447 research outputs found
A European survey of nosocomial infection control and hospital-acquired pneumonia prevention practices
No full textObjectives: We aimed to examine organizational, structural and routine infection control measures provided by European ICUs and staff practices in ventilator-associated pneumonia prevention in relation with current recommendations. Methods: European ICU staffs were invited to complete a web-based 20 closed-item questionnaire. Results: 675 nurses and 886 physicians from 13 countries answered the questionnaire. Median number of respondents per country was 118.0 (64.5-155.5). Availability and organizational aspects of infection control revealed wide variations between countries. Among them, single-patient rooms was the aspect with the lowest availability (median availability 38%), but the largest variation ranging from 15 to 84%. Self-reported median adherence rate to recommendations was 72% (34.5-83.0) with a strong correlation between nurses and physicians responses (r(2) = 0.96; p < 0.0001). Sub-glottic drainage (31%), and infrequent ventilatory-circuit change (24%) were the measures with the lowest adherence rate whereas preferential use of oral intubation (90%) and of NIV (84%) and use of HMEs (82%) were the three with the highest rate. Organization of infection control was consistently self-reported. Disparities among countries were more frequent for specific actions regarding airway management, and even moreso for controversial issues (subglottic drainage, closed-suction systems). Conclusion: This European survey shows a 72% overall adherence rate to VAP prevention measures; with strong agreements between physician and nurses but considerable differences among countries for availability and organization aspects of infection control, providing healthcare authorities with figures for future programs. (C) 2012 The British Infection Association. Published by Elsevier Ltd. All rights reserved.Covidie
Interculturality - narrative forms in Sten Nadolny's novels
No full textDie Dissertation zum Thema -»Interkulturalität - Erzählformen im Werk von Sten Nadolny-« behandelt ausgewählte Romanwerke von Sten Nadolny, nämlich "Die Entdeckung der Langsamkeit" (1983) und "Selim oder Die Gabe der Rede" (1990). In ihr werden die Ambivalenz des Verhältnisses von Eigenem und Fremdem und die dazu in den Texten praktizierten Modelle des Austauschs zwischen diesen beiden Instanzen untersucht. Die in den Romanen angesprochenen Problemfelder der 'Langsamkeit' und der 'Rede' erscheinen als zwei Merkmale randständiger Identität, die in Opposition und wechselseitigem Dialog mit den herrschenden Wahrnehmungen und Verständnissen der Umgebung stehen. Die Thematik der Interkulturalität als Wechselwirkung von Fremdem und Eigenem und ihre erzähltechnische Verwirklichung in den Romanen umfassen Aspekte des Inhalts und der Form. Ihre Betrachtung in der vorliegenden Arbeit ist durch die eigene fremdkulturelle Sicht der untersuchenden Instanz geprägt. Damit aber wird eine Infragestellung herkömmlicher Methoden der Analyse möglich. Das Ziel ist, eine neue (fremdkulturelle) Perspektive bei der Behandlung von interkulturell bezogenen Werken einzubeziehen. Dazu dient insbesondere die Betrachtung der Wechselwirkung zwischen alternativen erzähltechnischen Ausdrucksmöglichkeiten und alternierenden Erzählinhalten in Nadolnys erzählerischem Konzept. Die Auseinandersetzung der Literaturkritik mit dem Thema des Fremden und Eigenen wird durch das Verständnis der Verfasserin aus fremder Sicht kritisch kommentiert. Die vorliegende Arbeit umfasst fünf Kapitel. Auf das Konzept des Erzählers Sten Nadolny, sein Verständnis des Erzählens und seine Erzähltechnik wird auch im Rahmen der Diskussion um die ›Postmoderne‹ eingegangen. Hierbei soll besonders auf sein Arbeitsverfahren aufmerksam gemacht werden, das sich den ästhetischen Möglichkeiten des "fremden Blicks" widmet. Kapitel II und III gehen auf die Konstruktion der Lebensgeschichten und anschließend auf den Wechsel der Erzählformen ein. In Kapitel IV legen Schlussfolgerungen aus dieser Auseinandersetzung mit Werk und Erzähler Position und Rolle Sten Nadolnys in der deutschen Gegenwartsliteratur fest. Die Arbeit endet mit einem Kapitel zur Literatur über Sten Nadolny und sein Werk, Erzählen, Interkulturalität und Postmoderne.This dissertation "Interculturality - narrative forms in Sten Nadolny- novels" treats selected novel works of Sten Nadolny, i.e. "The Discovery of Slowness" (1983) and "Selim or The Gift of Speech" (1990). The ambivalence of the relationship between the Self and the Other as well as the types of exchange between these two instances is practiced in the texts and examined. The problematic forms of 'slowness' and 'speech' addressed in both novels appear to reinforce a sense of "exiled" identity, which stands as two characteristics in opposition and mutual dialogue with the dominant perceptions and understandings of the environment. Their narrative implementation in the novels, in the contents and in their formal structure address the issue of Interculturality as a reciprocal relationship between the self and the other. The characters" points of view in the available works are changed by the presence of foreigners" cultural viewpoints. Thus the questioning of conventional methods of the analysis becomes possible. The goal of this dissertation is to include within this perspective a treatment of intercultural references. In addition the dissertation discusses in particular the view of reciprocity between alternative structural possibilities and alternative narrative possibilities in Nadolny- work. A discussion of the literary critical history on the history of the Other and the Self is augmented by the author- own perspective on foreignness. The argument is divided into five chapters. The first chapter explores the concept of the storyteller Sten Nadolny within the context of Postmodernism criticism. Here particular attention is paid to his narrative structure and the aesthetic possibilities of the "foreign" view. Chapters II and III deal with the construction of life stories and the subsequent transformation of the narrative forms. In the concluding chapters the storyteller- positionality and role of Sten Nadolnys in contemporary German literature. The work ends with a chapter dedicated to the literature about Sten Nadolny, his work, narration, interculturality and postmodernism
Experimental cardiopulmonary resuscitation : a study of haemodynamics and pulmonary function with special reference to the effects of adrenaline and alkaline buffers
No full text
Update on mechanical cardiopulmonary resuscitation devices
No full textPurpose of review The aim of this review is to update and discuss the use of mechanical chest compression devices in treatment of cardiac arrest. Recent findings Three recently published large multicenter randomized trials have not been able to show any improved outcome in adult out-of-hospital cardiac arrest patients when compared with manual chest compressions. Summary Mechanical chest compression devices have been developed to better deliver uninterrupted chest compressions of good quality. Prospective large randomized studies have not been able to prove a better outcome compared to manual chest compressions; however, latest guidelines support their use when high-quality manual chest compressions cannot be delivered. Mechanical chest compressions can also be preferred during transportation, in the cath-lab and as a bridge to more invasive support like extracorporeal membrane oxygenation.</p
Cardiopulmonary Resuscitation With Mechanical Chest Compressions and Simultaneous Defibrillation Reply
No full textSTEN NADOLNY i sztuka opowiadania życia
No full textIm Autobiographiediskurs spielen Romane bisher keine nennenswerte Rolle als theoretische Impulsgeber. Der vorliegende Beitrag zeigt, dass STEN NADOLNYS Selim oder Die Gabe der Rede eine autofiktionale Situation im inneren der diegetischen Welt erzeugt und sich damit für die Reflexion autobiographietheoretischer Problemkontexte eignet. Mit Rekurs auf Kristevas Überlegungen zur Selbst-Fremdheit werden die ‚autofiktionalen‘ Schreibakte vorgeführt, die das Individuum auch vom Fremden her erschreiben. Als dezentrierte Selbstlebensbeschreibung überschreitet NADOLNYS Roman damit gängige Formen der Autofiktion.Discourse concerning autobiography does not usually include novels as material for theoretical study. This article demonstrates how STEN NADOLNY’S novel Selim oder Die Gabe der Rede creates an autofictional situation within a diegetic world; therefore it may be a subject of reflection on theoretical problems associated with autobiography. In the context of Julia Kristeva’s deliberations on self-alienation, the Author discusses ‘autofictional’ acts of writing that describe the self through the ‘other’. As decentered life-writing, NADOLNY’S novel transcends common forms of autofiction.W rozważaniach nad autobiografią gatunek powieściowy odgrywał do niedawna mało istotną rolę jako przedmiot badań. Artykuł pokazuje, że powieść STENA NADOLNEGO Selim oder Die Gabe der Rede tworzy w świecie przedstawionym sytuację autofikcjonalną. Tym samym można ten utwór poddać teoretycznej refleksji w odniesieniu do autobiografii. W kontekście rozważań Julii Kristevy na temat obcości podmiotu wobec samego siebie, przedstawione zostają autofikcjonalne strategie pisarskie, które wywodzą autobiografię od ‚obcego’. Powieść NADOLNEGO – można ją nazwać ‚zdezorientowanym’ opisem samego siebie – przekracza wobec tego tradycyjne formy autofikcji
Vem är »Maja Lundgren« i Maja Lundgrens Myggor och tigrar? Fakta och fiktion som ontologi, framställningssätt eller retorisk kommunikationsakt
No full textSten Wistrand is associate professor in comparative
literature at Örebro University.Maja Lundgren’s outspoken description in Myggor och tigrar
(2007) of the male dominated cultural life of Sweden raised an
animated debate in media. Well known authors and journalists
felt themselves scandalized and accused Lundgren of being
paranoid. Others claimed that the narrator and character
»Maja Lundgren« was not to be confused with Maja Lundgren
the author, because the book was fictional and not factual. In
this article I discuss Myggor och tigrar out from different
fiction theories and conclude that it seems most rewarding to
approach the problem of fictionality as a question of rhetorical
communication rather than ontology or stylistic devices. I also
maintain that Lundgren’s book would implode if read as fiction,
since the rhetorical strategy implies the identity of the
author and the character
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