1,721,285 research outputs found
Cusack, R A, VX35633
No full textThis record was harvested from a previous catalogue system and will be withdrawn in 2025. Information in this record may be superseded or incomplete. Visit this record in UMA's new catalogue at: https://archives.library.unimelb.edu.au/nodes/view/380204Surname: CUSACK
Given Name(s) or Initials: R A
Military Service Number or Last Known Location: VX35633
Missing, Wounded and Prisoner of War Enquiry Card Index Number: 19830194016
Item: [2016.0049.12497] "Cusack, R A, VX35633
Tracheal stenosis diagnosed on pulmonary ventilation/perfusion scan
No full textA 68-year-old woman, who had undergone coronary artery bypass surgery 5 months previously, was presented with cough, breathlessness and an elevated D-dimer. She was initially thought to have suffered a pulmonary embolus. A ventilation/perfusion scan demonstrated tracheal stenosis, which required dilation and endobronchial stent deployment. Tracheal stenosis is a well-recognised complication of endotracheal intubation; however, the onset of symptoms is often insidious and the diagnosis delayed.</p
Immunonutrition for acute respiratory distress syndrome (ARDS) in adults
No full textBackground: acute respiratory distress syndrome (ARDS) is a life-threatening condition wherein the lungs are inflamed (irritated) and damaged. In this state, the lungs cannot deliver into the blood enough oxygen for the body’s vital organs. It is usually seen in patients who are already seriously ill. Currently, no specific effective therapeutic options are available for this condition. Alternatively, change in dietary intake has been deployed. Modification of the nutrition given to adults with ARDS, to include components of food that have an anti-inflammatory effect, could reduce lung inflammation and improve outcomes in adults with this condition. Omega-3 fatty acids (known as DHA and EPA) are found in fish oils and can have an anti-inflammatory effect. Reviewers examined reported outcomes and effects of changes in nutrition among studies involving adults with ARDS.Study characteristics: the evidence is current up to April 2018. We included in this review 10 studies with 1015 adult participants. These studies were conducted in intensive care units and compared standard nutrition (the usual nutrition given to patients with ARDS) versus nutrition supplemented with omega-3 fatty acids or placebo (a substance with no active effect), and compared either with or without antioxidants. Antioxidants are molecules that can inhibit or slow down oxidation - a reaction that can cause inflammation and damage cells.Key results: it is unclear whether use of omega-3 fatty acids and antioxidants as part of nutritional intake in patients with ARDS improves long-term survival. It is uncertain whether omega-3 fatty acids and antioxidants reduce length of ICU stay and the number of days spent on a ventilator, or if they improve oxygenation. It is also unclear if this type of nutrition causes increased harm.Quality of evidence: findings of this review are limited by lack of standardization among the included studies in terms of methods, types of nutritional supplements given, and reporting of outcome measures. We rated the quality of evidence as low to very low.<br/
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Monitoring of the depth of sedation in the intensive care unit
No full textPharmacological sedation on the intensive care unit (ICU) is frequently required to enable treatment to be safely and effectively delivered. However, its use is not without risk, especially if no attempt is made to monitor the depth of sedation. Commonly utilized sedation-scoring systems are easy to use, but unfortunately neuromuscular paralysis negates their usefulness and they are always open to criticism because of being subjective in nature. Consequently attention has been directed at the use of the processed EEG to monitor sedation. Auditory evoked responses have received much attention in the anaesthetic literature for monitoring awareness under anaesthesia, but practical problems may limit their usefulness in the intensive care unit. The Bispectral Index can be monitored with easily interpretable and portable equipment and shows promise as a depth of sedation monitor in this setting.</p
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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