of Nikki Giovanni's poetry in accurately assessing life in the Black experience. The female images seen in her poetry reflect the Black community and its relationship to the American society
A Voz narrativa e os poemas nos diários literários japoneses-Tosa Nikki e Izumi Shikibu Nikki
No full textTosa Nikki o Diário de Tosa e Izumi Shikibu Nikki, o Diário de Izumi Shikibu são obras narradas na terceira pessoa do singular e fogem à expectativa criada em tomo de obras como elas que levam o nome de diario. Nesse aspecto, merecem um estudo sobre as implicações que se ocultam sob tal estruturação, suas causas e conseqüências na interpretação das respectivas obras e na formação do Diário Literário japonês no âmbito da Literatura Feminina que floresceu entre os séculos X e XI.Tosa Nikki, Diary of Tosa, and Izumi Shikibu Nikki, Izumi Shikibu s Diary are narrated in third person, not in first person as we expected in a work like a diary. This structure certainly has the author\u27s intention that needs a study to knows the causes and consequences in the interpretation of these works and in a construction of the Japanese diary literature into de Women’s literature that florished in X to XI Century in Japan
“Kagero-nikki“ and “Towazu-gatari“
No full textpdfThe subject of my paper is the study of two of the most famous lyrical diaries of the Heian period and the Kamakura period; that is ,“Kagerō-nikki” and “Towazu-gatari”. The first of them covers 21 years of the life of the author, Michitsuna-no haha, and the latter 37 years of the life of the author, Lady Nijō. Therefore, they can be considered as representative works of the genre “nikki-bungaku”－ as personal and retrospective literature. First, I am dealing with the characteristics of these two diaries as personal literature, stressing the psychological stimulus which lead the authors to write their diaries, as seen in the two works themselves.
Then, I proceed with undertaking the problem of time as revealed in these two diaries. On the one hand, there is the frame of natural, objective time, and on the other, the flow of the subjective time of the authors ―first as a main character of the work (protagonist), and then as an author (narrator). The two basic elements of the subjective time in the lyrical diaries could be defined as personal time or the time of experience, and recollected time or the time of retrospection. As the work proceeds towards its end, the positions of the author as a narrator and as a protagonist tend to unify, and so do the time of experience and the time of retrospection.
At the end, I outline the main subjects of my future study of time in the lyrical diaries in an attempt to finally formulate the temporal characteristics of “nikki-bungaku” as a genre.conference pape
MLK 2025: In Memorium: Nikki Giovanni
No full textView the MLK 2025 event Black Feeling Black Talk: A Celebration of Rev. Dr. Martin Luther King, Jr. and Nikki Giovanni held Thursday, January 16th, 2025 at 5:30pm in the RISD auditorium.
The RISD community mourns the passing of Nikki Giovanni, poet, author, activist and educator. World-renowned and one of the foremost authors of the Black Arts Movement, Giovanni, through her work, explored race, gender, sexuality, politics and the Black family. Her career, spanning seven decades, manifested in a prolific body of work ranging from poetry, essays and nonfiction to recordings and children’s literature. In 2002, Giovanni’s poetry graced the Smithsonian Institution’s first major exhibition honoring Dr. King titled In the Spirit of Martin: the Living Legacy of Dr. Martin Luther King, Jr. In her introduction to the catalogue she urged,
This is a sacred poem…open your arms… turn your palms up… feel the Spirit of Greatness… and be redeemed
Planned as RISD’s 13th MLK keynote speaker, Nikki Giovanni will be counted among previous keynote speakers who have left their indelible mark on our community. The Rev. Dr. Martin Luther King, Jr. Committee posthumously salutes Nikki Giovanni for her distinguished artistry, her groundbreaking achievements and her unwavering vision toward a society imbued with freedom and justice for all. May her passion, poetry and power continue to inspire us and generations to come.
Please click here to reflect more on Nikki Giovanni’s life, legacy and impact. Questions can be emailed to [email protected]://digitalcommons.risd.edu/studentaffairs_MLK_posters/1069/thumbnail.jp
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