35 research outputs found
Laxatives for the management of constipation in palliative care patients
No full textBackground: constipation is a common problem for palliative care patients which can generate considerable suffering for patients due to both the unpleasant physical symptoms and psychological preoccupations that can arise. There is uncertainty about the 'best' management of constipation in palliative care patients and variation in practice between palliative care settings.Objectives: to determine the effectiveness of laxative administration for the management of constipation in palliative care patients, and the differential efficacy of the laxatives used to manage constipation.Search strategy: we searched The Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue four, 2005), MEDLINE (1966 to January 2005), EMBASE (1980 to January 2005), CANCERLIT, PUBMED, Science Citation Index, CINAHL, The Cochrane Library, SIGLE, NTIS, DHSS-DATA, Dissertation Abstracts, Index to Scientific and Technical Proceedings and NHS-NRR and reference lists of articles.Selection criteria: randomised controlled trials (RCTs) comparing laxatives for constipation in palliative care patients.Data collection and analysis: two review authors independently assessed trial quality and extracted patient-reported data measuring changes in stool frequency and ease of passing stools, using objective and validated scales. Tolerance or adverse effects of laxatives used were also sought. The appropriateness of synthesizing data from the controlled trials depended upon the clinical and statistical homogeneity of studies identified. If the controlled trials were homogeneous, a meta-analysis would be attempted.Main results: four trials involving 280 people were included. Between these trials, the laxatives lactulose; senna; danthron combined with poloxamer (Co-danthramer); Misrakasneham; magnesium hydroxide combined with liquid paraffin (Milpar) were evaluated. All four trials included number and frequency of bowel movements and relative ease of defecation as part of the assessment of laxative efficacy. All of the laxatives demonstrated a limited level of efficacy, although a significant number of participants required rescue laxatives in each of the studies. The only significantly different treatments were in the trial where lactulose plus senna were more effective than danthron combined with poloxamer. Patient preference did not favour either treatment option. Other related systematic reviews have similarly identified that there is a lack of evidence to support the use of one laxative, or combination of laxatives, over another.Authirs' conclusions: the treatment of constipation in palliative care is based on inadequate experimental evidence, such that there are insufficient RCT data. Recommendations for laxative use can be related to costs as much as to efficacy. There have been few comparative studies, equally there have been few direct comparisons between different classes of laxative and between different combinations of laxatives. There persists an uncertainty about the 'best' management of constipation in this group of patient
Narrative Rhetoric in Representing the British Aristocracy: Julian Fellowes and Peter Morgan
No full textThe essay aims at analyzing the different narrative and rhetorical approaches of two prominent British screenwriters to the representation of British aristocracy. The works by Julian Fellowes and by Peter Morgan offer the recent most popular contributions to the representation of British aristocratic life-style and values in contemporary mainstream culture. Besides the global success of their stories, a reason of interest for going deep into the way the two writers tackle the topic resides in their different political and ideological perspectives. On the one side, Fellowes’s depiction of aristocracy in his hit prime time TV drama Downton Abbey (ITV, 2010-2015) draws on the open conservative mindset of the author (“The BBC wouldn’t have done that... They are not happy with dramas that do not reflect their own political and philosophical viewpoint”). On the other side, portraying the Royal Family first in the film The Queen (2006), then in the TV series The Crown (Netflix, 2016), Morgan’s believes – opposite to Fellowes’ ones – were spurred (“it’s absolutely scandalous that they should still exist in an egalitarian society”). The aim of my analysis is twofold. First, to highlight how both Fellowes and Morgan had to control and balance the expression of their ideological credo so that their narrative wouldn’t be felt as “preachy”. Second, to identify which thematic solutions allowed them to make aristocracy (a topic generally felt as remote and distant) engaging for contemporary audiences
Night of the Iguana Production Photo
No full textProvidence College Department of Theatre, Dance & Film
Friar\u27s Cell, Stephens Hall
Night of the Iguana by Tennessee Williams
December 2-7, 1975, 8PM
Director, Lynn Rae Slavin
Set and Lighting Design, David Ward
Cast: Maxine Faulk - Angela Dias, Pedro - Tom Duncavage, Pancho - Thom Joaquin, Reverend Shannon - Peter Thomson, Hank - Dan Foster, Judith Fellowes - Nina Cowell, Hannah Jelks - Patricia McDonald, Charlotte Goodall - Deborah Iacono, Jonathan Coffin (Nonno) - Nicholas Walker, Jake Latta - Domenico Digliohttps://digitalcommons.providence.edu/iguana_photos/1000/thumbnail.jp
Night of the Iguana Playbill
No full textProvidence College Department of Theatre, Dance & Film
Friar\u27s Cell, Stephens Hall
Night of the Iguana by Tennessee Williams
December 2-7, 1975, 8PM
Director, Lynn Rae Slavin
Set and Lighting Design, David Ward
Cast: Maxine Faulk - Angela Dias, Pedro - Tom Duncavage, Pancho - Thom Joaquin, Reverend Shannon - Peter Thomson, Hank - Dan Foster, Judith Fellowes - Nina Cowell, Hannah Jelks - Patricia McDonald, Charlotte Goodall - Deborah Iacono, Jonathan Coffin (Nonno) - Nicholas Walker, Jake Latta - Domenico Digliohttps://digitalcommons.providence.edu/iguana_pubs/1000/thumbnail.jp
Aeschili Persae : Ad fidem manuscriptorum emendavit /
No full textAuthor and title in Greek at head of t.p.; text in Greek.Mode of access: Internet
Does telling the truth about diagnosis and prognosis affect patients' psychological distress? A systematic review registered with the York Centre for Research & Dissemination database
No full text
Re-establishing Class Privilege: The Ideological Uses of Middle and Working-Class Female Characters in Downton Abbey
No full textThis paper argues that the British period drama Downton Abbey, which aired between
2010 and 2015 and encountered worldwide success, uses working class and middle-class
female characters to promote the aristocracy and conservative ideas, while hiding behind
historical accuracy and seemingly progressive patterns of behaviour. Through a close
reading of four female characters, I will demonstrate how the series’ author, Julian Fellowes,
uses the show to endorse his own political agenda, as a Conservative member of
the House of Lords in the British Parliament
