69 research outputs found
Venous gas embolism: An unusual complication of laparoscopic cholecystectomy
No full textVenous gas embolism (VGE) is a rare but potentially lethal complication of many forms of surgery, especially posterior fossa neurosurgery where the incidence is reported to be up to 80% - it can also occur in laparoscopic surgery. It usually occurs early in the procedure during insufflation of the abdomen. Rapid entry or large volumes of gas entering the venous circulation initiate a predictable chain of pathophysiological events which may continue to cardiovascular collapse. Arterial hypoxaemia, hypercapnia, decreased end-tidal CO 2 , arrhythmias, myocardial ischaemia and elevated central venous and pulmonary arterial pressures can occur. The management of VGE relies on a high index of suspicion and close liaison between anaesthetist, surgeon and theatre staff. The authors present a case of venous gas embolism (VGE) during laparoscopic cholecystectomy (LC) which presented without many of the usual clinical features and was diagnosed by auscultation of a millwheel murmur
The Unknown Life of Jesus Christ
No full textBook originally published by the Indo American Book Company - Illionois USA in 1894. Republished with updated information and comments by Dr. Alan Wenham-Prosser in 2019 Original book was by the Russian Author Nicholas Notovitc
Reclaim the Streets: Rethinking street infrastructure for the future
No full textThe project is situated within a larger body of research undertaken by a collective of 8 students, researching future scenarios for central Amsterdam focused upon how to envision the city in 2050. Diversity has long been closely associated with Amsterdam for much of its development, whether this is social, political, or business-related. Yet as the city pursues global ambitions to be a key knowledge hub, as well as undertakes a process of liberalising the housing market, this has seen a dramatic erosion of this long-held diversity. Monofunctional enclaves have begun spreading throughout Amsterdam, and the question must be raised as to how the city can maintain its traditional attitude towards diversity whilst still fuelling its quest for global integration. The project aims to present a strategy that can operate as a tool to densify throughout the city, whilst encouraging a myriad of social and community spaces to be developed. This strategy aims to be adequately flexible that it can be expanded as desired and required over time. It takes advantage of the expected advent of the removal of the car from central Amsterdam, and interrogates what are the opportunities on this land that once was dominated by the car towards purposes more shared and social. The project presented here is just one of these stories.Architecture, Urbanism and Building Sciences | Complex Project
Chiastic Structuring of the Genesis Flood Story: The Art of Using Chiasm as an Effective Compositional Tool for Combining Earlier Chiastic Narratives
No full textThe story of the flood is perhaps one of the best-known stories of the Bible, and its chiastic nature has long been recognized by scholars, most prominently by Yehuda T. Radday and Gordon Wenham.1 These scholars’ theses will briefly be discussed before proceeding to a detailed analysis of the text, which will demonstrate that the biblical flood story is two chiasms combined—one by author “J” and another by author “P.
Research engagement for Australia: measuring research engagement between universities and end users pilot study
No full textRealising the benefits of Australia’s world-class research system requires translation of its outputs into economic and societal benefits. The effective translation of research will be at the core of Australia’s future competitiveness and prosperity.
In mid-2014 a group of ATSE Fellows, concerned by the recently published data which showed that Australia was ranking bottom of the OECD when it came to collaboration between public and private sector researchers, set up a working party to develop a metric which would measure collaboration between university researchers, industry and other end users of their research. The group was alarmed by reports that the Excellence in Research Australia (ERA) exercise, while very desirable in its own right, was having the unintended effect of discouraging university- researcher collaboration with industry and other end users. The ATSE proposal was to use the income received from industry and other research end users to support research collaboration plus commercialisation income as the basis for an engagement metric. The proposal was welcomed in university, industry and government circles.
While there had been a number of previous proposals in Australia to use case studies as the basis on which research impact is measured, these proposals had not progressed because of the high cost associated with such exercises, difficulties around the attribution of impact, and the fact that such measures are a lagging indicator of university performance. Research engagement is a necessary condition for impact, and the ATSE engagement metric is a forward proxy for impact. The metric also aligns well with the measure used by the OECD.
From the outset, it was felt that it was very important that any metric developed had to be applicable and useful for the humanities, arts and social sciences (HASS) as well as science, technology, engineering and mathematics (STEM) fields. Accordingly, the steering committee membership for this project was expanded to include representatives of the four Learned Academies (Humanities, Social Sciences, Science, and Technology and Engineering), the Australian Research Council (ARC), senior researchers from the HASS, STEM and medical and health sciences (MHS) fields, and senior representatives of the key Commonwealth Departments (Education & Training and Industry, Innovation & Science). The Steering Committee met on two occasions face to face, three times by teleconference, and regularly electronically to comment on draft material. The project was named ‘Research Engagement for Australia’ (REA
Venous gas embolism: An unusual complication of laparoscopic cholecystectomy
No full textVenous gas embolism (VGE) is a rare but potentially lethal complication
of many forms of surgery, especially posterior fossa neurosurgery where
the incidence is reported to be up to 80% - it can also occur in
laparoscopic surgery. It usually occurs early in the procedure during
insufflation of the abdomen. Rapid entry or large volumes of gas
entering the venous circulation initiate a predictable chain of
pathophysiological events which may continue to cardiovascular
collapse. Arterial hypoxaemia, hypercapnia, decreased end-tidal CO 2 ,
arrhythmias, myocardial ischaemia and elevated central venous and
pulmonary arterial pressures can occur. The management of VGE relies on
a high index of suspicion and close liaison between anaesthetist,
surgeon and theatre staff. The authors present a case of venous gas
embolism (VGE) during laparoscopic cholecystectomy (LC) which presented
without many of the usual clinical features and was diagnosed by
auscultation of a millwheel murmur
Opportunities for belonging and becoming:using outdoor learning programmes with adolescent students
No full textPurposeThis study aims to explore two outdoor education programmes for adolescent students. In Australia, week-long residential camps cater for entire cohorts of students. In England, tailored, small-group provision caters for students excluded from mainstream schooling. This paper recounts how each programme approaches issues of educational equality and inclusion, firstly through design and secondly through delivery. It offers critical hope, through examining possibilities for belonging and becoming, as well as using these findings to critique the formal education system, to which such alternative education is juxtaposed.Design/methodology/approachThis paper analyses semi-structured interviews with key educators from each setting who played a sustained role in designing and delivering their programme. The author applies grounded theory techniques, including free-writing, memoing, diagramming and inductive coding, to draw out emergent themes from these interviews.FindingsDespite the distinct context, different design structures, scales and priorities, educator reflections on the enactment of both programmes reveal the emergence of opportunities for belonging and becoming. The author uses lenses of critical ecopedagogy and identity constitution, to probe how these possibilities for belonging and community-building, and for reengagement and identity reconstitution, develop and resound through both programmes. This provides possibilities for addressing educational marginalisation and inequality.Originality/valueOutdoor education is less used and under-researched, with adolescent students. The author argues the possibilities for belonging and becoming here contribute to debates around quality education, shedding light on flaws within neoliberal education provision. The author argues, such sites of alternative education enrich and counter aspects of education they are seen as alternative to, offering hope
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