2,328 research outputs found
The role of clinical guidelines in medical litigation: a shift from the Bolam standard?
No full textSamanta J, 50
A rights-based proposal for managing faith-based values and expectations of migrants at end-of-life illustrated by an empirical study involving South Asians in the UK
No full textInternational migration is an important issue for many high-income countries and is accompanied by opportunities as well as challenges. South Asians are the largest minority ethnic group in the United Kingdom, and this diaspora is reflective of the growing diversity of British society. An empirical study was performed to ascertain the faith-based values, beliefs, views and attitudes of participants in relation to their perception of issues pertaining to end-of-life care. Empirical observations from this study, as well as the extant knowledge-base from the literature, are used to support and contextualise our reflections against a socio-legal backdrop. We argue for accommodation of faith-based values of migrants at end-of-life within normative structures of receiving countries. We posit the ethically relevant principles of inclusiveness, integration and embedment, for an innovative bioethical framework as a vehicle for accommodating faith-based values and needs of migrants at end-of-life. These tenets work conjunctively, as well as individually, in respect of individual care, enabling processes and procedures, and ultimately for formulating policy and strategy.</p
The density, construction and drag coefficient of electrostatic volcanic ash aggregates.
No full textRecent laboratory experiments have demonstrated that electrostatic charges generated during the fragmentation of volcanic pumice cause rapid aggregation of the silicate particles produced. Here, we present measurements of the mass and component particle size distribution of individual, electrostatically bound aggregates produced during these experiments. Particles produced by fracturing pumice aggregated as they fell ∼1.5 m within an enclosed fall chamber. Aggregate mass measurements indicate aggregate densities of ∼200 kg m−3 or less. The component particle size analysis demonstrates exponential-type cumulative distributions which are dominated (on a volume basis) by particles ∼10–40 μm in diameter and contain few particles >70 μm. By representing these particles as disks of 5 μm thickness the calculated aggregate densities are in agreement with those derived from the aggregate mass measurements and indicate a relatively constant aggregate density with size (in contrast with previous results from fall velocities). Combining the density measurements with fall velocity data allows the drag coefficient of aggregates to be determined. Empirical equations developed to describe the particle size distribution within aggregates are used to derive relative aggregation coefficients for the electrostatic aggregation process. Our results can be used within numerical models of volcanic plumes in order to improve their representation of electrostatic aggregation processes
From Dome to Disease: The Respiratory Toxicity of Volcanic Cristobalite
No full textExposure to fine-grained volcanic ash can potentially cause acute and chronic respiratory disease. The toxicity of ash is likely to vary depending on the type and style of eruption; eruptions at dome-forming volcanoes, in particular, can produce ash containing substantial quantities of respirable crystalline silica, a recognised human carcinogen and causative agent of silicosis. Volcanic domes crystallise crystalline silica as cristobalite, which is metastable at dome-forming temperatures (ca. 850 °C), through deposition from silica-saturated vapours and through devitrification of volcanic glass.
Five dome-forming volcanoes are studied to constrain the hazard posed by volcanic cristobalite, including: Colima, Mexico; Merapi, Indonesia; Mount St. Helens, USA; Santiaguito, Guatemala; and Unzen, Japan. The evolution of the cristobalite hazard is investigated from crystallisation in volcanic settings to its potential effect on biological systems, through a series of petrological, physicochemical and toxicological studies.
We rationalise the presence of metastable cristobalite below its stability field in all domes studied by way of a textural investigation, and conclude that the incorporation of aluminium and sodium into the silica structure facilitates crystallisation. Since particle toxicology is dependent on composition and structure, the observation of cation substitutions is expanded in a geochemical and thermodynamic investigation of volcanic cristobalite to constrain its mineralogy. We find that incorporation of 1-4 wt. % aluminium leads to a poorly-ordered cristobalite structure. This investigation facilitates a mineralogical comparison of the cristobalite hazard among volcanic locations and provides the framework for assessing volcanic cristobalite toxicity. We investigate the ability of volcanic ash to elicit an in vitro pro-inflammatory response, focusing on silica-mediated experiments, and relate the influence of structure and composition to the potential physiological burden. We find that volcanic cristobalite can be mineralogically considered as a single entity among locations, and that cristobalite-bearing ash is less toxic than expected. Nonetheless, we recommend that eruptions be considered on a case-by-case basis to most effectively aid the risk mitigation work of disaster managers globally
An advanced adjustable switch hybrid (Ash) concept for high power automotive converters
No full textIn this paper, we introduce an Adjustable Switch Hybrid (ASH) converter concept. The ASH targets the optimization of the electrical performance of high-powered automotive drive-trains depending on the different load conditions during drive cycles. The new concept employs in principle the previously reported Cross Switch (XS) Hybrid having a parallel arrangement of bipolar Silicon IGBTs and unipolar SiC MOSFETs for benefiting from the different electrical characteristics of each paralleled device. However, the ASH relies on a computational approach for the continuous and dynamic adjustments of the Si-IGBT to the SiC MOSFET area ratio through the gate units depending on the load conditions. In practical terms, changes in the loading conditions can be sensed and data will then be sent back to the ASH gate drive unit for the optimum device ratio selection. In other words, the ASH provides the drivetrain with an Electronic Transmission System or Gear type functionality.Accepted Author ManuscriptDC systems, Energy conversion & Storag
Medical guidelines in South African courts: exploring their role in medical negligence matters
No full textThis chapter analyses South African courts' approach to clinical guidelines in medical negligence case law. It is widely accepted that guidelines 'do not have the status of law' and this was recently confirmed by the Western Cape High Court. However, this statement conveys very little about the subject and there is a need to explore this issue because various healthcare providers have been found negligent for failing to comply with medical guidelines and this suggests that guidelines hold some value in law. In this chapter I offer an overview of what the case law has to say on the subject and I explore the role of guidelines in the context of proving reasonable foreseeability and preventability of harm. Further, I tease out some underlying issues that might impact decision making such as conflicting expert medical opinions, conflicting positions between healthcare professionals and medical guidelines, the role of limited resources, and the acceptability of foreign medical guidelines within the South African context. The chapter also analyses indications that South African courts are, in some instances, swayed by the privileged position of doctors in society or by the influential nature of medical knowledge (a form of authoritative knowledge). To this end, courts are found to 'bend over backwards' to avoid a finding of negligence where guidelines have been ignored and the chapter explores this issue in detail
Nathan Gray : What they brought back
No full textPublished to accompany the exhibition held at Gertrude Contemporary Project Room, Melbourne Art Fair, 4-8 August 2010.Catalogue essay by Ash Kilmartin
Pore solution composition of alkali-activated slag/fly ash pastes
No full textThe pore solutions of a series of hardened alkali-activated slag/fly ash pastes were extracted by the steel-die method, and analyzed using ICP-OES analysis technique. According to the saturation index from thermodynamic calculations, the pore solutions of alkali-activated slag pastes kept oversaturated with respect to solid reaction products with time. In the pore solutions of alkali-activated fly ash pastes, an increase of temperature (from 40 °C to 60 °C) led to decreases of the concentrations of Si, Al, Ca, Na, OH−, K, Fe and Mg, while the soluble silicate in the alkaline activator resulted in increases of the concentrations of these elements. Compared to the alkali-activated slag paste with the same alkaline activator, 50% replacement of slag by fly ash did not result in a substantial change of the pore solution composition. Based on the experimental results, conceptual models were proposed to describe the elemental concentrations in the pore solutions.Accepted Author ManuscriptMaterials and Environmen
Reliance on clinical guidelines in contemporary negligence litigation in the UK:Influential or determinative?
No full textCreating coagulants through the combined use of ash and brine
No full textSludge incineration and seawater desalination are two approaches that can be used in the disposal of waste activated sludge (WAS) and for obtaining fresh water. As resource recovery from wastewater treatment and water purification is a topic of particular interest in these times, “water mining” has become a focus of research, with phosphate/P-recovery from WAS incineration ash, and extraction of useful elements from the brine of desalination being important steps in the pursuit of a circular/blue economy. However, P-recovery from ash involves removing metals, which need to be disposed of carefully, as does the brine collected. If cations in the ash and anions in the brine could be combined in order to produce coagulants/flocculants, a new circular model would be established. A preliminary experiment for this purpose has demonstrated that a liquid poly‑aluminum chloride (PAC) could be synthesized from the aluminum ion/Al3+ removed from the ash and the original brine. With this work, we synthesized the liquid PAC by a hydrothermal method, and the results from infrared spectrometer demonstrated that the synthesized PAC was similar to a commercial PAC. Moreover, the synthesized PAC was able to efficiently reduce the effluent turbidity of wastewater treatment plants (WWTPs), especially when compared with the commercial PAC. It is therefore important that research in this area be continued in order to improve the quality of synthesized coagulants and to produce different coagulants based on cations and anions in ash and brine.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.BT/Environmental Biotechnolog
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