12,367 research outputs found

    Emergency department triage revisited

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    Triage is a process that is critical to the effective management of modern emergency departments. Triage systems aim, not only to ensure clinical justice for the patient, but also to provide an effective tool for departmental organisation, monitoring and evaluation. Over the last 20 years, triage systems have been standardised in a number of countries and efforts made to ensure consistency of application. However, the ongoing crowding of emergency departments resulting from access block and increased demand has led to calls for a review of systems of triage. In addition, international variance in triage systems limits the capacity for benchmarking. The aim of this paper is to provide a critical review of the literature pertaining to emergency department triage in order to inform the direction for future research. While education, guidelines and algorithms have been shown to reduce triage variation, there remains significant inconsistency in triage assessment arising from the diversity of factors determining the urgency of any individual patient. It is timely to accept this diversity, what is agreed, and what may be agreeable. It is time to develop and test an International Triage Scale (ITS) which is supported by an international collaborative approach towards a triage research agenda. This agenda would seek to further develop application and moderating tools and to utilise the scales for international benchmarking and research programmes

    A remote expert wound nurse consultation intervention for pressure injury prevention and management: intervention design and results of a feasibility study and pilot randomised controlled trial

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    Introduction: The need for equitable access to specialist wound management nurses and building of capacity in the aged care work force was the impetus for a project that sought to innovate the care provided to residents of aged care who have or are at risk of pressure injuries. The project included the design and evaluation of a remote expert wound nurse consultation intervention

    Interview: Anne-Marie Fortier

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    This paper is an edited version of an email interview conducted by Debra Ferreday and Adi Kuntsman with Anne-Marie Fortier, the author of Multicultural Horizons: Diversity and the Limits of the Civil Nation (Routledge, 2008). Fortier’s work has been informative in the development of some of the arguments explored in this special issue; in their conversation Ferreday and Kuntsman asked her to comment on the ideas of haunting, racial imaginaries, nostalgia, national anxieties, political feelings and hopes for the future

    Beholder halfway #25: beyond unwanted sound with Marie Thompson

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    On this month's episode I discuss the recent book Beyond Unwanted Sound: Noise, Affect and Aesthetic Moralism with its author, Marie Thompson. We discuss different conceptions of 'noise', as anti-music or the cacophony of industrial society, competing theories of noise and Marie's powerful argument that noise is neither inherently bothersome nor transgressive. We end by discussing some of the musicians and sound artists that Marie argues transcend the dominant morality by which noise is related to.</p

    Précisions sur les vagues/On Waves

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    Powerful and poetic prose meditation on oceanic energy by French author, Marie Darrieussecq. Translated from the French by Peter Schulman, ODU Professor of French and International Studies.https://digitalcommons.odu.edu/worldlanguages_books/1022/thumbnail.jp

    Wilhelmina Marie Williamson Lambourne

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    Wilhelmina Marie Williamson Lambourne was the wife of Alfred Lambourne, a Utah artist, author, and poet

    BIOFUELS, AGRICULTURE AND CLIMATE CHANGE

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    In the context of ever-increasing petroleum prices combined with concerns about climate change, timing of adoption and rate of diffusion of land-based fuels and backstop technologies for transportation use are examined in this paper. A global model of land allocation joined with a Hotelling model has been developed. Using this framework, effects of climate and energy policies on world agricultural and energy markets have been explored. Further, their regional impacts are also analyzed. Whereas mandatory blending bio-fuels have substantial effects on world food prices and do not succeed in curbing down carbon emissions fluxes, carbon targets are expected to speed up date of adoption of backstop technologies. Then, sensitivity scenarios with regards to technological parameters reveal that higher is the rate of technological change, earlier backstop technologies are adopted and lower is the stock of carbon accumulated into the atmosphere. Finally, interplay between land-based fuels and deforestation has been studied. Results show that land-based fuels production speeds up world deforestation and causes substantial carbon emissions due to conversion of forests into agricultural lands.Ricardian rents, land use, biofuels, Resource /Energy Economics and Policy,

    Does corruption relieve foreign investors of the burden of taxes and capital controls?

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    In a sample of fourteen source countries making bilateral investments in forty five countries, the author finds that taxes, capital controls, and corruption, all have large, statistically significant negative effects on foreign investment. Moreover, there is no robust support in the data for the"efficient grease"hypothesis - that corruption helps attract foreign investment by reducing firms'tax burden and the irritant of capital controls.International Terrorism&Counterterrorism,Capital Markets and Capital Flows,Decentralization,Fiscal&Monetary Policy,Economic Theory&Research,Economic Theory&Research,International Terrorism&Counterterrorism,Governance Indicators,National Governance,Capital Flows

    Close Readings: Marie Watt: Lodge

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    Exhibition review of Marie Watt: Lodge, Tacoma Art Museum, June 30 - October 7, 2012.review articlesfinal article publishe
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